Data verified 2026-02-26
About BrightSpring Health Services Franchise
Home health and personal care franchise providing skilled nursing and therapy services.
The total initial investment for a BrightSpring Health Services franchise ranges from $100,000 to $250,000, which includes the initial franchise fee of $50,000. These figures come from the most recently available Franchise Disclosure Document (FDD) filed with state regulators.
Beyond the initial investment, franchisees pay ongoing royalties of 5% of gross sales and marketing/advertising contributions of 1% of gross sales. These ongoing fees significantly impact your real profit margin, and they are often underestimated by prospective franchisees.
From a franchise due diligence perspective: The investment range above is the FDD's estimate. Your actual costs, including lease deposits, working capital shortfalls, build-out overruns, and the income you give up while launching, are almost always higher. Plan for the higher number. Use the tools below to calculate what this franchise will really cost you.
Download the BrightSpring Health Services FDD for Free
Franchise Disclosure Documents are public records in several states. Search for "BrightSpring Health Services" on these free state databases:
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Analyze Your FDD Free Profit CalculatorBrightSpring Health Services is NOT a franchise opportunity
After research verification against SEC filings, the BrightSpring corporate website, and multiple franchise databases, BrightSpring Health Services is a publicly traded healthcare services operator company, not a franchise system. No Franchise Disclosure Document (FDD) exists for BrightSpring Health Services because the company does not offer franchises.
BrightSpring Health Services, Inc. (NASDAQ: BTSG) is a Louisville, Kentucky-headquartered public company that provides home and community-based pharmacy and healthcare services directly to patients (serving over 400,000 patients per day per the January 2024 IPO announcement). The company was formed when KKR Private Markets purchased PharMerica Corporation in 2017 and expanded with the March 2019 acquisition of BrightSpring Health Holdings Corp. BrightSpring completed its IPO on NASDAQ on January 25-26, 2024 under ticker BTSG and BTSGU. The company operates as a direct service provider across multiple healthcare service lines: Home Health Care, Hospice, Rehab Therapy, Personal Care, Behavioral Health, Community Living (for individuals with intellectual and developmental disabilities), Pharmacy Solutions (including home infusion, specialty pharmacy, and senior living pharmacy), and Provider Services. None of these service lines are offered as franchise opportunities.
Prospective franchise buyers who encountered BrightSpring Health Services through a franchise directory listing should understand the distinction: BrightSpring Health Services (the public operator company) is not a franchise, while BrightStar Care (a similarly-named but entirely separate company) IS a franchise. The two companies are frequently confused due to similar naming. If you are seeking a home healthcare franchise opportunity, see the "similar franchises" list below for actual franchise alternatives including BrightStar Care, Interim HealthCare, Home Instead, and Senior Helpers.
Actual home healthcare franchise opportunities to evaluate
Buyers researching home healthcare franchise opportunities should evaluate the following actual franchise systems (all have real Franchise Disclosure Documents and operate true franchise models):
BrightStar Care
Founded 2002 by Shelly and JD Sun in Gurnee, Illinois. Franchising since August 2005. Franchisor entity BrightStar Franchising, LLC. Approximately 400+ locations across 39 US states and Canada as of 2025. Per the 2025 and 2026 BrightStar Care FDDs, franchise fee ranges $25,000 to $50,000; total investment $132,499 to $235,038; veterans receive a $5,000 franchise fee discount. Royalty is 5.25% of monthly Net Billings from non-National Accounts plus additional National Account rates. Per the 2026 FDD (4/09/2025 filing date), 2024 average unit revenue for all first franchise locations open 12 months was published with top-quartile and median breakouts available in Item 19; per the 2025 disclosures, 2025 combined average revenue for franchisees' first locations reached $2,413,076 with top quartile at $4,770,311. BrightStar Care has been named "Enterprise Champion for Quality" by The Joint Commission for 13 consecutive years, the only home care company to receive such distinction. Over 70% of owners have no healthcare background. Protected territory with population of 200,000 to 300,000.
Interim HealthCare
Founded 1966 (as Medical Personnel Pool), renamed Interim HealthCare in 1992. Franchisor entity Interim HealthCare Inc., wholly-owned subsidiary of Caring Brands International, owned by Wellspring Capital Management since October 2021. Over 320 locations across 44 states. Total investment $385,000 to $462,000 per SharpSheets October 2025, or $156,000 to $239,000 per VettedBiz (varies by service tier). Royalty 3.5% to 5.5% depending on service type. Average gross sales approximately $1,658,044 per VettedBiz with estimated earnings $298,448 to $414,511 and 1.6 to 3.6 year payback period. Full continuum of care: Home Healthcare, Hospice, Healthcare Staffing, Personal Care. See our full Interim HealthCare analysis for red flags including the franchisor's termination and non-renewal customer-goodwill claim provision.
Home Instead
Founded 1994 by Paul and Lori Hogan in Omaha, Nebraska. Acquired by Honor Technology (venture-backed home care technology platform) in 2021. Global network of over 1,200 locations. Focused on non-medical companionship and personal care for seniors. See our full Home Instead analysis.
Seniors Helping Seniors
Founded 1998 by Kiran and Philip Yocom. Franchising since 2006. Focuses on pairing active seniors as caregivers with older seniors receiving care. See our full Seniors Helping Seniors analysis.
Massage Envy
Health and wellness membership-based massage therapy and facial services franchise. 1,187 US locations. Roark Capital Group ownership since 2012. See our full Massage Envy analysis for material red flags including ongoing sexual assault litigation and structural therapist recruitment challenges.
BrightSpring Health Services is a direct healthcare services operator that is publicly traded on NASDAQ under ticker BTSG as of January 2024. The company does not offer franchise opportunities. Sources: BrightSpring Health Services SEC filings (Form 424B7 FY2025, IPO announcements January 2024), BrightSpring corporate website at brightspringhealth.com, investor relations portal at ir.brightspringhealth.com, and absence of BrightSpring Health Services in any franchise registration database (state franchise filings, FDD Exchange, FranChimp, Franchise Direct). If you arrived at this page looking for a home healthcare franchise, please see the alternatives listed above or use our AI FDD Analyzer to review any specific Franchise Agreement you are evaluating.
Key Questions Before Investing in BrightSpring Health Services
These are the due diligence questions most buyers skip before signing a franchise agreement. They go beyond what's in the FDD.
- What is the realistic Year 1 take-home pay? After royalties (5% of gross sales), ad fund contributions (1% of gross sales), rent, labor, COGS, insurance, and debt service. What do you actually keep? Use our Profit Margin Calculator to find out.
- What is the closure rate? Check Item 20 of the FDD. How many BrightSpring Health Services locations have closed, been terminated, or "ceased operations" in the last three years? A high number is a red flag.
- Are the territories truly protected? Item 12 defines your territory. Does BrightSpring Health Services reserve the right to sell through alternative channels (delivery apps, online, grocery) in your territory? Many do.
- What happens when you want out? Item 17 covers renewal, termination, and transfer. What does BrightSpring Health Services charge to transfer? Is there a non-compete after you leave? How long?
- What do current and former franchisees say? The FDD lists every franchisee's name and phone number. Call at least 10 current and 5 former ones. Our Validation Call Scripts tool gives you the exact questions to ask.
- Does the franchisor make money from you or with you? Check Item 21 (audited financials). Does BrightSpring Health Services earn most of its revenue from royalties on operating franchisees, or from selling new franchise licenses? The latter is a warning sign.
- Can you afford to lose this money? If BrightSpring Health Services fails in 18 months, what is your total financial exposure including the lease, SBA loan personal guarantee, and sunk costs? If the answer makes you sick, reconsider.
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Analyze Your FDD Explore Free ToolsOther Health & Wellness Franchises to Compare
Smart due diligence means comparing alternatives. Here are other health & wellness franchises you should evaluate alongside BrightSpring Health Services.
Disclaimer: Investment figures shown are from publicly available Franchise Disclosure Documents filed with state regulators. Figures may vary by location and FDD year. This page is for educational purposes only and does not constitute legal, financial, or investment advice. Always review the most current FDD and consult with a qualified franchise attorney before making any investment decision.