Top 10 Home Care Franchises

Home health care companies continue to carve out their place in the franchise market, as the annual Franchise Time’s Top 200+ list names 14 home care franchises as some of the best-performing in the world.

After being named as a top franchise investment choice by Forbes earlier this year, home care franchise companies join the list alongside McDonald’s, Hyatt and Dunkin’ Donuts.

This is the 20th year that Franchise Times has produced the list that includes over 500 franchise systems and ranks them based on sales and number of locations.


Among the top 10 franchises in the health/medical category, Home Instead Senior Care came in No. 1, followed by Interim HealthCare at No. 2. Both franchises offer non-medical in-home care services.

Nestled between Motel 6 and Massage Envy on the Top 200+ list, Home Instead Senior Care took 79th place overall on the list. Founded in 1994 in Omaha, Nebraska, Home Instead has grown to be the largest senior care franchise in the world. The company has more than 1,000 independently owned and operated locations in 14 countries including Canada, Brazil, China, Ireland and Australia.

Founded in 1966 as a division of Labor Pool of America called Medical Personnel Pool, Interim HealthCare was given its current name in 1992. Interim HealthCare was ranked 89th overall, in between some notable names like Steak ’n Shake and Anytime Fitness. Headquartered in Sunrise, Florida, Interim HealthCare now has 550 units with more than 300 independently owned franchise locations in 43 states and seven countries.


Other home care franchises that made the top 10 list in the health/medical category include Right at Home, BrightStar Care and Senior Helpers, each of which has seen extreme growth in the last year.

Right at Home, based in Omaha, Nebraska, recently announced the change of ownership to grow the company even more in the coming years. And Chicago-based BrightStar and Timmonium, Maryland-based Senior Helpers have expanded into the Canadian market.

The list of the top 10 home health franchises in the health/medical category are as follows:

1. Home Instead Senior Care (Rank overall: 79)

2. Interim HealthCare (Rank overall: 89)

3. Visiting Angels (Rank overall: 130)

4. Comfort Keepers (Rank overall: 149)

5. American Family Care (Rank overall: 157)

6. Right at Home (Rank overall: 168)

7. BrightStar Care (Rank overall: 189)

8. Senior Helpers (Rank overall: 221)

9. ComForCare Home Care (Rank overall: 277)

10. Home Helpers Home Care (Rank overall: 290)

See the full list of the Franchise Times Top 200+.

Written by Alana Stramowski

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