Pelvic Floor Physical Therapy Break-Even: About $38K Per Month

Fixed costs $10.5K Monthly overhead

Contribution margin 83% After variable costs

Break-even revenue $12.6K Monthly target

Break-even timing Month 1 Launch month

Break-even calculator

Test monthly revenue, variable expenses, and fixed costs against break-even for a pelvic floor physical therapy clinic.

Lean Base Full

Monthly revenue Revenue sets the margin available to cover fixed costs. $ Low revenue High revenue Variable expenses Direct costs rise with treatment volume, like supplies, billing, and outreach. $ Low cost High cost

Money available to cover fixed costs $34,504 $41,583 revenue - $7,079 variable expenses

Margin ratio

83%

Covers fixed costs

Yes

Fixed monthly costs This is the monthly cost base your margin must cover. $ Low fixed High fixed

Break-even chart Revenue Total costs

Which pelvic floor PT expenses are fixed, and which move with patient volume?

Cost classification

Break-even is only reliable when fixed monthly commitments are split from session-linked expenses. In this model, $10,450 of monthly overhead is fixed, while supplies, billing, outreach, education, and payroll scale in different ways.

Expense	Cost	Break-Even Treatment	Common Mistake
Clinic Lease and Maintenance	Fixed	Carry $6,500 per month in fixed overhead before session margin.	Treating rent as visit-based because room use rises.
Professional Liability Insurance	Fixed	Include $800 per month in the fixed break-even base.	Leaving it out because it is not tied to each treatment.
EHR and Practice Management Software	Fixed	Model $450 per month as required operating overhead.	Moving the full charge into billing fees per claim.
Clinical Supplies and Linens	Variable	Apply 4.0% of first-year revenue, then use the lower forecast rates by year.	Budgeting one flat monthly amount even as treatments grow.
Medical Records and Billing Processing	Variable	Apply 3.0% of first-year revenue and 2.5% from the third year onward.	Classifying all billing work as fixed admin overhead.
Marketing and Referral Outreach	Semi-variable	Start at 8.0% of first-year revenue, then reduce as referral density improves.	Cutting outreach to zero once Month 1 break-even is reached.
Continuing Education and Certifications	Semi-fixed	Model at 2.0% of revenue, but review when specialist headcount steps up.	Assuming training falls one-for-one with cancellations.
Clinical and Administrative Payroll	Semi-fixed	Treat committed FTE roles as fixed until staffing levels change by year.	Reducing payroll for every missed appointment in the model.

How does break-even shift from launch year to mature scale in pelvic floor physical therapy?

Scenario table

As visits, staffing, and referral flow scale up, revenue grows faster than fixed overhead, so break-even gets easier to hit. The main risk is slack therapist time, because clinic costs stay high even when volume dips.

Planning view only; these are model assumptions, not guarantees.

Scenario	Monthly Revenue	Variable Costs	Fixed Costs	CM Ratio	Operating Profit	Break-Even Signal
Launch year lean case	$499k	$85k	$319k	83%	$117k	Above break-even, but this is the tightest cushion.
Year 3 base case	$2,324k	$325k	$455k	86%	$1,483k	Clear cushion; overhead is spread across more visits.
Year 5 full scale	$4,211k	$547k	$549k	87%	$2,970k	Very wide cushion; break-even risk is low.

What breaks the break-even plan for a pelvic floor physical therapy clinic?

Stress test

The opening-year plan has a small cushion, but it can disappear fast if visits slip, reimbursement slows, or payroll and rent rise before demand does. Cancellations and billing delays are the biggest early warning signs.

Stress Case	Changed Assumption	Break-Even Revenue	Revenue Gap	Risk Signal
Current plan	No change.	$384,000	$32,000 cushion	The opening-year buffer is small, not wide.
Revenue shortfall	Revenue falls 10% to $374,000.	$384,000	$8,000 gap	A small miss puts the clinic back under break-even.
Fixed-cost increase	Fixed costs rise 10%.	$422,000	$6,000 gap	Rent or staffing creep can erase the cushion.
Margin pressure	Variable expenses rise to 20%.	$402,000	$14,000 cushion	Lower reimbursement or billing drag shrinks room fast.
Combined pressure	Revenue falls 10%, variable expenses rise to 20%, and fixed costs rise 10%.	$468,000	$52,000 gap	Stacked pressure can turn the plan negative fast.

Can this pelvic floor clinic clear break-even before you sign the lease?

Founder checklist

Only if year-one demand can hold about 233 visits a month and the opening cash plan covers the $830K low point in Month 2. If referral flow or billing is still weak, the lease is early.

1Visit Volume233/mo

Verify the opening schedule can fill about 233 monthly visits, because the break-even test sits near 216 visits a month.

2Fixed Load$10.45K/mo

Check that rent, insurance, software, utilities, legal, janitorial, and telecom stay at $10,450 a month before wages.

3Margin Mix83% CM

Verify each visit keeps about 83% after 7% clinic COGS and 10% marketing plus education, or payback slows fast.

4Staff Ramp3 clinicians

Confirm one senior specialist, one staff PT, and one postpartum specialist can cover launch demand, because that mix only supports about 233 monthly visits at the stated utilization.

5Cash Cushion$830K

Keep at least the modeled $830,000 reserve, because the cash low hits in Month 2 while buildout and equipment are still draining cash.

6Launch Gate216/mo

Do not add therapists until referral flow and billing can support at least 216 monthly visits, so room use and collections rise together.