{"product_id":"concierge-medicine-practice-startup-costs","title":"Concierge Medicine Startup Costs: $166K CAPEX Plus $696K Cash","description":"\u003cdiv class=\"container_new_design\"\u003e\n\u003cdiv class=\"text-section text-1_new_design\"\u003e\n\u003cdiv class=\"line_top\"\u003e\u003c\/div\u003e\n\u003cp\u003ePlan for \u003cstrong\u003e$166,000 in identified startup CAPEX\u003c\/strong\u003e and a modeled \u003cstrong\u003e$696,000 minimum cash need by Month 6\u003c\/strong\u003e before the practice reaches breakeven The first operating year includes $36,000 of marketing, $460,000 of clinical and admin payroll, and $14,100 per month of non-payroll fixed costs, so working capital matters as much as office setup Actual concierge medical practice costs vary by state, office size, staffing model, and patient panel ramp\u003c\/p\u003e\n\n\n\u003c\/div\u003e\n\u003cdiv class=\"image-section image-1_new_design\" id=\"main_article_image\"\u003e\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eEstimate Startup Costs with Calculator\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-capex-calculator\" aria-label=\"Concierge Medicine Startup CAPEX Calculator\" data-locale=\"en-US\" data-currency=\"USD\" data-default-scenario=\"base\" data-export-filename=\"Startup CAPEX calculator.xlsx\" data-source-site-name=\"Financial Models Lab\" data-source-site-url=\"https:\/\/financialmodelslab.com\" data-source-page-title=\"Concierge Medicine Startup CAPEX Calculator\" data-note-title=\"What this excludes\" data-note-text=\"This calculator covers startup CAPEX only. It excludes working capital, payroll runway, deposits, debt service, rent after opening, malpractice after launch, taxes, owner draw, ongoing member acquisition, and other operating expenses.\"\u003e\u003cdiv class=\"fml-capex-card\"\u003e\n\u003cheader class=\"fml-capex-header\"\u003e\u003cdiv class=\"fml-capex-heading\"\u003e\n\u003cp class=\"fml-capex-eyebrow\"\u003eStartup CAPEX Calculator\u003c\/p\u003e\n\u003cp class=\"fml-capex-intro\"\u003eThis estimates capitalized startup assets only, not ongoing operating cash needs.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-scenarios\" aria-label=\"Scenario presets\"\u003e\n\u003cbutton class=\"fml-capex-scenario\" type=\"button\" data-scenario=\"lean\"\u003eLean\u003c\/button\u003e\u003cbutton class=\"fml-capex-scenario is-active\" type=\"button\" data-scenario=\"base\"\u003eBase\u003c\/button\u003e\u003cbutton class=\"fml-capex-scenario\" type=\"button\" data-scenario=\"full\"\u003eFull\u003c\/button\u003e\n\u003c\/div\u003e\u003c\/header\u003e\u003cdiv class=\"fml-capex-layout\"\u003e\n\u003cform class=\"fml-capex-inputs\"\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eElectronic Health Records Implementation\u003c\/span\u003e\u003csmall\u003eSoftware setup, configuration, and launch work to go live.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"ehr_system_implementation\" data-capex-kind=\"money\" data-capex-label=\"Electronic Health Records Implementation\" data-capex-note=\"Software setup, configuration, and launch work to go live.\" data-lean=\"40000\" data-base=\"45000\" data-full=\"50000\" name=\"ehr_system_implementation\" type=\"text\" inputmode=\"numeric\" value=\"45,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eMedical Diagnostic Equipment\u003c\/span\u003e\u003csmall\u003eCore exam room tools and diagnostic gear needed at launch.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"medical_diagnostic_equipment\" data-capex-kind=\"money\" data-capex-label=\"Medical Diagnostic Equipment\" data-capex-note=\"Core exam room tools and diagnostic gear needed at launch.\" data-lean=\"30000\" data-base=\"35000\" data-full=\"40000\" name=\"medical_diagnostic_equipment\" type=\"text\" inputmode=\"numeric\" value=\"35,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eClinic Furniture, Office Setup, and Signage\u003c\/span\u003e\u003csmall\u003eReception, exam room furniture, and patient-facing signage.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"clinic_furniture_office_setup_signage\" data-capex-kind=\"money\" data-capex-label=\"Clinic Furniture, Office Setup, and Signage\" data-capex-note=\"Reception, exam room furniture, and patient-facing signage.\" data-lean=\"30000\" data-base=\"33000\" data-full=\"36000\" name=\"clinic_furniture_office_setup_signage\" type=\"text\" inputmode=\"numeric\" value=\"33,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eComputer Systems and IT Infrastructure\u003c\/span\u003e\u003csmall\u003eWorkstations, networking, and core clinic tech setup.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"computer_systems_it_infrastructure\" data-capex-kind=\"money\" data-capex-label=\"Computer Systems and IT Infrastructure\" data-capex-note=\"Workstations, networking, and core clinic tech setup.\" data-lean=\"15000\" data-base=\"18000\" data-full=\"21000\" name=\"computer_systems_it_infrastructure\" type=\"text\" inputmode=\"numeric\" value=\"18,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eTelehealth, Patient Portal, and Security Setup\u003c\/span\u003e\u003csmall\u003eVideo visits, patient access, and data protection systems.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"telehealth_portal_security_setup\" data-capex-kind=\"money\" data-capex-label=\"Telehealth, Patient Portal, and Security Setup\" data-capex-note=\"Video visits, patient access, and data protection systems.\" data-lean=\"30000\" data-base=\"35000\" data-full=\"40000\" name=\"telehealth_portal_security_setup\" type=\"text\" inputmode=\"numeric\" value=\"35,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eContingency Reserve\u003c\/span\u003e\u003csmall\u003eCovers scope changes, price jumps, and launch overruns.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-percent\"\u003e\n\u003cinput data-capex-field=\"contingency\" data-capex-kind=\"percent\" name=\"contingency\" type=\"range\" min=\"0\" max=\"25\" step=\"1\" data-lean=\"10\" data-base=\"15\" data-full=\"20\" value=\"15\"\u003e\u003coutput data-capex-output=\"contingencyValue\"\u003e15%\u003c\/output\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/form\u003e\n\u003caside class=\"fml-capex-results\" aria-live=\"polite\"\u003e\u003cspan class=\"fml-capex-tag\"\u003eCAPEX needed\u003c\/span\u003e\u003cdiv class=\"fml-capex-total\"\u003e\n\u003cspan\u003eTotal startup CAPEX\u003c\/span\u003e\u003cstrong data-capex-output=\"totalCapex\"\u003e$190,900\u003c\/strong\u003e\n\u003c\/div\u003e\n\u003cdl class=\"fml-capex-result-list\"\u003e\n\u003cdiv\u003e\n\u003cdt\u003eSubtotal before contingency\u003c\/dt\u003e\n\u003cdd data-capex-output=\"subtotal\"\u003e$166,000\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eContingency amount\u003c\/dt\u003e\n\u003cdd data-capex-output=\"contingencyAmount\"\u003e$24,900\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eLargest cost driver\u003c\/dt\u003e\n\u003cdd data-capex-output=\"largestDriver\"\u003eElectronic Health Records Implementation\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003c\/dl\u003e\n\u003cdiv class=\"fml-capex-chart\" aria-label=\"CAPEX cost category breakdown\"\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eEHR\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"ehr_system_implementation\" style=\"--fml-capex-share: 27%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"ehr_system_implementation\"\u003e27%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eDiagnostics\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"medical_diagnostic_equipment\" style=\"--fml-capex-share: 21%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"medical_diagnostic_equipment\"\u003e21%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eBuildout\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"clinic_furniture_office_setup_signage\" style=\"--fml-capex-share: 20%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"clinic_furniture_office_setup_signage\"\u003e20%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eIT\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"computer_systems_it_infrastructure\" style=\"--fml-capex-share: 11%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"computer_systems_it_infrastructure\"\u003e11%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eTelehealth\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"telehealth_portal_security_setup\" style=\"--fml-capex-share: 21%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"telehealth_portal_security_setup\"\u003e21%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cbutton class=\"fml-capex-export\" type=\"button\" data-capex-export\u003eEXPORT XLSX\u003c\/button\u003e\u003c\/aside\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-note\"\u003e\n\u003cspan class=\"fml-capex-note-icon\" aria-hidden=\"true\"\u003e!\u003c\/span\u003e\u003cp\u003e\u003cstrong\u003eWhat this excludes\u003c\/strong\u003e This calculator covers startup CAPEX only. It excludes working capital, payroll runway, deposits, debt service, rent after opening, malpractice after launch, taxes, owner draw, ongoing member acquisition, and other operating expenses.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cbr\u003e\u003cdiv class=\"container_new_design_blog\"\u003e\n\n\u003cdiv class=\"text-section_blog text-2_new_design_blog\"\u003e\n\n\u003cdiv class=\"line_top_blog\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\n\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eWhat does the CAPEX and runway view show?\u003c\/span\u003e\u003c\/h3\u003e\n\n\u003cp\u003eThis \u003ca href=\"\/products\/concierge-medicine-practice-financial-model\"\u003eConcierge Medicine Financial Model Template\u003c\/a\u003e screenshot shows the CAPEX tab, with startup costs, timing, amounts, and depreciation or amortization; review assumptions now.\u003c\/p\u003e\n\n\u003ch4\u003e\u003cstrong\u003eKey model checks\u003c\/strong\u003e\u003c\/h4\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e$166,000 CAPEX\u003c\/li\u003e\n\u003cli\u003eMonth 6 breakeven\u003c\/li\u003e\n\u003cli\u003e$696,000 minimum cash\u003c\/li\u003e\n\u003cli\u003e$148,000 Year 1 EBITDA\u003c\/li\u003e\n\u003cli\u003e15-month payback\u003c\/li\u003e\n\u003cli\u003eCheck fees and mix\u003c\/li\u003e\n\u003cli\u003eValidate CAC, rent, malpractice\u003c\/li\u003e\n\u003cli\u003eReview legal, software, supplies\u003c\/li\u003e\n\u003cli\u003eConfirm staff ramp timing\u003c\/li\u003e\n\u003c\/ul\u003e\n\n\u003c\/div\u003e\n\n\u003cdiv class=\"image-section_blog image-2_new_design_blog\"\u003e\n\n\u003cdiv class=\"preview-card\" data-preview-src=\"\/cdn\/shop\/files\/concierge-medicine-practice-financial-model-capex-financialmodelslab_ec3e9e78-2e4b-4a39-a708-d52080fdb74f.webp\"\u003e\n\u003cimg class=\"preview-img\" width=\"100%\" height=\"auto\" src=\"\/cdn\/shop\/files\/concierge-medicine-practice-financial-model-capex-financialmodelslab_ec3e9e78-2e4b-4a39-a708-d52080fdb74f.webp?width=500\" alt=\"Concierge Medicine Financial Model capex inputs tab showing capital expenditure categories and timing, letting users customize equipment, facility and startup investments for accurate cash needs and runway projections, fully customizable.\"\u003e\n\u003cdiv class=\"preview-overlay\"\u003e\n\u003cbutton class=\"preview-btn\" type=\"button\" style=\"align-items: center; vertical-align: middle; display: inline-flex; justify-content: center; gap: 6px; line-height: 1;\"\u003e\nPREVIEW \u003csvg fill=\"#fff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\" role=\"presentation\" viewbox=\"0 0 448 512\" width=\"14\"\u003e\u003cpath d=\"M416 176V86.63L246.6 256L416 425.4V336c0-8.844 7.156-16 16-16s16 7.156 16 16v128c0 8.844-7.156 16-16 16h-128c-8.844 0-16-7.156-16-16s7.156-16 16-16h89.38L224 278.6L54.63 448H144C152.8 448 160 455.2 160 464S152.8 480 144 480h-128C7.156 480 0 472.8 0 464v-128C0 327.2 7.156 320 16 320S32 327.2 32 336v89.38L201.4 256L32 86.63V176C32 184.8 24.84 192 16 192S0 184.8 0 176v-128C0 39.16 7.156 32 16 32h128C152.8 32 160 39.16 160 48S152.8 64 144 64H54.63L224 233.4L393.4 64H304C295.2 64 288 56.84 288 48S295.2 32 304 32h128C440.8 32 448 39.16 448 48v128C448 184.8 440.8 192 432 192S416 184.8 416 176z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n\u003c\/button\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eHow do you fund a concierge medicine practice?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eFund \u003cstrong\u003eConcierge Medicine\u003c\/strong\u003e by building the membership ramp and cash model first; don’t start with the loan. With Year 1 fees of \u003cstrong\u003e$200\u003c\/strong\u003e for individuals, \u003cstrong\u003e$500\u003c\/strong\u003e for families, and \u003cstrong\u003e$3,000\u003c\/strong\u003e for corporate executives, plus \u003cstrong\u003e$36,000\u003c\/strong\u003e in marketing and \u003cstrong\u003e$150\u003c\/strong\u003e CAC, the plan shows \u003cstrong\u003e$166,000\u003c\/strong\u003e in CAPEX but a peak funding need of \u003cstrong\u003e$696,000\u003c\/strong\u003e by Month 6.\u003c\/p\u003e\n\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003ePlan the cash need\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eModel payroll, rent, and marketing.\u003c\/li\u003e\n\u003cli\u003eSet patient panel capacity first.\u003c\/li\u003e\n\u003cli\u003eUse CAC at \u003cstrong\u003e$150\u003c\/strong\u003e.\u003c\/li\u003e\n\u003cli\u003eKeep runway past Month 6.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eUse the fee mix\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003ePrice individuals at \u003cstrong\u003e$200\u003c\/strong\u003e.\u003c\/li\u003e\n\u003cli\u003ePrice families at \u003cstrong\u003e$500\u003c\/strong\u003e.\u003c\/li\u003e\n\u003cli\u003ePrice executives at \u003cstrong\u003e$3,000\u003c\/strong\u003e.\u003c\/li\u003e\n\u003cli\u003eMatch funding to ramp timing.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eHow much money do you need to start a concierge medicine practice?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eYou need \u003cstrong\u003e$696,000\u003c\/strong\u003e in minimum cash by \u003cstrong\u003eMonth 6\u003c\/strong\u003e to start Concierge Medicine under this model, even though setup CAPEX is only \u003cstrong\u003e$166,000\u003c\/strong\u003e. This is budget planning, not valuation, and \u003ca href=\"\/blogs\/kpi-metrics\/concierge-medicine-practice\"\u003eHow Is The Patient Satisfaction Level For Concierge Medicine?\u003c\/a\u003e should sit beside the cash plan because member retention depends on care quality.\u003c\/p\u003e\n\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eCash Needed\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$166,000\u003c\/strong\u003e setup CAPEX\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$696,000\u003c\/strong\u003e minimum cash by Month 6\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$14,100\u003c\/strong\u003e monthly non-payroll fixed costs\u003c\/li\u003e\n\u003cli\u003eBreakeven occurs in \u003cstrong\u003eMonth 6\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eMain Driver\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$220,000\u003c\/strong\u003e physician payroll\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$130,000\u003c\/strong\u003e nurse practitioner payroll\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$45,000\u003c\/strong\u003e medical assistant payroll\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$65,000\u003c\/strong\u003e office manager payroll\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eWhat does it cost to convert a primary care practice to concierge medicine?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eIf there’s an existing primary care practice, \u003cstrong\u003eConcierge Medicine\u003c\/strong\u003e conversion is usually cheaper than a new build, but it still needs a real launch budget. A from-scratch setup runs about \u003cstrong\u003e$166,000 CAPEX\u003c\/strong\u003e, while an existing lease, EHR, furniture, staff, and patient panel can lower that cash need. Still plan for \u003cstrong\u003elegal review\u003c\/strong\u003e, membership agreements, patient notices, enrollment marketing, billing and software changes, plus compliance review; Year 1 mix is often \u003cstrong\u003e45% individual\u003c\/strong\u003e, \u003cstrong\u003e40% family\u003c\/strong\u003e, and \u003cstrong\u003e15% corporate executive package\u003c\/strong\u003e.\u003c\/p\u003e\n\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eFrom scratch\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$166,000 CAPEX\u003c\/strong\u003e baseline\u003c\/li\u003e\n\u003cli\u003eLegal review before launch\u003c\/li\u003e\n\u003cli\u003eMembership agreements and notices\u003c\/li\u003e\n\u003cli\u003eBilling, software, compliance changes\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eExisting practice\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eExisting lease can save cash\u003c\/li\u003e\n\u003cli\u003eInstalled EHR cuts setup work\u003c\/li\u003e\n\u003cli\u003eFurniture and staff may already exist\u003c\/li\u003e\n\u003cli\u003eYear 1 mix: \u003cstrong\u003e45%\u003c\/strong\u003e, \u003cstrong\u003e40%\u003c\/strong\u003e, \u003cstrong\u003e15%\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eCalculate Fuding Needs\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-summary-static\" aria-label=\"Concierge Medicine Startup Cost Summary\" data-locale=\"en-US\" data-currency=\"USD\" data-default-scenario=\"base\" data-export-filename=\"Concierge Medicine Startup Cost Summary.xlsx\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Concierge Medicine Startup Cost Summary\" data-source-url=\"\"\u003e\u003cdiv class=\"fml-summary-static-card\"\u003e\n\u003cheader class=\"fml-summary-static-header\"\u003e\u003cdiv\u003e\n\u003cp class=\"fml-summary-static-eyebrow\"\u003eStartup cost summary\u003c\/p\u003e\n\u003cp class=\"fml-summary-static-description\"\u003eThis table summarizes startup CAPEX and excluded cash needs for a concierge medicine clinic using researched planning assumptions.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-summary-static-actions\"\u003e\n\u003cdiv class=\"fml-summary-static-scenarios\" aria-label=\"Highlight scenario\"\u003e\n\u003cbutton class=\"fml-summary-static-scenario\" type=\"button\" data-scenario=\"low\"\u003eLow\u003c\/button\u003e\u003cbutton class=\"fml-summary-static-scenario is-active\" type=\"button\" data-scenario=\"base\"\u003eBase\u003c\/button\u003e\u003cbutton class=\"fml-summary-static-scenario\" type=\"button\" data-scenario=\"high\"\u003eHigh\u003c\/button\u003e\n\u003c\/div\u003e\n\u003cbutton class=\"fml-summary-static-export\" type=\"button\" data-summary-export\u003eEXPORT XLSX\u003c\/button\u003e\n\u003c\/div\u003e\u003c\/header\u003e\u003csection class=\"fml-summary-static-metrics\" aria-live=\"polite\"\u003e\u003cdiv class=\"fml-summary-static-metric is-primary\"\u003e\n\u003cspan\u003eHighlighted CAPEX\u003c\/span\u003e\u003cstrong data-summary-metric=\"capex\"\u003e$166,000\u003c\/strong\u003e\u003csmall data-summary-metric=\"scenario\"\u003eBase planning example\u003c\/small\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-summary-static-metric is-warning\"\u003e\n\u003cspan\u003eExcluded cash needs\u003c\/span\u003e\u003cstrong data-summary-metric=\"working\"\u003e$696,000\u003c\/strong\u003e\u003csmall\u003eOutside CAPEX total\u003c\/small\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-summary-static-metric\"\u003e\n\u003cspan\u003eFunding need\u003c\/span\u003e\u003cstrong data-summary-metric=\"funding\"\u003e$862,000\u003c\/strong\u003e\u003csmall\u003eCAPEX + excluded cash needs\u003c\/small\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cdiv class=\"fml-summary-static-table-wrap\"\u003e\u003ctable class=\"fml-summary-static-table\"\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth scope=\"col\"\u003eCost Category\u003c\/th\u003e\n\u003cth scope=\"col\" class=\"fml-summary-static-estimate-header\" data-summary-estimate-header\u003eBase Estimate\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eMain Cost Driver\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eCAPEX Calculator\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr data-summary-row data-low=\"30000\" data-base=\"33000\" data-high=\"36000\" data-capex=\"true\"\u003e\n\u003ctd\u003eClinic buildout and furnishings\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$33,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eOffice setup, furniture, and signage\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"32000\" data-base=\"35000\" data-high=\"38500\" data-capex=\"true\"\u003e\n\u003ctd\u003eMedical diagnostic equipment\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$35,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eEquipment scope and device count\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"48000\" data-base=\"53000\" data-high=\"58500\" data-capex=\"true\"\u003e\n\u003ctd\u003eEHR and patient software\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$53,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eEHR rollout and patient portal scope\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"27000\" data-base=\"30000\" data-high=\"33000\" data-capex=\"true\"\u003e\n\u003ctd\u003eIT and telemedicine setup\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$30,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eHardware, networking, and video setup\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"13500\" data-base=\"15000\" data-high=\"16500\" data-capex=\"true\"\u003e\n\u003ctd\u003eSecurity and data protection systems\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$15,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eAccess controls and data safeguards\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr class=\"is-excluded\" data-summary-row data-low=\"620000\" data-base=\"696000\" data-high=\"780000\" data-capex=\"false\"\u003e\n\u003ctd\u003eCash runway reserve\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$696,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eMonth 6 runway for payroll and fixed costs\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill is-no\"\u003eNo\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\u003c\/div\u003e\n\u003cfooter class=\"fml-summary-static-note\"\u003e\u003cspan class=\"fml-summary-static-note-icon\" aria-hidden=\"true\"\u003e!\u003c\/span\u003e\u003cp\u003e\u003cstrong\u003ePlanning note:\u003c\/strong\u003e Planning ranges reflect researched assumptions; non-CAPEX cash needs exclude owner draws and debt reserves.\u003c\/p\u003e\u003c\/footer\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eConcierge Medicine Core Five Startup Costs\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\u003cbr\u003e\n\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eOffice Lease, Buildout, and Clinical Space Setup Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eClinic Space Cost\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eA concierge clinic usually starts with \u003cstrong\u003e$6,500\u003c\/strong\u003e monthly rent and facility cost, plus deposits, leasehold improvements, accessibility work, waiting area, consult room, exam rooms, signage, furniture, utilities, and maintenance. The base setup also includes \u003cstrong\u003e$25,000\u003c\/strong\u003e for clinic furniture and office setup and \u003cstrong\u003e$8,000\u003c\/strong\u003e for signage and branding materials.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eBuildout Inputs\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eHere’s the quick math: use monthly rent of \u003cstrong\u003e$6,500\u003c\/strong\u003e, then add one-time leasehold improvements, deposits, and room buildout. Count the spaces you need, then price each item by quote. Keep \u003cstrong\u003eleased improvements\u003c\/strong\u003e separate from buying property, since this startup cost is for fit-out, not real estate ownership.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003ePrice each room by quote\u003c\/li\u003e\n\u003cli\u003eTrack deposits separately\u003c\/li\u003e\n\u003cli\u003eDo not mix in land purchase\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eMonthly Run Rate\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eBudget \u003cstrong\u003e$1,200\u003c\/strong\u003e per month for utilities and maintenance on top of rent. That puts base space carrying cost near \u003cstrong\u003e$7,700\u003c\/strong\u003e a month before payroll, software, and supplies. If the lease is in a high-cost area, keep that extra real estate burden outside the base CAPEX so you do not distort launch math.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eRent and facility: $6,500\u003c\/li\u003e\n\u003cli\u003eUtilities and maintenance: $1,200\u003c\/li\u003e\n\u003cli\u003eExclude unusually high rent\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eKeep the Setup Tight\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eUse the \u003cstrong\u003e$25,000\u003c\/strong\u003e furniture and office setup budget for essentials only, then layer in the \u003cstrong\u003e$8,000\u003c\/strong\u003e signage and branding line after the lease is secure. The main savings come from right-sizing the waiting area and exam room finishes, while still meeting accessibility needs and keeping the space patient-ready.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eClinical Equipment and Initial Medical Supplies Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eClinical Gear Budget\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThis covers the one-time clinical setup: exam tables, diagnostic tools, vitals equipment, minor procedure supplies, and vaccine or lab storage if you need it. Start with \u003cstrong\u003e$35,000\u003c\/strong\u003e of diagnostic equipment CAPEX, then size by exam room count and service scope. More procedures mean more gear, more PPE, and more consumables.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eHow to Size It\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eSeparate one-time equipment from recurring medical supplies. Use \u003cstrong\u003e80%\u003c\/strong\u003e of Year 1 revenue as the medical supplies and diagnostic equipment expense target, then adjust for the number of exam rooms, the refill cycle, and whether you offer vaccines or in-office procedures.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eCount rooms first.\u003c\/li\u003e\n\u003cli\u003eQuote each device.\u003c\/li\u003e\n\u003cli\u003eSet stock months.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eKeep It Tight\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eKeep the launch lean by buying only what each room needs and delaying specialty gear until volume proves it out. The fastest way to overspend is stocking for procedures you do not yet book. Ask for quotes, tie purchases to room count, and set reorder levels for PPE and consumables.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eScope Drives Cost\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eA basic primary care room set costs far less than a clinic built for injections, minor procedures, or lab handling. If you add specialty services, this budget climbs fast because each new service needs more equipment, storage, and consumables. Match the spend to your clinical scope, not just your headcount.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eEHR, Telehealth, Patient Portal, and Billing Software Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eLaunch Stack\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eYour one-time software build is \u003cstrong\u003e$98,000\u003c\/strong\u003e: \u003cstrong\u003e$45,000\u003c\/strong\u003e for EHR implementation, \u003cstrong\u003e$12,000\u003c\/strong\u003e for telemedicine and video, \u003cstrong\u003e$8,000\u003c\/strong\u003e for the patient portal and scheduling, \u003cstrong\u003e$18,000\u003c\/strong\u003e for IT infrastructure, and \u003cstrong\u003e$15,000\u003c\/strong\u003e for security and data protection. Price each line with vendor quotes, user counts, and setup scope.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eWhat It Covers\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThis stack covers secure messaging, recurring membership billing, phone systems, cybersecurity, and IT onboarding. Estimate it from licenses, seats, and months of service, then keep it separate from the one-time install fee. One clean rule: setup is a startup cost, while SaaS is monthly operating spend.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eCount active users and admins\u003c\/li\u003e\n\u003cli\u003eQuote onboarding separately\u003c\/li\u003e\n\u003cli\u003eTrack monthly licenses\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eYear 1 Run Rate\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eUse \u003cstrong\u003e90%\u003c\/strong\u003e of Year 1 revenue for Electronic Health Records and software licenses. That is a heavy operating load, so build the model around membership growth and cash timing. What this estimate hides is vendor terms, seat count, and how much of the workflow sits inside one platform.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eBudget Test\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eIf onboarding takes longer, software spend climbs fast because the recurring stack follows daily use. Keep the first purchase list tight, then add tools only after the clinic workflow is live and the monthly billing, messaging, and scheduling flow works cleanly.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eLegal, Licensing, Credentialing, Compliance, and Insurance Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eWhat it covers\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThis budget covers \u003cstrong\u003eentity formation\u003c\/strong\u003e, a \u003cstrong\u003ehealthcare attorney\u003c\/strong\u003e review, membership agreement setup, state medical board compliance, and, if needed, \u003cstrong\u003eDEA\u003c\/strong\u003e registration and a \u003cstrong\u003eCLIA waiver\u003c\/strong\u003e. It also includes \u003cstrong\u003eHIPAA\u003c\/strong\u003e policies, credentialing, and malpractice coverage. A working monthly base starts at \u003cstrong\u003e$2,500\u003c\/strong\u003e for professional liability insurance plus \u003cstrong\u003e$1,500\u003c\/strong\u003e for legal and accounting support.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eHow to price it\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003ePrice this by \u003cstrong\u003estate\u003c\/strong\u003e, \u003cstrong\u003epayer participation\u003c\/strong\u003e, \u003cstrong\u003ecorporate practice rules\u003c\/strong\u003e, and whether the practice bills insurance. If you bill payers, credentialing and contract work usually rise. The clean split is \u003cstrong\u003eone-time setup\u003c\/strong\u003e for formation and policies, then \u003cstrong\u003erecurring monthly\u003c\/strong\u003e support for insurance, compliance, and accounting.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eWatch the scope\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe hidden driver is how much of the practice touches insurance. A cash-pay model can be simpler, but payer enrollment adds work fast. Ask counsel for a fixed scope on formation, agreements, and policy review, then keep the monthly retainer tied to actual compliance and credentialing load.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eBudget guardrails\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eWhat this estimate hides is state filing fees, board rules, and the size of the credentialing stack. Split the budget into \u003cstrong\u003eone-time legal setup\u003c\/strong\u003e and \u003cstrong\u003eongoing compliance\u003c\/strong\u003e, then update the quote after the practice model is set and the insurer path is clear.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003ePre-Opening Staffing, Training, and Launch Marketing Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003ePre-Opening Payroll\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eTreat this as pre-opening working capital, not equipment CAPEX. Year 1 payroll totals \u003cstrong\u003e$460,000\u003c\/strong\u003e: physician \u003cstrong\u003e$220,000\u003c\/strong\u003e, nurse practitioner \u003cstrong\u003e$130,000\u003c\/strong\u003e, medical assistant \u003cstrong\u003e$45,000\u003c\/strong\u003e, and office manager and billing specialist \u003cstrong\u003e$65,000\u003c\/strong\u003e. Spread evenly, monthly payroll is about \u003cstrong\u003e$38,333\u003c\/strong\u003e before taxes and benefits. Add \u003cstrong\u003e$36,000\u003c\/strong\u003e for recruiting, onboarding, training, scripts, scheduling workflows, and member acquisition.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eBudget It Right\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eKeep this in the operating budget because the cash lands before member fees do. Use hiring dates, onboarding time, and launch date to stage spend. The clean benchmark is \u003cstrong\u003e$150 CAC\u003c\/strong\u003e; \u003cstrong\u003e$36,000\u003c\/strong\u003e in launch marketing supports about \u003cstrong\u003e240\u003c\/strong\u003e member starts if performance holds.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eHire to the launch date.\u003c\/li\u003e\n\u003cli\u003eTrack monthly payroll burn.\u003c\/li\u003e\n\u003cli\u003eSeparate training from equipment.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eLaunch Cash Need\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThis spend needs cash on day one because payroll starts before members pay. One month of staffing burn is about \u003cstrong\u003e$38,333\u003c\/strong\u003e before taxes and benefits, and year-one launch marketing is \u003cstrong\u003e$36,000\u003c\/strong\u003e. If CAC stays at \u003cstrong\u003e$150\u003c\/strong\u003e, that budget buys about \u003cstrong\u003e240\u003c\/strong\u003e new members.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eWorking Capital First\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eBuild this cost as cash runway, not a one-time asset. The main risk is starting payroll and marketing too early, before appointment flow is live. Keep the spend tied to launch dates, onboarding milestones, and the \u003cstrong\u003e$150 CAC\u003c\/strong\u003e target so the first months of membership growth cover the run rate.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eCompare 3 Startup Cost Scenarios\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-scenario-table\" aria-label=\"Concierge Medicine Startup Cost Scenarios\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Concierge Medicine Startup Cost Scenarios\" data-note-label=\"Planning note\" data-note-text=\"These ranges are researched planning assumptions from the model, not exact vendor quotes or fixed bids.\"\u003e\u003cdiv class=\"fml-scenario-table-card\"\u003e\n\u003cheader class=\"fml-scenario-table-header\"\u003e\u003cdiv\u003e\n\u003cp class=\"fml-scenario-table-eyebrow\"\u003eStartup cost scenarios\u003c\/p\u003e\n\u003cp class=\"fml-scenario-table-description\"\u003eClinic size, staffing, and launch spend move the cash need fast in this model. Lean, base, and full launches show how much funding changes with service scope.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-scenario-table-actions\"\u003e\u003cbutton class=\"fml-scenario-table-export\" type=\"button\" data-scenario-export\u003eEXPORT XLSX\u003c\/button\u003e\u003c\/div\u003e\u003c\/header\u003e\u003cdiv class=\"fml-scenario-table-wrap\"\u003e\u003ctable class=\"fml-scenario-table-grid\"\u003e\n\u003ccaption\u003eLean, base, and full launch cost bands\u003c\/caption\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth class=\"fml-scenario-table-stub\" scope=\"col\" data-export-value=\"Scenario\"\u003eScenario\u003c\/th\u003e\n\u003cth class=\"fml-scenario-table-column\" scope=\"col\" data-export-value=\"Lean Launch\"\u003e\n\u003cspan class=\"fml-scenario-column-title\"\u003eLean Launch\u003c\/span\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eSmall footprint\u003c\/span\u003e\n\u003c\/th\u003e\n\u003cth class=\"fml-scenario-table-column\" scope=\"col\" data-export-value=\"Base Launch\"\u003e\n\u003cspan class=\"fml-scenario-column-title\"\u003eBase Launch\u003c\/span\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eStandard clinic\u003c\/span\u003e\n\u003c\/th\u003e\n\u003cth class=\"fml-scenario-table-column\" scope=\"col\" data-export-value=\"Full Launch\"\u003e\n\u003cspan class=\"fml-scenario-column-title\"\u003eFull Launch\u003c\/span\u003e\u003cspan class=\"fml-scenario-badge is-warning\"\u003ePremium scope\u003c\/span\u003e\n\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Launch model\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-launch\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-launch-model.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eLaunch model\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Lean launch keeps the footprint small with fewer rooms, lighter staffing, and a simpler buildout.\"\u003eLean launch keeps the footprint small with fewer rooms, lighter staffing, and a simpler buildout.\u003c\/td\u003e\n\u003ctd data-export-value=\"Base launch uses the model's $166,000 capex, $14,100 monthly non-payroll fixed costs, $460,000 Year 1 payroll, and $36,000 Year 1 marketing, with minimum cash of $696,000 at Month 6.\"\u003eBase launch uses the model's $166,000 capex, $14,100 monthly non-payroll fixed costs, $460,000 Year 1 payroll, and $36,000 Year 1 marketing, with minimum cash of $696,000 at Month 6.\u003c\/td\u003e\n\u003ctd data-export-value=\"Full launch adds more exam rooms, richer technology, heavier marketing, and broader service scope.\"\u003eFull launch adds more exam rooms, richer technology, heavier marketing, and broader service scope.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Typical setup\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-setup\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-typical-setup.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eTypical setup\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Solo physician model with limited support staff, basic telehealth, and only essential equipment.\"\u003eSolo physician model with limited support staff, basic telehealth, and only essential equipment.\u003c\/td\u003e\n\u003ctd data-export-value=\"One physician-led clinic with standard exam rooms, core EHR, and a compact support team.\"\u003eOne physician-led clinic with standard exam rooms, core EHR, and a compact support team.\u003c\/td\u003e\n\u003ctd data-export-value=\"Multi-provider clinic with stronger admin support, more patient capacity, and deeper digital tools.\"\u003eMulti-provider clinic with stronger admin support, more patient capacity, and deeper digital tools.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Cost drivers\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-drivers\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-cost-drivers.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eCost drivers\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Smaller buildout; lower payroll; basic tech; lean marketing; lower rent\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eSmaller buildout\u003c\/li\u003e\n\u003cli\u003elower payroll\u003c\/li\u003e\n\u003cli\u003ebasic tech\u003c\/li\u003e\n\u003cli\u003elean marketing\u003c\/li\u003e\n\u003cli\u003elower rent\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"Buildout and equipment; payroll; rent and admin; software and supplies; marketing\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eBuildout and equipment\u003c\/li\u003e\n\u003cli\u003epayroll\u003c\/li\u003e\n\u003cli\u003erent and admin\u003c\/li\u003e\n\u003cli\u003esoftware and supplies\u003c\/li\u003e\n\u003cli\u003emarketing\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"Larger buildout; higher payroll; heavier marketing; more software; more rooms\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eLarger buildout\u003c\/li\u003e\n\u003cli\u003ehigher payroll\u003c\/li\u003e\n\u003cli\u003eheavier marketing\u003c\/li\u003e\n\u003cli\u003emore software\u003c\/li\u003e\n\u003cli\u003emore rooms\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Planning range\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-range\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-planning-range.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003ePlanning range\u003c\/span\u003e\u003cspan class=\"fml-scenario-row-subtitle\"\u003eCAPEX only\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"$450,000 - $600,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$450,000 - $600,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eLowest funding\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$650,000 - $750,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$650,000 - $750,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eBase funding\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$800,000 - $1,100,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$800,000 - $1,100,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-warning\"\u003eHighest funding\u003c\/span\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Best fit\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-fit\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-best-fit.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eBest fit\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Best for founders testing demand or opening a first clinic with tight capital.\"\u003eBest for founders testing demand or opening a first clinic with tight capital.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for founders who want a conventional clinic footprint and can fund the full opening ramp.\"\u003eBest for founders who want a conventional clinic footprint and can fund the full opening ramp.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for founders targeting affluent markets and ready to fund growth from day one.\"\u003eBest for founders targeting affluent markets and ready to fund growth from day one.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\u003c\/div\u003e\n\u003cdiv class=\"fml-scenario-table-note\"\u003e\n\u003cspan class=\"fml-scenario-table-note-icon\" aria-hidden=\"true\"\u003e!\u003c\/span\u003e\u003cp\u003e\u003cstrong\u003ePlanning note:\u003c\/strong\u003e These ranges are researched planning assumptions from the model, not exact vendor quotes or fixed bids.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003c\/section\u003e","brand":"FinancialModelsLab","offers":[{"title":"Default Title","offer_id":49303791894771,"sku":"concierge-medicine-practice-startup-costs","price":0.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0522\/6191\/2762\/files\/concierge-medicine-practice-startup-costs.webp?v=1782679515","url":"https:\/\/financialmodelslab.com\/products\/concierge-medicine-practice-startup-costs","provider":"Financial Models Lab","version":"1.0","type":"link"}