First Day Homecare Franchise
The only U.S. franchise in Pediatric Private Duty Nursing plus senior care and ABA. Recurring insurance-funded revenue. From $143,780
$55,000
$70,000
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2023
Flint, MI
Emily Wiechmann
About First Day Homecare
First Day Homecare is the first and only U.S. franchise built around Pediatric Private Duty Nursing (PDN) - 1-on-1, in-home skilled nursing for medically complex children. The American Academy of Pediatrics flagged a critical shortage of pediatric PDN providers, and the gap has only widened since. Care is authorized by Medicaid, Blue Cross Blue Shield and other major insurers for 8 to 24 hours a day, seven days a week, and most children who qualify need it for years, sometimes for life. The result is rare in franchising: recurring, insurance-funded revenue driven by clinical necessity rather than marketing spend, with payment terms as fast as Net 7.
From a single office, franchise partners also deliver non-medical senior care, Medicare Certified Home Health and in-home ABA therapy for children with autism - 4 revenue streams sharing one overhead structure and referral network. No clinical background is required. You hire the nurses, and a dedicated licensing specialist walks you through state licensure and Medicaid enrollment at no cost to you. Partners get the full operating platform: EMR, learning management system, integrated payroll and claims clearinghouse, state-specific compliance addendums, five proprietary clinical programs, and on-demand 1:1 training. Since franchising began in 2023, the system has grown to 21 locations across ten states with zero closures. Total investment runs $143,780–$268,080.
Franchise Fees
$70,000
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Why Choose First Day Homecare?
- A category of one. First Day Homecare is the first and only U.S. franchise built around pediatric Private Duty Nursing. You aren't competing on price against forty senior-care brands - you're often the only provider of this service in your market.
- Revenue that doesn't depend on marketing spend. Care is authorized and paid by Medicaid, BCBS and other major insurers, 8 to 24 hours a day, for years at a time. Demand comes from hospital discharge planners and NICU case managers, not ad budgets.
- 4 revenue streams, one overhead. Pediatric PDN, non-medical senior care, Medicare Certified Home Health and in-home ABA therapy, all from a single office and referral network.
- No clinical license required. You hire the nurses. A dedicated licensing specialist guides you through state licensure and Medicaid enrollment at no cost to you.
- Real training, not a binder. 52 hours of initial instruction plus on-demand 1:1 sessions any time you need one, delivered under the direction of the founders who built the model.
- A record you can verify. Franchising began in 2023. The system has grown to 24 locations with zero terminations, zero closures and zero former franchisees.
- Accessible entry. Total investment $143,780–$268,080, with a 10% initial franchise fee discount for veterans and first responders.
Starting Costs & Investment Requirements
$143,780 - $268,080
$300,000
$55,000
Training & Support
You don't need a clinical license. The system is built to carry that weight for you.
Getting Started
- Licensing and payer enrollment assistance. We help you prepare and submit your state licensure applications and Medicaid enrollment - the step most first-time healthcare owners find intimidating, handled alongside you rather than left to you. Typical time from signing to opening is 3–6 months.
- 52 hours of initial training, beginning 4–6 weeks before you open: 28 hours classroom and 24 hours hands-on, covering compliance, the business and financial model, technology and systems, marketing and sales, operations, and execution. Delivered at our Flint, Michigan headquarters or virtually.
- A dedicated Clinical Day for your nurse. If you aren't an RN, the registered nurse you hire trains on our EMR, admissions, provision of care, and our five proprietary clinical programs.
- Operations, Policy and Procedure manuals plus approved vendor and equipment lists, nothing built from scratch.
Ongoing Support
- On-demand 1:1 live training. Request a session on any topic, any time. Facing your first payroll run? Book "Payroll 101" and we'll walk through it with you.
- Full tech and clinical stack: EMR, learning management system, integrated payroll and claims clearinghouse, state-specific compliance addendums.
- Intranet access for support tickets and direct connection with other owners.
- Marketing templates, managed SEO and website presence, plus supplemental on-site or virtual training.
History
First Day Homecare opened its doors in Flint, Michigan in 2020, founded on a problem its team saw firsthand: families of medically complex children had almost nowhere to turn for skilled nursing at home. The mission took shape around a single patient, a child named Darby, whose family needed not just care but a partner who understood what they were carrying. That original location grew into a full-scale operation delivering Private Duty Nursing, personal care and pediatric ABA therapy, and it still serves today as the training and development model for every franchise partner who joins the system.
Franchising began in July 2023. Twelve franchised locations opened in 2024 and nine more in 2025, bringing the system to 21 franchised territories across Arizona, California, Florida, Georgia, Indiana, Minnesota, New Jersey, Ohio, Utah and Virginia, with Missouri, North Carolina and Pennsylvania next. Across that entire period, not a single franchise has been terminated, closed, transferred or allowed to lapse - a record almost unheard of during a growth phase. The road ahead is powered by the same force that created the company: demand for pediatric private duty nursing vastly outstrips the supply of providers, and there are children waiting in every market we enter. Our mission isn't finished until every medically complex child in America has access to the care and support they need.
Ideal Candidate
You don't need a clinical license or a healthcare background to own a First Day Homecare franchise. Our strongest partners hire the clinical expertise and lead the business around it.
- Leadership and recruiting instincts. Your central job is attracting, retaining and supporting great nurses and caregivers. Owners who treat staffing as priority one scale fastest.
- Respect for process and compliance. Insurance-funded care rewards discipline - accurate documentation, clean claims, state-specific rules. We teach the requirements; you bring the rigor.
- Local relationship-building. Referrals come from hospital discharge planners, NICU case managers and pediatric specialists. If you like being known in your community, this model compounds.
- A management or ownership track record. Corporate executives, operators and multi-unit franchisees adapt quickly. Veterans and first responders do too and receive a franchise fee discount.
- Patience for a build, not a flip. Licensing, credentialing and payer contracting take time. Plan and capitalize for a deliberate ramp. Budget past the initial investment range to cover payroll ahead of insurance reimbursement.
Most of all, we look for partners who want a business that matters. The families we serve are in the hardest chapters of their lives, and they can tell the difference.