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The Houston home health and hospice provider is opening its 18-year-old care model to franchisees as it looks to expand beyond Texas.

A Hug Away Healthcare, a Houston-based home health, hospice, and private duty nursing provider founded in 2008, is opening its care model to franchisees. Sisters Dr. Marisa Williams and Tikisha Johnson built the agency around coordinated in-home care; franchising is their mechanism for extending that model into new markets without opening company-owned branches in each one. It is a notable move: clinically intensive home health providers rarely franchise at all.
Home-based healthcare is capital- and licensure-intensive, and building a footprint market by market from a single headquarters is slow. Franchising trades direct control for speed: local owners bring their own capital and community relationships, while A Hug Away supplies the clinical protocols, payer relationships, and training that are hardest for a new entrant to replicate alone.
Unlike many home care franchise concepts built around companionship and non-medical support, A Hug Away's service list includes skilled nursing, wound care, IV and infusion therapy, hospice, and pediatric and psychiatric in-home nursing. That clinical depth raises the operational bar for franchisees, who will need to manage licensed staff and payer billing, not just caregiver scheduling, and it separates the brand from the typical non-medical home care franchise.
The company says it will evaluate markets based on demand for in-home healthcare, but has not yet published territory, investment, or royalty details. For prospective owners, the open question is whether A Hug Away builds a franchise disclosure document around its full clinical scope or narrows the offering to make it easier for non-clinical operators to run.
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