Vitamin IV Therapy Clinic Break-Even: Month 15 Revenue Plan

Fixed costs $45.0K/mo Core base

Contribution margin 79% After direct costs

Break-even revenue $57.0K/mo Target run-rate

Break-even timing Month 15 Ramp point

Break-even calculator

Test monthly revenue, variable expenses, and fixed monthly costs to see when the clinic covers overhead.

Lean Base Full

Monthly revenue Revenue is the cash coming in each month and it funds fixed overhead. $ Slow start Strong month Variable expenses These are costs that rise with each treatment, like fluids, supplies, ads, and card fees. $ Tight spend High spend

Money available to cover fixed costs $64,100 $81,100 revenue - $17,000 variable expenses

Margin ratio

79%

Covers fixed costs

$20,050 short

Fixed monthly costs These are the monthly bill items the clinic must cover, including payroll and overhead. $ Lean overhead Heavy overhead

Break-even chart Revenue Total costs

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

Cost classification

Break-even only works if rent, payroll steps, supplies, and card fees sit in the right buckets. Misclassifying licensed labor as per-infusion spend can make Month 15 break-even look safer than it is.

Expense	Cost	Break-Even Treatment	Common Mistake
Clinic Rent	Fixed	Use $5,000 per month in fixed overhead from Month 1 through Month 60.	Tying rent to treatment volume instead of treating it as committed space spend.
Medical Malpractice Insurance	Fixed	Include $1,500 per month in baseline overhead before calculating required treatments.	Leaving clinical insurance below the break-even line because it is not a supply item.
Clinic Management Software	Fixed	Carry $800 per month as a recurring operating charge in the fixed base.	Spreading software across treatments and overstating per-infusion margin pressure.
IV Fluids & Nutrients	Variable	Apply the first-year 12.0% rate to treatment revenue, declining to 10.0% by the mature year.	Using a flat dollar amount per month even when treatment volume changes.
Single-Use Medical Supplies	Variable	Apply the first-year 3.0% rate to treatment revenue, falling to 2.0% by the mature year.	Forgetting that needles, tubing, and disposables rise with each booked infusion.
Payment Processing Fees	Variable	Apply 2.0% of revenue in every forecast year as a direct sales-linked charge.	Putting card fees in fixed overhead, which overstates margin at higher volume.
Marketing & Digital Ad Spend	Semi-variable	Model the revenue-linked portion at 4.0% in the first year, declining to 2.0% by the mature year.	Treating all marketing as optional when booked campaigns may be committed before revenue arrives.
Licensed Clinical Payroll	Semi-fixed	Step salaries up by staffing plan, including Lead RN, Staff RN, Nurse Practitioner, IV Technician, and Patient Coordinator roles.	Treating licensed labor as purely variable when salaries are committed before full utilization.

How does break-even change across lean, base, and full clinic ramps?

Scenario table

The clinic is cash negative in the lean ramp, near break-even in the base case, and clearly profitable in the full case. The main driver is simple: more staffed sessions spread the same fixed clinic cost over more revenue.

Planning assumptions only; actual break-even will move with demand, staffing, and local pricing.

Scenario	Monthly Revenue	Variable Costs	Fixed Costs	CM Ratio	Operating Profit	Break-Even Signal
Lean ramp clinic	$38,490	$8,083	$45,017	79.0%	($14,610)	Still below break-even, so cash burn stays high.
Base staffed clinic	$86,968	$17,220	$59,600	80.2%	$10,148	Best planning anchor; Month 15 break-even looks reachable with steady visits.
Full utilization clinic	$155,245	$28,720	$68,767	81.5%	$57,758	Comfortable cushion; the risk shifts from break-even to execution.

What breaks the break-even plan for this clinic?

Stress test

This clinic stays fragile until bookings, staffing, and overhead line up. Slow rebooking, high payroll before utilization, or rent and supply creep can lift break-even from about $56,983 to $66,916 and turn a small slip into a real loss.

Stress Case	Changed Assumption	Break-Even Revenue	Revenue Gap	Risk Signal
Current plan	No change.	$56,983	$0 cushion	At this level, any miss hits profit fast.
Revenue shortfall	Year 1 revenue holds at $38,490.	$56,983	$18,493 gap	Slow rebooking and discounting widen the loss.
Fixed-cost pressure	Fixed costs rise 100% to about $49,518.	$62,681	$24,191 gap	Higher payroll, rent, or admin cost needs more volume.
Margin pressure	Variable spend rises from 210% to 260%.	$60,833	$22,343 gap	Ad spend, supply inflation, and payment fees squeeze contribution.
Combined pressure	Fixed costs rise 100% and variable spend rises to 260%.	$66,916	$28,426 gap	Slow bookings plus overhead creep push the clinic deeper into loss.

Can this clinic clear break-even before you sign the lease and hire the first team?

Founder checklist

Don’t commit until bookings can support about 282 sessions a month at a $202 average ticket. The model also needs about $45.0K in monthly fixed burden and $477K of minimum cash before Month 24.

1Demand Proof$202 / 282

Verify the clinic can book about 282 sessions a month at a $202 average ticket before you sign the lease, because that is the demand needed to cover fixed costs.

2Fixed Burden$45.0K/mo

Check that Year 1 payroll plus overhead stays near $45,017 a month, since rent, salaries, and clinic overhead set the break-even floor.

3Margin Mix79.0%

Hold IV fluids and nutrients near 12.0% of sales and single-use supplies near 3.0%, because the model only works if contribution margin stays around 79%.

4Staffing Ramp5 roles

Confirm the Lead RN, Staff RN, Nurse Practitioner, IV Technician, and Patient Coordinator are all staffed in Year 1, so booking growth does not outrun clinical coverage.

5Cash Cushion$477K

Pressure-test reserve cash against the $477,000 minimum cash need in Month 24, because the clinic is still cash negative before it turns the corner.

6Break-even TimingMonth 15

Delay optional hires if break-even slips past Month 15, since the model only reaches breakeven then and slower ramp pushes payback out.