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.

Why 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.