Interim HealthCare franchise unit economics
Interim HealthCare franchisees run healthcare agencies that sell personal care at home, medical staffing, Medicare-certified home health and hospice services within a territory.
Interim HealthCare franchise at a glance
Interim HealthCare’s Item 19 reports healthcare and staffing sales for 168 territories in the fiscal year ended 26 December 2025, and hospice sales for 22 territories.
Interim HealthCare franchisees averaged $3,837,660 of sales in the fiscal year to 26 December 2025, with a median of $1,797,780, according to Item 19 of Interim HealthCare’s 2026 FDD, issued 20 May 2026. The 168 in that group are 84%* of Interim HealthCare’s 201 locations. An Interim HealthCare franchise costs $156,000 to $628,000 to open.
- 27% of reporting Interim HealthCare locations reached the average.
- Interim HealthCare franchisees run a healthcare agency across four lines (personal care at home, medical staffing, medicare-certified home health and hospice) inside a territory of 175,000 to 200,000 people with roughly 25,000 residents aged 65 and over.
These figures come from Interim HealthCare's 2026 Franchise Disclosure Document, as the brand reported them, and were read by Averan Advisors.
Own this franchise?
See what your numbers should look like every month.
Talk to Averan → Move your books and accounting to Averan →- Royalty is 3.5%, 4.5% or 5.5% depending on the payer. Each $1,000,000 shifted from private pay and staffing into Medicare or Medicaid saves $10,000 a year.
- Territories past ten years average $5,181,259; territories at three to five years average $707,442. A factor of 7.3, and the climb continues the whole way.
- Staffing sales average $494,431 at three to five years against $584,961 of healthcare sales. Past ten years the staffing line is $729,858 against $4,926,572.
- Owners holding one territory post a median of $2,158,167 against $1,797,780 across the network. Their median climbed 21.03% in 2025 while the network median climbed 8.43%.
- Franchised territories fell from 235 to 201 in two years. 2025 brought 12 terminations and 23 cessations against 8 openings.
How much does an Interim HealthCare franchise make?
The average Interim HealthCare unit reported $3,837,660 of revenue in the 2026 FDD, and the median reported $1,797,780. The brand’s disclosure document discloses revenue and not profit, so what an owner keeps depends on the cost structure set out below. Revenue is not income. Rent, wages, cost of goods and the franchise fees all come out before an owner is paid. The figures for the highest-selling and lowest-selling businesses are below.
Who pays the bill
Royalty by payor
| Sales | Rate | Royalty per $1,000,000 |
|---|---|---|
| Palliative care | 3.5% | $35,000 |
| Medicare, Medicare Advantage, Medicaid | 4.5% | $45,000 |
| All other sales | 5.5% | $55,000 |
| Hospice | 5.5% | $55,000 |
Rates as the brand reported it.
Royalty runs from 3.5% on palliative care to 5.5% on staffing. Palliative care pays 3.5% royalty. Staffing pays 5.5%. At the $3,837,660 average Interim HealthCare territory, the 2-point difference between those two rates is worth $76,753 a year *.
Medicare-certified work carries a royalty one point lower than private pay. Medicare, Medicare Advantage and Medicaid all sit at 4.5% while commercial insurance, private pay and supplemental staffing sit at 5.5%. Adding the certified home health line costs $60,000 up front. Everything it sells is then charged at the lower royalty rate. One point of that volume repays the fee at $6,000,000 of cumulative billings.
What the fees come to
| Territory | Revenue | Royalty at 5.5% | Marketing | Fixed fees | Total | Share |
|---|---|---|---|---|---|---|
| 3 to 5 years, average | $707,442 | $38,909 | $14,149 | $6,820 | $59,878 | 8.46% |
| Median territory | $1,797,780 | $98,878 | $35,956 | $6,820 | $141,654 | 7.88% |
| Average territory | $3,837,660 | $211,071 | $76,753 | $6,820 | $294,644 | 7.68% |
| Past ten years, average | $5,181,259 | $284,969 | $103,625 | $6,820 | $395,414 | 7.63% |
| Top 50, average | $9,660,850 | $531,347 | $193,217 | $6,820 | $731,384 | 7.57% |
We worked this out at the 5.5% royalty rate.
The fixed $6,820 is 1.16% of revenue at the bottom 50 and 0.07% at the top 50. The bottom 50 Interim HealthCare territories average $587,124 and the top 50 average $9,660,850. The technology fee starts 90 days after signing, which is ahead of most first invoices.
One of the two marketing points stays in your own market. The 1% local advertising requirement is spend you direct, sized off last year's sales. At the average territory that is $38,377 a year to place against referral sources you choose.
Top performers
What separates the top Interim HealthCare performers
Interim HealthCare splits its locations into groups instead of publishing one average. The top group averaged $9,660,850 a year. The lowest averaged $587,124. Both run the same brand, on the same agreement, paying the same fees. The middle location sold $1,797,780. The average was $3,837,660. More than half the system is below the number the brand quotes.
Decided before you open
- Site and trade area.The top band sells 16.5× the bottom band. Catchment, daytime population and neighboring businesses affect where a location falls.
- Territory.This model sells from a territory quoted at 200,000 people, with no storefront. Population density sets how much driving sits between jobs.
- Opening cost range.Opening costs $156,000 to $628,000, a 4.0× range inside one brand.
Live operating levers
- Accounts.Accounts bill year after year. Track how many you keep as well as how many you win.
Context you underwrite around
- Locations included.These figures cover 168 of 201 locations. Locations open less than the full year, brand-owned, or not meeting the reporting criteria are excluded.
- What the filing does not include.Item 19 publishes no profit or cost data for franchised locations. Ask the franchisor or current owners for cost and profit figures.
Sales
Revenue by time in the system
| Time in system | Territories | Average healthcare sales | Average staffing sales | Average total | Median total |
|---|---|---|---|---|---|
| Under 3 years | 2 | $50,617 | n/a | $50,617 | $50,617 |
| 3 to 5 years | 51 | $584,961 | $494,431 | $707,442 | $466,778 |
| 5 to 10 years | 38 | $1,595,484 | $321,697 | $1,671,109 | $1,224,956 |
| Over 10 years | 106 | $4,926,572 | $729,858 | $5,181,259 | $2,856,544 |
As the brand reported it.
Territories past ten years average $5,181,259 against $1,671,109 at five to ten years. $1,671,109 at five to ten years against $5,181,259 past ten, a three-fold move at the point most owners have long since found their ceiling. In residents that is $66.84 a year from each over-65 person rising to $207.25.
Staffing is a larger share of sales in younger Interim HealthCare territories. At three to five years the average staffing line is $494,431 against $584,961 of healthcare sales, 85% as large. Past ten years it is $729,858 against $4,926,572, or 15%. Staffing fills schedules early because a contract lands faster than a Medicare census builds.
The mature median is $2,856,544 against a $5,181,259 average. Half the territories past ten years sell less than $2.86 million. A few lift the average, one of them selling $57,621,347. Plan a mature territory against the median and treat the average as the shape of the tail.
Healthcare and staffing sales, 2023 to 2025
| 2025 | 2024 | 2023 | |
|---|---|---|---|
| Reporting territories | 168 | 165 | 150 |
| Top 50, average | $9,660,850 | $9,233,556 | $9,949,042 |
| All territories, average | $3,837,660 | $3,645,974 | $4,190,109 |
| All territories, median | $1,797,780 | $1,658,044 | $1,951,852 |
| Bottom 50, average | $587,124 | $459,339 | $684,732 |
| Highest single territory | $57,621,347 | $56,254,101 | $52,665,377 |
| Lowest single territory | $67,187 | $93,201 | $78,467 |
As the brand reported it.
The 2025 average sits at $3,837,660 against $4,190,109 two years earlier. The Interim HealthCare median was $1,797,780 in 2025 against $1,951,852 in 2023. Both halves of the distribution are still below where they stood in 2023. So a territory that has held flat for three years has held its position in the network.
The top 50 average sixteen times the bottom 50. That is $9,660,850 against $587,124. 27% of territories reach the network average, which runs 2.13 times the median. This is a business where a few certified, multi-line operations set the mean.
Owners with a single territory
| 2025 | 2024 | 2023 | |
|---|---|---|---|
| Owners holding one territory | 70 | 65 | 64 |
| Average | $3,808,529 | $3,458,683 | $4,181,380 |
| Median | $2,158,167 | $1,783,112 | $1,985,573 |
As the brand reported it.
How we calculated this
98 franchise owners held the 168 reporting territories in 2025, 70 of them a single territory.
The single-territory median is 20% above the network median. $2,158,167 against $1,797,780, and it rose 21.03% in 2025 while the network median rose 8.43%.
Hospice & network
Hospice territories, 2023 to 2025
| 2025 | 2024 | 2023 | |
|---|---|---|---|
| Reporting territories | 22 | 20 | 18 |
| Franchise owners | 13 | 21 | 19 |
| Average | $5,082,473 | $6,834,431 | $4,186,865 |
| Median | $4,167,757 | $4,512,383 | $2,749,551 |
| Highest | $15,316,282 | $25,786,021 | $19,408,099 |
| Lowest | $633,563 | $90,068 | $207,984 |
As the brand reported it.
How we calculated this
28 hospice territories were operating at 26 December 2025 and 22 of them reported for the full year.
A hospice territory bills $1,244,813 more than a healthcare one. $5,082,473 against $3,837,660, and the hospice median of $4,167,757 is more than double the healthcare median. The line costs $60,000 to add, plus $8,000 to $12,000 of accreditation alongside the certified home health line.
The hospice average fell 26% in 2025 after rising 63%. That is $6,834,431 to $5,082,473, with the top territory dropping from $25,786,021 to $15,316,282. The median moved far less, from $4,512,383 to $4,167,757, so the swing sits at the top.
What it costs to open
| Configuration | Low | High |
|---|---|---|
| Primary services only | $156,000 | $239,000 |
| With certified home health and hospice | $422,150 | $628,000 |
As the brand reported it.
Discounts available
- Interim HealthCare takes 10% off the first franchise's fee ($67,500 instead of $75,000) for honorably discharged U.S. Armed Forces veterans, also applied to service lines bought at the same time.
- Interim HealthCare charges $50,000 instead of $75,000 for a second or later territory.
- Interim HealthCare charges $50,000 to convert an existing similar business, and may reduce or waive the fee for conversions.
From Item 5 of the Interim HealthCare 2026 FDD. The costs on this page use the full initial franchise fee for one unit, before any discount.
The certified lines add $266,150 at the low end and $389,000 at the high end. $120,000 of that is franchise fees; the rest is working capital. That jumps from $51,850 to $185,000 at the low end. Medicare pays on a 30-day episode after the work is done, so the cash gap is the real cost of entering certified care.
Expanding an existing area costs $5,000 for each additional 10,000 people. A territory holds 175,000 to 200,000 people. Adding a quarter again costs about $22,500. A mature territory averages $5,181,259, so expanding the area you already know is the cheapest growth on this page.
The network of locations
| Year | Start | Opened | Terminated | Ceased | Reacquired | End | Transfers |
|---|---|---|---|---|---|---|---|
| 2023 | 222 | 29 | 3 | 15 | 0 | 235 | 13 |
| 2024 | 235 | 20 | 4 | 19 | 0 | 231 | 5 |
| 2025 | 231 | 8 | 12 | 23 | 8 | 201 | 3 |
Starts, openings, departures and transfers as the brand reported it in the outlet status table. The year-end column here comes from the system-wide summary. That puts franchised territories at 235, 231 and 201. Item 19 confirms those counts for 2025.
34 territories left the system in two years. 2025 alone brought 12 terminations and 23 cessations against 8 openings. Brand-owned territories went from 4 to 8 by the end of the financial year, and to 13 by 31 December after the South Carolina and Georgia purchase.
Transfers fell from 13 to 3 while terminations tripled. More owners are handing the territory back than selling it on. For an operator with capital, a contracting network of large territories is a buying market. The twelve territories terminated in 2025 are markets with a referral base already built and an open seat behind it.
Questions we get asked
How much does an Interim HealthCare franchise make?
Interim HealthCare franchisees averaged $3,837,660 of sales in the fiscal year to 26 December 2025, with a median of $1,797,780, according to Item 19 of Interim HealthCare’s 2026 FDD, issued 20 May 2026. The 168 in that group are 84%* of Interim HealthCare’s 201 locations. An Interim HealthCare franchise costs $156,000 to $628,000 to open.
What should my Interim HealthCare territory be billing?
Across 168 reporting territories the 2025 average was $3,837,660 and the median $1,797,780 for healthcare and staffing sales. By age, territories averaged $707,442 at three to five years, $1,671,109 at five to ten and $5,181,259 past ten, with medians of $466,778, $1,224,956 and $2,856,544. Hospice territories sit separately at an average of $5,082,473. Owners holding a single territory post a median of $2,158,167.
How is my royalty rate set at Interim HealthCare?
Interim HealthCare sets the royalty by who pays the bill. Palliative care pays 3.5%. Medicare, Medicare Advantage and Medicaid pay 4.5%. Everything else pays 5.5%, including families paying directly, commercial insurance and supplemental staffing. Hospice runs at 5.5% monthly. Primary services and home health are charged weekly on the previous week's sales with a $100 weekly minimum. Each $1,000,000 that moves from the 5.5% group to the 4.5% group saves $10,000 a year.
What do Interim HealthCare's fees add up to?
Royalty runs 3.5% to 5.5% depending on who pays. On top there is a 1% national marketing fee, 1% of local advertising the owner spends, a $485 monthly technology fee and a $1,000 annual regulatory subscription. At the 5.5% rate that is 8.46% of sales at a three-to-five-year territory, 7.88% at the middle territory, 7.68% at the average and 7.57% at the top 50. The fixed $6,820 is what makes the small end more expensive.
Is adding certified home health or hospice worth it at Interim HealthCare?
Each line costs $60,000 in fees. Taking both raises the opening cost from $156,000–$239,000 to $422,150–$628,000, mostly through working capital that rises from $51,850–$103,500 to $185,000–$350,000. Against that, hospice territories averaged $5,082,473 in 2025 with a median of $4,167,757, and Medicare and Medicaid sales royalty at 4.5% instead of 5.5%. The cash cycle is the thing to plan for, since Medicare settles a 30-day episode after the care is given.
Who does bookkeeping for an Interim HealthCare franchise?
Royalty is charged at three rates depending on who pays, and taken weekly. Record who pays at the time of billing. A territory that codes Medicare and Medicaid loosely pays 5.5% on work that qualifies for 4.5%. The four service lines are paid at different speeds. Medicare settles a 30-day period afterwards. Staffing contracts pay on their own terms. So a single cash forecast that mixes them will mislead you. The 1% local advertising requirement is sized off the preceding calendar year and belongs on a tracked schedule. Averan provides bookkeeping, controller, and fractional CFO support for franchise owners and has Certified QuickBooks ProAdvisors on the team.
- The filing gives no profit figure. The filing reports sales and not earnings, so what an owner keeps is not disclosed.
- The filing breaks out no cost lines. Wages, rent and cost of goods are not broken out, so margin cannot be rebuilt from the document.
Questions worth putting to Interim HealthCare
The filing answers what it answers. These are the gaps an owner or a buyer should close directly.
- What do locations at the median spend on wages and rent as a share of sales? The filing reports sales only.
- Which factors does Interim HealthCare see in its highest-selling locations, such as trade area, years open and size?
- How long does a new location take to reach the average you publish, and what does the build-up look like month by month?
- What do the fees add up to as a share of sales at the average location, once minimums and technology charges are counted?
- How many Interim HealthCare locations closed, were sold, or changed hands last year, and why?
Run your own numbers.
The Franchise Numbers Check runs the same checks on your own numbers. It scores where you stand and compares you with Item 19 of your brand’s FDD. It works out what one location earns and spends, and builds a 13-week cash forecast. It checks whether you are ready to open another one. It is free and it runs in your browser.
Launch the diagnostic →Run these numbers against your own agency.
We review your unit economics, cash forecast and reporting, so you know where you stand against the disclosed figures.
Talk to AveranWhere these figures come from.
Every figure here comes from Interim HealthCare Inc.’s 2026 FDD and is unaudited by us. We are unaffiliated with the brand. Calculations of our own are labeled where they appear, the figures describe past performance at other businesses and are not a projection of yours. This page is an educational summary. It is not an offer to sell a franchise, and it is not financial, legal or tax advice. Interim HealthCare® is a registered trademark of its owner. How Averan reads a Franchise Disclosure Document.
These figures come from the brand's disclosure. They are not a forecast, an offer to sell a franchise or advice. Source: Interim HealthCare Inc., 2026 Franchise Disclosure Document, issued 20 May 2026.
the franchise library, all 447 brands · how franchise unit economics work · running the books across several locations · what Averan does for franchise owners
Interim HealthCare reads against the rest of the non-medical home care group:
All 27 brands
- 1Heart Caregiver Services
- 2nd Family
- A Better Solution In Home Care
- ActiKare
- Always Best Care
- Assisting Hands Home Care
- BrightStar Care
- CareBuilders At Home
- Caring Senior Service
- ComForCare
- Comfort Keepers
- Executive Home Care
- FirstLight Home Care
- Griswold
- Hallmark Homecare
- Home Helpers Home Care
- Home Instead
- Home Matters Caregiving
- Homewatch CareGivers
- Nurse Next Door
- One You Love Homecare
- Qualicare
- Right at Home
- Senior Helpers
- Seniors Helping Seniors
- SYNERGY HomeCare
- Visiting Angels
The non-medical home care guide compares all of them on the same figures.
Questions owners ask next
The figures above raise these, and each one is answered on its own page.
- At what level of sales does a minimum fee stop costing me more than the percentage?It works out the sales level where a minimum fee stops applying.
- How much cash do I fund before a new location covers its own costs?It builds a 13-week forecast for the months before break-even.
- My payroll percentage keeps climbing. Is that a payroll problem?It shows how to tell whether payroll is rising or revenue is falling.
- At what point do spreadsheets stop coping?It explains what changes at around ten units and why lenders care.
- I run several locations. Which ones actually make money?It shows each location's contribution to profit and the reporting it takes to see it.