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Buy an American Family Care Franchise

American Family Care (AFC) is one of the largest urgent care franchise networks in the United States, with over 400 clinics nationwide. Founded in 1982 by Dr. Bruce Irwin and franchising since 2013, the brand is headquartered in Birmingham, Alabama.

AFC clinics deliver walk-in urgent care alongside primary care, occupational medicine, lab testing, digital X-rays and diagnostic services, positioning the centers as a convenient, lower-cost alternative to hospital emergency rooms for non-emergency illness and injury. The model serves local consumers, families and employers, and earns revenue across several service lines, including occupational-medicine contracts with area businesses.

Each franchise runs a fixed clinic within a protected territory, staffed by physicians and medical professionals. Owners can build a single location, develop multiple units, or convert an existing independent clinic into the AFC system, combining a recognised national name with standardised clinical and operating systems.

Latest Resales

  • There are currently no American Family Care resales available

Why buy an American Family Care Franchise?

Buying an American Family Care franchise offers entry into urgent care, an essential healthcare segment that has proved resilient across economic cycles and continues to draw patients seeking faster, lower-cost alternatives to the ER. AFC is among the most recognised names in the space, ranked first in Entrepreneur’s Urgent/Primary Care Clinics category, which can lend immediate credibility to a local clinic.

Much of the model’s appeal is its multiple revenue streams: walk-in urgent care, primary care, occupational medicine, vaccinations and diagnostics spread income across consumers, insurers and local employers rather than a single payer. Franchisees also plug into national vendor relationships, an established EMR platform, billing support and physician-recruiting services that an independent operator would have to assemble alone.

American Family Care Franchise Costs & Information

Based on 2024 data reported in the 2025 FDD

  • Brand Profile

    • Year Founded

      1982

    • Franchising Since

      2013

    • New Startup Cost

      $955,500 – $1,519,500

    • Avg. Resale Price

      Contact us for details
  • Franchise Fees

    • Initial franchise Fee

      $60,000

      for new territories

    • Transfer Fee

      $10,000

      or 10% of then-current initial franchise fee, whichever is greater

    • Royalty Fee

      6%

      of Net Payments

    • Marketing Fee

      1%

      of Net Payments

  • Unit Performance

    • Total Units *

      386

    • New Units Opened *

      37

    • Units Transferred *

      8

    • Avg. Unit revenue *

      $1,774,747

    * Based on 2024 data reported in the 2025 FDD

American Family Care – Additional  Information

  1. Training & Support

    AFC training begins with a two-day corporate program at the Birmingham, Alabama headquarters, and each owner is assigned a Franchise Business Consultant. Operations run on a customised EMR system handling patient intake, scheduling and payroll, backed by a 24/7 corporate intranet, approved-vendor billing, and regional teams giving virtual and on-site support. Ongoing development continues via conferences, webinars and written modules, plus module-based training for clinic staff and physician-recruiting help. Resale buyers should confirm what transfer training and EMR access the franchisor gives incoming owners and clinical staff.

  2. Ideal Owner

    AFC suits managerial owners more than hands-on clinicians. Medical credentials are helpful but not required; many franchisees are investors or executives who hire physicians and clinical staff to deliver care while they focus on operations, local marketing, occupational-medicine relationships and financial oversight. The strongest fit is someone comfortable managing licensed professionals, building employer and community referral relationships, and meeting the compliance demands of a regulated healthcare business. Multi-unit operators and independent clinic owners converting to AFC also fit the model well.

  3. Recognition & Awards

    American Family Care ranked #60 on Entrepreneur's 2026 Franchise 500 and first in the Urgent/Primary Care Clinics category, after breaking into the Top 50 at #47 in 2025; it has also appeared on Entrepreneur's Fastest-Growing Franchises list (#81 in 2025) and in the Franchise Times Top 400. AFC is widely described as the nation's largest urgent care provider, with system-wide sales exceeding $1 billion annually. For resale buyers, brand-level recognition should be weighed alongside the specific clinic's local reviews, patient retention and referral strength.

  4. Industry / Market

    AFC operates in the US urgent care sector, valued at roughly $36 billion in 2025 and projected to grow near 10% annually through the early 2030s (Grand View Research), with more than 15,000 centers now operating nationwide. Demand is driven by patients seeking convenient, lower-cost care outside crowded emergency rooms, long ER wait times, and employer reliance on occupational-medicine services. The category has proved relatively recession-resistant, as urgent care is essential rather than discretionary. For resale buyers, local demand depends on area population, competition and payer mix.

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