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Primary Care

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ATC Healthcare Franchise FDD, Costs & Fees (2025)

ATC Healthcare

Investment required
$159,000 - $302,000
Number of franchises
37
+
-42%
-42%
American Family Care Franchise FDD, Costs & Fees (2025)

American Family Care

Investment required
$1,228,000 - $1,779,000
Number of franchises
280
+
58%
58%

Trends and Facts About Primary Care Franchises

Primary care franchises are transforming the way everyday healthcare is delivered, offering accessible, affordable, and patient-centered services across communities. As demand for convenient care rises—especially among aging populations and uninsured patients—franchised medical clinics are stepping in to provide timely exams, diagnostics, and treatment under a trusted brand.

  • Increased Demand for Accessible Care – Long wait times and physician shortages are driving patients toward walk-in clinics and retail healthcare models.
  • Focus on Preventative & Chronic Care – Franchises offer wellness visits, screenings, and ongoing management of conditions like diabetes and hypertension.
  • Expansion of Telehealth Services – Many primary care franchises offer virtual appointments and remote monitoring for added flexibility.
  • Consumer-Friendly Pricing – Transparent, cash-based models and subscription care plans appeal to uninsured and underinsured populations.
  • Partnerships with Employers – Some franchises provide on-site or contracted services to businesses seeking affordable healthcare for employees.

Advantages of Primary Care Franchises

Primary care franchises offer a mission-driven business model that meets essential community health needs while delivering strong operational benefits:

  • Recurring Patient Relationships – Patients return for regular checkups, labs, and chronic care management, creating predictable revenue.
  • Essential, Recession-Resistant Service – Routine healthcare is always in demand, regardless of the economy.
  • Multiple Revenue Streams – In addition to exams, clinics may offer labs, vaccinations, diagnostics, prescriptions, and preventive screenings.
  • Smaller Footprint vs. Traditional Clinics – Many models operate in compact retail spaces, reducing overhead and allowing flexible site selection.
  • Franchisor Support with Compliance & Clinical Operations – Franchise systems help ensure quality care, HIPAA compliance, and insurance billing accuracy.

The Initial Investment and Opening Costs for Primary Care Franchises

Starting a primary care clinic franchise requires a moderate to high investment, depending on services offered, staffing needs, and buildout requirements. Here’s a typical cost breakdown:

  • Franchise Fee: Generally ranges from $35,000 to $60,000 depending on the brand and support model.
  • Clinic Buildout & Medical Equipment: Exam rooms, waiting areas, EHR systems, and diagnostic tools can cost $200,000 to $400,000.
  • Licensing & Credentialing: State healthcare licenses, provider credentialing, and malpractice insurance may cost $10,000 to $25,000.
  • Technology & Compliance Systems: EHR software, telehealth tools, billing platforms, and HIPAA-compliant systems typically cost $15,000 to $30,000.
  • Initial Staffing & Training: Hiring physicians, nurse practitioners, and medical assistants requires recruiting and onboarding budgets of $20,000 to $50,000.
  • Marketing & Community Outreach: Grand opening events, digital ads, and physician referrals may require $10,000 to $25,000.

Total startup investment generally ranges from $300,000 to $600,000, depending on location, services, and staffing model.

How to Choose the Right Primary Care Franchise

Selecting the right primary care franchise means balancing your healthcare goals, local market needs, and operational capacity. Key considerations include:

  • Clinical Model & Staffing Requirements: Some franchises require MDs or NPs, while others operate with physician oversight and mid-level providers.
  • Service Offerings: Look for brands that offer core primary care as well as value-added services like labs, diagnostics, and immunizations.
  • Insurance vs. Direct Pay Models: Evaluate whether the franchise accepts insurance, uses cash-based plans, or offers subscription healthcare.
  • Technology & Operational Support: Choose a brand with strong EHR, telehealth tools, and billing systems to streamline care.
  • Territory Size & Growth Potential: Consider brands with opportunities to expand into multiple clinics or partner with employers and community organizations.

Whether you're a healthcare professional or investor committed to improving local access to care, a primary care franchise offers a scalable and purpose-driven business opportunity.