Why Franchising Works: The Power of Following a Proven Model
- Ben Gerding

- Aug 12
- 6 min read
Updated: Aug 27

Entrepreneurship in the healthcare industry is growing rapidly, but in specialized fields like ABA Therapy, the path to sustainable success is paved by systems, structure, and brand integrity. For organizations like Essential Speech & ABA Therapy, franchising is more than a business model. Instead, it’s a vehicle for clinical consistency, quality assurance, and entrepreneurial empowerment.
This post explores why franchising works, how it compares to independent small business ownership, and why strict adherence to the franchise model is essential for long-term success.
If you're a clinician or aspiring business owner in the ABA space, understanding the benefits of franchising is key.
Franchises Outperform Independent Businesses by Nearly Every Measure
Franchising consistently leads to better outcomes for business owners compared to starting an independent business from scratch.
The statistics are clear and compelling. Studies by the International Franchise Association, FranNet, and other organizations show that between 85 and 90 percent of franchise businesses remain operational after five years. In contrast, only about 50 percent of independent small businesses survive that long.
This gap is not coincidental; franchisees are not starting from zero. They are entering a system with proven processes, tested tools, and dedicated support, which drastically reduces risk and eliminates common startup pitfalls.
In a field where burnout, compliance issues, and inconsistent systems are common, having a proven model makes all the difference. Franchises also tend to scale faster, generate higher revenues, and create more jobs than independent businesses.
Franchise units often report nearly twice the average annual sales of non-franchise counterparts. Franchises contribute close to 3 percent of the U.S. GDP, generating more than $760 billion in economic output and supporting over 8 million jobs across hundreds of thousands of locations. These performance indicators highlight the underlying strength of the franchise model and the value of leveraging an established system rather than going it alone.
The Strength of a Proven Model
At the heart of every successful franchise is a well-designed model that is built to be repeatable, scalable, and consistent. That is exactly what Essential Speech and ABA Therapy offers.
When franchisees join our system, they are stepping into a comprehensive program that integrates ABA, speech therapy, and occupational therapy under one roof. Our model has been carefully crafted based on years of clinical experience, business development, and community feedback. We provide franchisees with a turnkey launch process, beginning with 40 hours of virtual training followed by 40 hours of hands-on, in-person instruction. This includes everything from clinical protocols and compliance guidelines to hiring support and marketing strategies.
After launch, our support continues through one-on-one coaching, system-wide updates, and access to a national team of specialists who assist with operations, human resources, and payer relations. This level of infrastructure allows franchisees to focus their energy on delivering high-quality care, building relationships in their community, and growing their team. Without a model like this, most independent owners face an uphill battle of trial-and-error, inconsistent results, and burnout.
The model exists to eliminate guesswork and replace it with confidence.
Why Deviating From the Model Fails
Some franchisees, understandably, begin to personalize their approach too early. Whether it is altering the intake process, changing staff roles, or skipping parts of the parent education program, these changes erode the very system that made the business viable in the first place. By contrast, one of our highest-performing clinics followed the model exactly during their first year, and saw rapid caseload growth and team stability as a result.
The Essential model is not arbitrary. Every element, from how the therapy rooms are set up to how the parent portal is used, is based on what has been tested, refined, and proven to work. Deviating from that model often leads to operational breakdowns, decreased staff morale, confused clients, and poor outcomes. In some cases, it may even lead to brand compliance violations or legal risk.
On the other hand, franchisees who fully embrace the model tend to scale faster, build stronger teams, and see better clinical outcomes. The clinics that are thriving within our system are those that trust the process and implement it as intended.
Brand Recognition and Built-In Trust
Families searching for pediatric therapy services are not just choosing a location; they are choosing a provider they can trust with their child’s development. Likewise, team members are more likely to apply and stay with a brand that’s known for quality and support. That trust often begins with brand recognition.
Essential Speech and ABA Therapy has built a reputation for delivering compassionate, evidence-based care through a collaborative, family-centered approach. Our brand is associated with professionalism, quality, and positive outcomes. This recognition gives franchisees a tremendous advantage in their local market. Instead of starting from zero, they begin with a brand that is already known and respected, supported by a polished online presence, branded materials, and an established marketing strategy.
Parents and providers are more likely to trust providers with a name they recognize, and physicians are more likely to refer families to a provider with a visible, credible brand. Independent business owners typically spend years building that kind of trust, and even then, it is difficult to match the consistency and scale of a franchise system.
With Essential, that trust is earned through adherence to the brand standards, delivery of our integrated care model, and alignment with the messaging and values that define who we are as an organization.
Operational Systems That Scale
Running an ABA therapy clinic involves far more than clinical expertise. It requires strong operations, efficient scheduling, insurance credentialing, payer relations, billing systems, staff onboarding, and compliance management.
Most clinicians are not trained in these areas, and learning them on the fly while trying to grow a business is a recipe for exhaustion. The Essential model includes all of these components in a streamlined system. Our franchisees receive tools and processes for managing daily operations, hiring and retaining staff, navigating insurance reimbursement, and building out their clinic in a cost-effective and compliant way. We also provide technology platforms that integrate scheduling, billing, and documentation into a unified experience, which reduces administrative overhead and improves service delivery.
These systems are constantly updated to reflect best practices and are designed to grow with the clinic. As caseloads increase and new team members are added, the infrastructure is already in place to support that growth. Without this kind of foundation, independent business owners often struggle to scale and get stuck in the weeds of day-to-day operations.
Our systems are built to make growth not only possible, but predictable!
Legal and Compliance Protections
The healthcare industry is highly regulated, and therapy providers are subject to scrutiny from licensing boards, insurance companies, and government agencies.
Compliance with HIPAA, payer documentation standards, clinical supervision rules, and ethical billing practices is mandatory. One misstep can lead to audits, denials, fines, or even license suspension. Essential Speech and ABA Therapy has embedded compliance into every layer of our model.
From documentation templates and audit checklists to supervision protocols and training requirements, we provide franchisees with a clear path to stay compliant and avoid costly mistakes. This is especially important for new business owners who may not be familiar with the regulatory landscape. Our team supports franchisees through onboarding, payer enrollment, and periodic reviews to ensure they are meeting all expectations.
In contrast, independent clinics must navigate this alone, often relying on outdated advice or unverified sources. The risk is simply too high to take chances. The franchise model offers not just protection, but peace of mind—so you can focus on what matters most: delivering excellent care.
Conclusion
Franchising works because it is built on structure, accountability, and shared success.
For business owners in our space, the choice between starting independently or joining a franchise has real consequences. Independent ownership may offer full control, but it comes with significantly higher risk, slower growth, and less support.
Franchising with Essential Speech and ABA Therapy provides a clear roadmap, operational stability, brand trust, and a community of like-minded professionals. But the model only works when it is followed. Every system, policy, and training exists for a reason—to protect the client experience, support the franchisee, and uphold the values of the brand. Those who follow the model thrive. Those who stray from it struggle.
If you are ready to own a business that changes lives, and you are committed to implementing a model that is proven to work, then Essential may be the right fit for you! Submit your information today and take the first step toward a mission-driven business that delivers lasting impact.



