Dietitian Practice Startup Costs: $66k Setup And $533k Runway
For planning, the cost to start a dietitian practice is about $32,000 for a lean telehealth setup that removes the office setup and lease deposit, about $66,000 for the researched office launch package, and about $533,000 if you also fund the modeled first two years of EBITDA losses before breakeven These are researched planning assumptions, not vendor quotes The office model includes $25,000 for setup and furnishings, $8,000 for telehealth and IT equipment, $10,000 for website and branding, and a $9,000 lease deposit Total funding need is usually higher than CAPEX because the model reaches breakeven in Month 26 and shows -$253,000 EBITDA in Year 1
Calculate Fuding Needs
Startup cost summary
Startup asset costs and excluded cash needs for a dietitian practice across low, base, and high cases.
Highlighted CAPEX$54,000Base planning example
Excluded cash needs$330,000Outside CAPEX total
Funding need$384,000CAPEX + excluded cash needs
Cost Category
Base Estimate
Main Cost Driver
CAPEX Calculator
Leasehold Improvements & Furnishings
$25,000
Buildout scope and furniture quality
Yes
Telehealth & IT Equipment
$8,000
Device count and setup needs
Yes
EHR/Practice Management Software License
$5,000
License term and implementation scope
Yes
Website, Branding, and Launch Content
$14,000
Site build, brand work, and content volume
Yes
Professional Development Library
$2,000
Reference materials and onboarding depth
Yes
Operating Reserve and Payroll Runway
$330,000
Year 1 wages and $7.1k monthly fixed overhead runway
No
Estimate Startup Costs with Calculator
Startup CAPEX Calculator
Estimates capitalized startup assets only for a dietitian practice, before any non-CAPEX funding needs.
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Exclusions This calculator covers capitalized startup assets only. It excludes lease deposits, legal formation, rent, licensing, insurance, payroll, credentialing, marketing subscriptions, inventory, working capital, debt service, and cash runway. Total funding need for those items must be planned separately.
What does this Dietitian Practice screenshot show?
Startup cost shifts fast with office choice and staffing. Telehealth keeps the build light, shared office stays near the researched opening package, and a full office needs far more cash to cover early losses.
Lean telehealth, base hybrid, and full office funding needs
Scenario
Lean LaunchTelehealth only
Base LaunchShared office
Full LaunchDedicated office
Launch model
Runs as a telehealth-first practice with no office buildout.
Uses the researched opening package with a small office or hybrid setup.
Uses a dedicated office and adds the cash needed to absorb early operating losses.
Typical setup
Covers software, legal setup, branding, and early marketing while skipping the office lease package.
Includes office setup, lease deposit, telehealth gear, website work, and the core practice software stack.
Adds the $66,000 startup package plus Year 1 and Year 2 EBITDA losses of $253,000 and $214,000.
Cost drivers
Telehealth software
legal setup
branding
early marketing
Office setup
lease deposit
telehealth equipment
software
website build
Office buildout
lease terms
staffing ramp
early losses
working capital
Planning rangeCAPEX only
$32,000 - $35,000Low cash need
$66,000 - $70,000Core package
$533,000 - $575,000High funding need
Best fit
Best for founders testing demand with the lowest fixed cost.
Best for owners who want a real office presence without a heavy buildout.
Best for founders opening with a larger team and enough cash to fund the ramp.
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Planning note: These scenario ranges are researched planning assumptions, not exact vendor quotes, and local lease terms, staffing pay, and software bundles can move the numbers.
How do I turn startup costs into a funding plan?
Turn startup costs into a funding plan by starting with a $66,000 opening package, then adding enough operating cash to carry the Dietitian Practice through Month 26 break-even. In Year 1, test the plan at 100 monthly treatments per category, prices from $110 to $160, and the stated staffing mix so the cash gap lines up with the EBITDA path of -$253,000, -$214,000, $30,000, $524,000, and $1,257,000 over five years.
Funding setup
Start with $66,000 opening cash
Carry runway through Month 26
Test 100 monthly treatments per category
Use prices from $110 to $160
Model checks
Use 600% to 700% capacity
Include the Year 1 wage plan
Check EBITDA at -$253,000 and -$214,000
Track later EBITDA at $30,000, $524,000, and $1,257,000
How much money do I need to start a dietitian practice?
You need about $533,000 to start a Dietitian Practice and fund it through early ramp-up, not just the $66,000 opening package; cash runs the practice until patient volume catches up. For goal-setting context, see What Is The Primary Goal Of Your Dietitian Practice? before you lock the budget.
Startup cash
$54,000 asset-style office setup
$12,000 lease deposit plus formation
$66,000 researched opening package
$533,000 ramp-up funding before cushion
Ramp risk
Year 1 EBITDA: -$253,000
Year 2 EBITDA: -$214,000
Breakeven arrives in Month 26
Fund losses before patient volume catches up
What hidden costs of starting a dietitian practice affect cash?
Hidden costs can drain cash fast in a Dietitian Practice, especially before payer credentialing and collections catch up; if you want the income side too, see How Much Does The Owner Of A Dietitian Practice Typically Make?. Here’s the quick math: fixed monthly items here add to about $1,800, and Year 1 variable costs can also hit 100% of marketing plus 25% payment processing and telehealth fees. The real squeeze is that payroll starts in Month 1 while reimbursement may lag.
Fixed monthly costs
$350 professional liability insurance
$200 general business insurance
$400 EHR and scheduling
$100 website hosting
Year 1 cash risks
$750 accounting and legal services
100% marketing spend hits cash
25% payment processing and telehealth fees
15% client materials, plus collection lag
Key Takeaways
Separate setup costs from recurring compliance overhead.
Treat the $9,000 deposit as cash, not equipment.
Plan for $400 EHR, plus telehealth and payment fees.
Marketing is a launch cost and a Year 1 driver.
Dietitian Practice Core Five Startup Costs
Licensing, Compliance, And Insurance Startup Expense
Setup Fees
One-time setup is mostly filing and legal work. Budget $3,000 for business formation, state registration, license research, HIPAA policies, payer documentation readiness, and contracting files. Don’t use one national license number; state rules, entity type, and payer mix change the cost. This is the front-end spend that gets the practice ready to contract and bill.
Monthly Overhead
Recurring compliance overhead runs about $1,300 per month: $350 professional liability insurance, $200 general business insurance, and $750 accounting and legal support. That is $15,600 a year. Use this as operating runway, not startup equipment. It covers renewals, policy updates, document checks, and contract review as payer rules change.
Get state filing quotes first.
Confirm license needs by state.
Track renewal dates monthly.
Keep It Tight
Cut waste by bundling legal work, using one insurance quote set, and building HIPAA and payer files once, then updating them on a schedule. The big mistake is underfunding documentation readiness; a cheap setup can cost more later if claims, contracts, or coverage limits are not clean. Plan around actual state rules and the services you bill.
Budget Split
Keep $3,000 separate for setup and $1,300 per month for compliance overhead. That split makes the early cash need clearer and stops recurring protection costs from being mistaken for launch assets.
Website, Branding, And Patient Acquisition Startup Expense
Launch Build
For a dietitian practice, the upfront website, brand identity, local search setup, referral materials, launch content, patient education assets, and outreach tools are $14,000 total: $10,000 for website and branding plus $4,000 for content assets. This is launch spend that helps bookings start, not just design work.
Cost Inputs
Build the estimate from line items: website pages, brand design, local listings, referral handouts, launch ads, and partner outreach. The key inputs are vendor quotes, number of pages, number of assets, and launch months covered. One-time build costs are $14,000, while ongoing marketing sits in operating spend.
Lower Waste
Keep the site lean and reuse the same core content across web, referral packets, and patient education. That avoids paying twice for the same message. The big mistake is treating marketing as pure capex. Here, Year 1 marketing is 100% of revenue, then 90% in Year 2 and 80% in Year 3.
Ramp Budget
Use marketing as a launch engine and a monthly demand driver. For a fee-for-service practice, spend tracks revenue, so higher patient volume raises ad and outreach spend too. Only durable brand assets belong in startup cost; recurring ads, content updates, and physician, gym, employer, and wellness partner outreach belong in monthly run rate.
Technology, EHR, Telehealth, And Billing Startup Expense
EHR Core
An electronic health record (EHR) stores client records, scheduling, notes, and billing data. For this practice, the one-time software license is $5,000, so treat it as startup cost, not monthly overhead. It also supports telehealth, the client portal, payment processing, and billing in one workflow.
Setup Stack
Budget the build for EHR setup, scheduling, secure telehealth, the client portal, billing tools, and basic cybersecurity. Estimate it from the license quote plus setup fees for each module. Keep one-time setup separate from monthly subscriptions, because those belong in working capital.
$5,000 software license
$400/month EHR and scheduling base
$100/month website hosting
Monthly Tech
Recurring tech spend includes $400/month for EHR and scheduling, $200/month for internet and phone, and $100/month for website hosting. Add 25 percent telehealth software fees and 25 percent payment processing fees in Year 1. Those charges move with use, so they hit cash flow fast.
Keep It Lean
Start lean with the functions that touch clients and compliance: EHR, scheduling, secure video, portal, billing, and billing data security. If usage stays light, keep the first build simple and defer add-ons. One clean rule: if it’s a subscription, it belongs in working capital.
Nutrition Counseling Equipment And Supplies Startup Expense
Core Gear
A counseling-led dietitian practice usually needs computers, phone setup, printer-scanner, secure video gear, consultation furniture, basic scales or measurement tools, educational handouts, office supplies, and professional references. Research puts telehealth and IT equipment at $8,000 and the professional development library at $2,000, before any extra medical tools.
How To Size It
Use a simple count model: providers × rooms × devices, then add telehealth share and any measurement tools. One provider with one room and heavy virtual care can stay close to the $8,000 IT and telehealth budget. If you add rooms or staff, costs rise fast with extra laptops, cameras, headsets, and furniture.
Keep It Lean
Buy only what supports counseling quality and privacy. Defer body composition tools unless your service mix truly needs them, and start with basic scales or simple measurement tools. A used printer, standard office furniture, and one secure video setup can trim cash burn without hurting care. The big mistake is buying clinic-style gear for a mostly virtual practice.
What To Defer
For a first location, keep the spend tied to the delivery model: more telehealth means less room buildout, while more in-person visits need better seating, storage, and measurement tools. The $2,000 professional library should cover core references first, not a broad library of niche tools you may not use in year one.
Office Setup, Lease Deposit, And Furnishings Startup Expense
Office buildout
Plan for $25,000 in office setup and furnishings across the startup period. That covers consultation-room buildout, desks, chairs, patient seating, waiting area basics, signage, storage, accessibility, and comfort items. The spend is a startup asset, while the $9,000 security deposit is separate and should not be booked as equipment.
Cost drivers
Here’s the quick math: price depends on dedicated space versus shared office, number of rooms, lease terms, local rent, and whether the practice needs group counseling space. One room needs less buildout than a multi-room layout, and shared space can cut furnishing needs fast. Use vendor quotes for each room and item, then total them.
Count rooms first
Quote each furniture item
Test accessibility needs
Lease cash needs
The $9,000 security deposit is a lease cash outflow, not an equipment line. Monthly office rent of $4,500 and utilities of $600 belong in operating runway, not startup assets. For budgeting, separate one-time move-in cash from monthly occupancy cost so you do not overstate fixed assets or understate early burn.
Keep it lean
Cut spend by matching the space to service volume. If you do not need group counseling, skip extra chairs and large waiting-area buildout. Buy durable basics first, then add comfort items after demand is proven. The main mistake is overbuilding rooms before client flow is clear, which ties up cash without raising revenue.
