ATC Healthcare Services

The escalating demands on healthcare infrastructure, coupled with persistent staffing shortages across hospitals, clinics, and long-term care facilities, present a critical challenge for communities nationwide, creating a significant and enduring problem that the Atc Healthcare Services franchise opportunity is uniquely positioned to address. Founded in 1985 by brothers David and Stephen Savitsky, Atc Healthcare Services began as a focused healthcare staffing company in Queens, New York, with a visionary mission to operate "Around The Clock" and evolve into a comprehensive nationwide resource for healthcare communities requiring qualified personnel; some sources even suggest an earlier founding in 1982 or 1983, underscoring the company's long-standing presence in the sector. David Savitsky continues to serve as CEO, with Stephen Savitsky as President, maintaining consistent leadership from their corporate headquarters located in either Lake Success, New York, or New Hyde Park, New York. The company strategically initiated its franchise program in 1996, aiming to leverage the scalable franchise model to expand its reach and provide crucial temporary and permanent staffing solutions to a diverse array of clients, including hospitals, health systems, medical offices, nursing homes, public health departments, and correctional institutions. As of the 2026 Franchise Disclosure Document (FDD), the Atc Healthcare Services franchise network comprises 34 franchised locations operating across 15 states, although other data from 2023 indicates a broader footprint of over 60 territories from coast to coast, and the brand proudly asserts serving more than 65 territories nationwide as a Top 100 Global Franchise. While one report notes a fluctuation from 41 franchisee outlets in 2015 to 34 by 2025, the company is actively expanding into new markets and promoting multi-unit franchise opportunities, indicating a forward-looking growth trajectory within the substantial global temporary healthcare staffing market, which was valued at USD 58.06 billion in 2025 and is projected to reach USD 77.96 billion by 2032, representing a Compound Annual Growth Rate (CAGR) of 4.3%. This substantial market size and the brand's Joint Commission Certification, demonstrating its unwavering commitment to top-tier healthcare staffing, make Atc Healthcare Services a compelling Atc Healthcare Services franchise investment for investors seeking to address an essential societal need with a proven business model, differentiating this independent analysis from mere marketing copy.

The temporary healthcare staffing industry represents a robust and expanding market, driven by fundamental demographic and economic forces, making it a particularly attractive category for franchise investment. The global temporary healthcare staffing market was valued at USD 58.06 billion in 2025 and is projected to grow to USD 77.96 billion by 2032, exhibiting a healthy CAGR of 4.3% over this period, while another authoritative estimate places the global market size at USD 64.24 billion in 2025, with an anticipated surge to USD 114.41 billion by 2035 at an even more aggressive 6.20% CAGR. Within this expansive global landscape, the US healthcare temporary staffing market alone was estimated at a significant $53.9 billion in 2023, underscoring the immense domestic opportunity. Key consumer trends driving this sustained demand include an increasing scarcity of proficient medical practitioners, the inherent cost-effectiveness associated with leveraging temporary healthcare staffing solutions for facilities, and the profound impact of an aging population that necessitates escalating levels of medical care, which, combined with persistent healthcare staff shortages, creates an urgent and continuous need for qualified personnel. Secular tailwinds benefiting the Atc Healthcare Services franchise specifically include North America's expected dominance in this market, holding a substantial 43.70% share in 2025, a position reinforced by its robust healthcare infrastructure and consistently increasing demand for diverse medical services. This industry category attracts franchise investment due to its essential service nature, often proving recession-resistant, and its high growth potential fueled by both an aging demographic and evolving healthcare delivery models. The competitive dynamics within the US market, where 100 firms generate at least $50 million in revenue and account for 88% of the total market, suggest a degree of consolidation but also indicate ample space for well-supported franchise operations like Atc Healthcare Services, which is ranked as the 47th Largest Healthcare Staffing Firm by Staffing Industry Analysts (SIA) in 2023. Macro forces such as the increasing adoption of digital staffing platforms, the rising demand for on-demand nursing staff, the growing utilization of AI-enabled workforce matching, and the expansion of travel nurse staffing models all contribute to a dynamic environment ripe with opportunity for the Atc Healthcare Services franchise.

The Atc Healthcare Services franchise investment requires a structured financial commitment, beginning with a consistent initial franchise fee of $50,000 for a single protected territory. For entrepreneurs considering expanded market penetration, the brand offers multi-unit packages where the initial franchise fee for the first unit remains $50,000, but additional offices are priced at $37,500 each, culminating in a total initial franchise fee of $90,000 for two units and $120,000 for three units, providing an incentive for scaled growth. The total initial Atc Healthcare Services franchise cost and investment range has shown some variation across different reporting periods, spanning from $9,550 to $302,500 according to 2026 FDD data, with more recent estimates for 2024 and 2026 narrowing to $158,500 to $302,500, and for 2025 and 2026 at $159,000 to $302,000; earlier data from 2020 indicated a range of $132,020 to $219,820. This comprehensive range typically covers essential start-up expenses such as rent, necessary leasehold improvements, acquisition of equipment, professional signage, initial inventory for operations, security deposits, insurance premiums, travel and living expenses incurred during the initial training phase, crucial computer systems, various permits and licenses, professional fees for legal and accounting services, costs associated with online employee search platforms, and critically, additional funds required for the initial 9 months of operation to ensure liquidity. Prospective franchisees must also meet specific liquid capital requirements, which are listed at $200,000 for 2026, though a minimum cash required of $40,000 is also noted, alongside a minimum net worth requirement of $250,000 for 2026, positioning this as a mid-tier investment opportunity requiring substantial financial backing. Ongoing fees for an Atc Healthcare Services franchise include a royalty rate that varies between 15% and 45% of Gross Margin, or 30% to 45% of gross margin, specifically set at 30% of gross margin for revenue generated from permanent employee placements, reflecting a performance-based fee structure. An initial marketing fee of $10,000 is required, with some sources indicating no national advertising fee while others mention an advertising (or national brand fund) fee of 3.00% or the franchisee's pro rata share of cooperative advertising costs. Additional ongoing fees, based on the 2025 FDD, encompass a renewal fee of $5,000 for each of two potential five-year terms, annual computer fees for maintenance and updates totaling $1,000, a monthly technology fee of $1,000, a Human Resources Information System (HRIS) fee of $2 per active employee, a recruitment effort cost equivalent to 1% of total revenue, a national or regional account fee of $1 per service hour, an annual fidelity bond costing $500 to $1,000, accreditation and certification fees of $90 per month per state, and Professional Employer Organization (PEO) costs of $100 per staff employee plus the expense of medical insurance. While the franchisor's affiliates do not directly offer financing, they may provide contact information for third-party lenders, though the franchisor does not guarantee a franchisee's note, lease, or other obligations, emphasizing the need for robust independent financial planning for this Atc Healthcare Services franchise investment.

The operating model for an Atc Healthcare Services franchise is designed to empower owner-operators with a focus on business development and relationship building, while mitigating the complexities of back-office administration. Franchisees' daily operations primarily involve making and maintaining strong personal connections with local healthcare and institutional leaders responsible for medical hiring, a crucial element for building trust and securing contracts within the community, alongside actively recruiting qualified healthcare professionals to meet client demands. This dual focus on client acquisition and talent recruitment necessitates continuous generation of new opportunities in both spheres, with the physical presence of the franchisee in the community considered imperative for fostering strong client relationships. The average Atc Healthcare Services franchise operates with a lean staffing model of typically 2-3 employees, emphasizing efficiency in operations, and the brand utilizes a meticulous screening process to effectively match qualified healthcare workers with appropriate facilities. While specific format options like drive-thru or mobile units are not detailed, the operational descriptions imply a traditional office-based model where the franchisee and their small team manage the local market. The comprehensive training program includes 4 days of in-person, classroom-style training for the franchisee and their full-time staff, supplemented by weekly calls with a dedicated Operations representative, remote training as needed, and in-person visits from an Operations representative to provide personalized guidance. Crucially, on-site support is provided during the start-up phase, including direct assistance with initial client calls to ensure a strong market entry. A significant competitive advantage and core component of the ongoing corporate support is the complete back-office support provided by the corporate headquarters, which includes critical functions such as payroll funding and processing, benefits administration, compliance management, billing, collections, tax reporting, risk management, liability coverage, and comprehensive insurance coverage. Atc Healthcare Services uniquely acts as the "employer of record" for its franchisees' Healthcare Associates (HCAs), assuming the full spectrum of employer responsibilities and providing necessary insurances like Workers Compensation and malpractice coverage, a system designed to substantially reduce administrative burdens and operating costs for franchisees, thereby allowing them to concentrate on business development and growth. Franchisees are granted a protected territory, typically based on a minimum population of 500,000 people, and are required to achieve certain levels of revenue or market penetration to maintain these exclusive territory rights, with multi-unit franchise opportunities actively encouraged to facilitate broader market reach and efficient utilization of a larger network of healthcare associates across territories. The model is clearly designed for an owner-operator, though franchisees generally do not need prior healthcare or staffing experience, as the extensive training and support are provided, with an "Experience Success Program (ESP)" specifically tailored for potential franchisees with at least five years of experience as a branch manager or equivalent in a staffing company, further demonstrating the brand's commitment to diverse candidate profiles for the Atc Healthcare Services franchise opportunity.

Item 19 financial performance data is not disclosed in the current Franchise Disclosure Document for Atc Healthcare Services. However, historical financial performance data from previous FDDs and other public sources provides valuable insights into the potential earnings and operational efficiency of an Atc Healthcare Services franchise. For instance, in 2020, the average annual gross revenue for reporting Atc Healthcare Services franchise units was an impressive $3,359,218, with other reports indicating an average of approximately $3 million per year, and a separate figure of $2,375,776 for yearly gross sales, demonstrating robust unit-level revenue generation. A notable aspect of this revenue stream is the significant contribution from government contracts, which constituted an average of 18.18% of revenue in 2020, translating to an average annual government gross revenue of $604,646, highlighting the brand's ability to secure and fulfill substantial public sector contracts. These historical figures also suggest considerable earning potential for owner-operators, with estimated earnings ranging from $285,094 to $427,640, which are highly competitive within the franchise landscape. Furthermore, the reported franchise payback period of 2.1 to 4.1 years indicates a relatively rapid return on the initial Atc Healthcare Services franchise investment, underscoring the efficiency of the business model and the strong demand for its services. When evaluating these figures in the context of the broader industry, the US healthcare temporary staffing market was valued at $53.9 billion in 2023, positioning Atc Healthcare Services, ranked as the 47th Largest Healthcare Staffing Firm by SIA in 2023, within a significant and growing sector. The consistent demand for healthcare professionals, driven by an aging population and persistent staff shortages, provides a stable environment for these revenue figures. The brand's low average number of employees (2-3 per franchise) further suggests a lean operational structure, contributing to potentially higher profit margins and owner earnings, even without current FDD disclosure. These historical financial performance indicators, combined with the brand's strong market position and the essential nature of its services, signal a compelling opportunity for prospective franchisees, suggesting that the Atc Healthcare Services franchise is capable of generating substantial unit-level performance in a high-demand industry.

The growth trajectory for the Atc Healthcare Services franchise demonstrates a strategic expansion within a high-demand market, though unit counts have shown some fluctuation. In 2015, there were 41 franchisee outlets, which decreased to 34 by 2025 according to one report, yet the 2026 FDD indicates 34 franchised locations operating in 15 states, while other sources from 2023 assert a presence in over 60 territories and the company claims to serve more than 65 territories nationwide, suggesting a focus on expanding territorial reach and market penetration despite minor shifts in outlet numbers. The company is actively expanding into new markets and strongly encourages multi-unit franchise opportunities, allowing franchisees to broaden their client base and efficiently utilize a larger network of healthcare associates across multiple territories, which is a key corporate development aimed at fostering scalable growth. Recent corporate efforts also focus on connecting with new clients and intensifying the recruitment of more healthcare associates to meet the escalating demand in the market. The competitive moat for Atc Healthcare Services is built upon several critical differentiators, most notably its comprehensive back-office support system, which fully handles payroll funding and processing, benefits administration, compliance, billing, collections, taxes, risk management, and all necessary liability and insurance coverage. By acting as the "employer of record" for its franchisees' Healthcare Associates (HCAs) and providing Workers Compensation and malpractice insurance, Atc Healthcare Services significantly reduces the administrative burden and operating costs for franchisees, allowing them to concentrate solely on business development and client relationships, a proprietary advantage that is difficult for competitors to replicate. Furthermore, the brand's Joint Commission Certification signifies a commitment to the highest standards of healthcare staffing quality, enhancing its credibility with institutional clients. Established national agreements with top Vendor Management System (VMS) and Managed Service Provider (MSP) organizations provide franchisees with immediate access to a broader client network. Atc Healthcare Services has garnered significant brand recognition and numerous accolades, including ranking in Entrepreneur's Franchise 500, being named one of the "Fastest-Growing Private Companies in America for 2023" by Inc. 5000, and being recognized by Forbes as a "Best Temporary Staffing Firm" for 2020 with a Five-Star Ranking. Its strong competitive positioning is further evidenced by its 2023 Staffing Industry Analysts (SIA) rankings as the 47th Largest Healthcare Staffing Firm, 7th Largest Per Diem Nurse Staffing Firm, 79th Largest Travel Nurse Staffing Firm, and 138th Largest Staffing Firm overall. The brand is adapting to current market conditions by promoting multi-unit expansion and leveraging its robust support infrastructure to capitalize on industry trends like the rising demand for on-demand nursing staff and the expansion of travel nurse staffing models, ensuring the Atc Healthcare Services franchise remains competitive and relevant.

The ideal candidate for an Atc Healthcare Services franchise is an entrepreneur with strong business acumen and a proactive business development mindset, someone driven to forge and maintain crucial relationships within the local healthcare community. While franchisees are not strictly required to possess prior healthcare or staffing industry experience, as comprehensive training and ongoing support are provided, qualities such as compassion, positivity, strong leadership capabilities, and a genuine desire to prioritize people are highly valued attributes for success in this service-oriented business. For potential franchisees with at least five years of experience as a branch manager or an equivalent role in a staffing company, the brand offers an "Experience Success Program (ESP)" tailored to leverage their existing expertise. The Atc Healthcare Services franchise actively encourages multi-unit opportunities, recognizing that successful multi-unit franchisees often emphasize the strategic importance of having supportive staff and considering the proximity of new locations, ideally no more than a four-hour drive, to facilitate efficient oversight and resource sharing between units. Available territories are protected and granted based on a minimum population of 500,000 people, with the company consistently expanding into new markets across the 15 states where it currently operates and beyond its 65+ territories nationwide, indicating broad geographic focus for growth. While a specific timeline from signing to opening is not explicitly provided, the comprehensive training and on-site start-up support suggest a structured onboarding process designed for efficiency. The franchise agreement term length is not directly stated, but the provision for a $5,000 renewal fee for each of two additional five-year terms implies a standard initial term, offering long-term stability for franchisees. The Atc Healthcare Services franchise seeks dedicated owner-operators who are committed to embedding themselves within their communities to build the trust essential for both client acquisition and robust healthcare professional recruitment.

For franchise investors seeking to capitalize on a high-growth, essential service industry, the Atc Healthcare Services franchise presents a compelling opportunity that warrants serious due diligence. The brand's foundational strength, established in 1985 by David and Stephen Savitsky, combined with its strategic move into franchising in 1996, positions it as an experienced guide in the dynamic healthcare staffing market. With a global market projected to reach USD 114.41 billion by 2035 at a 6.20% CAGR, driven by an aging population and persistent staff shortages, the industry context for the Atc Healthcare Services franchise is exceptionally favorable, particularly with North America holding a dominant market share. The Atc Healthcare Services franchise investment, with an initial fee of $50,000 and total investment ranging from $9,550 to $302,500, alongside comprehensive back-office support that acts as the employer of record, significantly de-risks operational complexities for franchisees, allowing them to focus on revenue generation. Although Item 19 financial performance data is not disclosed in the current FDD, historical data showcasing average annual gross revenues of over $3.3 million in 2020 and estimated owner-operator earnings of $285,094 - $427,640, coupled with a rapid payback period of 2.1-4.1 years, underscores the potential for substantial returns within this vital sector. The brand's consistent accolades, including rankings in Entrepreneur's Franchise 500 and Inc. 5000, further validate its strong market position and operational excellence. PeerSense provides exclusive due diligence data including SBA lending history, FPI score, location maps with Google ratings, FDD financial data, and side-by-side comparison tools. Explore the complete Atc Healthcare Services franchise profile on PeerSense to access the full suite of independent franchise intelligence data.