Botox And Filler Clinic Break-Even Analysis: $77K/Month Target

Fixed costs $62.4K/mo Rent plus payroll

Contribution margin 81% After variable costs

Break-even revenue $77.0K/mo Cover monthly fixeds

Break-even timing Month 2 Model break-even point

Break-even calculator

Use it to test monthly revenue, variable expenses, and fixed costs against break-even.

Lean Base Full

Monthly revenue Revenue is the cash that funds product, staff, and overhead. $ Low sales High sales Variable expenses These rise with sales, like injectable product, consumables, ads, and software. $ Lean spend Heavy spend

Money available to cover fixed costs $274,524 $332,000 revenue - $57,476 variable expenses

Margin ratio

83%

Covers fixed costs

Yes

Fixed monthly costs This is the monthly cost base that contribution margin must cover. $ Low overhead High overhead

Break-even chart Revenue Total costs

Which clinic expenses stay fixed, and which move with treatment sales?

Cost classification

Break-even gets unreliable when fixed rent, provider payroll, inventory, ads, and software are blended together. Separate stable monthly overhead from costs that rise with treatments so each added appointment shows the right margin.

Expense	Cost	Break-Even Treatment	Common Mistake
Clinic rent	Fixed	Use $8,000 per month from Month 1 through Month 60 as baseline overhead.	Allocating rent per treatment and making break-even look safer at low volume.
Insurance and professional services	Fixed	Use $4,000 per month: malpractice insurance $2,500, general insurance $500, and professional services $1,000.	Leaving compliance-heavy overhead out of the monthly break-even floor.
Year 1 payroll	Fixed	Use $47,500 per month for first-year salaried staff before adding provider-level variable logic.	Treating provider payroll like product inventory that falls when bookings dip.
Injectable product costs	Variable	Use 12.0% of treatment revenue in the first year; it falls to 10.0% by the mature year in the model.	Blending inventory with payroll and hiding the true margin per treatment.
Medical consumables	Variable	Use 2.0% of treatment revenue in the first year for supplies tied to patient volume.	Putting consumables in fixed overhead and overstating contribution margin.
Marketing and digital ads	Variable	Use 4.0% of treatment revenue in the first year, then reduce toward 3.0% as the clinic scales.	Assuming ads stay flat while patient acquisition needs rise with growth.
Clinic software subscriptions	Semi-variable	Separate any base subscription from patient-volume or seat-linked usage; the model uses 1.0% of revenue in the first year.	Modeling software as purely fixed when usage or provider seats expand.
Additional injector staffing	Semi-fixed	Add Senior Injector RN and Junior Injector RN headcount in steps as later-year capacity expands.	Spreading future hires smoothly across every treatment instead of adding staffing steps.

How does break-even change from lean to full clinic capacity?

Scenario table

Here’s the quick math: fixed costs stay at $62,400 a month, so the break-even line mainly moves with treatment volume and pricing. More staffed capacity lifts revenue faster than variable costs, which widens profit.

Planning assumptions only; actual break-even will move with ramp-up speed, room capacity, and provider schedules.

Scenario	Monthly Revenue	Variable Costs	Fixed Costs	CM Ratio	Operating Profit	Break-Even Signal
Lean launch	$77,037	$14,637	$62,400	81.0%	$0	At break-even, so any slip in volume turns profit negative.
Year 1 staffed base	$149,960	$28,492	$62,400	81.0%	$59,068	Covers fixed cost and leaves a cushion if schedules hold.
Full build-out	$258,400	$49,096	$62,400	81.0%	$146,904	Strong profit cushion, but only if rooms and staff stay full.

What pressures the break-even plan for this clinic?

Stress test

The base plan has a $72,923 cushion above break-even, so the first risk is slower bookings. Fixed-cost creep and margin pressure matter too, but a 15% revenue dip is still survivable.

Stress Case	Changed Assumption	Break-Even Revenue	Revenue Gap	Risk Signal
Current plan	No change.	$77,037	$72,923 cushion	The base plan clears break-even with room to spare.
Revenue shortfall	Monthly revenue falls 15% from the base plan.	$77,037	$50,429 cushion	A booking dip still covers break-even, but the buffer shrinks fast.
Fixed-cost pressure	Fixed costs rise 10% to $68,640 a month.	$84,741	$65,219 cushion	Extra payroll or rent cuts the cushion dollar for dollar.
Margin pressure	Variable expenses rise from 19% to 22% of revenue.	$80,000	$69,960 cushion	Supply or ad inflation eats margin before volume does.
Combined pressure	Revenue falls 15%, fixed costs rise 10%, and variable expenses rise to 22%.	$88,000	$39,466 cushion	Bookings below 167 weighted treatments and cash slipping before Month 4 are the warning signs.

What should you verify before signing the lease and funding the first $370K buildout?

Founder checklist

Lock the lease only after the clinic still works at a $62.4K monthly fixed base, Year 1 staffing, and Month 2 breakeven. If rent, payroll, or ramp speed slips, the cash gap shows up before the first buildout is done.

1Demand proof560/mo

Verify you can fill about 560 treatments a month in Year 1, because the model assumes 100 medical director, 160 senior RN, 100 junior RN, 120 aesthetician, and 80 skincare visits.

2Fixed base$62.4K/mo

Lock the lease only after testing the $8,000 rent inside the $62.4K monthly fixed base, because the clinic still carries wages and insurance even if rooms sit empty.

3Margin mix81% CM

Check that injectable product costs, consumables, ads, and software stay near a 19% variable load, so the clinic keeps about 81% contribution before fixed costs.

4Capacity plan70/60/40/50/40%

Schedule the five core roles to Year 1 capacity assumptions of 70%, 60%, 40%, 50%, and 40%, so payroll grows with booked work instead of outrunning it.

5Cash floor$757K

Hold enough cash to absorb the Month 4 low point of $757K, because the $370K buildout plus early payroll and rent hit before revenue matures.

6Inventory setup$25K buy

Open supplier accounts before the $25K initial inventory buy phase, and make sure appointment software, front desk flow, room turnover, cleaning, malpractice coverage, and marketing are ready for opening month.