In-Home IV Therapy Break-Even: About $44K Monthly Revenue

Fixed costs $9.7K/mo Core overhead

Contribution margin 81% After variable costs

Break-even revenue $12.0K/mo Monthly target

Break-even timing Month 2 Launch ramp

Break-even calculator

Use this calculator to test monthly revenue, variable expenses, and fixed costs against break-even for an in-home IV therapy service.

Lean Base Full

Monthly revenue Revenue sets the margin that must cover fixed costs. $ Slow launch Busy month Variable expenses Direct costs rise with each visit, so they move with volume. $ Tight costs Heavy costs

Money available to cover fixed costs $61,200 $136,200 revenue - $75,000 variable expenses

Margin ratio

45%

Covers fixed costs

Yes

Fixed monthly costs These costs stay in place even when bookings slow. $ Lean overhead Higher overhead

Break-even chart Revenue Total costs

Which in-home IV therapy expenses are fixed, and which move with sales?

Cost classification

Break-even gets reliable only when visit-linked expenses move with revenue and monthly overhead stays fixed. Here’s the quick math setup: separate supplies, nurse visit pay, and travel from rent, subscriptions, insurance, and oversight fees.

Expense	Cost	Break-Even Treatment	Common Mistake
IV Fluids & Formulations	Variable	Model as 8% of revenue in the first year.	Holding supplies flat while treatments grow.
Medical Supplies	Variable	Model as 4% of revenue in the first year.	Bundling needles, tubing, and disposables into overhead.
Practitioner Per-Visit Pay	Variable	Model as 5% of revenue in the first year.	Treating per-visit nurse pay as fixed payroll.
Vehicle & Travel Expenses	Variable	Model as 2% of revenue in the first year.	Ignoring route volume and visit distance.
Medical Director Oversight Fee	Fixed	Carry $3,000 per month through the planning range.	Spreading the fee per treatment too early.
Technology Platform Subscriptions	Fixed	Carry $1,500 per month unless the plan tier changes.	Linking subscription spend to every booking.
Professional Liability Insurance	Fixed	Carry $1,000 per month for break-even overhead.	Leaving insurance out of monthly break-even.
Admin Wages	Semi-fixed	Step up when full-time equivalent staffing increases.	Scaling admin payroll smoothly with revenue.

How do lean, base, and full utilization cases change break-even for in-home IV therapy?

Scenario table

Break-even shifts with visit volume because the contribution margin stays at 81% while fixed costs hold at $35,742. So the real question is how much monthly revenue your route mix can support before profit turns from flat to meaningful.

Planning assumptions only; actual results will move with visit mix, routing, and staffing discipline.

Scenario	Monthly Revenue	Variable Costs	Fixed Costs	CM Ratio	Operating Profit	Break-Even Signal
Lean launch	$44,126	$8,384	$35,742	81%	$0	This is the break-even floor, so small volume slips push profit negative.
Base plan	$80,580	$15,310	$35,742	81%	$29,528	This is the first-year plan and leaves a solid buffer above break-even.
Full utilization	$136,200	$25,878	$35,742	81%	$74,580	This creates a wide cushion, but only if staffing and routing stay tight.

What breaks this in-home IV therapy break-even plan first?

Stress test

Revenue shortfall is the main risk. The plan clears break-even by $36,454, but that cushion disappears fast if bookings slip; after that, fixed-cost creep and a 1-point margin drop push the model into loss.

Stress Case	Changed Assumption	Break-Even Revenue	Revenue Gap	Risk Signal
Current plan	No change.	$44,126	$36,454 cushion	The plan is profitable, but the cushion is not huge.
Revenue shortfall	Monthly revenue drops by the full $36,454 cushion.	$44,126	$0 cushion	The model hits the line; any further drop creates losses.
Fixed-cost increase	Fixed overhead rises by $1,000 per month.	$45,361	$35,219 cushion	Small overhead creep pushes break-even up fast.
Margin pressure	Variable costs take a 1-point margin hit.	$44,678	$35,902 cushion	Supply or travel inefficiency trims profit, but the plan still clears break-even.
Combined pressure	Revenue drops by the full cushion, fixed costs rise $1,000, and margin slips 1 point.	$45,928	$1,802 gap	Lower bookings plus cost creep flips the plan into loss.

Is the in-home IV therapy model ready for bigger hiring and spend?

Founder checklist

Don’t add more hiring, inventory, or route coverage until the model can clear $44,126 in monthly revenue and about 198 paid visits. Here’s the quick math: that protects break-even before Month 2 cash gets too tight.

1Revenue floor$44.1K/mo

Verify the service can reach $44,126 in monthly revenue before you scale fixed spend, because that is the break-even line the model has to clear.

2Paid demand198/mo

Confirm the booking funnel can deliver about 198 paid appointments a month, since interest alone will not cover the staff and overhead load.

3RN capacity9 roles / 362 visits

Check that the first-year RN plan of 9 roles can support 362 planned monthly visits before you add more fixed payroll.

4Core overhead$4.0K/mo

Lock the $3,000 medical director fee and $1,000 liability insurance now, because these monthly costs hit every visit and shrink room for error.

5Cash cushion$828K

Protect the $828,000 minimum cash need in Month 2, because early capex and payroll can drain cash before volume stabilizes.

6Launch scope$165K

Hold startup capex to $165,000, lock supplier terms before bulk inventory, and define the travel radius before marketing spend so route density stays high enough to support break-even.