Egoscue vs ACASA Senior Care

ACASA Senior Care’s $6.9M AUV is the headline number. That per-unit revenue dwarfs most health-service franchises and directly signals a franchisee’s ability—and need—to spend on POS, scheduling, and back-office tools. Low initial investment ($83K–$134K) paired with a modest 6% total royalty/ad load means owners keep more cash and can justify software that drives efficiency. Egoscue’s absence of a disclosed AUV is itself a red flag; their $164K–$256K buildout and higher ongoing fees squeeze operator margins, making a $100K-plus software deal a much harder sell. Budget dimension goes decisively to ACASA.

On TAM and timing, you’re picking between 24 stagnant units and 8 that are growing 40% YoY—with an active, 2025 FDD that signals a franchisor in expansion mode, not maintenance. Egoscue’s zero growth and overdue filing scream operational paralysis; the installed base is larger today, but a static 22 franchised locations won’t compound your pipeline. ACASA’s trajectory means every closed deal now comes with a built-in expansion multiplier: you’re selling not just into 7 franchisees, but into a system likely to add 3–4 units next year and 5 the year after. Terrain looks similar—both use approved-supplier procurement—but a fast-growing franchisor is far more motivated to standardize software early, giving you a durable, locked-in position as the default vendor. The tradeoff is clear: a smaller, richer, and faster-growing base versus a larger, stale one with questionable compliance. That makes the choice straightforward.

Verdict: ACASA Senior Care is the unambiguous stronger opportunity—budget, growth rate, and filing health crush Egoscue’s hollow unit count.