Signal Health Group franchise
2025 filing · April 30, 2025Growing
Signal Health Group at a glance
An in-home care business for seniors, offering non-medical or medical services, with optional healthcare staffing for hospitals and care facilities. At the end of 2024 there were 20 Signal Health Group locations in the US, 18 franchised and 2 company-owned.
The business
- Industry
- Home care and senior care
- Franchisor
- Signal Health Group Franchise, Inc
- The company that sells the franchises
What you pay
- Cost to open
- $40K–$85K
- A non-medical services business
- Franchise fee
- $29,500
- For a territory of up to 100,000 seniors; $69,500 for a medical services business
- Royalty
- 5%
- 5% of gross sales, paid monthly, subject to monthly minimums; a 1% brand development fund fee may be added
- Brand fund
- None now
- 1% of gross sales, not charged at present
- Agreement length
- 10 years
Where it is
- US locations, 2024
- 20
- Franchised and company-owned
- Franchised
- 18
- Company-owned
- 2
- Change in 3 years
- +11
- Franchised locations, 2022–2024
- States
- 13
- Most in Indiana, Nevada and South Dakota
From Signal Health Group Franchise, Inc’s 2025 filing; SBA status from the SBA Franchise Directory, October 28, 2026.
Where it ranks
Signal Health Group among all franchises with the same figure.
| Figure | Signal Health Group | Among all franchises |
|---|---|---|
| Cost to open, midpointHalfway between the low and high estimate | $62,500 | Costs less than 95% of franchises |
| Franchise feePaid once, when you sign | $29,500 | Lower than 81% of franchises |
| RoyaltyShare of sales paid to the franchisor | 5% | Lower than 69% of brands with a set rate |
| US locationsFranchised and company-owned | 20 | Fewer than 50% of franchises |
How much a Signal Health Group franchise costs
Opening a non-medical services business costs an estimated $40,200 to $84,800. That covers the franchise fee and everything else needed to open, through the first months of working capital. It is one of the franchises under $50K.
Source: Signal Health Group Franchise, Inc, 2025 filing, page 24
Signal Health Group franchise fee
The franchise fee is $29,500, for a territory of up to 100,000 seniors; $69,500 for a medical services business. You pay it when you sign the franchise agreement.
Source: Signal Health Group Franchise, Inc, 2025 filing, page 15
Royalty and ongoing fees
| Royalty | 5% of gross sales, paid monthly, subject to monthly minimums; a 1% brand development fund fee may be added. |
|---|---|
| Brand or marketing fund | 1% of gross sales, not charged at present. |
| Replacement/Additional Training fee | Currently, $500 to $2,000 per day |
The typical franchise royalty is 6% of sales, plus 2% for marketing. See franchise fees and royalties to compare.
Source: Signal Health Group Franchise, Inc, 2025 filing, page 17
Other fees as filed, from page 17. The filing lists every fee, including late fees and audit costs.
Sales and earnings
No figures Signal Health Group 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: Signal Health Group Franchise, Inc, 2025 filing, page 55
SBA loans to Signal Health Group franchisees
Lenders approved 2 SBA 7(a) loans for Signal Health Group franchisees from 2021 to 2023, $171K in all. One has been paid in full; none was charged off. The other one hasn’t ended yet.
A charged-off loan is one written off as uncollectible. See SBA franchise loans for how 7(a) and 504 loans work.
Source: SBA 7(a) and 504 loan data, as of September 30, 2026
Growth and closures
Share of franchised locations, 2024 / 2022–2024. Typical means the median: half of brands are above it, half below.
| Measure | Signal Health Group | Typical home care brand | Typical franchise |
|---|---|---|---|
| GrowthNet change in franchised locations | +38% / +157% | +6.6% / +26% | +1.2% / +10% |
| ClosuresTerminated, not renewed or stopped operating | 0% / 14% | 2.5% / 15% | 3.9% / 16% |
| Bought backLocations the franchisor took back | 0% / 0% | 0% / 0% | 0% / 0% |
Typical home care brand is the median of the 34 brands in home care and senior care franchises with three years of counts.
How Signal Health Group compares
Of the 73 home care franchises on this site, Signal Health Group is the 3rd cheapest to open and the 42nd largest by number of locations.
| Figure | Signal Health Group | Typical home care brand | Typical franchise |
|---|---|---|---|
| Cost to open, low end | $40K | $100K | $222K |
| Cost to open, high end | $85K | $175K | $477K |
| Franchise fee | $30K | $50K | $40K |
| Royalty | 5% | 5% | 6% |
| US locations | 20 | 25 | 21 |
| Shares earnings figures | No | 61 of 73 | 2,147 of 3,352 |
Typical is the median across the 73 brands in home care and senior care franchises; typical franchise, across every brand here.
Locations opened and closed
| Year | Franchised | Company-owned | Opened | Closed |
|---|---|---|---|---|
| 2022 | 7 (0) | 4 | 0 | 0 |
| 2023 | 13 (+6) | 2 | +7 | −1 |
| 2024 | 18 (+5) | 2 | +5 | 0 |
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: home care franchise costs and franchise failure rates.
Source: Signal Health Group Franchise, Inc, 2025 filing, page 56
Where Signal Health Group locations are
At the end of 2024, Signal Health Group had locations in 13 states. The most are in Indiana, Nevada and South Dakota.
- Indiana3
- Nevada3
- South Dakota2
- Texas2
- Wisconsin2
- Arizona1
| State | Franchised | Company-owned | Total |
|---|---|---|---|
| Indiana | 1 | 2 | 3 |
| Nevada | 3 | 0 | 3 |
| South Dakota | 2 | 0 | 2 |
| Texas | 2 | 0 | 2 |
| Wisconsin | 2 | 0 | 2 |
| Arizona | 1 | 0 | 1 |
| California | 1 | 0 | 1 |
| Florida | 1 | 0 | 1 |
| Georgia | 1 | 0 | 1 |
| Massachusetts | 1 | 0 | 1 |
Source: Signal Health Group Franchise, Inc, 2025 filing, page 57
Who owns Signal Health Group?
Signal Health Group franchises are sold by Signal Health Group Franchise, Inc.
From Signal Health Group Franchise, Inc’s 2025 filing.
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: Signal Health Group Franchise, Inc, 2025 filing, litigation on page 15, bankruptcy on page 15
Signal Health Group filings
The figures on this page come from Signal Health Group Franchise, Inc’s 2025 filing, issued April 30, 2025, on record with the NASAA Electronic Filing Depository.
| Filing | Issued | Registry | On this page |
|---|---|---|---|
| 2025 filing | April 30, 2025 | NASAA depository | Costs, fees and locations, 2022–2024 |
Each link opens the filing as a PDF. See the newest filings across all brands.
