Corporate Health Screening Break-Even: About $42K/Month

Fixed costs $33.6K Monthly overhead base

Contribution margin 80% After variable spend

Break-even revenue $42.0K Monthly revenue target

Break-even timing Month 1 First hit point

Break-even calculator

Test whether monthly screening revenue covers variable expenses and fixed monthly costs.

Lean Base Full

Monthly revenue This is the monthly sales pool that has to cover direct costs and overhead. $ Low sales High sales Variable expenses These rise with screening volume, direct labor, supplies, tech fees, and sales commissions. $ Light direct Heavy direct

Money available to cover fixed costs $92,574 $110,730 revenue - $18,156 variable expenses

Margin ratio

84%

Covers fixed costs

Yes

Fixed monthly costs This is the monthly cost base the screening margin has to cover. $ Lean team Big team

Break-even chart Revenue Total costs

Which expenses stay fixed, and which move with on-site employee screening sales?

Cost classification

Break-even only works if fixed overhead sits apart from per-screening spend. Here, base overhead is stable, while supplies, hourly clinician wages, platform fees, and commissions move with screening volume.

Expense	Cost	Break-Even Treatment	Common Mistake
Base office overhead	Fixed	Include $6,500/month: rent $3,500, insurance $800, compliance software $450, accounting and legal $1,200, utilities $300, and hosting $250.	Spreading fixed overhead across screenings too early and hiding the true monthly hurdle.
Fixed admin payroll	Fixed	Model by start month: CEO $150,000/year, Operations Manager $85,000/year, Administrative Assistant $45,000/year, and Sales Director $90,000/year at 0.5 FTE in the first year.	Treating salaried admin roles like they rise and fall with each screening day.
Medical Supplies & Consumables	Variable	Use 8.0% of revenue in the first year, declining to 6.0% by Year 5 as purchasing efficiency improves.	Treating supplies as fixed even though kits and consumables move with volume.
Practitioner Hourly Wages	Variable	Use 7.0% of revenue in the first year, declining to 6.0% by Year 5 for direct delivery labor.	Putting hourly delivery labor into fixed payroll and overstating margin at low volume.
Technology Platform Fees	Variable	Use 3.0% of revenue in the first year, declining to 2.0% by Year 5 as scale improves.	Modeling every software line as fixed when usage fees track screening revenue.
Sales Commissions	Variable	Use 2.0% of revenue in the first year, declining to 1.2% by Year 5 as repeat accounts grow.	Budgeting commissions evenly instead of tying them to closed sales.
Clinician staffing load	Semi-variable	Keep a base roster, then flex coverage as volume rises; Registered Nurse utilization moves from 65.0% in the first year to 85.0% by Year 5.	Treating every clinical shift as fixed when staffing should follow screening days.
Management and analytics layers	Semi-fixed	Add roles in steps as scale changes; Operations Manager and Data Analyst each move to 2.0 FTE by Year 5.	Adding full-time management too early instead of waiting for clear capacity triggers.

How does break-even change across lean, base, and full operating scales for workplace screening?

Scenario table

All three cases clear break-even, but the cushion gets wider as contract depth and staffing scale up. Fixed costs rise from about $33.6k to $48.6k a month, so unused capacity still hurts fast.

Planning assumptions only; actual contracts, staffing, and mix will move break-even.

Scenario	Monthly Revenue	Variable Costs	Fixed Costs	CM Ratio	Operating Profit	Break-Even Signal
Lean Year 1 contract load	$102,735	$20,547	$33,583	80.0%	$48,605	Above break-even, but the cushion is still the tightest.
Base Year 2 contract load	$216,453	$41,343	$48,583	80.9%	$126,527	Healthy cushion; this is the cleanest balance of volume and fixed cost.
Full Year 3 contract load	$398,250	$70,889	$48,583	82.2%	$278,778	Strong cushion, as long as the larger team stays busy.

What breaks the break-even plan for corporate health screening?

Stress test

The base plan clears break-even, but the cushion shrinks fast if booked revenue slips or fixed costs rise. The biggest warning signs are employer cancellations, low employee turnout, and hiring before contracts are signed.

Stress Case	Changed Assumption	Break-Even Revenue	Revenue Gap	Risk Signal
Current plan	No change.	$41,979	$60,756 cushion	The plan clears break-even with room to spare.
Revenue shortfall	Booked revenue falls 20% while fixed costs stay flat.	$41,979	$40,209 cushion	Employer cancellations and low turnout cut the cushion fast.
Fixed-cost pressure	Fixed costs rise 10% from more insurance, software, or office spend.	$46,176	$56,559 cushion	Overhead moves the break-even line even if sales hold.
Margin pressure	Variable expenses rise to 25% of revenue from higher supplies and practitioner rates.	$44,777	$57,958 cushion	Fee creep and travel-heavy screening days cut the money left after each job.
Combined pressure	Revenue falls 20%, fixed costs rise 10%, and variable expenses rise to 25%.	$49,255	$32,933 cushion	Cancellations plus cost creep can wipe out the cushion quickly.

Can you prove break-even before you hire and buy equipment?

Founder checklist

If signed employer bookings cannot support about $42,000 a month, do not buy the equipment or add staff yet. The model only works if first-year capacity, fixed costs, and cash runway all line up.

1Employer demand$42K/mo

Verify signed employer contracts or scheduled screening days can fill about $42,000 a month, because that is the break-even load the model needs before the footprint gets bigger.

2Overhead load$6.5K/mo

Lock in the $3,500 rent, $800 liability insurance, $450 HIPAA software, $1,200 accounting and legal, $300 utilities, and $250 hosting before growth spend starts, since that fixed base runs $6,500 a month.

3Contribution80% CM

Check that practitioner wages, supplies, platform fees, and sales commissions stay near the modeled 20% variable cost, because that leaves about 80% to cover payroll, rent, and equipment.

4Staff cover1,011/mo

Confirm the registered nurse, phlebotomist, medical assistant, dietitian, and health coach are available at the modeled level before you sell dates, or first-year capacity will slip below 1,011 monthly screenings.

5Cash runway$848K

Hold the minimum cash cushion through Month 2, because the model bottoms at about $848,000 and the capex stack starts before operations are fully stable.

6Launch setupBefore spend

Only commit the $75,000 equipment, $35,000 vehicle, $40,000 diagnostic tools, and $50,000 software build after scheduled screening days, mobile routes, supplies, and workflow are ready to run.