Home Care Franchises See Strong Growth, Dominate Franchise Times Top 500 Ranking
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The demand for in-home care is rapidly increasing, and the latest rankings from The Franchise Times reflect this trend. Fourteen home-based care companies secured a place on the publication’s annual list of the largest franchise systems, signaling a robust and expanding market.
The annual ranking, released recently, is based on the previous year’s global systemwide sales and highlights the leading franchise opportunities in the U.S. To qualify, companies must be legal U.S. franchises, either based in the U.S. or with at least 10% of their total units located domestically, with franchisees owning a minimum of 10% of the total units. The top of the list was dominated by familiar names in the fast-food industry, including McDonald’s (NYSE: MCD), 7-Eleven, and KFC.
Leading the Charge in In-Home Care
Several prominent home care franchises landed within the top 100, demonstrating their significant market presence. Home Instead, Visiting Angels, Right at Home, and Comfort Keepers all achieved high rankings, showcasing the growing need for non-medical and personal care services.
Home Instead Senior Care secured the 43rd spot with system sales totaling $2,463,182,003 and 1,198 total locations. Based in Omaha, Nebraska, the company boasts one of the largest footprints in the U.S. home care sector.
Visiting Angels, ranked 69th, reported system sales of $1,212,432,533 across 790 locations. The Bryn Mawr, Pennsylvania-based franchise specializes in companion and personal care, with a focus on services like fall prevention, dementia and Alzheimer’s care, meal preparation, and light housekeeping.
Right at Home followed closely at rank 78, with $996,540,978 in system sales and 760 locations. Also headquartered in Omaha, Nebraska, Right at Home extends its services to six other countries beyond the U.S.
Rounding out the top 100 was Comfort Keepers at rank 100, reporting $750,000,000 in system sales and operating 657 locations. The Irvine, California-based provider was acquired by the Halifax Group in 2023, signaling continued investment in the sector.
Consolidation and Growth in the Home Care Market
Beyond the top 100, several other home care franchises demonstrated impressive growth and market penetration. BrightStar Care (Rank 102, $744,894,642 system sales, 408 locations) and Senior Helpers (Rank 132, $600,000,000 system sales, 436 locations) both experienced significant sales volume. Notably, BrightStar Care was acquired by Peak Rock Capital earlier this year, and Senior Helpers was acquired by Advocate Health Enterprises in 2021, reflecting a trend of consolidation within the industry.
Further down the list, Home Helpers Home Care (Rank 186, $307,036,556 system sales, 344 locations) and ComForCare Home Care (Rank 193, $297,687,877 system sales, 264 locations) continue to expand their reach. FirstLight Home Care (Rank 197, $282,072,193 system sales, 244 locations) and Always Best Care (Rank 198, $280,952,555 system sales, 279 locations) also demonstrated strong performance.
Several other companies, including Homewatch CareGivers (Rank 203), Assisting Hands Home Care (Rank 242), HomeWell Care Services (Rank 278), and A Place at Home (Rank 492), all secured positions on the list, demonstrating the breadth and depth of the home care franchise market. .
The increasing number of seniors, coupled with a growing preference for aging in place, is driving demand for these services. As the population continues to age, the home care franchise sector is poised for continued growth and innovation. The recent acquisitions of companies like BrightStar Care and Senior Helpers suggest that investors recognize the long-term potential of this vital industry.
