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Allergy And Immunology Clinic Break-Even: $81K Monthly Revenue

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Key Takeaways

  • No business data was provided.
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  • Then we can model revenue and costs.


Fixed costs $67.8K/mo base + payroll
Contribution margin 84% after variable costs
Break-even revenue $80.7K/mo monthly target
Break-even timing Month 2 launch ramp

Break-even calculator

Test monthly revenue against direct costs and fixed overhead to see when the clinic clears break-even.

Money available to cover fixed costs $90,720 $108,000 revenue - $17,280 variable expenses
Margin ratio
84%
Covers fixed costs
Yes
Break-even chart Revenue Total costs
Plan Break-even $0 $0

Which expenses are fixed and which move with sales in an allergy and immunology clinic?

Cost classification

Your monthly break-even will be off if you treat $17.4k of facility overhead as volume-driven or ignore 16.0% first-year revenue-linked costs. Payroll is semi-fixed: first-year wages are about $50.4k/month and step up as providers are hired.

Expense Cost Break-Even Treatment Common Mistake
Clinic Rent Fixed Use $10,000/month from Month 1. Tying rent to visit volume.
Utilities Fixed Use $1,500/month for baseline facility load. Ignoring utility load before full schedules.
Malpractice Insurance Fixed Use $3,000/month from launch month. Adding coverage only after volume builds.
Medical Supplies & Test Kits Variable Apply 4.0% of first-year revenue. Using a flat budget while testing rises.
Immunotherapy Vials Variable Apply 5.0% of first-year revenue. Missing vial use as shot visits scale.
Billing Service Fees Variable Apply 3.0% of first-year revenue. Treating billing as fixed back-office overhead.
Marketing & Patient Acquisition Variable Apply 4.0% of first-year revenue during ramp. Cutting acquisition before schedules stabilize.
Staff Payroll Semi-fixed Use about $50.4k/month in first-year wages, then step up with FTE hiring. Treating each hire as a per-visit expense.

How does break-even change across lean, base, and full clinic setups?

Scenario table

More staff, higher use, and a better payer mix push revenue up faster than fixed cost. That’s why the lean setup still misses break-even, while the base and full setups build a clear monthly cushion.

Planning figures only; actual results will move with referral flow, room use, and reimbursement mix.
Scenario Monthly Revenue Variable Costs Fixed Costs CM Ratio Operating Profit Break-Even Signal
Lean staffing case $750k $120k $678k 84.0% ($48k) Still below break-even, so ramp speed matters.
Base staffing case $2,375k $354k $1,405k 85.1% $616k Above break-even with a solid monthly cushion.
Full utilization case $4,198k $567k $1,924k 86.5% $1,707k Strong profit coverage if throughput holds.

What breaks first if patient ramp, payroll, or clinic margins slip?

Stress test

The clinic is most exposed to a slow patient ramp and faster staff hiring. If Year 1 revenue lands at $750,000/month instead of about $807,000/month, it starts $57,000 short, and higher variable costs can widen the gap fast.

Stress Case Changed Assumption Break-Even Revenue Revenue Gap Risk Signal
Current plan No change in staffing, revenue ramp, or variable load. $807,000 $0 gap Breakeven is tight, so small misses matter.
Revenue shortfall Year 1 revenue lands at $750,000/month instead of about $807,000/month. $807,000 $57,000 gap A modest ramp miss turns into a monthly loss.
Fixed-cost increase Year 2 staffing comes online while revenue stays at the Year 1 level. $1,405,000 $775,000 gap Payroll grows faster than patient volume.
Margin pressure Variable costs stay 5 points above the Year 5 path. $1,182,000 $375,000 gap Higher supplies, vial waste, or billing drag squeeze margin.
Combined pressure Year 2 staffing and higher variable costs hit while revenue stays at $750,000/month. $2,014,000 $1,207,000 gap Slow ramp plus payroll and waste can overwhelm cash.

Can this clinic fill enough visits before you sign the lease?

Founder checklist

The model breaks even in Month 2, but cash still bottoms at $705K in Month 5, so don’t sign the lease or hire ahead until referrals and booked treatments are real.

1Referral volume$10K/mo rent

Confirm referral sources can feed enough consults, tests, and shots to cover the $10,000 monthly rent before you commit.

2Room flow3 flows

Verify the exam-room layout supports consults, testing, and immunotherapy shot flow so throughput does not stall at the point of care.

3Nurse load400/mo

Check that one Allergy Nurse can handle 400 Year 1 monthly treatments at 75.0% utilization, because staffing has to match booked demand.

4Contribution84% CM

Use Year 1 costs of 4.0% supplies, 5.0% vials, 3.0% billing, and 4.0% marketing to confirm the clinic still clears strong contribution after wages and rent.

5Launch capital$298K

Budget the full $298,000 for build-out, diagnostic equipment, immunotherapy lab gear, EMR setup, furniture, IT, exam-room furnishings, and emergency equipment before opening.

6Cash cushion$705K

Hold enough cash for the Month 5 low point, and keep payer credentialing plus collection timing in cash planning even though they sit outside break-even math.


Disclaimer

Financial Models Lab provides this article and its calculators for educational and business-planning purposes only. They are not personalized financial, accounting, tax, legal, investment, or lending advice. Figures shown are illustrative planning estimates based on publicly available sources, observed market information, and stated assumptions; they are not guaranteed benchmarks, forecasts, quotes, or expected results. Actual startup costs, revenue, expenses, margins, funding needs, and break-even timing vary by location, date, business size, operating model, financing, and execution. Review the cited sources and replace sample assumptions with current local data, supplier quotes, and your own operating inputs. Calculator and financial-model outputs change when assumptions change. Consult qualified professional advisers before making material commitments. Financial Models Lab sells related templates and may link to its own products. Please report suspected errors through our contact page.