Peptide Therapy Clinic Break-Even Analysis: About $855k/Month

Fixed costs $20.0K/mo Base monthly overhead

Contribution margin 50% After variable costs

Break-even revenue $39.7K/mo Monthly revenue target

Break-even timing Month 1 Launch-month break-even

Break-even calculator

Test whether monthly peptide revenue covers direct treatment costs and the clinic's fixed overhead.

Lean Base Full

Monthly revenue Higher revenue spreads fixed overhead across more sales. $ Low sales High sales Variable expenses These are direct costs that rise with treatment volume. $ Light cost Heavy cost

Money available to cover fixed costs $310,377 $385,083 revenue - $74,706 variable expenses

Margin ratio

81%

Covers fixed costs

Yes

Fixed monthly costs This is the monthly overhead break-even must cover. $ Lean overhead High overhead

Break-even chart Revenue Total costs

Which peptide therapy clinic expenses stay fixed, and which move with sales?

Cost classification

Break-even only works when overhead and revenue-linked spend are split cleanly. Put fixed items in monthly overhead, percentage items in contribution margin, and staffing jumps in separate capacity steps.

Expense	Cost	Break-Even Treatment	Common Mistake
Premium Clinic Lease ($12,500/month)	Fixed	Include in monthly overhead from Month 1 through Month 60.	Turning rent into a revenue percentage.
Malpractice & Liability Insurance ($3,200/month)	Fixed	Include in monthly overhead before calculating required treatments.	Excluding clinical risk coverage from break-even.
EMR & HIPAA Software Licenses ($1,100/month)	Fixed	Include as recurring monthly overhead for the planning range.	Treating required software as optional admin spend.
Compounded Peptide Sourcing (8.5% of first-year revenue)	Variable	Deduct through contribution margin because it moves with treatment revenue.	Putting medication sourcing in fixed overhead.
Diagnostic Laboratory Fees (4.5% of first-year revenue)	Variable	Deduct through contribution margin with other revenue-linked clinical costs.	Blending lab pass-throughs into payroll.
Medical Supplies & Consumables (2.5% of first-year revenue)	Variable	Include in the variable expense rate used for contribution margin.	Ignoring per-treatment supply usage.
Digital Marketing & Acquisition (6.0% of first-year revenue)	Semi-variable	Model as acquisition spend that flexes with patient volume and campaign pace.	Mixing acquisition spend with provider-capacity payroll.
Patient Coordinator and Front Desk Receptionist Staffing	Semi-fixed	Model as staffing steps when patient volume requires added FTEs.	Treating added FTEs like payroll per visit.

How does break-even change from lean to base to full in a peptide therapy clinic?

Scenario table

The clinic clears break-even in Month 1 in the core model, but the cushion changes a lot by scenario. Lean is tightest, base is the best planning anchor, and full is mainly a working-capital check.

Planning assumptions only; actual results will move with utilization, pricing, and hiring pace.

Scenario	Monthly Revenue	Variable Costs	Fixed Costs	CM Ratio	Operating Profit	Break-Even Signal
Lean launch plan	$122.4k	$26.3k	$67.1k	78.5%	$29.0k	Small cushion; volume risk is highest.
Base steady-state plan	$208.3k	$42.5k	$67.1k	79.6%	$98.7k	Clear cushion; Month 1 break-even stays intact.
Full capacity plan	$772.7k	$133.7k	$67.1k	82.7%	$571.9k	Wide cushion; cash control matters more than survival.

What breaks the break-even plan for a peptide therapy clinic?

Stress test

The clinic hits break-even in Month 1 on paper, but the cushion is only about $369k a month. A 31% revenue miss, a 10% fixed-cost bump, or a 3.5-point margin squeeze can erase it.

Stress Case	Changed Assumption	Break-Even Revenue	Revenue Gap	Risk Signal
Current plan	No change.	$855k	$369k cushion	The plan clears break-even, but slack is limited.
Revenue shortfall	Monthly revenue falls 31% below plan.	$855k	$11k gap	A small booking miss pushes the clinic under break-even.
Fixed-cost pressure	Lease and payroll rise 10%.	$941k	$283k cushion	More fixed overhead raises the revenue needed each month.
Margin pressure	Variable expenses rise from 21.5% to 25.0% of revenue.	$895k	$329k cushion	Higher sourcing, lab, or acquisition cost trims the margin fast.
Combined pressure	Revenue falls 31%, fixed costs rise 10%, and variable expenses rise to 25.0%.	$984k	$140k gap	This mix turns the opening cushion into a real shortfall.

What should you verify before signing the lease for a peptide therapy clinic?

Founder checklist

Don’t sign the lease or commit launch spend until the model still works at Year 1 prices and staffing. If it can’t hold a $67.1K monthly fixed base and a $746K cash floor through Month 6, break-even is too fragile.

1Demand Proof$122.4K/mo

Verify local patient demand can support about $122.4K in monthly revenue before you take the lease, or the opening plan will outrun real demand.

2Price Test$850/$450/$250/$175/$125

Test whether patients will buy at the Year 1 prices for the Medical Doctor, Nurse Practitioner, Registered Nurse, Health Coach, and Phlebotomist before you spend on marketing.

3Fixed Load$67.1K/mo

Here’s the quick math: rent, malpractice, EMR and HIPAA software, utilities, admin, memberships, and wages total about $67.1K a month, so the lease has to fit that load.

4Gross Margin78.5% CM

Keep compounded peptide sourcing, lab fees, acquisition, and supplies near 21.5% of revenue in Year 1, which leaves about 78.5% contribution margin before fixed costs.

5Staff Ramp55%/50%/45%/40%/60%

Delay extra hires until the opening team can hold Year 1 utilization near 55% for the Medical Doctor, 50% for the Nurse Practitioner, 45% for the Registered Nurse, 40% for the Health Coach, and 60% for the Phlebotomist.

6Cash Floor$746K

Make sure you can fund the $746K minimum cash need through Month 6 and still cover the $400.5K startup capex, including renovation, equipment, inventory, IT security, furnishings, and monitoring devices.