Next Health

The modern consumer faces a pervasive problem: a healthcare system often geared towards reactive treatment rather than proactive, preventative well-being, leaving individuals seeking comprehensive solutions for sustained health and longevity. Next Health has emerged as a beacon in this rapidly evolving landscape, offering a sophisticated, data-driven approach to health optimization. The company was founded in 2016 by Dr. Darshan Shah, who serves as Founder and CEO, and entrepreneur Kevin Peake, Co-Founder and President, with its headquarters strategically located in Los Angeles, California. Scott Svilich further strengthens the leadership team as Chief Operating Officer. While an earlier entity named "Next Health" was founded in Norwalk in 2009 by John W Madigan III, focusing on patient mobility solutions and raising $325K in funding, the health optimization and longevity franchise, Next Health, unequivocally traces its origins to the 2016 founding by Dr. Shah and Kevin Peake. This specific Next Health franchise began its franchising journey in 2023, rapidly expanding its footprint. As of April 2025, the brand had successfully sold over 70 units or approximately 70 licenses, with a notable 20 new locations slated to join the network in 2025 alone. Currently, more than 70 Next Health centers are either operational or in active development across 13 states and two international countries, showcasing robust growth from an August 2024 report of 43 locations across 11 states and three countries. The brand has established significant corporate hubs in West Hollywood, Century City, and Studio City in Los Angeles, alongside other corporate locations in New York and a prestigious partnership at the Four Seasons Resort Maui. The franchise data indicates 5 company-owned units are currently operational, with 0 franchised units yet open, reflecting the nascent stage of its physical franchise rollout despite the substantial number of units sold and in development. This aggressive expansion into a market projected to surge 26% to $8.5 trillion by 2027 positions the Next Health franchise as a compelling opportunity for investors aiming to capitalize on the burgeoning demand for preventive health.

The health optimization and longevity industry, which Next Health anchors, is a dynamic segment within the colossal global health and wellness market, estimated at $6.87 trillion in 2025 and forecast to expand significantly to approximately $11 trillion by 2034, demonstrating a robust Compound Annual Growth Rate (CAGR) of 5.40% from 2025 to 2034. This broader wellness economy is projected to experience a 26% surge, reaching $8.5 trillion by 2027, underscoring the immense total addressable market for the Next Health franchise. Furthermore, the specific "Other Health and Personal Care Stores" market, where Next Health operates, was valued at $67.69 billion in 2025 and is anticipated to grow to $70.56 billion in 2026 at a CAGR of 4.2%, ultimately reaching $85.07 billion in 2030 with a CAGR of 4.8%. This growth is propelled by several key consumer trends, notably a significant surge in preventive healthcare demand, particularly post-COVID-19, with daily health now topping the priority list for 50% of US consumers, a marked increase from 42%. Consumers are increasingly seeking personalized health solutions, expanding niche health products, and embracing home healthcare product growth, alongside specialized wellness consultations and the integration of digital health platforms. North America currently dominates the global health and wellness market, holding the largest share of 38.04% in 2024 and projected for the fastest growth, while the integrated wellness and personal care services segment, a core offering of Next Health, commanded a major market share of 21.72% in 2024. These secular tailwinds, including the growing volume of aesthetic and elective medical treatments globally, create a fertile ground for the Next Health franchise, attracting investors to an industry characterized by strong consumer inclination towards self-care, preventive health, and a demand for convenience and affordability in wellness solutions.

Investing in a Next Health franchise represents a premium opportunity, underscored by its substantial financial commitments and high entry requirements. The initial Next Health franchise fee stands at $80,000, a figure that reflects the brand's sophisticated model and comprehensive support. For franchisees considering multi-unit commitments, the development fee structure is tiered: $90,000 for 3 centers, $120,000 for 4 centers, $100,000 for 5 centers, $120,000 for 6 centers, $140,000 for 7 centers, $160,000 for 8 centers, $180,000 for 9 centers, and $200,000 for 10 centers, with an additional $20,000 for each center exceeding 10, where the development fee is calculated as 50% of the initial franchise fee for each center within the agreement. The total initial investment required to launch a Next Health franchise ranges from $1,690,000 to $2,259,000, though another source indicates a slightly different range of $1,593,300 to $2,173,800. This comprehensive investment encompasses critical elements such as the build-out, specialized medical and wellness equipment, initial supplies, and crucial early operating costs, with $435,100 to $440,600 of this total paid directly to the franchisor and its affiliates. A detailed breakdown of the initial investment includes the $80,000 initial franchise fee, $15,000 to $20,000 for initial training and expenses, $73,200 to $109,200 for lease rental and security deposit, a substantial $600,000 to $900,000 for leasehold improvements, $40,000 to $55,000 for furniture and fixtures, and $350,000 to $460,000 for equipment and computer systems. Further costs include $80,000 to $100,000 for medical supplies, $8,000 to $15,000 for materials and other supplies, $20,000 to $30,000 for signage, $10,000 to $15,000 for insurance fees, $5,000 to $10,000 for permits and licenses, and $50,000 for grand opening expenses. To qualify for this significant Next Health franchise investment, franchise partners are mandated to possess a minimum of $600,000 in liquid capital and a net worth of $1.5 million, positioning this as a high-tier investment demanding sophisticated financial backing, although one source mentioned a minimum cash required of $35,000, which appears to be an outlier. Ongoing financial commitments include a royalty fee of 9.00% of monthly sales and an advertising (national brand fund) fee comprising $3,000 per month plus 1% of monthly sales, ensuring sustained brand development and support.

The operating model for a Next Health franchise is meticulously designed to deliver data-driven, personalized care focused on prevention and longevity, providing a luxury wellness experience that blends science, aesthetics, and hospitality. Daily operations revolve around offering a wide array of personalized health services, from IV therapy and NAD+ therapy to hormone optimization, cryotherapy, hyperbaric oxygen therapy, red light therapy, biomarker testing, and advanced full-body diagnostics including genetic screening and MRI scans. These services are available either as standalone options or through flexible membership plans, fostering recurring revenue. Each Next Health center ensures dedicated time with medical providers, upholding a high standard of care. The staffing requirements are robust, with the initial training program mandatory for the Managing Owner, General Manager, Nurse Practitioner, and Aesthetic RN, covering comprehensive operational standards. The first two trainees, the Managing Owner and General Manager, attend this program at no charge, while others incur a training fee. Critically, all doctors at Next Health franchise locations undergo extensive in-person training directly with Dr. Shah at the corporate Next Health office in West Hollywood, supplemented by seminars and online trainings led by Dr. Shah and other Next Health doctors, ensuring a cohesive onboarding process that integrates knowledge from both functional and medical providers. Franchisees receive full-spectrum support from the corporate team, encompassing real estate selection, strategic marketing, and compliance assistance, along with expert medical counsel. The brand offers comprehensive onboarding to prepare franchisees for launch and provides ongoing resources, including a dedicated call center, to support sustained growth. A key operational aspect is the partnership with a medical doctor for each location, with an in-depth selection process requiring prior functional and longevity medicine experience, highlighting the specialized nature of the Next Health franchise.

Next Health provides explicit financial performance representations in Item 19 of its Franchise Disclosure Document, offering transparent insights into the potential profitability of this franchise opportunity. The average unit revenue (AUV) for a Next Health franchised facility is an impressive $4,032,000 per year, with locations averaging $4M+ annually in revenue, as confirmed by the FDD stating average mature location revenue at $4M+. The franchise data further solidifies this, reporting an average revenue of $4.01M and a median revenue of $4.01M, indicating strong, consistent performance across its network. These robust revenue figures are complemented by exceptional profit margins, with the FDD disclosing a nearly 74% profit margin, and other sources citing a 73.7% margin. This high profitability translates into significant potential owner operator earnings, estimated between $604,736 and $806,314 annually. Such compelling unit economics, driven by a comprehensive suite of high-value services and a proprietary membership-driven model, position the Next Health franchise as a leader in its category. The estimated franchise payback period for this Next Health franchise investment is notably efficient, ranging from 3.2 to 5.2 years, suggesting a relatively quick return on the substantial initial capital outlay. The consistently high average and median revenues, coupled with the impressive profit margins, demonstrate the efficacy of Next Health's business model in a burgeoning market, providing a strong financial incentive for potential investors considering the Next Health franchise cost.

The growth trajectory for the Next Health franchise is characterized by ambitious expansion and strategic market penetration since its franchising launch in 2023. As of April 2025, the brand had already sold over 70 units or licenses, with 20 new locations joining the network in 2025 alone, demonstrating a rapid uptake of the Next Health franchise opportunity. The presence of more than 70 Next Health centers open or in development across 13 states and two international countries marks a significant increase from the 43 locations reported in August 2024 across 11 states and three countries, indicating robust net new unit growth. The company’s long-term vision is particularly aggressive, aiming to open 150 locations by the end of 2027, with Dr. Shah articulating a grander aspiration for "1,000 Next Healths" in the future, and a more immediate goal of 250 to 300 locations in the U.S. Commitments for 100 locations poured in when the franchising opportunity was initially announced, underscoring the strong market reception. Recent corporate developments include the formation of a world-class Scientific Advisory Council, featuring esteemed figures like Dr. Mark Hyman, to guide the future of proactive healthcare. The brand’s competitive moat is built upon its wide range of personalized health services, including advanced offerings like Therapeutic Plasma Exchange (TPE) and its signature "Executive Physical," a $14,500 program that measures over 1,000 biomarkers and includes comprehensive diagnostics, reportedly uncovering life-altering conditions in approximately 3.5 out of every 10 participants. This unique diagnostic capability, coupled with a prestigious partnership with Four Seasons Resort Maui, enhances brand recognition and credibility. Next Health has actively expanded its presence, with three new locations in Southern California (Los Angeles, Orange County, and San Diego) through a multi-unit area development agreement in February 2024, alongside new centers in Bellevue, Washington; Green Hills, Nashville; and Boulder, Colorado. International expansion is also a key focus, with planned openings in Dubai and Canada, and identified potential targets in Japan, London, continental Europe, the Middle East, and the Philippines, demonstrating the brand's adaptability to global market conditions and its commitment to scaling responsibly.

The ideal Next Health franchisee is a highly selective profile, reflecting the significant Next Health franchise investment and the specialized nature of the business. Next Health is "extremely deliberate" in its franchisee selection process, evidenced by a stringent 0.02% pass-through rate to the final rounds of approval. The brand exclusively targets strong, experienced candidates who are either current or former entrepreneurs and business owners, possessing a demonstrated ability to successfully build and scale a business. This requirement for sophisticated operational and leadership experience is critical, given the complexity of managing a medical wellness center. Franchise partners must meet substantial financial qualifications, including a minimum of $600,000 in liquid capital and a $1.5 million net worth, ensuring they are well-capitalized to support the high initial investment ranging from $1,690,000 to $2,259,000. Multi-unit area development agreements are a clear focus, as seen with recent expansions in Southern California, indicating a preference for franchisees capable of developing multiple locations across a territory. Geographically, Next Health has established corporate hubs in Los Angeles (West Hollywood, Century City, Studio City), New York, and at the Four Seasons Resort Maui, with franchisees actively opening in high-growth markets such as Dubai, Nashville, Miami, Newport Beach, Chicago, Henderson, Paradise Valley, and Tampa. Further expansion is targeting Bellevue (Washington), Green Hills (Nashville), and Boulder (Colorado). The brand has ambitious international expansion plans for Dubai and Canada, with Japan, London, continental Europe, the Middle East, and the Philippines identified as potential future markets, suggesting a global vision for the Next Health franchise opportunity. The franchise agreement term length is 10 years, providing a substantial period for franchisees to establish and grow their operations within these high-potential markets.

For investors seeking a high-impact franchise opportunity within the burgeoning health optimization and longevity sector, Next Health presents a compelling investment thesis. The brand is strategically positioned within a global health and wellness market that was valued at $6.87 trillion in 2025 and is projected to reach $11 trillion by 2034, growing at a robust CAGR of 5.40%. This significant market expansion, coupled with a surge in consumer demand for proactive healthcare and personalized wellness solutions, creates an unparalleled environment for the Next Health franchise. With average annual revenues exceeding $4 million and an impressive nearly 74% profit margin, Next Health demonstrates exceptional unit economics and a strong return on the Next Health franchise investment. The brand's rapid growth trajectory, having sold over 70 units since launching franchising in 2023 and aiming for 150 locations by 2027, underscores its market traction and scalability. While the Next Health franchise cost, with an initial investment ranging from $1.69 million to $2.259 million and liquid capital requirements of $600,000, positions it as a premium opportunity, its comprehensive support structure, sophisticated operating model, and transparent financial performance disclosures in Item 19 provide a solid foundation for due diligence. The brand's commitment to innovation, a world-class Scientific Advisory Council, and strategic partnerships further solidify its competitive advantage in an evolving industry. 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 Next Health franchise profile on PeerSense to access the full suite of independent franchise intelligence data.