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Franchise Times’ 2026 ranking includes 16 home-based care companies, led by Home Instead Senior Care at No. 43 with reported global sales of about $2.46 billion. The source lists A Place at Home at No. 493, outside the Top 400, despite counting it among the 16 companies discussed.
Sixteen home-based care companies are identified in the supplied report on Franchise Times’ 2026 ranking of large U.S. franchise systems, with Home Instead Senior Care at No. 43 and reported global sales of $2.46 billion. The report says the ranking is based on global systemwide sales, but its company list includes A Place at Home at No. 493, meaning the stated 16-company count does not match a strict reading of the Top 400 cutoff.
According to the supplied report’s company figures, Vital Care Infusion ranked No. 49, with $1.97 billion in global sales and 145 locations. Interim HealthCare placed No. 67, with $1.3 billion and 563 locations, while Visiting Angels ranked No. 68, with about $1.29 billion and 814 locations. Right at Home was No. 76, reporting about $1.12 billion in sales across 783 locations.
The report lists BrightStar Care at No. 97, with about $801 million in global sales and 458 locations. Comfort Keepers ranked No. 106, with $753 million and 662 locations. Further down the ranking, Home Helpers Home Care placed No. 181; ComForCare Home Care, No. 188; FirstLight Home Care, No. 194; and Always Best Care, No. 200. Their reported global sales ranged from about $304 million to $344 million.
The report’s remaining entries are Homewatch CareGivers at No. 203, Griswold Home Care at No. 219, Assisting Hands Home Care at No. 237 and HomeWell Care Services at No. 273. It lists A Place at Home at No. 493, with $31.3 million in global sales and 80 locations. The supplied report gives figures labeled as global sales and location counts; it does not provide a separate breakdown of revenue from home-based care services.
Care Providers in a Franchise Ranking
The placements reported by Franchise Times offer a snapshot of the scale of franchise-based care providers, using reported systemwide sales and location counts to compare companies across sectors. For readers tracking the business of home care, the rankings show that several providers operate hundreds of locations and report sales in the hundreds of millions or billions of dollars.
The figures are not a direct measure of care quality, client outcomes, workforce conditions or the amount of care delivered in homes. They also do not show how sales are distributed among franchisees, corporate operations or different service lines. The list is best understood as a business-size comparison, not an assessment of service performance or local availability.
For prospective franchise owners, workers, referral partners and families, a high rank may prompt questions about a company’s footprint and business model. But the ranking alone cannot establish whether a provider serves a particular community, what services it offers there, or what those services cost.
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How Franchise Times Sets Eligibility
The supplied report says Franchise Times’ annual Top 400 ranking is based on global systemwide sales. It describes the eligibility criteria as requiring a company to be a legal U.S. franchise, with franchisees owning at least 10% of its total locations. The company must also be headquartered in the United States or have at least 10% of its locations there.
The report describes the listed businesses as covering different parts of the care market. Some focus on nonmedical personal care and companionship; others also provide skilled nursing, hospice, pharmacy or infusion services. It says Home Instead operates in the United States, Canada, Ireland, the Netherlands, China and Australia, while other listed providers are described as operating in the United States and Canada or across multiple U.S. states.
The supplied material refers readers to a prior-year list but does not provide the earlier placements. It therefore supports a report on the 2026 entries, but not a comparison of year-over-year movement or changes in sales and locations.
The No. 493 Listing
The supplied report’s central qualification is the mismatch between the headline count and the listed ranks. It describes 16 companies as earning spots on the Top 400, but lists A Place at Home at No. 493. Based on the information provided, it is unclear whether the company was included as an additional home-based care provider, whether the list was meant to cover a broader set of rankings, or whether the count or placement contains an error.
The supplied material does not include Franchise Times’ underlying ranking methodology beyond the eligibility criteria and sales basis, nor does it state how sales figures were verified or estimated. It also does not clarify whether “locations,” “units” and “total locations” are counted on the same basis for every company. Those limits make direct comparisons of footprint less certain.
Check the Full Ranking Details
Readers seeking to confirm each placement or understand the No. 493 entry would need to consult the complete Franchise Times 2026 ranking and any accompanying methodology notes. The supplied report does not state whether Franchise Times has addressed the discrepancy or whether a correction is planned.
Future comparisons will depend on the next annual ranking and comparable company data. Until then, the figures provide a reported snapshot of sales and location counts, but they do not establish how individual providers’ business performance or service reach has changed over time.
Key Questions
How many home-based care companies are identified in the report?
The supplied report identifies 16 companies, although one listed provider, A Place at Home, is ranked No. 493 rather than within the Top 400.
Which home-based care company ranked highest?
According to the supplied report, Home Instead Senior Care ranked No. 43, with reported global sales of $2,463,182,003 and 1,112 locations.
What determines placement on the Franchise Times list?
The supplied report says the ranking is based on global systemwide sales. It describes eligible companies as legal U.S. franchises, with franchisees owning at least 10% of their locations, and headquartered in the United States or having at least 10% of locations there.
Is A Place at Home in the Top 400?
Not according to the rank given in the supplied report: A Place at Home is listed at No. 493. Its inclusion among the 16 companies described as earning Top 400 spots is not explained in the material.
Do the sales figures measure care quality?
No. The supplied report presents the figures as global systemwide sales; they do not measure care quality, outcomes, staffing or service availability in a particular area.
Source: homehealthcarenews.com
