How Much Asthma And Allergy Clinic Owners Make On $228M Year 1 Revenue
An asthma and allergy clinic owner’s take-home depends on whether the owner is also paid for clinical work, such as the modeled $280k medical director salary Under the provided first-year assumptions, the clinic produces about $228M in annual collections, with listed variable costs of 225%, fixed overhead of $2832k per year, and known payroll of at least $420k That leaves about $107M in operating profit before debt, reserves, full unprovided staffing, personal taxes, and distributions Treat that as a planning output, not a guaranteed owner salary
Owner income$1.43M-$10.00MNet margin50.3%-76.3%Revenue for target pay$556kBusiness difficultyMedium
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Owner income calculator
Estimate owner take-home and target-pay gap from revenue, margin, costs, reserves, and target pay.
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Planning note: This is a researched planning estimate, not guaranteed salary, tax advice, or owner distribution advice. Actual owner income depends on collections, payer mix, staffing, reserves, taxes, and debt.
Want to test the full Asthma and Allergy Clinic model?
How much revenue does an allergy clinic need to pay the owner?
An Asthma and Allergy Clinic needs about 533 visits a month, or roughly $75,686 in collected revenue at $142 per visit, to cover the stated overhead and payroll before reserves. With about $110 contribution per visit, a $280,000 medical director salary has to be handled with cash flow discipline, not just owner draws.
Revenue math
$142 collected per visit in Year 1
$110 contribution per visit after variable costs
533 visits a month at break-even
About $75,686 monthly collected revenue
Owner pay
$280,000 medical director salary is a cash need
Keep salary separate from profit distributions
Profit only works after fixed costs clear
Reserves protect slow months and hiring gaps
Does an owner-operated allergy clinic make more money?
Yes, but only if the owner is also doing real clinical work. In an Asthma and Allergy Clinic, the modeled $280k medical director pay is compensation for labor, not pure profit, so a passive investor-owner should not treat it like free cash.
Owner role matters
Clinician-owner can earn salary plus equity.
Medical director-owner gets paid for labor.
Investor-owner gets what's left after payroll.
$280k is not pure profit if active.
Scaling reality
Year 1: 2 senior allergists.
Year 5: 6 senior allergists.
Revenue grows from $228M to $1,274M.
More volume needs nurses, techs, billing, compliance, reserves.
What costs reduce allergy clinic owner income?
Asthma and Allergy Clinic income gets squeezed most by provider payroll, support staff, medical supplies and test kits, pharmaceuticals and serums, billing fees, marketing, malpractice coverage, EHR, lease cost, utilities, licensing, waste management, and admin supplies. Year 1 variable costs total 225% of revenue, so every $1 of sales carries $2.25 in variable cost before overhead. Fixed overhead adds $236k/month, and you can compare the startup setup at How Much To Open An Asthma And Allergy Clinic?.
Main cost drivers
Provider payroll drives core labor cost
Support staff adds steady monthly expense
Supplies, test kits, and serums add up fast
Pharmaceuticals, billing, and marketing hit margins
Do not cut these
Protect care quality and patient safety
Protect compliance and licensing needs
Protect billing accuracy and cash collection
Protect access, EHR, and waste handling
Want to see the six biggest income drivers?
1
Patient Visits
1,340/mo
More visits spread the fixed clinic base, and break-even sits near 533 visits, so volume is the fastest path to take-home.
2
Payer Mix
$142/visit
A higher collected amount per visit lifts revenue without adding the same labor or rent.
3
Staffing Load
$58.6K/mo
Payroll plus fixed overhead sets a heavy monthly floor, so lean staffing protects owner cash.
4
Provider Productivity
65%-92%
Better fill rates turn the same providers into more billable work and push income up without matching cost growth.
5
Test Mix
22.5%
Shifting toward higher-value testing and treatment raises margin, while a lower-intensity mix keeps cash per visit down.
6
Reinvestment Cash
36.1%
Faster payback frees cash for reinvestment or owner distributions sooner.
Asthma and Allergy Clinic Core Six Income Drivers
Patient Volume And Appointment Utilization
Appointment Utilization
Income here comes from filling scheduled capacity without hurting care quality. The model starts at about 1,340 visits per month in Year 1 and reaches 6,733 visits per month by Year 5, so every open slot matters. At 50%–65% utilization early on, the clinic leaves revenue on the table; at 85%–92%, more of the schedule turns into cash.
What this hides is the ceiling: unlimited volume is not realistic. No-shows, referral flow, follow-up cadence, and room capacity decide whether volume lifts profit or just strains staff. One clean rule: more visits help only when the clinic can keep quality, documentation, and turnaround tight.
Track Fill Rate Fast
Measure scheduled slots, completed visits, no-show rate, and fill by role each week. Use the same view for exams, nurse visits, respiratory therapy, testing, and education so you can see where capacity is leaking. Here’s the quick math: if the schedule is full but completion is weak, collections fall even when demand looks strong.
Track booked versus completed visits.
Watch no-shows by appointment type.
Test follow-up timing after each visit.
Match rooms to peak demand hours.
Protect quality as volume rises.
Owner income improves when the clinic keeps more of the schedule filled with medically needed visits. If referrals slow or visits bunch up, cash gets choppy and staff costs stay fixed, so the owner’s draw gets squeezed fast.
1
Reimbursement, Collections, And Payer Mix
Reimbursement and Collections
Reimbursement is the cash the clinic keeps after payer rules, deductibles, denials, and coding clean-up. In the model, average collected revenue is about $142 per visit in Year 1 and rises to about $158 by Year 5. At 1,340 visits a month, that is about $190,280 in monthly collections before billing fees.
Payer mix means the split between commercial insurance, Medicare, Medicaid, and cash-pay. That mix, plus collection lag, decides how much of booked revenue turns into owner cash. Billing fees are modeled at 30% of revenue every year, so weak collections can erase margin even when the schedule looks full.
Track net collections, not just visits
Watch four inputs weekly: net collected revenue per visit, denial rate, days in accounts receivable, and the share of visits by payer type. If the clinic’s Year 1 mix changes, the owner’s take-home changes too. Better coding and faster follow-up usually matter more than adding a few more appointments.
Collect deductibles at check-in.
Audit denials by reason code.
Fix coding before claims go out.
Forecast cash with payer lag.
If payment timing slips, cut owner draws before payroll and rent get tight. A full calendar does not guarantee profit when claims sit unpaid. The goal is simple: keep more of each billed dollar and turn visits into cash fast enough to cover overhead and support owner pay.
2
Testing, Immunotherapy, And Treatment Mix
Testing, Immunotherapy, and Visit Mix
Mix drives margin. Year 1 prices include $225 senior allergist treatments, $65 specialized nurse treatments, $175 respiratory therapy, $350 clinical technician services, and $90 patient education. Here’s the quick math: moving one patient from a $65 nurse visit to a $225 allergist visit adds $160 in gross revenue before supplies, serums, documentation, billing, and staff time.
This driver includes testing, immunotherapy, and related workflows. It can raise collections, but only when care is medically necessary and compliant. Higher-intensity visits can also raise direct costs and labor, so owner pay improves only if added revenue beats the extra supply, staffing, and billing load.
Track Mix, Not Just Visits
Measure revenue per patient by service line, not just total appointments. The key inputs are visit count, service mix, collected dollars, staff minutes, supplies and serums, and denials. A simple monthly split will show whether $90 education, $175 respiratory therapy, or $350 technician work is actually pulling weight.
Track collections by service type.
Compare direct cost per visit.
Watch billing lag and denials.
Staff to the billed mix.
If documentation slows or claims get denied, cash flow falls even when the schedule looks full. The owner should push the highest-value mix that stays clinically justified, then price and staff around that mix so gross margin turns into real take-home income.
3
Provider Productivity And Clinical Labor Leverage
Clinical Labor Leverage
Provider productivity is the number of billable visits each clinician can handle before quality slips. In Year 1, the model uses 2 senior allergists, 3 specialized nurses, 1 respiratory therapist, 2 clinical technicians, and 1 patient educator, with monthly treatment assumptions from 80 educator visits to 450 nurse visits per provider. More output per clinician lifts revenue and spreads labor cost across more collections.
The risk is scope drift. Nurse practitioners, physician assistants, nurses, and technicians need clear supervision and defined tasks, or the clinic pays for rework, delays, and compliance trouble. The medical director salary is $280k per year, so owner income only improves after the team’s paid output covers that labor and the rest of the care team.
Track Output by Role
Measure visits per clinician, no-show rate, and revenue per clinic day. Here’s the quick math: if nurse visits fall below plan, payroll stays in place while collections shrink, and owner draw gets squeezed. Do not count unpaid owner labor as free profit; include replacement cost when you test whether the clinic can really support itself.
Set visit targets by role.
Review supervision weekly.
Match staffing to demand.
Use role-by-role scheduling, not headcount alone. If a position cannot cover its salary and support load, it is dragging margin instead of creating it.
4
Staffing, Fixed Overhead, And Operating Expenses
Fixed Overhead and Payroll Drag
Owner pay comes from what’s left after the clinic clears $236k per month in fixed overhead, or about $2.832M a year. That base includes a $125k lease, $45k malpractice insurance, $22k utilities, $18k EHR, $12k licensing, $800 admin supplies, and $600 waste management. Add known payroll for the $280k medical director, $85k clinic manager, and $55k billing specialist, and the margin cushion gets thin fast.
The key input is monthly gross profit, not just booked visits. If collections rise but staffing or rent stays bloated, owner income still stalls. Cut costs only where they do not hurt safety, compliance, documentation, or patient access, because those failures can drop collections faster than the savings help.
Track Gross Profit Before Owner Draw
Track monthly gross profit, fixed overhead, and payroll together, then compare them to the $236k fixed-cost floor. Here’s the quick math: every extra dollar of gross profit above fixed cost is what can support owner pay, reserves, or debt service. Watch lease, malpractice, EHR, and billing labor first, since those are large and sticky.
Test staffing and admin load against claims timing, denied claims, no-shows, and patient access. If billing or clinic management gets cut too far, documentation slows, collections lag, and the clinic can look busy while cash tightens. The useful target is lower cost per collected dollar, not bare-bones headcount.
5
Reserves, Debt, And Cash Timing
Cash Timing And Reserves
Accounting profit is not the same as money the owner can take home. In an asthma and allergy clinic, cash can stay tied up in payroll timing, payer delays, debt service, compliance, billing cleanup, equipment, buildout, and marketing, so the draw should come after a reserve is set. The model shows operating profit before personal taxes and before any user-entered reserve policy.
Here’s the quick math: owner cash = operating profit minus reserve minus debt payments. If claims collect slowly, DSO (days sales outstanding, how long cash takes to arrive) rises and reported revenue can outpace cash. That risk gets bigger as the clinic scales from $228M to $1,274M in revenue, because payroll and receivables both swell.
Set Reserves Before Owner Pay
Track monthly collections, DSO, debt service, payroll dates, and a separate reserve balance. Model reserves before distributions, not after, so owner pay reflects cash that is truly free. A clinic can look profitable and still need cash for late payer remits, billing follow-up, or equipment and buildout spend.
Use a simple rule: test owner draws only after reserve, debt, and upcoming payroll are covered. Watch the gap between reported revenue and cash collected each month, especially when growth lifts visit volume and receivables at the same time.
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Compare lean, base, and high-performing owner income scenarios
Owner income scenario table
Owner income moves with utilization, staffing, and fixed overhead. Early years are tighter; later years support more take-home as volume and capacity rise.
Low, base, and high owner income cases for a clinic focused on asthma and allergy care.
Scenario
Low CaseDownside case
Base CaseCore case
High CaseUpside case
Launch model
This is the lower-income path, where the clinic runs below steady capacity and owner take-home stays conservative.
This is the modeled middle path, using Year 3 scale and a steadier patient mix.
This is the stronger earnings path, using Year 5 volume, higher utilization, and tighter cost control.
Typical setup
Year 1 revenue is $2.282M with about 990 monthly treatments, 50%-65% utilization, and $23.6k in monthly fixed overhead.
Year 3 revenue is $6.624M with about 1,025 monthly treatments, 75%-85% utilization, and a larger clinical team.
Year 5 revenue is $12.739M with about 1,060 monthly treatments, 85%-92% utilization, and the largest staffing base.
Cost drivers
50%-65% utilization
$23.6k fixed overhead
2 allergists and 3 nurses
supply and test kit costs
billing and marketing fees
75%-85% utilization
3 allergists and 6 nurses
4 technicians and 2 therapists
higher payroll load
billing fees
85%-92% utilization
6 allergists and 10 nurses
3 therapists and 6 technicians
spread fixed overhead
steady billing fees
Owner income rangeBefore owner reserves
$280k - $450kLow income band
$450k - $900kBase income band
$900k - $1.5MHigh income band
Best fit
Use this to test a slow ramp, lighter patient flow, and a cautious owner draw.
Use this as the main planning case for lender review, staffing plans, and owner pay.
Use this to test a fast-growth clinic with strong throughput and room for owner distributions after reserves.
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Planning note: These ranges are researched planning assumptions, not guaranteed earnings, salary promises, tax advice, or required distributions.
