What Nurse Next Door does

Nurse Next Door is a Vancouver-headquartered private home care franchise network operating 400+ locations across the United States, Canada, Australia, and the United Kingdom. Founded in 2001 by Ken Sim and John DeHart, the company delivers 24/7 in-home personal care, companionship, respite, Alzheimer's and dementia care, skilled nursing, post-operative and end-of-life care, plus specialized services such as occupational/physical therapy, infusion therapy, and neurodiversity support. Its core customer segment is seniors seeking to age in place under a private-pay model, with secondary demand from healthcare systems, veterans (via VA and the Canadian VIP program), new families, and adults recovering from acute episodes.

The company's technology stack centers on a centralized 24/7 Care Services Platform that supports franchise operations across the network, including a proprietary caregiver matching system (with a 100% match guarantee based on needs and personality), an attendance monitoring system, and live support infrastructure that answers client calls within 30 seconds. The platform enables consistent service delivery and operational coordination across independently owned locations rather than functioning as a consumer-facing AI product.

Nurse Next Door operates exclusively through a franchise/licensed-operator GTM model, generating company-level revenue from franchise fees, ongoing royalties, and brand/platform licensing, while franchisees earn revenue from direct private-pay client billing, government-payor contracts (VA/VIP), long-term care insurance, and the Alberta CDHCI program. Diversified Royalty Corp. holds material royalty income from the franchise system, reporting $20.4M in Q4 2025 adjusted revenue versus $18.4M in Q4 2024. Distribution is augmented by a flagship health-system partnership with St. Joseph Health (acquiring 26 franchises for continuum-of-care delivery) and HCAOA membership covering 250+ US locations for policy and training alignment. Under CEO Cathy Thorpe, the network has scaled from 40 to 400+ locations with reported 20% year-over-year revenue growth.

Name

Nurse Next Door

Legal name

Nurse Next Door Professional Home Care Services Inc.

Website

https://nursenextdoor.com

Company type

Private

Founded year

2001

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Nurse Next Door is a Vancouver-based private-pay home care franchise network operating 400+ locations across the US, Canada, Australia, and the UK, delivering 24/7 in-home personal, nursing, and specialized care primarily to seniors seeking to age in place.

Ownership category

akta.pro rank

Product category

Home Care Services

NAICS

Home Health Care Services (6216), Home Health Care Services (621610)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Private Duty Skilled Nursing (RN/LPN) in the Home (HLADAFAD)

akta.pro secondary industries

Conversation, Cognitive Stimulation & Activity Facilitation (HSABAAAB), Private Duty 24/7 Nursing (RN/LPN) In-Home Care (HSABAHAJ), Post-Acute & Transitional 24/7 In-Home Care (Hospital/SNF Discharge) (HSABAHAF), In-Home Hospice Nursing Visits (RN/LPN) (HSABAFAL), End-of-Life Emotional & Spiritual Support (Chaplaincy/Counseling) In-Home (HSABAFAH)

Keywords

• Home care services
• Senior home care
• In-home nursing
• Dementia care
• Respite care

Headquarters

HQ city

Vancouver

HQ country

Canada

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Franchise Royalties and Fees: Revenue generated from franchise partners through licensing fees and ongoing royalties. Diversified Royalty Corp. holds royalty income from Nurse Next Door franchise partners, with Q4 2025 adjusted revenue of $20.4 million (up from $18.4 million in Q4 2024).
2. Private-Pay Home Care Services: Direct client revenue from providing in-home care services on a private-pay basis. Services include personal care, nursing care, respite care, Alzheimer's/dementia care, and specialized therapy services. Operates on private-pay model allowing higher clinical standards than insurance-driven care.
3. Veterans Affairs Contracts: Revenue from providing home care services to US veterans through the Veterans Affairs (VA) program and Canadian veterans through the Veterans Independence Program (VIP).

Pricing tiers

Distribution channels3 records

Marketing channels6 records

Core offering

Nurse Next Door is a franchise-based home care provider delivering non-medical personal care, companionship, respite, dementia support, and skilled in-home nursing services to seniors, veterans, post-operative patients, and other adults who need assistance to live independently at home. Care is delivered by caregivers and licensed nurses across 400+ independently owned franchise locations in the US, Canada, Australia, and the UK, coordinated by a centralized 24/7 Care Services Platform. Services are offered primarily on a private-pay basis, with additional programs for US veterans (VA), Canadian veterans (VIP), long-term care insurance, and Alberta's CDHCI funding.

Product overview

Nurse Next Door is a home care franchise offering comprehensive in-home care services across North America, Australia, and England. The company operates a unified service delivery platform with two primary service categories: Home Care (non-medical support including personal care, companionship, respite care, dementia care, meal preparation, transportation, homemaking, and around-the-clock care) and Nursing Care (skilled medical services including in-home nursing, post-operative care, medication management, and therapy services). Additional specialized offerings include veteran support programs, neurodiversity support, infusion therapy, and end-of-life care. The company also provides staffing support for healthcare facilities and works with long-term care insurance and government programs.

Differentiator

Problem solved

Functional benefit

Brands

• Happier Aging: A unique experience and philosophy dedicated to getting seniors back to doing what they love, representing the company's core approach to senior care.
• Bold Kindness
• Caring Consult

Products and services

• Personal Care Non-medical support with personal hygiene care and day-to-day tasks including bathing, dressing, and grooming assistance for seniors and adults needing help at home.
• Respite Care
• Alzheimer's and Dementia Care
• Senior Companionship Care
• Comprehensive Home Care
• In-Home Meal Preparation Service
• End-of-Life Care
• Post-Operative Care
• In-Home Nursing Care
• Medication Management
• Occupational Therapy Services
• Physical Therapy Services
• Foot Care
• Neurodiversity Support
• In-Home Infusion Therapy
• Around-the-Clock Care
• Transportation Services
• Homemaking
• Veterans Affairs Home Care Program (VA)
• Veterans Independence Program (VIP)
• Long-Term Care Insurance Support
• Client Directed Home Care Invoicing (CDHCI)

Quantifiable outcome

• NPS of 80 indicating exceptional customer satisfaction and loyalty
• +1 more outcomes

Named customers5 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Eight partnerships are on record, tiered core, flagship, minor and supporting.

• Home Care Association of America (HCAOA)coreGTM or Marketing Partner · 19 June 2026Nurse Next Door joined HCAOA as a member, aligning its 250+ American locations with the nation's premier trade association for private-duty home care providers. Membership provides access to advanced industry research, specialized training resources, and legislative advocacy at state and federal levels. This partnership reinforces Nurse Next Door's commitment to quality care and provides a platform for influencing home care policy and standards.
• St. Joseph HealthflagshipStrategic or Co-development Partner · 1 February 2016First-of-its-kind partnership in Southern California where Nurse Next Door and St. Joseph Health work together to provide home care services enabling seniors to continue living independently. The partnership acquired 26 private duty franchises to extend the continuum of care from hospital discharge. Aims to reduce hospital readmissions and health decline by ensuring proper post-discharge support and resources for seniors.
• Empath HealthminorStrategic or Co-development PartnerCommunity partnership to host Thanksgiving dinner for seniors in St. Petersburg, Florida. Collaborative community event supporting senior social connection and wellbeing.
• UNITY MoffittminorStrategic or Co-development PartnerCommunity partnership to host Thanksgiving dinner for seniors in St. Petersburg, Florida alongside Empath Health and Nurse Next Door.
• Veterans Affairs (US)coreImplementation/ SI/ Consulting PartnerNurse Next Door is a proud home care provider for Veterans Affairs (VA) serving US veterans. Provides personal care, companionship, meal preparation, transportation, and other services to help veterans remain independent at home. Works with VA coverage and benefits navigation.
• Veterans Independence Program (VIP)coreImplementation/ SI/ Consulting PartnerNurse Next Door is a proud home care provider for the Veterans Independence Program (VIP) serving Canadian veterans. Helps veterans stay independent and live safely and comfortably at home through coordinated care services.
• Client Directed Home Care Invoicing (CDHCI)supportingChannel Partner/ Reseller/ DistributorAlberta-based program allowing clients to use CDHCI funding for personalized home care services from Nurse Next Door. Works with the organization for home care invoicing in the province of Alberta.
• Long Term Care Insurance ProviderssupportingChannel Partner/ Reseller/ DistributorNurse Next Door works with long-term care insurance providers, helping clients navigate coverage and beginning care quickly—often within 24 hours of approval. Many modern LTCI policies include in-home care benefits that Nurse Next Door can deliver.

Scale indicators6 records

Recent moves7 records

Expansion highlights6 records

Broad incumbents

• Help at Home: Help at Home is one of the largest personal care services providers in the US, serving 60,000+ clients across 200+ locations with Medicaid-funded services. It is a much larger incumbent focused on government payer mix, contrasting with Nurse Next Door's private-pay positioning.
• Aveanna Healthcare: Aveanna Healthcare is a publicly traded home health and hospice provider with broader pediatric and adult services. It competes with Nurse Next Door in adult home health and private-duty nursing but operates at much larger scale with a different payer mix.

Direct peers

• Interim HealthCare: Interim HealthCare is a national franchise network providing home health, hospice, and personal care services through 300+ locations. It competes with Nurse Next Door across both skilled nursing and non-medical home care service lines.
• Senior Helpers: Senior Helpers operates a national franchise system providing in-home senior care including Alzheimer's and dementia care, personal care, and companionship. It competes head-to-head with Nurse Next Door across multiple US markets using a similar franchise model.
• Right at Home: Right at Home is an international in-home care franchise with 500+ locations providing personal care, skilled nursing, and dementia support to seniors. It competes directly with Nurse Next Door in both North American and select international markets.
• BAYADA Home Health Care: BAYADA Home Health Care is a large private home health services provider with 350+ locations, offering skilled nursing, personal care, and therapy services to seniors and adults. It overlaps with Nurse Next Door's skilled nursing and private duty offerings, though BAYADA operates primarily as company-owned rather than franchise.
• Visiting Angels: Visiting Angels is one of the largest private-duty home care franchise networks in North America with 600+ locations. It directly competes with Nurse Next Door on senior personal care, respite care, and Alzheimer's/dementia services through a similar franchise structure.
• BrightStar Care: BrightStar Care is a national franchise combining both medical (skilled nursing) and non-medical home care services, directly overlapping with Nurse Next Door's dual service offering. It serves a similar senior client base with a Joint Commission-accredited franchise network.
• Home Instead: Home Instead is the largest senior home care franchise network globally with 1,000+ locations across multiple countries. It directly competes with Nurse Next Door in private-duty, non-medical, and personal care services for aging seniors using an almost identical franchise GTM model.
• Comfort Keepers: Comfort Keepers operates a global franchise network providing in-home care, companionship, and personal care services to seniors. It targets the same client base as Nurse Next Door with similar service offerings and franchise-based delivery model.

Market position

Weaknesses4 records

Competitive moat5 records

Key risks4 records

Key highlights6 records

Customer concentration

• Xx.com/nursenextdoor
• Facebookfacebook.com/nursenextdoor

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Nurse Next Door