Clinics and medical services franchise finance
The median brand here reports average revenue of $908,947 a unit. Percentage fees at the median brand come to 9% of sales. The median cost to open runs $250,100 to $494,600.
Clinics and medical services franchises at a glance
- Averan Franchise compares nine clinics and medical services franchise brands, each from its own 2026 FDD.
- The cost to open a clinics and medical services franchise runs from $36,700 at Onward Physical Therapy to $1,514,000 at AFC Urgent Care.
- AFC Urgent Care reports the highest average sales of these brands, at $1,867,756, and FYZICAL the lowest, at $522,212.
- Franchise fees take 2.97% to 11% of sales across the seven brands where Averan Franchise works out the figure.
These figures come from each brand's 2026 Franchise Disclosure Document, as the brand reported them, and were read by Averan Advisors.
Find a clinics and medical services brand
This guide covers nine brands, each from its own 2026 FDD. Open one, or pick two and compare them.
All 9 brands
The brands in this group
Each brand has its own page on how its locations make money, with every figure set out against the brand’s disclosure document it comes from.
- AFC Urgent Care Revenue octiles for franchisees, a full profit line for the affiliate-run centers, and a break-even
- ChiroWay 15 locations · No financial performance representation
- FYZICAL 489 locations · Franchisee-owned and affiliate-owned averages reported separately
- HealthSource Chiropractic 128 locations · Patient value, visits multiplied by revenue per visit, accounts for the entire revenue spread
- MaxLiving 169 locations · Gross sales and average weekly patient visits published for the same clinics in the same two years, plus top and bottom fifths of both, plus the insurance share of gross sales - and a FLAT monthly royalty with no percentage royalty
- Medi-Weightloss Full P&L · Gross profit flat across all three thirds, so the whole range sits below the line
- Onward Physical Therapy 48 locations · Royalty capped at a fixed annual amount
- QC Kinetix Full P&L · Advertising is the largest line in the business, so the media budget is the operating lever
- The Joint Chiropractic 885 locations · What the franchise agreement fixes exceeds what the clinic keeps
The figures, brand by brand
| Measure | Median | Brands | Basis |
|---|---|---|---|
| Average sales per unit | $908,947 | 7 of 9 | Median of each brand’s disclosed average |
| Median sales per unit | $602,202 | 6 of 9 | Median of each brand’s disclosed median |
| Initial franchise fee | $50,000 | 9 of 9 | |
| Royalty | 7% | 8 of 9 | Headline rate |
| Brand or advertising fund | 1.5% | 8 of 9 | |
| Fees paid to the brand | 9% | 7 of 9 | Royalty, brand fund and other fees paid to the brand or its affiliates, as a share of average sales |
| Cost to open, low | $250,100 | 9 of 9 | |
| Cost to open, high | $494,600 | 9 of 9 | |
| Profit margin | 16.2% | 3 of 9 | Each brand’s own profit line; definitions differ |
| Labor, share of revenue | 31.6% | 3 of 9 | |
| Building costs, share of revenue | 10.2% | 3 of 9 | |
| Unit growth over each FDD’s Item 20 period (2025, or 2023 to 2025) | 5.1% | 9 of 9 | (End − start) ÷ start |
| Customers lost over each FDD’s Item 20 period (2025, or 2023 to 2025) | 11% | 7 of 9 | Terminated, non-renewed, reacquired and ceased, ÷ opening units; transfers excluded |
Each figure is the median of the brands that disclose it, and the Brands column counts them.
How we calculated this
Revenue is each brand's own reported figure on its own unit basis, so the median describes the group and no single brand. Growth and customers lost are our calculations from each brand's outlet table. Where fewer than three brands disclose a figure, no benchmark is shown.
The model
The business model the top performers in clinics and medical services are running
What the top performers can do that others cannot
Four of the nine brands here sell a visit at a time. Rostering against demand is the constraint: wages run 31.6% of sales at the middle brand, more than any other line.
What the customer is buying
The customer buys a service booked when it is needed. A location at the middle brand sells $908,947 a year, and the median top group sells $1,841,339. The offer is the same at both ends of that range, so the difference is volume. The product is the same.
Who the customer is, and how often they come back
The customer relationship sits between the two: some repeat, some are won once, and the mix decides how much has to be spent on marketing. A median 40% of locations reach their own brand’s average, so most of the system is below the number the brand advertises, and the gap usually comes from low demand. Effort is usually not the cause. The top group sells $1,841,339 against $307,458 at the bottom. Trade area and site set that range before an owner takes a booking.
How the money works
Opening costs $36,700 to $1,514,000 across the group, and inside one brand the top of the range is typically 2.0 times the bottom. At the middle brand the cost stack runs wages 31.6%, occupancy 10.2%, franchise fees 9.0% of sales. What is left runs 16.2% at the middle brand, which is $298,297 a year at the top group and $49,808 at the bottom. The percentage changes little between them; the dollars change a lot.
Top performers
These are the things that separate top performers in clinics and medical services
Across the clinics and medical services brands that publish both figures, the median top group of locations sells $1,841,339 a year and the median bottom group sells $307,458. Across these brands, a median of 40% of locations reach their own brand’s average.
Decided before you open
- Opening cost against sales.The top group sells $1,841,339 a year against a build that tops out at $1,514,000, so at the heavy end of the range a location sells $1.22 for every dollar it cost to open.
- Rent as a share of sales.Occupancy runs 10.2% of sales at the middle brand, which on median sales of $908,947 is $92,713 of rent a year. That same $92,713 is 5.0% of sales at the top group and 30.2% at the bottom. Top-group locations put more sales through the same square footage, with longer earning hours, a second daypart, and a site picked for traffic.
Live operating levers
- Four of the nine brands here sell a visit at a time.
Business model attribute
- Service
- Single visits
- Unit economics
- Visits times the revenue for each visit
- Three of the nine brands here publish how a new location builds up.
Business model attribute
- Service
- The FDD’s month-by-month build-up of a new location
- Unit economics
- Months until sales cover costs
- Wages by brand.Wages run 31.6% of sales at the middle brand and 22.1% to 47.9% across the three that disclose it. The levers are scheduling against booked demand hour by hour, sales per paid hour, and keeping part of pay variable. On the top group’s $1,841,339 of sales, a point of wages is $18,413 a year; on the bottom group’s $307,458 it is $3,075.
- Cost of goods by brand.Products and materials take 10.2% of sales at QC Kinetix and 50.3% at AFC Urgent Care, the two brands that disclose them. The levers on this line are buying on the brand program, holding the price list instead of discounting to close, and counting waste weekly.
- Profit margin.Of the three brands that publish a profit line, the middle one keeps 16.2% of sales, from 15.7% to 19.1%. The cost lines above move by a few points between the highest-selling and lowest-selling locations while sales move by multiples. At a 16.2% margin, the top group earns $298,297 a year and the bottom group $49,808.
- Fees as a share of sales.Fees run a median 9.0% of sales across seven brands, from 3.0% to 11.0%. Where a minimum applies, lower-selling locations pay a higher effective rate. At $1,841,339 the fees cost $165,721 a year; at $307,458 they cost $27,671.
Context you underwrite around
- First-year build-up.Three of nine filings in this group show how a new location builds up. The others do not show it.
- Brands without sales bands.Four brands publish only an average, with no sales bands.
Operating levers
What each brand’s top performers actually work on
These are the levers each brand's filing supports. Each brand has three to five, read from its own 2026 FDD. Filter by type of business, or open a brand for the figures underneath.
9 brands
AFC Urgent Care
Clinics and medical services
- Products and materials. Products and materials take 50.3% of sales, against 15.7% kept at the end. The levers are buying terms, price discipline and waste.
- Visits. Track how many visits happen, what each one is worth, and how many customers book the next one before they leave.
- Fees and the minimum. Fees run about 8.5% of sales. A minimum fee also applies, so lower-selling locations pay a higher effective rate. Work out the sales level where the percentage overtakes the minimum.
- Cash needed in the first year. This filing shows how a new location builds up: the month sales cover costs, and how much cash you fund before then.
ChiroWay
Clinics and medical services
- Service and retail mix. Retail sales and the share of customers on higher service tiers raise revenue per hour without adding hours or rooms.
- Fees and the minimum. A minimum fee applies, so lower-selling locations pay a higher effective rate. Work out the sales level where the percentage overtakes the minimum.
FYZICAL
Clinics and medical services
- Fees and the minimum. Fees run about 6.9% of sales. A minimum fee also applies, so lower-selling locations pay a higher effective rate. Work out the sales level where the percentage overtakes the minimum.
- Sales depend on patient visits. The clinic is open set hours, so the owner works on how many visits fit into them and what each visit collects.
HealthSource Chiropractic
Clinics and medical services
- Wages. Wages take 31.6% of sales. The levers are staff productivity, scheduling against demand hour by hour, and the balance of base pay to commission.
- Occupancy cost. Rent and building costs take 10.2% of sales here. The rent is fixed when the lease is signed, so this share falls only as sales per square foot rise.
- Visits. Track how many visits happen, what each one is worth, and how many customers book the next one before they leave.
- Memberships and rebooking. A recurring plan turns appointments into a monthly subscription and keeps the schedule fuller. Rebooking before the customer leaves keeps it full.
- Fees. Fees run about 9.0% of sales. No minimum royalty applies, so the charge rises and falls with sales.
MaxLiving
Clinics and medical services
- Visits. Track how many visits happen, what each one is worth, and how many customers book the next one before they leave.
- Fees. MaxLiving charges a flat $1,850 monthly royalty and a $400 monthly marketing fee, so those fees take a larger share of sales at lower-selling clinics.
Medi-Weightloss
Clinics and medical services
- Sales depend on patient visits. The clinic is open set hours, so the owner works on how many visits fit into them and what each visit collects.
- Service and retail mix. Retail sales and the share of customers on higher service tiers raise revenue per hour without adding hours or rooms.
- Fees and the minimum. Fees run about 11.0% of sales. A minimum fee also applies, so lower-selling locations pay a higher effective rate. Work out the sales level where the percentage overtakes the minimum.
- Cash needed in the first year. This filing shows how a new location builds up: the month sales cover costs, and how much cash you fund before then.
Onward Physical Therapy
Clinics and medical services
- Fees and the minimum. The brand’s charges are set dollar amounts, so they take a larger share of sales at lower-selling locations.
- Sales depend on patient visits. The clinic is open set hours, so the owner works on how many visits fit into them and what each visit collects.
QC Kinetix
Clinics and medical services
- Wages. Wages take 22.1% of sales, against 19.1% kept at the end. The levers are staff productivity, scheduling against demand hour by hour, and the balance of base pay to commission.
- Occupancy cost. Rent and building costs take 6.8% of sales here. The rent is fixed when the lease is signed, so this share falls only as sales per square foot rise.
- Visits. Track how many visits happen, what each one is worth, and how many customers book the next one before they leave.
- Fees and the minimum. Fees run about 10.0% of sales. A minimum fee also applies, so lower-selling locations pay a higher effective rate. Work out the sales level where the percentage overtakes the minimum.
The Joint Chiropractic
Clinics and medical services
- Wages. Wages take 47.9% of sales, against 16.2% kept at the end. The levers are staff productivity, scheduling against demand hour by hour, and the balance of base pay to commission.
- Occupancy cost. Rent and building costs take 11.3% of sales here. The rent is fixed when the lease is signed, so this share falls only as sales per square foot rise.
- Membership drives the model. Track how many members join, how many cancel, and what each member spends beyond the plan.
- Fees and the minimum. Fees run about 9.0% of sales. A minimum fee also applies, so lower-selling locations pay a higher effective rate. Work out the sales level where the percentage overtakes the minimum.
- Cash needed in the first year. This filing shows how a new location builds up: the month sales cover costs, and how much cash you fund before then.
Clinics and medical services cost lines as a share of sales
Four of the nine clinics and medical services brands in Averan Franchise disclose what their locations spend on wages, rent and space, or cost of goods. Each figure is a share of the average location's sales, from the brand's 2026 FDD. Rent and space covers rent and the other costs of the premises.
| Brand | Wages | Rent and space | Cost of goods |
|---|---|---|---|
| AFC Urgent Care | Not disclosed | Not disclosed | 50.3% |
| HealthSource Chiropractic | 31.6% | 10.2% | Not disclosed |
| QC Kinetix | 22.1% | 6.8% | 10.2% |
| The Joint Chiropractic | 47.9% | 11.3% | 0.0% |
Common questions
How much does a clinics and medical services franchise cost to open?
Among the nine clinics and medical services brands in Averan Franchise that publish it, the cost to open runs from $36,700 at Onward Physical Therapy to $1,514,000 at AFC Urgent Care, according to their 2026 FDDs.
Which clinics and medical services franchise costs the least to open?
Onward Physical Therapy has the lowest starting cost of the clinics and medical services brands in Averan Franchise, at $36,700 to $146,500.
Which clinics and medical services franchise has the highest average sales?
AFC Urgent Care reports the highest average sales of the clinics and medical services brands in Averan Franchise, at $1,867,756 in its 2026 FDD.
What do clinics and medical services franchise fees cost as a share of sales?
Across the seven clinics and medical services brands where Averan Franchise works out the figure, franchise fees take 2.97% to 11% of sales.
Questions owners ask next
The figures above raise these, and each one is answered on its own page.
- At what level of sales does a minimum fee stop costing me more than the percentage?It works out the sales level where a minimum fee stops applying.
- How much cash do I fund before a new location covers its own costs?It builds a 13-week forecast for the months before break-even.
- My payroll percentage keeps climbing. Is that a payroll problem?It shows how to tell whether payroll is rising or revenue is falling.
- Revenue was the highest it has been. Why did profit not move?It traces where the extra revenue went, line by line.
- At what point do spreadsheets stop coping?It explains what changes at around ten units and why lenders care.
Run your own numbers.
The Franchise Numbers Check runs the same checks on your own numbers. It scores where you stand and compares you with Item 19 of your brand’s FDD. It works out what one location earns and spends, and builds a 13-week cash forecast. Checks whether you are ready to open another one. It is free and it runs in your browser.
Launch the diagnostic →Where does your unit sit?
We review your unit economics, cash forecast and reporting and compare them with the brands in this guide.
Talk to AveranWhere these figures come from
Every figure here comes from the brands' 2026 FDDs and is unaudited by us. We are unaffiliated with the brands. The medians, growth and customers lost figures are our own calculations. The figures describe past performance at other businesses. They are not a projection of your results. This page is an educational summary and is not an offer to sell a franchise or financial, legal or tax advice. All trademarks belong to their owners. How Averan reads a Franchise Disclosure Document.