Neuromuscular Training Program Break-Even Analysis: $55K/Month

Fixed costs $20.5K/mo Monthly overhead

Contribution margin 81.5% After variable costs

Break-even revenue $25.2K/mo Monthly target

Break-even timing Month 1 Launch month

Break-even calculator

This calculator tests whether monthly revenue can cover variable expenses and fixed overhead for the clinic.

Lean Base Full

Monthly revenue Revenue drives the cash left after direct costs. $ Low run rate High run rate Variable expenses These are direct costs that rise with treatments and volume. $ Light direct Heavy direct

Money available to cover fixed costs $301,601 $352,750 revenue - $51,149 variable expenses

Margin ratio

85%

Covers fixed costs

Yes

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

Break-even chart Revenue Total costs

Which expenses are fixed and which move with sessions in a neuromuscular training program?

Cost classification

Break-even gets reliable only when monthly overhead is kept separate from session-driven spend. In the first operating year, fixed overhead starts with items like the $12,500/month lease, while supplies, licensing, marketing, and card fees move with revenue.

Expense	Cost	Break-Even Treatment	Common Mistake
Clinical Facility Lease	Fixed	Include $12,500/month in overhead before calculating required treatment volume.	Treating rent like a per-session charge.
Professional Liability Insurance	Fixed	Include $2,500/month as recurring overhead across the model period.	Ignoring it until renewal hits cash.
EHR and Patient Management SaaS	Fixed	Include $800/month as clinic overhead, not as a visit-only fee.	Spreading the full subscription across visits only.
Clinical Supplies and Biofeedback Sensors	Variable	Model at 4.5% of first-year revenue, then adjust by the annual assumption.	Burying session supplies inside rent.
Diagnostic Technology Licensing Fees	Variable	Model at 3.0% of first-year revenue, falling as listed in later years.	Treating volume-based license fees as fixed.
Digital Marketing and Referral Rewards	Variable	Use 8.0% of first-year revenue, then reduce with the forecast as referrals mature.	Calling all marketing fixed overhead.
Credit Card and Payment Processing	Variable	Use 3.0% of revenue so collections fees rise with paid treatments.	Omitting payment fees from break-even math.
Utilities and High Speed Internet	Semi-variable	Start with the $1,200/month base and review as room use rises.	Assuming no increase at higher clinic use.

How does break-even change from a lean setup to a full clinic build for this neuromuscular training program?

Scenario table

Therapist delivery payroll is not priced separately, so treat this as a planning signal, not a promise. Break-even moves mostly with fixed payroll and facility load, while the margin on each visit stays high enough to matter.

Scenario figures are planning assumptions based on the source model, not a guarantee of actual results.

Scenario	Monthly Revenue	Variable Costs	Fixed Costs	CM Ratio	Operating Profit	Break-Even Signal
Shared-space lean launch	$252K	$47K	$205K	81.5%	$0	At break-even, so small volume dips turn into losses.
Supplied launch model	$1.10M	$204K	$449K	81.5%	$451K	Healthy cushion above the $551K break-even line, but overhead still drives risk.
Mature multi-clinician setup	$6.75M	$844K	$640K	87.5%	$5.26M	Low break-even risk if the higher staffing plan stays full.

What breaks the break-even plan for a neuromuscular training program?

Stress test

The plan clears break-even in Month 1, but the cushion depends on referrals, conversion, and clinic use. If revenue softens or fixed staffing and lease costs rise, the buffer shrinks fast.

Stress Case	Changed Assumption	Break-Even Revenue	Revenue Gap	Risk Signal
Current plan	No change.	$551K	$773K cushion	Strong opening cushion if utilization lands on time.
Revenue shortfall	Year 1 revenue falls 20% to about $1.06M.	$551K	$508K cushion	Referral softness still leaves room, but the margin narrows.
Fixed-cost pressure	Fixed overhead rises 10% to about $494K.	$606K	$718K cushion	Lease and staff commitments lift the revenue floor.
Margin pressure	Variable costs rise from 185% to 235% of revenue.	$587K	$737K cushion	Marketing, processing, and supply load can compress contribution.
Combined pressure	Revenue falls to $883K, variable costs rise to 235%, and fixed overhead rises 10%.	$702K	$181K cushion	Weak referrals and underused clinicians can wipe out the leftover buffer.

Can this neuromuscular training clinic fill enough sessions to make the lease, hiring, and equipment buy-in worth it?

Founder checklist

Verify the clinic can support 686 monthly sessions, keep treatment prices in the $90 to $250 range, and hold enough cash for the $730K trough in Month 2. If any one of those slips, the lease and equipment buy-in are too early.

1Session volume686 sessions/mo

Confirm the listed role mix can really produce 686 sessions a month, because that is the volume base for the Year 1 revenue plan.

2Staff ramp8 to 31 staff

Check that you can open with 8 staff and scale to 31 by Year 5 without hiring ahead of referral flow or creating idle payroll.

3Price band$90-$250

Verify each provider type can sell inside this band, since the model only works if price stays aligned to role mix.

4Base overhead$20.5K/mo

Confirm the fixed base stays near $20.5K a month for lease, utilities, insurance, SaaS, cleaning, and education before any clinician pay.

5Cash cushion$730K, Month 2

Keep at least $730K of cash through Month 2, because the listed capex stack totals $435K and the buildout runs for several months.

6Run-rate check$110.3K/mo

Test whether the opening run-rate can reach about $110.3K a month; after 18.5% in supplies, tech, marketing, and card fees, 81.5% is left for lease and payroll.