Published on 20 Apr 2021 Time 5 min read Last update by 3 May 2024

American Family Care Urgent Care Franchise (2024)

Two doctors working with laptop in the office
This article is based on its most recent FDD.

American Family Care (“AFC”) Franchise is a unique group of urgent care medical facilities opened in response to a growing need for immediate physician care in a convenient, comfortable environment. They provide the highest quality urgent care, accessible primary care, minor emergency care, and occupational medicine. They provide non-emergency health care to more than 2 million patients a year – in less than half the time and cost of an ER, with extremely high rates of patient satisfaction.

The largest urgent care franchise in the United States, AFC Franchise is part of American Family Care (AFC). Based in Birmingham, Alabama, AFC enjoys a national reputation for delivering the highest levels of patient satisfaction  in a broad range of medical services

Together, American Family Care Franchise is the largest privately owned urgent care operator in the country with over 150 operating units and able to extend a wide range of family and urgent care medical services in the most caring, convenient and affordable way possible

American Family Care Franchise Information

Founded by Dr. Bruce Irwin with a single location in 1982, American Family Care has pioneered the concept of non-emergency room urgent care. With its 2013 acquisition of the Doctors Express franchise, AFC has become the nation’s leading provider of urgent care, accessible primary care, and occupational medicine, with more than 180 clinics and 600 in-network physicians caring for nearly 3 million patients a year.

Ranked by Inc. Magazine as one of the fastest growing companies in the U.S., AFC’s stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient

Their franchise management team consists of seasoned medical, business and franchise professionals who know how to build and run successful franchised businesses. With a proven background in franchise support in health care, their team is uniquely qualified to facilitate the national expansion of urgent care.

The Healthcare Industry | American Family Care Franchise

Franchise Strengths

  • Fulfills a much needed service within the medical industry.
  • High margin industry.
  • Very large consumer base.
  • One of the market leaders in the U.S. urgent care market.


Franchise Weaknesses

  • Reliant on skilled medical professionals.
  • Relatively complex industry as it deals with people’s health.
  • Need for skilled physicians and nurses that can be difficult to attain.

Franchise Opportunities

  • Huge industry – consists of approximately 9,900 total urgent care centers.
  • Over the five years from 2007 to 2012, the industries revenue grew at an average annualized rate of 6.3% to an estimated $13,7 billion, including projected growth of 6.8% in 2014.
  • Overall, urgent care is expanding and the expectation remains that it will continue to do so in the coming years. More than 85% of centers report expecting growth, primarily in their numbers of visits.
  • The Urgent Care Centers industry represents one of the fastest-growing segments of the American healthcare system.


Franchise Threats

  • Operating in a large, competitive market.
  • Potential for changes to the cost structure due to changes in universal medical insurance coverage.

How Much Is a American Family Care?

American Family Care Franchise cost ranges from $1,008,000 to $1,441,500 according to the 2020 FDD.

Cost Types Amount (in USD) When Due To Whom Payment is to Be Made
Low High
Initial Franchise Fee $60,000 $60,000 At signing Franchise Agreement AFC
Travel/Living Expenses While Training $1,500 $3,000 During Training Airlines, Hotels, Restaurants
Lease, Utility and Security Deposits $6,000 $10,000 When sign lease or start up an account with utility company Landlord, Utilities
Medical Equipment $125,000 $155,000 As Incurred AFCP, Third Parties
Construction $412,500 $525,000 When Ordered Suppliers
Site Selection $5,000 $10,000 As Incurred Third Parties
Furniture $10,000 $15,000 When Ordered Suppliers
Office Equipment & Computer System $12,000 $17,000 When Ordered Suppliers
Initial Medical Supplies $15,000 $20,000 When Ordered AFCP, Suppliers
Initial Advertising and Grand Opening $35,000 $50,000 As Incurred Third Parties
Business License & Permits $500 $2,500 As Incurred Third Parties
Signage $8,000 $30,000 As Incurred Suppliers
Legal/Professional Fees $5,000 $10,000 As Incurred Attorney/Accountant
Insurance – GL and Malpractice $5,000 $7,000 Before Opening Insurance agent or carrier
Recruitment $3,000 $20,000 As Incurred Third Parties
Credentialing $4,500 $7,000 As Incurred Suppliers
Additional Funds $300,000 $500,000 As Incurred Employees, suppliers, utilities
Total $1,008,000 $1,441,500
Royalty Ad-Fund
6,00% 1,00%

How Much does a  American Family Care Franchise make?

Year of First Operation Total Number of Patients Seen in Fiscal Year 2016, Ending 11/30/2016 Net Payments in Fiscal Year 2016, Ending 11/30/2016
1 2014 37.840 $4.362.435,51
2 2009 28.174 $3.526.785,59
3 2013 23.344 $3.104.535,80
4 2013 27280 $2.954.380,35
5 2012 23777 $2.857.721,23
6 2013 24.726 $2.777.825,18
7 2014 25.089 $2.642.902,02
8 2012 22.735 $2.624.424,49
9 2012 21.408 $2.537.199,18
10 2013 22.563 $2.500.040,10
11 2011 23.205 $2.459.073,34
12 2013 24.169 $2.414.997,03
13 2014 21.749 $2.367.546,78
14 2012 19.685 $2.284.521,95
15 2013 20.990 $2.138.792,70
16 2014 16.752 $2.000.514,08
17 2012 8.805 $1.917.491,65
18 2010 18.982 $1.899.573,69
19 2011 18.468 $1.892.386,80
20 2012 14.163 $1.850.401,55
21 2011 20.760 $1.813.483,66
22 2010 17.159 $1.797.441,22
23 2010 18.977 $1.764.605,47
24 2014 16.715 $1.758.916,08
25 2011 16.804 $1.740.717,93
26 2012 13.941 $1.708.621,20
27 2014 14.580 $1.705.625,37
28 2012 15.189 $1.662.177,42
29 2014 14.653 $1.644.470,00
30 2010 15.567 $1.635.104,67
31 2014 13.646 $1.631.413,86
32 2010 13.684 $1.616.993,47
33 2010 14.931 $1.606.646,93
34 2014 12.623 $1.573.524,70
35 2014 14.862 $1.562.695,10
36 2014 15.008 $1.533.115,66
37 2012 14.383 $1.523.572,02
38 2012 14.325 $1.517.121,78
39 2013 13.795 $1.516.477,62
40 2011 9.897 $1.496.901,79
41 2012 13.065 $1.489.847,11
42 2010 12.151 $1.471.119,32
43 2010 14.047 $1.434.926,08
44 2009 12.461 $1.427.045,98
45 2010 9.283 $1.347.217,19
46 2014 17.839 $1.342.681,12
47 2011 12.348 $1.340.419,35
48 2011 9.954 $1.335.744,84
49 2014 12.850 $1.301.039,18
50 2013 12.581 $1.300.239,67
51 2014 10.850 $1.296.275,04
52 2012 15.856 $1.285.393,39
53 2012 15.991 $1.283.673,52
54 2015 11.558 $1.265.314,22
55 2013 11.481 $1.259.225,45
56 2011 10.547 $1.239.242,97
57 2011 10.652 $1.233.130,82
58 2015 11.736 $1.219.221,21
59 2011 13.367 $1.199.629,98
60 2012 10.196 $1.186.468,55
61 2013 14.827 $1.179.173,70
62 2015 11.023 $1.164.240,54
63 2014 10.964 $1.159.437,39
64 2012 10.710 $1.150.192,09
65 2010 10.094 $1.135.275,05
66 2015 9.832 $1.131.612,91
67 2010 17.742 $1.131.023,37
68 2010 9.000 $1.118.052,17
69 2012 8.927 $1.113.933,90
70 2011 10.024 $1.069.871,23
71 2015 9.790 $1.052.468,58
72 2012 8.988 $1.026.830,12
73 2011 7.748 $973.547,48
74 2010 9.524 $954.962,33
75 2012 9.746 $946.649,53
76 2011 11.008 $937.415,47
77 2015 9.909 $919.723,10
78 2013 7.182 $881.446,69
79 2011 9.838 $820.946,62
80 2015 10.796 $801.289,04
81 2014 11.787 $783.211,00
82 2015 7.978 $779.810,78
83 2015 8.216 $738.221,01
84 2014 9.039 $698.885,01
85 2015 6.317 $641.930,39
Total 85 1.245.225 $134.491.179,46
Average $14,650 $1,582,249

FDD Disclosure:

Notes:

1.The sample includes franchisees who were managing Centers that were operating for all of 2019. Each Center has been assigned a number (1 through 131) solely for purposes of providing the data in this Item 19, rather than identifying the specific location of each Center.
2.“Net Payments” – This represents the actual net payments for each Center in the sample for the period December 1, 2018 to November 30, 2019. Included in franchisee’s net payments are all revenues received from the PC under the Management Agreement, and from the offer and sales of all services (and products) to customers of the Centers. The Net Payments figures of franchisees are compiled by using sales that the franchisees reported to us. We have not audited or verified their reports, nor have franchisees confirmed that their reports used in the tables above are prepared in accordance with generally accepted accounting principles, or whether the method they used for calculating Net Payments is the same as we will use for “Net Payments”.
3.The Number of Patient Visits reflects the total number of patient visits (each visit by each person is 1 visit) who visited the Center during the sample time period. The physicians of each Center determine how many patients a physician must see in a given period or how many hours a physician must work each day.

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