Nurse Next Door Home Care Services Franchise
Audited FinancialsRisk Score
Pending analysis
Investment Range
$119,115 - $215,600
Franchise Fee
$62,000
Min Cash Required
$15,000
Total US Locations
73
Business Summary
Nurse Next Door Home Healthcare Services (USA) Inc. operates a business system that provides both non-medical and skilled nursing services to clients in their homes. Nurse Next Door franchisees also offer supplemental healthcare staffing to institutional clients such as hospitals, retirement facilities, and clinics. The home care services include skilled nursing, respite care, personal support, companionship, meal preparation, light homemaking, transportation, assistance with daily activities like bathing and dressing, medication management, and dementia care. The services aim to help clients maintain independence.
Corporate History
Nurse Next Door Home Healthcare Services (USA) Inc. was incorporated in Washington on February 17, 2010, specifically to franchise the Nurse Next Door business system in the United States. Its parent company, Nurse Next Door Professional Homecare Services Inc., based in British Columbia, Canada, originally developed the system and began operating its corporate-owned home healthcare services in Canada in 2001. The parent company also started offering Nurse Next Door franchises in Canada through an affiliate in 2007. Nurse Next Door Home Healthcare Services (USA) Inc. exclusively sublicenses the brand's trademarks and intellectual property from its Canadian parent to operate and expand the franchise system in the U.S.
Financial Overview
Investment Range
$119,115 - $215,600
Franchise Fee (Low)
$62,000
Franchise Fee (High)
$72,000
Minimum Cash Required
$15,000
Royalty %
5%
Marketing %
1%
Equipment Costs (Low)
$1,000
Equipment Costs (High)
$6,000
Working Capital
$35,000
Audited Financials
Yes
Offers Financing
Yes
Audit Opinion
Unqualified opinion
Financial Health Notes
Nurse Next Door Home Healthcare Services (USA) Inc.'s financial statements for the fiscal year ended September 30, 2024, show a positive net income of $244,099 and healthy working capital of $1,516,410. In the prior year, September 30, 2023, Nurse Next Door Home Healthcare Services (USA) Inc. had a small net loss of $6,371, but maintained positive working capital of $2,378,403. The company has positive stockholder's equity of $401,266 as of September 30, 2024, improving from $157,167 in 2023. The independent auditors have issued an unqualified opinion, meaning they found the financial statements to be presented fairly. However, a special risk factor in the FDD (Item 0) explicitly states that the franchisor's financial condition, as reflected in these statements, "calls into question the Franchisor's financial ability to provide services and support to you."
Financing Details
Nurse Next Door Home Healthcare Services (USA) Inc. generally does not offer direct financing. However, for existing franchisees purchasing additional territories, Nurse Next Door Home Healthcare Services (USA) Inc. may, at its discretion, finance the Initial Franchise Fee and Technology Start-up Fee up to $80,000. To qualify, franchisees must be in good standing and performing well. These loans carry an interest rate of Prime Rate plus 5% per annum, increasing to Prime Rate plus 10% upon default, with repayment terms ranging from 12 to 24 months and monthly payments up to $10,000. No prepayment penalties are applied, but a security interest is required, and a $500 fee is charged for loan renegotiations. Default on the loan can lead to termination of the franchise agreement.
Performance Metrics
Total US Locations
73
Franchised Units
73
Corporate Units
0
Franchising Since
2010
Legal & Compliance Analysis
Recent Litigation
Yes
Bankruptcy
No
Litigation Count
6
Litigation Summary
Nurse Next Door Home Healthcare Services (USA) Inc. has been involved in six disclosed litigation cases. An administrative proceeding in Maryland from 2016 alleged improper handling of initial franchise fees, which Nurse Next Door Home Healthcare Services (USA) Inc. resolved with a Consent Order in 2017, confirming compliance and refunding fees. In California, an investigation in 2019 led to a July 2021 consent order, where Nurse Next Door Home Healthcare Services (USA) Inc. admitted to improperly sharing a franchisee's earnings article during sales, agreed to stop, offered one franchisee a refund, implemented sales training, and paid a $12,500 penalty. Three arbitration cases were filed against Nurse Next Door Home Healthcare Services (USA) Inc. in May and July 2020 by franchisees alleging breach of contract and seeking to invalidate agreement terms. Nurse Next Door Home Healthcare Services (USA) Inc. denied these claims and filed counterclaims for breach of contract, wrongful termination, non-compete violations, and unpaid fees. All three cases were resolved through confidential settlements in July, August, and September 2021, with the franchisees making payments to Nurse Next Door Home Healthcare Services (USA) Inc., and the arbitrations were dismissed. Most recently, in July 2024, a lawsuit was filed in Florida against Nurse Next Door Home Healthcare Services (USA) Inc. by a franchisee alleging fraudulent inducement due to undisclosed licensing issues for skilled nursing services. This case was later dismissed after Nurse Next Door Home Healthcare Services (USA) Inc. successfully compelled arbitration.
Bankruptcy History
Nurse Next Door Home Healthcare Services (USA) Inc. does not have any bankruptcy history to disclose.
Agreement Terms
Initial Term
5 years
Renewal Term
5 years
Renewal Conditions
To renew, Nurse Next Door Home Healthcare Services (USA) Inc. franchisees must provide timely notification, not be in default of any license provisions, and have committed fewer than two defaults in the past 24 months (whether cured or not). Franchisees are also required to sign Nurse Next Door Home Healthcare Services (USA) Inc.'s then-current franchise agreement (which may have different terms) and an addendum, pay a renewal fee, sign a general release of claims, and may be required to attend additional training at the franchisor's discretion.
Training & Support Program
Franchisor Assistance
Nurse Next Door Home Healthcare Services (USA) Inc. provides comprehensive support to its franchisees. Before opening, Nurse Next Door Home Healthcare Services (USA) Inc. assists with designating a protected territory, granting electronic access to its operating manuals, and providing a list of approved suppliers. Franchisees also receive an initial "Countdown to Launch" program and a Foundations Training Program, and support in determining state licensing requirements. After opening, Nurse Next Door Home Healthcare Services (USA) Inc. provides ongoing electronic access to updated manuals, operates and provides access to its 24/7 Care Services Center, and administers the General Branding Fund. Franchisees receive general advice and guidance, periodic training programs, mystery shopper inspections for compliance feedback, and suggested retail prices. Nurse Next Door Home Healthcare Services (USA) Inc. also provides continuing advice and guidance through a business coach via its Owner Operator Program.
Initial Training Hours
36.5
Training Location
Vancouver, British Columbia, Canada or Remote
Ongoing Support
After opening, Nurse Next Door Home Healthcare Services (USA) Inc. provides ongoing support by granting electronic access to updated manuals, operating and providing access to its 24/7 Care Services Center, and administering the General Branding Fund. Franchisees receive general advice and guidance, periodic training programs, and mystery shopper inspections for compliance feedback. The Care Services Center offers intake support, caregiver employment inquiries, virtual consultations, attendance monitoring, scheduling, and live overnight coverage. Additionally, through its Owner Operator Program, Nurse Next Door Home Healthcare Services (USA) Inc. provides access to a business coach who offers continuing advice and guidance on planning, opening, and operating the business, including marketing, training, and general business operations.
Franchise Requirements
Ideal Candidate Profile
Nurse Next Door seeks business entities, rather than individuals, for its franchisees, with the understanding that the business entity must be assigned within three months of signing the franchise agreement. The principal owner of the business entity must personally participate in the direct operation of the Nurse Next Door franchise, committing at least 40 hours per week. In limited cases, a general manager approved by Nurse Next Door and having completed the Foundations Training Program may operate the business. Each owner of the franchisee entity is personally liable for the franchise obligations. Ideal candidates should demonstrate strong management capability and financial strength, especially if they plan to purchase multiple territories. Experience and qualifications for an Administrator role, as per state regulations, are beneficial if the franchisee intends to assume this role. Nurse Next Door also offers incentives for frontline healthcare workers who meet their new franchisee requirements. Franchisees are expected to understand and comply with complex federal, state, and local healthcare laws and regulations, including licensing for both non-medical and skilled nursing services. They should also be prepared to build and manage a team of qualified, licensed nursing and care staff.
Industry Experience Required
No
Management Experience Required
Yes
Sales Experience Required
No
Technical Skills Required
No
Operational Details
Location Type
Hybrid
Owner Participation
Hands-On
Territory Type
Protected
Territory Size Requirements
Nurse Next Door Home Healthcare Services (USA) Inc. defines its franchise territories based on a minimum of 10,000 resident senior citizens. These figures are determined using current United States census data and specialized software. The franchisor may also agree to territories with slightly fewer senior citizens if mutually agreed upon with the franchisee.
Staffing Notes
Nurse Next Door Home Healthcare Services (USA) Inc. franchisees are required to employ licensed Registered Nurses, Licensed Practical Nurses, or Licensed Vocational Nurses for skilled nursing services, ensuring they are in good standing and licensed with their State Nursing Board. Franchisees must verify licenses upon hire and annually. A qualified Registered Nurse must be hired to oversee services, potentially full-time or part-time depending on state regulations, serving as a Director of Nursing/Nursing Supervisor responsible for client assessments, supervisory visits, and clinical staff interviews. A back-up Registered Nurse is also required. An Administrator or Agency Manager is necessary for overall agency direction, a role the franchisee may assume if qualified. Nurse Next Door Home Healthcare Services (USA) Inc. also requires franchisees to hire a full or part-time sales employee if minimum performance requirements are not met. The franchisee maintains sole responsibility for all employment decisions, including hiring, firing, training, and wages, ensuring compliance with all employment-related laws.