FRANCHISE·WATCH·DESK

Verified — real FDD extraction

Not found in the SBA Franchise Directory under this name — though SBA loans to its franchisees exist; verify eligibility with your lender

Signal Health Group

Health & Wellness · independent · est. —

Signal Health Group is a home health and care company providing in-home medical and personal care services to patients, including skilled nursing and assistance for seniors or recovering patients. It helps people receive care in their homes. A franchisee operates an agency, staffing caregivers and clinicians and managing patient services.

Signal Health Group net unit count grew +36.4% from 20212023 per its FDD Item 20.

New to franchising? Start here

A franchise is a business where you (the franchisee) pay a company (the franchisor) for the right to open and run a location using their brand and system — think a local Anytime Fitness or Taco John's owned by a small-business owner, not the corporation.

Before you can buy in, U.S. law requires the franchisor to give you a Franchise Disclosure Document (FDD) — a long legal filing covering its fees, finances, and history. The numbers on this page come straight from that document:

  • Franchise fee — the one-time cost to buy in.
  • Royalty — the ongoing cut of your sales you pay the franchisor.
  • Item 20 — how many locations opened and closed, the basis for our verdict (from Proven & strong down to Distressed — or Too new to judge).

The verdict

Too new to judge

Distress

0
STABLE

13 franchised units over 3 disclosed years is not a track record — systems this early have realized only a fraction of their eventual failures. Judge the disclosures, not a verdict.

Exit rate · latest year

14.3%

vs 9.6% across 37 health & wellness systems

Cost to open

$40K–$290K

Item 7 total investment range

SBA loan defaults

Too few resolved

2 loans exist; too few resolved to rate

Behind the verdict

the record, factor by factor · Item 20

hi-1.0.0
Net unit growth35%

3-yr trend · Item 20 Table 1

Strong
Exit quality25%

terminations + ceased-ops vs. all exits · Table 3

Fair
Transfer / churn15%

transfers vs. base · Table 3

Strong
Promise-keeping10%

actual vs. projected openings · Table 5

Strong
Transparency15%

Item 19 disclosure + completeness

Weak

Systemwide units

2021–2023

+36.4%
112021112022152023

Survival record

FDD Item 20 · outlet status by year

In fiscal 2023, 1 of 7 franchised outlets left the system — a 14.3% annualized exit rate, vs 9.6% across 37 health & wellness systems. Not every exit is a failure — but this is the measurable floor.

Show the outlet tables
Status (FTC)202120222023
Outlets at start51111
Opened607
Transfers000
Terminations000
Non-renewals000
Reacquired by franchisor200
Ceased — other reasons001
Outlets at end111115
Net change+60+4

The lender's view

SBA 7(a)/504 loan performance · FY1991–present

Banks have made 2 SBA-backed loans to Signal Health Group franchisees since 2021. Most are still open, so there is not yet a resolved cohort large enough to rate.

Charge-off rate

1 resolved · too thin to rate

Loss given default

avg. charged-off $ ÷ approved $

Expected loss

default rate × loss severity

Avg. loan · FY2020+

$85,700

what recent franchisees borrowed

Median time to default

approval → charge-off, defaulted loans

Lenders · FY21+ vs FY16–20

distinct banks lending

Charge-off rate by loan approval year (%)

SOURCE: SBA 7(a)/504 FOIA LOAN DATA (DATA.SBA.GOV), FY1991–PRESENT · MATCHED TO SIGNAL HEALTH GROUP BY FRANCHISE NAME · RESOLVED = CHARGED-OFF + PAID-IN-FULL

What it costs — and what it drags

FDD Items 5–7 · fees, investment, royalty

Buying in means a $30K franchise fee (Item 5) and a total investment of $40K–$290K (Item 7). The franchisor publishes no earnings claim (Item 19) — ask current and former franchisees for real numbers.

To open (Item 7)

$40K–$290K

all-in investment range

Franchise fee (Item 5)

$30K

upfront, one-time

Royalty (Item 6)

5%

of sales, ongoing

If a unit does this in annual sales…$1M/yr

Your figure — this brand discloses no Item 19 earnings; validate with current & former owners.

Royalty you'd pay / yr

$50K

5% of sales, before profit

Over a 10-yr term

$500K

royalties alone, excl. ad fund

This is not profit. It's the only money the FDD actually pins down — what you put in, and the royalty you owe on every dollar of sales. Your real take-home depends on labor, rent, food cost, and ramp-to-breakeven, none of which any FDD discloses.

Build a real pro-forma for Signal Health Group with an independent CPA

Labor record

US Dept. of Labor enforcement · franchisee-level · FY2005–present

Federal investigators have concluded 1 wage case against operators of this system, recovering $86K in back wages for 43 workers. Some of these cases are recent, not ancient history. These cases name franchisee-owned locations, not the franchisor itself.

Concluded cases

1

Back wages owed

$86K

Employees affected

43

Since 2020

1

Read this carefully. The employers in these cases are individual Signal Health Group franchisees — separately owned businesses operating under the brand name — not Signal Health Group itself. The franchisor is not the respondent and in most cases is not a party. What the record shows is how this system's operators run their payrolls, which is worth knowing before you become one of them. Counts rise with system size and with age: a 20-year-old, 10,000-unit system will out-count a young one regardless of conduct. Source: DOL Wage and Hour Division concluded compliance actions, FY2005–present, most recent finding 2022.

Distress signals

news-sourced · bankruptcies, closures, lawsuits

No recent closures, bankruptcies, or major lawsuits found in the news for Signal Health Group. That's a good sign — but it reflects news coverage, not a guarantee.

Before you sign anythingfree · 30 min · no commission

A broker is paid by the franchisor to place you. An independent CPA is paid by you — and the job is pressure-testing Signal Health Group's numbers, including talking you out of a bad deal.

Talk to an independent CPA before you buy →

Signal Health Group franchise questions, answered from the filings

What percentage of Signal Health Group franchises closed last year?

In Signal Health Group's latest FDD Item 20 (fiscal 2023), 1 of 7 franchised outlets left the system — an annualized exit rate of 14.3% — compared with 9.6% across 37 health & wellness systems tracked here. That counts terminations, non-renewals, and "ceased operations — other reasons." There is no official failure rate, and not every exit is a failure, but this is the measurable floor.

How much does a Signal Health Group franchise cost?

Per Signal Health Group's 2024 FDD, buying in requires an initial franchise fee of $30K (Item 5) and a total initial investment of $40K–$290K (Item 7).

What royalty does Signal Health Group charge?

Signal Health Group charges an ongoing royalty of 5.0% of gross sales, per Item 6 of its 2024 FDD.

Does Signal Health Group disclose earnings (Item 19)?

No — Signal Health Group's 2024 FDD makes no financial performance representation in Item 19. That is legal and common, but it means the franchisor publishes no earnings claim; ask current franchisees for real numbers.

Is Signal Health Group a good franchise to buy? Health score, exit rate & costs (2026) · Franchise Watch Desk