A PEMF therapy business breaks even when monthly treatment, package, consultation, add-on, and retail revenue covers fixed overhead after variable service expenses Using Year 1 assumptions, fixed costs are about $231k/month and variable expenses are 19%, so the contribution margin ratio is 81% Here’s the quick math: $23,067 / 081 = about $285k in PEMF therapy break-even revenue At Year 1 planned revenue of $231k, or $193k/month, the business is below break-even and shows Year 1 EBITDA of -$40k The model reaches the PEMF therapy break-even point in Month 25, with payback in Month 34
Fixed costs$23.1K/mo
Monthly fixed base
Contribution margin81%
After variable costs
Break-even revenue$28.5K/mo
Monthly revenue target
Break-even timingMonth 25
Forecast turn point
Break-even calculator
Test monthly revenue, variable expenses, and fixed costs against the break-even point for a PEMF clinic.
Money available to cover fixed costs$43,815
$53,167 revenue - $9,352 variable expenses
Margin ratio
82%
Covers fixed costs
Yes
Break-even chart Revenue Total costs
Which clinic expenses stay fixed, and which move with appointment volume?
Cost classification
Break-even gets noisy when rent, payroll, and session-linked fees are blended together. Here’s the quick split: fixed costs create monthly pressure, while variable costs rise only when visits or sales happen.
Expense
Cost
Break-Even Treatment
Common Mistake
Clinic Rent
Fixed
Include $4,500 per month in the fixed monthly break-even load.
Spreading rent across sessions as if it falls when visits drop.
Professional Liability Insurance
Fixed
Include $350 per month as a recurring fixed clinic expense.
Leaving insurance out because it feels small.
CRM and Booking Software
Fixed
Include $250 per month before calculating required contribution margin.
Treating software like a per-booking fee.
Clinic Director
Semi-fixed
Model $85,000 per year as capacity overhead that does not change per visit.
Treating management payroll like a session-level expense.
Lead PEMF Technician
Semi-fixed
Model $52,000 per year as staffing capacity needed to serve scheduled visits.
Assuming technician payroll scales smoothly with each appointment.
Clinic Consumables
Variable
Apply 3.0% of first-year revenue as visit-linked direct expense.
Using a flat monthly amount when consumables rise with session volume.
Retail Product Inventory Cost
Variable
Apply 5.0% of retail sales revenue tied to supplement purchases.
Counting retail revenue without matching inventory expense.
Digital Marketing and Referrals
Semi-variable
Use 8.0% of first-year revenue as demand-linked acquisition spend.
Locking marketing into fixed overhead and hiding customer acquisition pressure.
How does break-even change from a lean opening to a base ramp and full-scale pulsed electromagnetic field therapy clinic?
Scenario table
Break-even improves as visits rise and the sales mix shifts toward packages, which lift contribution margin. The lean plan stays below break-even, the base plan is close but still tight, and the full plan has the first clear cushion.
Planning assumptions only; demand, staffing, and sales mix can move break-even.
Scenario
Monthly Revenue
Variable Costs
Fixed Costs
CM Ratio
Operating Profit
Break-Even Signal
Lean opening clinic
$19.3k
$3.7k
$18.9k
81.0%
-$3.3k
Still below break-even; fixed costs outrun monthly contribution.
Base ramp clinic
$38.2k
$7.0k
$32.0k
81.7%
-$0.8k
Near break-even, but the cushion is still thin.
Full scale clinic
$53.2k
$9.4k
$59
82.4%
$43.8k
Past break-even and into positive cushion.
What pushes a therapy clinic past break-even?
Stress test
Year 1 is about $111k below break-even on this math, and the model only works if visits ramp, packages hold, and referral costs stay in line. If revenue slips or fixed overhead rises, cash pressure can move toward the Month 24 low point.
Stress Case
Changed Assumption
Break-Even Revenue
Revenue Gap
Risk Signal
Current plan
No change.
$342k
$111k gap
Break-even sits above Year 1 revenue.
Revenue shortfall
Year 1 revenue lands 15% below plan.
$342k
$145k gap
A small sales miss widens the cash gap fast.
Fixed costs up
Fixed costs rise 10% across rent, payroll, and overhead.
$376k
$145k gap
More sales are needed just to cover overhead.
Margin pressure
Variable costs rise from 19% to 22% of revenue.
$355k
$124k gap
Fee creep and discounting squeeze contribution.
Combined pressure
Revenue falls 15%, fixed costs rise 10%, and variable costs rise to 22%.
$390k
$194k gap
Cash can get tight near the Month 24 low point.
What should a founder verify before signing the lease and buying pulsed electromagnetic field therapy clinic equipment?
Founder checklist
Before you lock the lease or buy the devices, prove the clinic can reach about $285K a month and roughly 15 visits a day. Year 1 starts at 10 visits a day, so demand and staffing have to scale fast enough to cover fixed costs and cash burn.
1Demand proof$285K/mo
Verify paid bookings can reach the break-even revenue test before you sign the lease, because Year 1 volume starts below the needed visit rate.
2Overhead load$6.7K/mo
Confirm rent, utilities, maintenance, insurance, software, and admin stay near this level so the clinic does not carry too much fixed cost before wages.
3Core margin~86% CM
Make sure consumables, digital marketing and referrals, and processing still leave enough room for contribution, or the break-even target moves out.
4Visit ramp15/day
Check that the team can grow from 10 visits a day in Year 1 to about 15 a day without breaking the clinic flow or adding too much labor.
5Cash runway$672K
Verify you can carry the minimum cash need through Month 24, because EBITDA is still negative in the first two years.
6Launch capex$177.5K
Check the upfront buildout, devices, furniture, office gear, infrared units, inventory, and booking setup all fit the launch budget before revenue ramps.
Disclaimer
Financial Models Lab provides this article and its calculators for educational and business-planning purposes only. They are not personalized financial, accounting, tax, legal, investment, or lending advice. Figures shown are illustrative planning estimates based on publicly available sources, observed market information, and stated assumptions; they are not guaranteed benchmarks, forecasts, quotes, or expected results. Actual startup costs, revenue, expenses, margins, funding needs, and break-even timing vary by location, date, business size, operating model, financing, and execution. Review the cited sources and replace sample assumptions with current local data, supplier quotes, and your own operating inputs. Calculator and financial-model outputs change when assumptions change. Consult qualified professional advisers before making material commitments. Financial Models Lab sells related templates and may link to its own products. Please report suspected errors through our contact page.
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