Top Home Care Franchises Based on Sales

Led by Home Instead Senior Care, Interim HealthCare and Visiting Angels, more than a dozen home care agencies earned spots in Franchise Times’ latest Top 200+ ranking.

The Franchise Times Top 200+ ranking, published every October, highlights hundreds of the largest U.S. franchises based on sales growth. Headquartered in Minneapolis, Franchise Times is a national business publication. It was purchased from Crain Communications in 1998.

Although called the Top 200+, 500 companies are included in the annual ranking.

At No. 77, Omaha, Nebraska-based Home Instead Senior Care, which just released a tearjerking ad gaining national attention, led all home care agencies. Home Instead is one of the largest senior care franchise companies in the world, with independently owned and operated offices in 12 countries and more than 600 U.S. franchised locations.

Home Instead’s global sales totaled $1.58 billion through the end of last year, according to Franchise Times. Initial investment for individuals looking to start a Home Instead franchise typically ranges between $108,900 and $124,910.

With $1.09 billion in system sales and 346 U.S. franchised locations, Sunrise, Florida-based Interim HealthCare earned the No. 91 spot in the Top 200+ ranking. Interim, which actually held the No. 89 spot in last year’s ranking, is part of the Caring Brands International network of companies. Initial investment ranges between $125,500 and $198,500.

Home Instead and Interim were the clear industry leaders in terms of system sales and the only home care franchises to record system sales exceeding $1 billion, according to Franchise Times.

Bryn Mawr, Pennsylvania-based Visiting Angels checked in at No. 124. Visiting Angels, which has 563 U.S. locations, had system sales of about $675,000 through the end of last year, Franchise Times estimates. Initial investment ranges between $120,135 and $150,985.

For context, the three home care companies placed higher than Einstein Bros. Bagels, Sports Clips and Meineke Car Care Centers. The No. 1 overall franchise on the Top 200+ ranking with more than $90 billion in system sales: McDonald’s.

In general, the Top 200+ ranking’s “health and medical” category was dominated by home care franchise companies, suggesting continued business opportunity in the space. The only non-home care companies were American Family Care,  The Joint Chiropractic, Any Lab Test Now and Dental Fix RX.

Here are the other home care franchise companies that made the latest Top 200+ ranking:

— No. 139: Comfort Keepers

— No. 153: Right at Home

— No. 172: BrightStar Care

— No. 204: Senior Helpers

— No. 255: ComForCare Home Care

— No. 260: Home Helpers Home Care

— No. 282: Synergy HomeCare

— No. 289: Always Best Care

— No. 296: Homewatch CareGivers

— No. 321: FirstLight Home Care

— No. 396: Assisting Hands Home Care

— No. 426: Caring Senior Service

— No. 491: Executive Care

With 1,130 locations, Home Instead had the most global locations among Top 200+ home care franchises. Executive Care — with 17 — had he fewest total locations, according to Franchise Times.

7-Eleven ranks No. 2 in terms of global sales, but it stands alone in the Top 200+ in worldwide units, with more 64,000 in 18 countries.

Written by Robert Holly

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Robert Holly
When Robert's not covering the latest in home health care news, you can likely find him rooting for the White Sox or roaming his neighborhood streets playing Pokemon Go. Before joining HHCN, Robert covered everything from big agribusiness to the hottest tech startups. 

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