10 min read·Industry Guide

Senior Care Franchise Complete Guide

Non-medical home care has the strongest demographic tailwind in franchising. Here's how to evaluate the opportunity.

Senior care has the strongest long-term demographic tailwind of any franchise category. The 75+ population in the United States will roughly double over the next 20 years.

Category Subdivisions

Non-medical home care (companion care, personal care), medical home health (skilled nursing, therapy), and senior placement services. Each has different licensure requirements and reimbursement models.

Unit Economics

Mature non-medical agencies bill $1M–$3M+ in annual revenue, with gross margins of 30–40% and operating margins of 12–18%. The key metric is caregiver retention.

Capital Requirements

$100K–$250K all-in. Low capital intensity because the model is office-based, not retail.

The Hardest Part

Caregiver recruiting and retention. Top-performing agencies invest heavily in caregiver pay, training, recognition, and culture. Agencies that treat caregivers as commodities fail.

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