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FRANCHISE RESALES

Buy a First Day Homecare Franchise

First Day Homecare is a home health care franchise specializing in pediatric and adult private duty nursing, placing skilled, licensed nurses in the homes of medically complex children and adults. Founded in 2020 and headquartered in Flint, Michigan, the brand began franchising in 2024 and is positioned as the first U.S. franchise focused on pediatric private duty nursing (PDN).

Alongside PDN, locations can offer personal and elder care, home infusion therapy, and in-home ABA therapy. Much of this care is authorized and reimbursed by Medicaid and major insurers rather than paid privately, and medically complex patients often require care for years, supporting long-term client relationships. Each location runs from a physical office staffed by licensed clinical employees.

Every office is anchored by an Administrative Director, typically the owner, and a Registered Nurse Clinical Supervisor who leads care delivery. Owners work with proprietary clinical programs including TrachBright, VentBright and Nutrition First, plus a technology stack integrating EMR, payroll, billing and training.

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Why buy a First Day Homecare Franchise?

First Day Homecare operates in an essential, non-discretionary category, and its focus on pediatric private duty nursing addresses a care need few providers are equipped to meet. Because most care is reimbursed through Medicaid and major insurers such as BCBS and UnitedHealthcare, revenue rests on funded, often multi-year care plans rather than discretionary consumer spending.

Owners do not need a clinical background. A Registered Nurse Clinical Supervisor leads care while the owner manages operations, and the clinical mentor program, licensing support and proprietary care programs give a non-nurse operator a structured path into a regulated industry. To buy a First Day Homecare franchise is to enter a recession-resistant category with insurance-backed demand.

First Day Homecare Franchise Costs & Information

Based on 2024 data reported in the 2025 FDD

  • Brand Profile

    • Year Founded

      2020

    • Franchising Since

      2023

    • New Startup Cost

      $138,780 – $248,080

    • Avg. Resale Price

      Contact us for details

  • Franchise Fees

    • Initial franchise Fee

      $70,000

      for new territories

    • Transfer Fee

      $10,000

    • Royalty Fee

      5%

      of Gross Revenue or Minimum Royalty Fee

    • Marketing Fee

      1%

      of Gross Revenue

  • Unit Performance

    • Total Units *

      2

    • New Units Opened *

      1

    • Units Transferred *

      0

    • Avg. Unit revenue *

      Not Disclosed

    * Based on 2024 data reported in the 2025 FDD

First Day Homecare – Additional  Information

  1. Training & Support

    First Day's onboarding includes pre-training 1:1 Zoom sessions and a two-day on-site program at the Flint, Michigan headquarters, with 28 hours of classroom and 24 hours of on-the-job training covering clinical systems, operations, staffing and compliance. A clinical mentor program trains the RN Clinical Supervisor and supports hiring, while a dedicated business coach, licensing guidance, marketing tools and a technology stack integrating EMR, payroll and billing support ongoing operations. Resale buyers should confirm what transfer training, mentor access and system onboarding First Day provides when ownership changes.

  2. Ideal Owner

    The model suits hands-on, operationally strong owner-operators rather than passive investors. No nursing background is required: owners typically fill the Administrative Director role, leading operations, finances and team culture while a hired RN oversees clinical care. The strongest fit is a confident decision-maker comfortable recruiting and managing staff, navigating state licensing and insurance requirements, and staying engaged in daily operations, especially early on. A mission-driven, community-focused outlook matched with operational discipline matters most.

  3. Recognition & Awards

    First Day Homecare has earned early recognition as the first U.S. franchise to specialize in pediatric private duty nursing, a launch covered by industry outlet Home Health Care News. It has also drawn local business attention, including a Deucey Award nomination in its home market of Flint, Michigan. As a newer system, it has not yet earned national franchise rankings such as the Entrepreneur Franchise 500. For resale buyers, brand-level recognition should be weighed alongside the specific territory's reputation, reviews, referral sources and standing with local insurers and case managers.

  4. Industry / Market

    The U.S. home health care market was valued at roughly $222 billion in 2025 and is projected to grow near 10% annually, driven by an aging population, advances in home-based medical care and a shift away from institutional settings. Pediatric private duty nursing is a specialized, underserved niche: medically complex children often need skilled in-home nursing for years, and demand outpaces the supply of qualified providers. Because much of this care is insurance- and Medicaid-funded, the category is largely non-discretionary, giving buyers demand that holds up across economic cycles.

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