Health Optimization Clinic Break-Even: About $91K Per Month

Fixed costs $25.9K/mo Base clinic overhead

Contribution margin 79.5% After variable costs

Break-even revenue $32.6K/mo Revenue to cover base

Break-even timing Month 1 Launch month

Break-even calculator

Use this calculator to test monthly revenue against variable expenses and fixed costs, so you can see the monthly break-even point for a health optimization clinic.

Lean Base Full

Monthly revenue Revenue is the top line that helps cover variable costs and fixed overhead. $ Slow month Peak month Variable expenses These are the direct costs that move with clinic sales, like lab fees, supplies, marketing, and processing. $ Tight costs Higher costs

Money available to cover fixed costs $688,766 $839,959 revenue - $151,193 variable expenses

Margin ratio

82%

Covers fixed costs

Yes

Fixed monthly costs This is the monthly cost base your contribution margin has to cover. $ Lean base Larger base

Break-even chart Revenue Total costs

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

Cost classification

Break-even is reliable only if each expense follows the right driver. In this model, rent and core systems stay fixed, while labs, supplements, marketing, and card fees move with revenue.

Expense	Cost	Break-Even Treatment	Common Mistake
Premium Clinic Rent	Fixed	Use $15,000 per month from Month 1 through Month 60.	Linking rent to patient volume.
Health Platform and EMR Licensing	Fixed	Use $3,500 per month as baseline operating overhead.	Treating the platform fee like a per-visit charge.
Medical Malpractice Insurance	Fixed	Use $2,800 per month within the modeled planning range.	Reducing insurance when monthly treatments dip.
Diagnostic Laboratory Analysis Fees	Variable	Apply the revenue percentage, starting at 7.5% in the first year.	Treating all lab-related spending as fixed overhead.
Medical Grade Supplements and Consumables	Variable	Apply the revenue percentage, starting at 4.5% in the first year.	Ignoring usage tied to patient plans and interventions.
Targeted Digital Marketing and Acquisition	Variable	Apply the model rate, starting at 6.0% of revenue in the first year.	Budgeting acquisition as a flat monthly line.
Credit Card and Payment Processing	Variable	Apply 2.5% of revenue across all forecast years.	Leaving payment fees out of contribution margin.
Provider and Support Staffing	Semi-fixed	Add headcount in blocks as capacity and patient volume scale.	Modeling every payroll dollar as fully variable.

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

Scenario table

Break-even gets easier as the clinic moves into higher-ticket care, but the larger team and rent also raise the fixed-cost floor. The lean model sits right on the line, while the full-service model has the widest cushion.

Planning assumptions only; actual results will move with provider mix, staffing, and lab intensity.

Scenario	Monthly Revenue	Variable Costs	Fixed Costs	CM Ratio	Operating Profit	Break-Even Signal
Lean clinic build	$91k	$18.7k	$72.3k	79.5%	$0	At this level, revenue just covers fixed cost.
Base clinic model	$182.8k	$37.5k	$72.3k	79.5%	$73.0k	About 2.0x break-even coverage; utilization still matters.
Full-service optimization clinic	$1.50M	$232.2k	$94.6k	84.5%	$1.17M	Wide cushion, but volume must hold to absorb higher overhead.

What pushes this health optimization clinic below break-even?

Stress test

The current plan clears break-even by about $91K a month. A 20% revenue drop still leaves room, but a 15% fixed-cost rise or a 5-point margin hit lifts break-even fast; combined pressure cuts the cushion to about $34K.

Stress Case	Changed Assumption	Break-Even Revenue	Revenue Gap	Risk Signal
Current plan	No change.	$91K/mo	$91K cushion	Healthy buffer at the Year 1 run rate.
Revenue shortfall	Year 1 revenue falls 20%.	$91K/mo	$55K cushion	Still clears fixed overhead, but the cushion halves.
Fixed-cost pressure	Fixed costs rise 15%.	$105K/mo	$77K cushion	Rent or payroll growth tightens the path to profit.
Margin pressure	Variable expenses rise 5 points.	$97K/mo	$85K cushion	Higher lab or acquisition costs push break-even up.
Combined pressure	Revenue falls 20%, fixed costs rise 15%, and margin drops to 74.5%.	$112K/mo	$34K cushion	Fewer consults and higher costs cut the buffer fast.

What should the founder verify before signing the premium clinic lease?

Founder checklist

Don’t sign the lease until you can cover about $72.3K a month in fixed load and keep at least $575K of cash through Month 6. The model hits break-even in Month 1, but that only works if Year 1 bookings, staffing, and lab setup land on time.

1Demand proof660 visits/mo

Verify you can book enough patients to fill Year 1 demand before you commit to the lease.

2Fixed load$72.3K/mo

Check that the $15K rent plus payroll and clinic overhead still fit the first-year revenue plan.

3Margin test79.5% CM

Make sure labs, supplements, marketing, and card fees still leave enough contribution to cover fixed costs.

4Staff ramp8 clinicians

Hire to the Year 1 provider mix only when booked demand supports it, so payroll follows volume.

5Cash cushion$575K

Keep this minimum cash through Month 6 so buildout, equipment, and platform spend do not starve the opening phase.

6Lab setupMonth 3

Confirm lab partners, EMR, and intake workflows are live by Month 3 before you sell test-heavy programs.