For aspiring entrepreneurs around the world, the dream of building a life in the United States often begins with a single question: How do I qualify for an E-2 visa and choose the right business to invest in? Among the many industries to explore, one path has quietly become a favorite for international investors—the senior care sector. More specifically, the E-2 visa senior care franchise. These businesses offer more than just compliance with visa requirements—they meet a rising need in U.S. communities, providing essential support for a rapidly aging population.

Senior care franchises offer a blend of purpose and practicality. They allow investors to manage a real, operational business while contributing meaningfully to families who rely on in-home assistance for their loved ones.

In this article, you’ll discover the top 5 senior care franchises suited for E-2 visa investors in 2025.

We’ll break down each option—from startup costs to service offerings—and explore why this business model continues to attract globally minded entrepreneurs ready to build something lasting in the United States. Let’s begin!

Why Senior Care is Booming in the U.S. for E-2 Visa Investors

In towns and cities across the United States, a quiet transformation is unfolding.

As Baby Boomers age into retirement, families are looking for solutions that provide their parents and grandparents with dignity, comfort, and care—without removing them from the homes they love.

This shift is fueling one of the fastest-growing segments of the U.S. economy: senior home care.

For international investors, particularly those pursuing the E-2 visa, this demographic wave presents a compelling opportunity.

The numbers tell a clear story. By 2030, all Baby Boomers will be over the age of 65.

Chronic conditions such as diabetes, heart disease, and mobility limitations are becoming more common, increasing the demand for ongoing support.

At the same time, a growing emphasis on preventive care and in-home wellness is reshaping how healthcare is delivered.

Senior care franchises are perfectly positioned at the crossroads of these trends. They offer personal care, companionship, transportation, and support—all delivered in the familiar surroundings of a client’s home.

For E-2 investors, this means stepping into a business model with both social impact and strong, sustained market demand.

Healthcare spending reached $4.9 trillion in 2023, accounting for 17.6% of the U.S. GDP.

Much of this growth stems from rising utilization of services—particularly among aging adults who prefer aging in place.

Advancements in technology, such as telehealth and remote monitoring, have only made in-home care more viable and efficient.

Meanwhile, policy changes and expanded insurance coverage continue to make these services more accessible to the families who need them.

As a result, more franchise brands are expanding into new territories, offering investors well-established systems, comprehensive training, and marketing support.

For E-2 visa holders, the alignment couldn’t be better. The senior care industry offers a clear operational structure, job creation potential, and scalability—meeting USCIS visa requirements while fulfilling a vital need in American society.

What is an E-2 Visa Senior Care Franchise?

To understand the value of a senior care franchise for E-2 visa investors, it helps to start with the basics.

The E-2 visa is a non-immigrant visa that allows foreign nationals from treaty countries to live and work in the United States by investing in and operating a U.S. business.

It’s not enough to simply invest—you must actively direct and develop the business, making the right franchise choice essential.

That’s where senior care franchises come in.

A senior care franchise is a type of home care business that offers nonmedical support to elderly clients.

These services might include personal care, meal preparation, medication reminders, companionship, transportation, and light housekeeping—all provided in the comfort of the client’s home.

Some brands also offer specialized care for individuals recovering from surgery or managing chronic conditions.

For the investor, this model offers a blend of predictability and purpose.

Franchises come with training, branding, operational systems, and ongoing support—critical for meeting the active management requirements of the E-2 visa.

And unlike many retail or food service franchises, senior care businesses typically don’t require large real estate footprints or inventory costs.

There’s also a deeper layer of appeal. Senior care services are rooted in trust and human connection. Clients and families depend on caregivers not just for tasks, but for peace of mind.

That emotional value creates a strong foundation for business relationships and long-term customer retention.

In short, an E-2 visa senior care franchise isn’t just a visa-compliant business—it’s a resilient, scalable enterprise built to meet a growing national need. For many international investors, that’s exactly the kind of opportunity they’re looking for.

Top 5 E-2 Visa Senior Care Franchises to Invest in (2025)

Let’s tackle the million-dollar question—or, better yet, the one you came here to answer: Which senior care franchises are truly worth considering for your E-2 visa investment in 2025?

Based on our hands-on work with E-2 visa clients and a curated selection of strong, support-driven brands, we’ve narrowed the field to five standout franchises.

These opportunities balance visa eligibility, industry demand, and practical investment ranges—making them well-suited for entrepreneurs ready to take their first step into the U.S. market.

Options for Senior America

• Investment Range: $85,800 – $110,400

• Franchise Fee: $47,500

• Total U.S. Locations: 20

• Franchise Units: 20

• Year Founded: 1990

• Started Franchising: 2005

• Website: optionsforsenioramerica.com

Options for Senior America delivers compassionate, in-home support that empowers seniors to maintain their independence.

Their approach combines personalized care with a commitment to dignity, making them a trusted choice for families—and a reliable business for E-2 visa investors.

With prior Visa Franchise clients already in their network, they offer a proven path for international entrepreneurs.

Homewatch CareGivers

• Investment Range: $91,810 – $177,750

• Total U.S. Locations: 213

• Franchise Units: 213

• Year Founded: 1980

• Started Franchising: 1996

• Website: homewatchcaregivers.com

With more than four decades in the industry, Homewatch CareGivers has built a reputation for providing high-quality, relationship-based care.

Franchisees benefit from extensive training, a strong support system, and a brand that values both innovation and empathy.

Their size and stability make them an excellent option for E-2 investors looking for a mature, scalable model.

1Heart Caregiver Services

• Investment Range: $90,100 – $130,660

• Franchise Fee: $47,500

• Total U.S. Locations: 24

• Franchise Units: 22

• Year Founded: 2014

• Started Franchising: 2014

• Website: 1heartfranchise.com

Founded by an immigrant entrepreneur who understood the emotional and practical needs of senior care, 1Heart is purpose-driven and people-focused.

Their model encourages owner involvement, which aligns well with E-2 visa criteria, especially in the early stages of the business.

The brand’s community-based philosophy and franchisee support make it a standout for mission-driven investors.

Assisting Hands Home Care

• Investment Range: $94,500 – $176,400

• Franchise Fee: $55,000

• Total U.S. Locations: 190

• Franchise Units: 185

• Year Founded: 2006

• Started Franchising: 2006

• Website: assistinghands.com

Assisting Hands is a trusted brand among Canadian and international investors, offering robust onboarding and continuous operational support.

The company’s focus on nonmedical home care, combined with scalable systems, provides a secure foundation for E-2 visa holders building their business from the ground up.

BrightStar Care

• Investment Range: $112,000 – $232,000

• Franchise Fee: $37,500

• Total U.S. Locations: 378

• Franchise Units: 347

• Started Franchising: 2005

• Website: brightstarcare.com

BrightStar Care is the most established brand on this list, with both medical and nonmedical services under its umbrella.

The company’s size offers strong brand recognition and credibility, especially in competitive markets.

For investors with a higher capital threshold and growth ambitions, BrightStar represents a high-impact, high-reward opportunity.

E-2 Visa Senior Care Franchises: Comparison Table

Below is a side-by-side look at the five top senior care franchises we’ve covered, designed to help you quickly compare essential factors such as investment range, brand size, and visa suitability.