As more people choose to age at home, the home care industry offers a chance to do meaningful work while building a strong business.


Billion USD estimated home care spend globally by 2030
Billion estimated home care spend in US by 2030
Americans will be 65+ by 2030
Of Americans 65+ want to remain home vs moving to a facility
Forecast
The U.S. home care market spans Medicare-reimbursed home health (nursing, therapy) and non-medical personal care delivered at home. U.S. home healthcare services were valued at about $100.95B in 2024, with a projected 7.4% CAGR to 2032. The labor backbone is ~4.35 million home health & personal care aides (2024), with 17% job growth expected through 2034. Demand is rising as the 65+ population reached ~61.2M in 2024 (+3.1% YoY). Medicaid home and community-based services deliver in-home supports to ~4.5 million people annually. Overall U.S. health spending hit $4.9T in 2023 (17.6% of GDP), reinforcing payer shifts to lower-cost, in-home settings.

Trends
Aging at home isn’t a trend—it’s the new expectation. Surveys show most adults 50+ want to remain in their homes and communities. Public programs are rapidly redirecting long-term care dollars toward home. This is due to many factors:

Why do our franchisees partner with Nurse Next Door to open a home care business? It's because we have everything they need.
Our bold pink brand and multiple decades of refining our franchise systems, sets up our franchisees for success from start.
Caregivers and nurses want to work with Nurse Next Door. We empower them with premium wages, career growth through programs like Caregiving as a Career and Bold Kindness
Our franchisees have multiple revenue streams ranging from private pay, veterans affairs, medicare advantage and medicaid waiver programs.
Home care industry is demanding. We lift the burden of our franchisees by providing support through our in-house 24/7 call center, ready to answer requests any time.
Bold Pink Brand: We stand out from the crowd with our bright and loud branding. Find out why people love the Nurse Next Door brand on our blog.
Centralized Call Center: Scheduling is one of the key challenges many home care businesses face. Our unique Care Services Center manages the scheduling for your Franchise Partners 24 hours a day, 7 days a week. We also connect with caregivers to ensure someone is there for the scheduled visit.
Avoid burnout from endless admin work and focus on growing your business. Learn more about our centralized system on our website.
Happier Aging: Our care philosophy means we provide more than just care, we get our clients back to doing what they love.
Your support doesn’t stop after your initial training. We provide comprehensive, ongoing coaching and resources to ensure you’re set up for success from pre-launch through post-launch.
Our business coaches work with you closely, acting as your personal coach and cheerleader in weekly calls.
You’ll be equipped with essential resources to help you scale and manage your business, including:
We have a robust system in place to ensure you are fully supported as you work to achieve your goals.
We are active in the US, Canada, Australia and England with over 400 global franchises.
There are over 200 active locations in Canada and US, with many territories available for franchising across both countries. Contact our franchising experts to learn more.
The process of starting a Nurse Next Door franchise can be as short as 4-8 weeks. Review our path to franchising page to explore the process.
No. While a medical or health care background can be an asset, it is not required. Nurse Next Door values passionate, hardworking, sales-oriented business owners who can build relationships and lead teams.
Nurse Next Door’s franchise investment ranges from $115,115 to $212,600 (United States), and $137,500 to $188,700 (Canada). For a detailed breakdown of the investment costs, explore the finance options page.
We look for people who align strongly with our core values. Someone with a tender touch and the tenacity of a bulldog. Nurse Next Door requires a hard-working, sales-oriented leader who can connect with influencers in their community.
Here are characteristics that we seek in any Franchise Partner:
Please see Ownership Attributes for more details.
We pride ourselves on robust Franchise Partner support. As a new business owner–you’ll have a lot on your plate before and after launch. Nurse Next Door has a robust training and support system to set you up for success and continue to support you as you grow your business.
Our training and support include:
Visit Training & Support for detailed breakdown of our robust systems and support to set Franchise Partners up for success!
Foundations Training is our comprehensive, five-day virtual program designed to fully immerse and equip new franchise partners with the tools, skills, and knowledge needed to confidently launch and grow their business.
During the training, you'll engage in interactive sessions on all aspects of the business and get a first-hand look at how our systems work.
Our team of experts will guide you through key operational areas, including:
A Nurse Next Door franchise is catered towards individuals who are leaders, have an entrepreneurial passion and undeniable level of tenacity.
You’ll manage a team, hiring caregivers and other team members to support your business as you grow. You will be representing your business and brand in your local community. You will build relationships with local healthcare organizations in your community (hospitals, PT offices etc), attend/host events to educate the public on home care being an option to consider! The core purpose of a Nurse Next Door franchise is to make lives better.
Our Care Services Center will support you 365 days a year, 7 days a week, 24 hours a day with all scheduling requests so you can focus on being out in the community building connections and referrals.
Interested in learning more about what you’ll do in this business? Download our Franchise Report and learn more today.
At Nurse Next Door, we don’t just hire anyone.
Throughout our Training & Support, we will coach you through how to find great caregivers to join your team. Online job boards, social media, word of mouth referrals and job fairs are the most effective ways our Franchise Partners have found and hired great caregivers.
We find that caregivers with the right skill sets resonate with our brand and a rewarding career, over a job that just promises them hours. Wondering more about hiring caregivers? Learn How to Find the Best Caregivers for Your Home Care Business.
The above methods: Job Boards, Social Media, and Word of Mouth will be introduced and covered in detail during Training Week with us as a new Franchise Partner.
Ongoing support are provided by your Business Coach, and Marketing and People teams to ensure you’re on the right track to reach and connect to applicants using up-to-date resources and tools!
A Nurse Next Door franchise is catered towards individuals who are leaders, have an entrepreneurial passion and undeniable level of tenacity.
You’ll manage a team, hiring caregivers and other team members to support your business as you grow. You will be representing your business and brand in your local community. You will build relationships with local healthcare organizations in your community (hospitals, PT offices etc), attend/host events to educate the public on home care being an option to consider! The core purpose of a Nurse Next Door franchise is to make lives better.
Our Care Services Center will support you 365 days a year, 7 days a week, 24 hours a day with all scheduling requests so you can focus on being out in the community building connections and referrals.
Interested in learning more about what you’ll do in this business? Download our Franchise Report and learn more today.
Nurse Next Door’s franchise investment ranges from $115,115 to $212,600 (United States), and $137,500 to $188,700 (Canada). For a detailed breakdown of the investment costs, explore the finance options page.
Nurse Next Door’s Franchise Development team can walk you through the various ways franchisees typically secure funding. While Nurse Next Door does not provide financing directly, we are SBA approved. You can read more about SBA funding to see if you qualify.
Whether you are a US or a Canadian entrepreneur, here are additional tips on How to Finance a Franchise.
The initial franchise fee is $72,000 USD in the USA and $90,000 CAD in Canada. It gets you access to our world-class brand, systems, training, on-boarding and territory you’ll need for your franchise. It gives us bandwidth to provide you with the initial support and training you’ll need to get set up for success, as well as the proven business systems we use across the board.
Included in your franchise fee is our Franchise Opener program, with our week-long virtual training.
Success looks different for each of our Franchise Partners. Later in the process, we will work on a financial plan in forecasting your business that will help you find the answers you need.
You will also get to speak to a cross section of our Franchise Partners and they will be able to share specifics of their business including the financials during the Validation Call step in the Franchise Discovery Call.
Break-even differs for everyone.
As you explore our franchise opportunity further, you’ll get to hear from our Franchise Partners firsthand about their break-even experiences.
In Private Duty home care, there are two types of providers of these services.
Non-medical (non-skilled) services: This includes companionship, cooking and cleaning, light housekeeping, personal care (such as grooming) etc.
Medical (skilled) services: This includes all of the non-skilled services plus hands-on, medical services administered by a Registered Nurse or Licensed Practical Nurse (LPN). This could include medication management, post-hospitalization care, wound cleaning and more.
Being able to provide skilled services means the full-spectrum of care. It gives a home care business owner the advantage of being able to service all types of clients, widening your potential base of clientele. Professional Referrals like hospitals will prefer your business over other non-skilled providers as you can provide premium, medical services as the patient is discharged and ensure they have optimal care after a surgery and reduce the risk of readmission.
Nurse Next Door’s model is to provide a full-spectrum of services to best meet our clients’ needs and ultimately allow our clients to age at home, happily, safely and healthily.
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