The Biggest Home Care Franchises

Private duty home care is in hot demand, and with a number of franchisors expanding and restarting their growth efforts, it’s no wonder this sector once again made an appearance on The Franchise Times Top 200+.

The list ranks the 500 largest U.S. franchise systems. Here are the top 10 home care companies that made the list and their ranking:

#79 Home Instead Senior Care—With more than 600 units in the U.S. and nearly 500 abroad, Home Instead is one of the largest home care franchisors. It had more than $1.4 billion in global sales in 2017, according to The Franchise Times.


#89 Interim HealthCare—The nursing, therapy, non-medical home care provider has 550 total units and more than 300 independently owned franchise location in 43 states and seven countries. Caring Brands International, the parent company of Interim, was acquired by Levine Leichtman Capital Partners in 2015. Its global sales top $1 billion.

#128 Visiting Angels—The $600+ million franchise company has 562 total locations. Visiting Angels provides companion care and personal care services, including 24/7 care.

#143 Comfort Keepers—Rising from No. 149 last year, Comfort Keepers has grown to 651 U.S. units. It specializes in services for end-of-life patients, dementia or those transitioning back home. The global sales are estimated to be above $500 million.


#171 Right at Home—While Right at Home dropped slightly from its 168th placement on the list last year, the medical and non-medical home care provider topped $400 million in global sales. With 465 total U.S. units and 63 international units, Right at Home operates independently owned and operated franchises.

#178 BrightStar Care—With 310 total units, BrighStar Care remains one of the nation’s largest franchisors. Global sales were more than $373 million, according to the Franchise Times.

#204 Senior Helpers—In-home medical and non-medical provider Senior Helpers started franchising in 2005. The company has 285 U.S. units and 15 international units, with sales over $280 million.

#275 ComForCare Home Care—With about 200 units, ComForCare rose slightly in the ranks, from 277th last year. The company was founded in 1996 and is based in Bloomfield Hills, Michigan. Its global sales reached $160 million.

#279 Home Helpers Home Care—Home Helpers provides non-medical and medical in-home care to seniors and others, such as working parents or expectant mothers. The company had more than $150 million in global sales and has reached more than 315 total units.

#303 Synergy HomeCare—The Arizona-basd provider has 316 units and sales topping $123 million. After opening in 2001, it has franchised locations since 2005.

Other notable home care franchisors that made the list this year include: Homewatch CareGivers; Always Best Care; First Light Home Care; Assisting Hands Home Care; and Caring Senior Service.

Written by Amy Baxter

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