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What Are the Most Successful Health & Fitness Franchise Businesses?

We look at franchise growth and continuity rates to find the health and fitness systems that consistently succeed for franchisees.

The health and fitness industry spans numerous business models, from gyms and boot camps, to diet and vitamins, through massage and senior health services. We’ve narrowed down the health and fitness franchise brands that are most successful for franchisees, based on unit growth and owner continuity rates. These are the franchise systems that owners keep running year after year – the tell-tale sign of a profitable, effective franchise business model. To understand how the ranking is calculated, see our methodology.

# 1

StretchLab

This franchise found a successful niche in low impact mobility fitness that is suitable to almost everyone.

  • Five-Year Continuity Rate: 100%
  • Average Unit Revenue: Not Provided
  • Average Initial Investment: $248,225
  • Cash Required: $100,000

# 2

Pure Barre

Pure Barre is the largest franchise of its kind, and offers a semi-absentee model that keeps business owners coming back.

  • Five-Year Continuity Rate: 99.40%
  • Average Unit Revenue: $259,534
  • Average Initial Investment: $335,812
  • Cash Required: $100,000

# 3

Hand & Stone Massage and Facial Spa

This affordable luxury massage brand offers high-end health experiences to the broader market, and its franchisees see a successful business model.

  • Five-Year Continuity Rate: 99.30%
  • Average Unit Revenue: $1,320,890
  • Average Initial Investment: $609,051
  • Cash Required: $150,000

# 4

Hotworx

Hotworx is a unique business model that blends a heated experience with video-based interval training that makes for a simple and effective small business.

  • Five-Year Continuity Rate: 99.21%
  • Average Unit Revenue: $361,251
  • Average Initial Investment: $479,875
  • Cash Required: $12,000

# 5

Home Instead Senior Care

As the baby boomer generation ages, the market for senior care services balloons, and this franchise offers a successful entry.

  • Five-Year Continuity Rate: 99.21%
  • Average Unit Revenue: $2,231,825
  • Average Initial Investment: $111,500
  • Cash Required: $75,000

# 6

Planet Fitness

This franchise opportunity is capital intensive, but offers a strong brand, recurring revenue, and a marketing platform that generates a steady stream of new income.

  • Five-Year Continuity Rate: 98.24%
  • Average Unit Revenue: $1,730,307
  • Average Initial Investment: $3,328,000
  • Cash Required: $1,500,000

# 7

CycleBar

One of the fastest growing fitness franchise opportunities, CycleBar offers a simple retail concept that fitness junkies appreciate and business owners benefit from.

  • Five-Year Continuity Rate: 97.79%
  • Average Unit Revenue: Not Provided
  • Average Initial Investment: $426,675
  • Cash Required: $100,000

# 8

Premier Martial Arts

While not exclusive to children, this franchise thrives on giving its younger customers an excellent fitness and martial arts experience.
* This franchise is currently facing litigation from over 50 franchisees alleging it misrepresented unit profitability and necessary owner involvement.

  • Five-Year Continuity Rate: 97.77%
  • Average Unit Revenue: $315,850
  • Average Initial Investment: $302,725
  • Cash Required: $100,000

# 9

Always Best Care

Always Best Care combines non-medical in-home care and assisted living placement services for a unique revenue model that works.

  • Five-Year Continuity Rate: 97.70%
  • Average Unit Revenue: Not Provided
  • Average Initial Investment: $113,463
  • Cash Required: $50,000

# 10

Right at Home

Franchising for over 20 years, Right at Home offers franchisees and excellent platform and training program to build their own business in this growing market.

  • Five-Year Continuity Rate: 97.57%
  • Average Unit Revenue: $1,445,284
  • Average Initial Investment: $123,194
  • Cash Required: $150,000

# 11

BrightStar Care

Brightstar has developed a franchise business model that offers its owners multiple revenue streams so each owner can tailor the business to meet local demands.

  • Five-Year Continuity Rate: 97.41%
  • Average Unit Revenue: $2,263,107
  • Total Investment: $101,656 - $169,414
  • Cash Required: $150,000

# 12

SYNERGY HomeCare

Focusing on non-medical senior home care, Synergy has found a system that is simple and requires low investment while still driving significant value for its franchisee owners.

  • Five-Year Continuity Rate: 97.35%
  • Average Unit Revenue: $1,018,274
  • Average Initial Investment: $109,276
  • Cash Required: $50,000

# 13

Any Lab Test Now

A high-demand health niche, small retail footprint, and efficient set of services makes this franchise easy to manage for new franchisees.

  • Five-Year Continuity Rate: 97.14%
  • Average Unit Revenue: $465,500
  • Average Initial Investment: $191,025
  • Cash Required: $90,000

# 14

Any Lab Test Now

One of the fastest growing fitness franchises, this business caters to women and has built a community following that drives franchisee success.

  • Five-Year Continuity Rate: 96.83%
  • Average Unit Revenue: $529,155
  • Average Initial Investment: $401,102
  • Cash Required: $150,000

# 15

F45 Training

For franchisees looking to manage their own training gym, F45 offers the marketing platform and community to drive customers and sales.

  • Five-Year Continuity Rate: 96.77%
  • Average Unit Revenue: Not Provided
  • Average Initial Investment: $457,650
  • Cash Required: $150,000
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Our Methodology

Measuring the success of a franchise brand often centers on its unit growth, where the number of franchise units are tracked over time to understand how often new franchisees enter the market. Unit growth rates are a great way to determine how well a franchise business performs, because the best franchise businesses will consistently grow over time as new business owners open franchise units in their own markets. But growth rate is only part of the story - we also want to consider how many existing franchise units continue operating each year.

Consistently opening new franchise units is a great sign of a successful franchise business, but potential franchise owners also need to know that these units continue to be successful over time. So, we start our analysis with franchise brands that have above average growth rate and at least 50 franchise units, then analyze each brand's continuity rate.

What Is "Continuity Rate"?

Continuity rate refers to the percentage of existing franchise units that continue to operate each year. A sign of a successful franchise system, consistently high continuity rates mean very few, if any, franchisees wind up closing their business.

How Do We Measure It?

We start with data from the Franchise Disclosure Document (FDD) that franchisors are legally obligated to publish. Each franchise brand must disclose annually how many franchise units were opened, and how many were closed. More specifically, every franchise must disclose how many units were:

  • "Terminated" – Franchise agreements terminated by the franchisor before the end of the term, without any compensation made to the franchisee.
  • "Not Renewed" – Franchise agreements not renewed at the end of the term.
  • "Ceased" – Franchise units that ceased operations for any reason other than the above two.
  • "Reacquired" – Franchise units that transferred ownership from the franchisee to the corporate franchisor.

In each of these cases, the franchisee elected to discontinue operating the franchise unit. There are many reasons a franchisee may choose to end their franchise contract, but generally profitable enterprises will continue to operate, though they may be sold between franchisees. Closing, or transferring to the franchisor may indicate poor performance or an inability to sell to another franchisee.

In the Franchise Disclosure Document (FDD), Item 20 delves into the franchisor’s historical and current data on franchise outlets and franchisee information, including terminated agreements, non-renewals, ceased operations, and reacquired units. 

We measure continuity rates by analyzing each franchise brands unit metrics over the past five full years, from 2018 through 2022. We start with the number of operating units at the beginning of each year, then deduct those that closed for any of the above reasons. The result is divided by the total number of franchise units to get a ratio or percentage:

(Total Units – Closed Units) / Total Units = Continuity Rate

We calculate continuity rate for each of the past five years, then take a weighted average to arrive at average annual continuity rate. Franchise brands are ranked by the average, and in the case of a tie, 5-year growth rate is the tie breaker.

Why are Some Revenue Estimates "Not Provided"?

While most franchises will offer average unit revenues in their franchise disclosure document, they are not required to do so. Some elect to leave revenue estimates for later conversations with new potential franchisees. In some cases we may be able to estimate unit revenues from company-wide royalties, but that is not always possible, so we cannot list a revenue estimate.

Why It's Important

When evaluating franchises, unusually high closure rates (low continuity rates) are typically a red flag, and potential indicator of poor performance by the franchisor, franchisees, or both. Franchises with higher continuity rates can help assure potential franchisees that the system is effective, and that the franchisor is diligent about selecting new franchisees that will be a good fit for the business.

Evaluating franchise opportunities is a complex process, but the bottom line is an effective, profitable franchise system will grow, and its franchisees will continue to operate them. To learn more about researching franchises, see our Franchise Learning Center.

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