Anti-Aging Medical Clinic Break-Even: About $99K Monthly

Fixed costs $26.0K/mo Fixed cost base

Contribution margin 76% After variable costs

Break-even revenue $34.4K/mo Monthly target

Break-even timing Month 1 Launch breakeven

Break-even calculator

Test monthly revenue, variable expenses, and fixed costs to see when this clinic breaks even.

Lean Base Full

Monthly revenue Revenue is the pool that covers direct costs and fixed overhead. $ Low revenue High revenue Variable expenses These rise with treatment volume, like consumables, lab fees, and card processing. $ Low spend High spend

Money available to cover fixed costs $697,930 $889,083 revenue - $191,153 variable expenses

Margin ratio

78%

Covers fixed costs

Yes

Fixed monthly costs This is the monthly overhead the margin must cover. $ Lean overhead Heavy overhead

Break-even chart Revenue Total costs

Which clinic expenses are fixed, and which move with patient volume?

Cost classification

Break-even is reliable only when each expense follows the right volume behavior. In this clinic, supplies, labs, marketing, and card fees move with revenue, while rent, insurance, software, and baseline admin payroll set the monthly floor.

Expense	Cost	Break-Even Treatment	Common Mistake
Premium facility rent	Fixed	Include $15,000 per month in fixed overhead for the full planning range.	Spreading rent per treatment and hiding the real monthly hurdle.
Medical malpractice insurance, software, maintenance, legal, and accounting	Fixed	Include $9,200 per month: $3,500 insurance, $1,200 software, $2,500 maintenance, and $2,000 legal and accounting.	Cutting these lines when volume dips, even though they still run each month.
Baseline admin payroll	Fixed	Include the baseline Medical Director, Clinic Manager, Concierge Front Desk, Patient Coordinator, and Marketing Coordinator payroll before calculating break-even visits.	Treating salaried admin roles like per-treatment labor.
Medical consumables and injectables	Variable	Apply 12.0% of revenue in the first year, declining to 10.0% by Year 5.	Treating supplies as fixed when each booked treatment uses product.
Lab diagnostics and pharmacy fees	Variable	Apply 4.0% of revenue in the first year, declining to 2.0% by Year 5.	Leaving lab and pharmacy fees above the line and overstating margin.
Marketing and client acquisition	Variable	Apply 6.0% of revenue in the first year, declining to 4.0% by Year 5.	Modeling acquisition spend as fixed while patient volume grows.
Credit card and merchant fees	Variable	Apply 2.5% of collected revenue each year.	Classifying payment fees as bank overhead instead of sale-linked fees.
Utilities and clinical waste	Semi-variable	Start with $1,800 per month, then stress-test higher usage as appointments rise.	Keeping disposal and utility usage flat at higher treatment volume.

How does break-even shift from a lean launch clinic to a full clinic build?

Scenario table

More staffing raises fixed cost, but it also lifts monthly revenue and margin. The key is whether booked demand grows faster than hiring, because that decides if the clinic clears break-even with room to spare.

Planning assumptions only; actual results will move with booked demand and staffing.

Scenario	Monthly Revenue	Variable Costs	Fixed Costs	CM Ratio	Operating Profit	Break-Even Signal
Lean launch clinic	$286k	$70k	$75k	75.5%	$141k	Clears break-even, but the cushion is thinnest.
Base clinic	$477k	$110k	$78k	77.0%	$290k	Clears break-even with a steadier cushion if demand holds.
Full clinic build	$889k	$191k	$88k	78.5%	$610k	Highest cushion, but only if booked demand fills added capacity.

What breaks the clinic’s break-even cushion if bookings slow or costs rise?

Stress test

Base revenue is about $286k a month against roughly $99k break-even, so the launch cushion is strong. The biggest risks are softer bookings, higher overhead, and variable costs from supplies, labs, marketing, and card fees.

Stress Case	Changed Assumption	Break-Even Revenue	Revenue Gap	Risk Signal
Current plan	No change; Year 1 pricing and cost mix hold.	$99k/mo	$187k cushion	Healthy launch cushion, but it depends on utilization.
Revenue shortfall	Monthly revenue falls 15% to about $243k.	$99k/mo	$144k cushion	Booking softness cuts coverage fast.
Fixed-cost pressure	Monthly fixed overhead rises by $10k.	$112k/mo	$174k cushion	Rent, insurance, or payroll creep erodes cushion.
Margin pressure	Variable expenses rise 5 points to 29.5% of revenue.	$106k/mo	$180k cushion	Higher supply, lab, or card fees squeeze margin.
Combined pressure	Revenue falls 15%, overhead rises $10k, and variable expenses rise 5 points.	$120k/mo	$123k cushion	Weak bookings plus cost creep can compress the cushion fast.

Can this clinic support the lease, staffing, and launch spend before you commit?

Founder checklist

Commit only if demand can clear about $99K in monthly break-even revenue, Year 1 can support about $286K a month, and you still hold the $690K cash floor in Month 2. If one of those slips, delay the lease, buildout, or hiring.

1Lease test$99K/mo

Verify bookings can reach the monthly break-even line before you sign, because the $15K rent base only works if demand is already real.

2Fixed load$26K/mo

Check that fixed overhead stays near the model's $26K a month so rent, insurance, utilities, software, cleaning, and admin do not outrun early sales.

3Margin mix75.5% CM

Make sure direct consumables, lab fees, marketing, and card fees hold at 24.5% of revenue, which leaves about 75.5% contribution margin before payroll.

4Staff ramp40-55% util

Only hire to the forecast if doctors, nurse practitioners, nurses, aestheticians, and coaches can fill the 40% to 55% launch utilization range without wasted payroll.

5Capex gate$940K plan

Release equipment and buildout spend only when rooms, devices, diagnostics, and IT all fit the $940K capex plan and the opening-month timeline.

6Cash floor$690K

Keep the $690K minimum cash in Month 2 while launch marketing stays near 6% of revenue and stock injectables and lab/pharmacy fees stay near the 12% and 4% assumptions.