When investors look into senior care, one of the first options they often explore is assisted living. Facilities have long been the default way to meet the needs of an aging population. But in today’s market, families want something different. They want skilled nursing care delivered at home, whether for an elderly parent or for a child with medically complex needs. This preference has propelled the rise of the private duty nursing franchise, a model that combines profitability, scalability, and a mission that resonates with families.
First Day Homecare is at the forefront of this shift. Unlike brands that focus only on seniors, First Day provides private duty nursing services for both adults and pediatrics. That dual focus is what sets it apart. For investors, it creates a larger, more resilient market. For families, it ensures their loved ones, whether elderly or young, receive compassionate, consistent care at home.
A private duty nursing franchise delivers skilled, one-to-one nursing in the home. These services go beyond companionship or basic daily living assistance. They include complex clinical interventions such as IV therapy, tracheostomy care, ventilator management, feeding tube support, medication administration, and vital sign monitoring.
Unlike assisted living, which requires patients to move into a facility, private duty nursing keeps them in familiar surroundings. It is care that adapts to the patient’s life, not the other way around.
And importantly, it is not just for seniors. In fact, many of the most intensive cases come from medically complex nursing needs in pediatrics, children who require long-term support after premature birth, major surgery, or chronic illness. Serving both groups, seniors and pediatrics, is the defining advantage of First Day Homecare’s model.
The senior market is massive and growing, but it is also crowded. By 2030, more than 73 million Americans will be over the age of 65. This creates strong demand for elderly services, but it also means dozens of franchises already market themselves as senior-focused.
Pediatrics tells a different story. More than 3 million children are hospitalized in the U.S. every year. Many of them leave the hospital with ventilators, feeding tubes, or other complex needs that require skilled nursing at home. This population is underserved. Few providers have the training, infrastructure, and systems to manage these cases safely.
That is where First Day Homecare’s dual focus becomes powerful. It allows franchisees to:
While many elderly home care models compete in crowded senior markets, a dual focus franchise addresses underserved segments and creates broader community impact.
ROI is always central to the conversation. Assisted living facilities can produce revenue, but they also come with heavy constraints:
By contrast, a private duty nursing franchise is leaner, faster, and more adaptable:
The result is a quicker, more sustainable path to profitability.
One of the unique strengths of First Day Homecare is its ability to serve medically complex nursing cases. These are patients, often children or young adults, who require continuous, skilled support that most general care models cannot provide.
Examples include:
For seniors, medically complex nursing may not be as common, but many still benefit from specialized care such as chronic disease monitoring, medication management, and recovery support after hospital stays. The infrastructure that supports pediatric complexity also enhances the quality of senior care.
This dual capability positions First Day Homecare franchisees as trusted providers for entire families, not just one demographic.
Families consistently choose private duty nursing services over assisted living for four key reasons:
Comfort. Care happens in the home, where patients feel safe and supported.
Personalization. One-to-one nursing allows for individualized care plans that improve outcomes.
Continuity. Families trust consistent caregivers rather than rotating staff.
Safety. At-home care reduces exposure to infections, a lesson reinforced during the COVID-19 pandemic.
For parents of medically fragile children, the benefits go even further. Skilled in-home care allows siblings to maintain normal routines, parents to rest, and children to live with dignity despite complex medical needs. For seniors, it allows aging in place with independence and peace of mind.
These advantages are why consumer demand keeps growing. And for investors, that demand translates into recurring relationships and long-term revenue.
From a financial perspective, the numbers speak for themselves. First Day Homecare reported $8.9 million in 2024 revenue with an EBITDA margin of 16.61%, according to its Franchise Disclosure Document (Item 19). That track record demonstrates the strength of the model.
But ROI is not just about percentages. It is about resilience. A First Day Homecare franchise combines:
From a mission perspective, the value is even greater. Franchise owners keep families together. They give medically fragile children a chance to thrive at home. They help seniors maintain dignity. And they create better workplaces for nurses.
This dual win, profitability and purpose, is what makes the First Day Homecare model stand out.
Many companies claim to be innovative, but First Day Homecare is the first and only U.S. franchise system built specifically to serve both seniors and pediatrics with private duty nursing.
What sets it apart:
For franchisees, that translates into a business with strong foundations, scalable economics, and a reputation that grows stronger with each family served.
Starting a healthcare business can feel complex, but First Day Homecare simplifies it. Franchise owners receive:
This structure helps new owners focus on what matters most: growing the business and delivering excellent care.
Assisted living facilities will always play a role in senior care, but they are capital-heavy, slow to launch, and tied to occupancy. The future is moving toward flexible, scalable care models that keep patients where they most want to be, at home.
A private duty nursing franchise like First Day Homecare delivers the best of both worlds: strong ROI potential and a mission families believe in. Its ability to serve medically complex nursing cases, especially in pediatrics, creates an edge no elderly-only competitor can match. Its structure gives nurses a better place to work, families a trusted partner, and investors a resilient revenue model.
For entrepreneurs seeking more than a business, those who want a venture that is profitable, sustainable, and meaningful, First Day Homecare is the private duty nursing franchise to consider. It combines financial strength with human impact, making it the most compelling path forward in healthcare franchising today.
