Medi-Weightloss franchise unit economics
Medi-Weightloss franchisees run physician-supervised weight-loss clinics in professional office space that sell paid weight-loss programs, medications, supplements, IV therapy, hormone therapy and retail products.
Medi-Weightloss franchise at a glance
Medi-Weightloss's Item 19 reports 2025 gross sales, expenses and net income before other expenses for 56 clinics, split into thirds by sales, with patient visits and new patients by years open.
Medi-Weightloss franchisees averaged $1,073,665 of sales in 2025, with a median of $857,443, according to Item 19 of Medi-Weightloss’ 2026 FDD, issued 30 April 2026. The 56 in that group are 48%* of Medi-Weightloss’ 117 franchised clinics. Fees paid to Medi-Weightloss come to about 11%* of sales. A Medi-Weightloss franchise costs $257,750 to $490,860 to open.
- A Medi-Weightloss franchise costs $257,750 to $490,860 to open, including a $60,000 initial franchise fee, according to the brand's 2026 FDD.
- Medi-Weightloss charges a royalty of 10% of sales, a 1% brand fund contribution and a $100 monthly technology fee.
- Work out Medi-Weightloss's fees at your own sales with the minimum fee calculator.
These figures come from Medi-Weightloss's 2026 Franchise Disclosure Document, as the brand reported them, and were read by Averan Advisors.
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Talk to Averan → Move your books and accounting to Averan →- Net income before other expenses runs $531,981 at the top third, $174,042 in the middle and $49,096 at the bottom. The bottom third's own range reaches $293,300 at the high end and a $315,486 loss at the low.
- Rent costs the bottom third 10.0% of sales and the top third 4.5%. That is $51,205 against $82,510, 62% of the rent bill on 28% of the revenue.
- Compensation takes 41.2% of sales at the bottom third and 33.4% at the top. That is $210,276 against $615,821, and the Medi-Weightloss figure excludes any pay for the owner.
- A clinic open more than two years logs 501 visits a month on 17 new patients; one open one to two years logs 289 on 22. The mature clinic gets 5 fewer new patients and 212 more visits.
- The $5,000 monthly local advertising requirement is 11.7% of the bottom third's sales and 3.3% of the top third's. That is $60,000 a year, whatever the clinic bills.
How much does a Medi-Weightloss franchise make?
The average Medi-Weightloss unit reported $1,073,665 of revenue in the 2026 FDD, and the median reported $857,443. Item 19 of the Medi-Weightloss FDD publishes gross sales, gross profit and net income before other expenses for 56 reporting businesses, split into thirds by sales, and what an owner keeps depends on the costs set out below. Fees come off the top first, at about 11% of sales across royalty, brand fund and the rest of the stack. Revenue is not income. Rent, wages, cost of goods and the franchise fees all come out before an owner is paid. The figures for the highest-selling and lowest-selling businesses are below.
Visits & patients
Sales, new patients and visits, 2025
| Measure | Open over 2 years (79 clinics) | Open 1 to 2 years (5 clinics) |
|---|---|---|
| Monthly gross sales, average | $79,450 | $49,159 |
| Monthly gross sales, median | $65,730 | $54,293 |
| Monthly gross sales, high / low | $265,342 / $15,996 | $56,933 / $30,828 |
| Total visits a month, average | 501 | 289 |
| Total visits a month, median | 419 | 329 |
| Total visits a month, high / low | 1,654 / 124 | 339 / 183 |
| New patients a month, average | 17 | 22 |
| New patients a month, high / low | 41 / 4 | 31 / 14 |
| Revenue per visit, on the averages | $158.58 | $170.10 |
| Revenue per visit, on the medians | $156.87 | $165.02 |
| Visits per new patient | 29.5 | 13.1 |
The sales, visit and new-patient rows are as the brand reported it; the last three rows are marked. Dividing filed averages and medians by each other.
The mature clinic takes 5 fewer new patients a month and logs 212 more visits. That is 17 new against 22, and 501 visits against 289. Every bit of the mature clinic's volume advantage is people coming back: 29.5 visits per new patient against 13.1. Acquisition is what a young clinic does well; retention is what pays.
A visit is worth $158.58 at the mature clinic and $170.10 at the young one. The medians agree, $156.87 and $165.02, so the ticket is stable and the young clinic charges slightly more per visit. That means the revenue gap between one-to-two years and over-two-years is a volume gap, precisely 212 visits a month. That is worth $33,619 a month at the mature rate.
17 new patients a month is 204 a year, and the average clinic spends $76,916 on local advertising. That is $377 of marketing behind each new patient. The high end of the new-patient range is 41 a month and the low end is 4. So at the bottom of the range the same fixed $60,000 advertising requirement is buying 48 patients a year.
The busiest clinic logs 1,654 visits a month and the quietest 124. That is 13 times the volume on a ticket that varies little, and $265,342 of monthly sales against $15,996. A clinic at 124 visits a month is seeing about 6 patients a working day. That is a staffing problem and a demand problem at the same time.
Product revenue by third
| Third | Clinics | Average product revenue | Share of gross sales | Highest | Lowest | Median |
|---|---|---|---|---|---|---|
| Top | 28 | $182,128 | 11.4% | $353,089 | $76,761 | $169,211 |
| Middle | 28 | $105,761 | 13.9% | $179,457 | $23,686 | $103,118 |
| Bottom | 28 | $59,541 | 13.8% | $108,416 | $12,182 | $53,361 |
As the brand reported it.
Product is 11.4% of sales at the top third and 13.9% in the middle. So the clinics selling the most product in dollars sell slightly less of it as a share, product scales with the practice. At $182,128 a year the top third is selling $15,177 of product a month against 501 visits, which is about $30 a visit.
The product range inside a single third runs $12,182 to $108,416. That is a nine-fold range in the bottom group, on a line that has retail margin and needs no extra clinical time. The lowest figure in the table is $1,015 a month.
Top performers
What separates the top Medi-Weightloss performers
Medi-Weightloss splits its locations into groups instead of publishing one average. The top group averaged $1,841,339 a year. The lowest averaged $510,935. Both run the same brand, on the same agreement, paying the same fees. The middle location sold $857,443. The average was $1,073,665. More than half the system is below the number the brand quotes.
Decided before you open
- Site and trade area.The top band sells 3.6× the bottom band. Catchment, daytime population and neighboring businesses affect where a location falls.
- Capacity.Locations run 1,500 to 2,000 square feet. The build sets how much you can sell.
- Opening cost range.Opening costs $257,750 to $490,860, a 1.9× range inside one brand.
- 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.
Live operating levers
- 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.
Context you underwrite around
- Locations included.These figures cover 56 of 117 franchised clinics. Locations open less than the full year, brand-owned, or not meeting the reporting criteria are excluded, as are locations under the brand’s current size standard.
- What the filing does not include.Item 19 of the Medi-Weightloss FDD publishes gross sales, gross profit and net income before other expenses for 56 reporting businesses, split into thirds by sales. Ask the franchisor or current owners for any cost line the filing leaves out.
The three groups of locations
Results for clinics that reported expenses, 2025
| Line | Top third (18) | Middle third (19) | Bottom third (19) | All 56 |
|---|---|---|---|---|
| Gross sales | $1,841,339 | $909,125 | $510,935 | $1,073,665 |
| Median gross sales | $1,595,239 | $872,269 | $475,069 | $857,443 |
| Highest / lowest in group | $3,210,524 / $1,218,326 | $1,213,736 / $692,938 | $678,436 / $327,081 | $3,210,524 / $327,081 |
| Cost of goods sold | $346,409 | $187,564 | $92,095 | $206,230 |
| Gross profit | $1,494,930 | $721,562 | $418,841 | $867,436 |
| gross profit | 81% | 79% | 82% | 81% |
| Compensation, benefits and payroll taxes | $615,821 | $341,262 | $210,276 | $385,072 |
| Rent | $82,510 | $49,853 | $51,205 | $60,809 |
| Local advertising and marketing | $125,033 | $57,523 | $50,725 | $76,916 |
| Royalty | $139,585 | $98,881 | $57,539 | $97,938 |
| Net income before other expenses | $531,981 | $174,042 | $49,096 | $246,701 |
| Share of sales | 29% | 19% | 10% | 23% |
| Median | $405,727 | $174,786 | $40,679 | $152,417 |
| Highest / lowest in group | $1,013,962 / $194,611 | $330,771 / $25,359 | $293,300 / −$315,486 | $1,013,962 / −$315,486 |
As the brand reported it, from figures franchisees submitted through accounting software or on paper.
Gross profit is 81% at the top third and 82% at the bottom. Cost of goods lands at 18.8%, 20.6% and 18.0% across the three groups. So purchasing power buys these clinics about 2.6 points at most. The top third's advantage is built entirely below the gross profit line. That is unusual, and it means the Medi-Weightloss margin differences come from costs inside the clinic.
Compensation runs 33.4% of sales at the top third and 41.2% at the bottom. In dollars that is $615,821 against $210,276, so the bottom third spends a third as much on staff and hands over eight more points of revenue to do it. The line covers the medical director's salary, staff salaries, contract fees, benefits and employer taxes, and it excludes the owner's own pay.
The bottom third pays $51,205 of rent and the top third pays $82,510. The bottom third pays 62% of the rent on 28% of the revenue, which is 10.0% of sales against 4.5%. The middle third actually pays less rent in dollars than the bottom third does ($49,853) while billing 78% more. A clinic is 1,500 to 2,000 square feet of professional office space either way, and the lease signed in year one keeps charging in year ten.
Royalty lands at 7.6% of sales at the top third and 11.3% at the bottom. That is $139,585 against $57,539, against a current schedule of 10% of monthly sales with a $2,250 monthly minimum, plus a 1% branding contribution. So a clinic signing today should read the top third's 29% margin knowing its own royalty line runs nearer 11% of sales than 7.6%.
The bottom third holds a clinic that made $293,300 and one that lost $315,486. That is a $608,786 range inside nineteen Medi-Weightloss clinics that all billed between $327,081 and $678,436. Sales put you in the third; what happens next is a management question. The range inside the group is wider than the gap between the groups.
Costs as a share of sales
| Line | Top third | Middle third | Bottom third | Range |
|---|---|---|---|---|
| Cost of goods sold | 18.8% | 20.6% | 18.0% | 2.6 pts |
| Compensation | 33.4% | 37.5% | 41.2% | 7.8 pts |
| Rent | 4.5% | 5.5% | 10.0% | 5.5 pts |
| Local advertising | 6.8% | 6.3% | 9.9% | 3.6 pts |
| Royalty | 7.6% | 10.9% | 11.3% | 3.7 pts |
| Net income before other expenses | 28.9% | 19.1% | 9.6% | 19.3 pts |
We divided each filed dollar figure by the filed gross sales for that group.
Compensation and rent together account for 13.3 of the 19.3 points that separate top from bottom. Advertising contributes 3.1 points and royalty 3.7, while cost of goods runs 0.8 points the other way. So two lines account for two-thirds of the Medi-Weightloss margin gap, and an owner decides both of them through the staff schedule and the lease.
The middle third pays 10.9% in royalty and 37.5% in compensation, and still clears 19.1%. That sets the realistic target: on $909,125 of sales, holding staff under 38% and rent under 5.5% produced $174,042 before other expenses. That is the shape to aim at before anyone talks about the top third.
Fees and what it costs to open
Fees at each third's sales level
| Sales level | Gross sales | Royalty 10% | Branding 1% | Local advertising | Automation | Total | Share |
|---|---|---|---|---|---|---|---|
| Top third average | $1,841,339 | $184,134 | $18,413 | $60,000 | $1,200 | $263,747 | 14.3% |
| All 56, average | $1,073,665 | $107,366 | $10,737 | $60,000 | $1,200 | $179,303 | 16.7% |
| Middle third average | $909,125 | $90,912 | $9,091 | $60,000 | $1,200 | $161,204 | 17.7% |
| All 56, median | $857,443 | $85,744 | $8,574 | $60,000 | $1,200 | $155,519 | 18.1% |
| Bottom third average | $510,935 | $51,094 | $5,109 | $60,000 | $1,200 | $117,403 | 23.0% |
| Lowest clinic disclosed | $327,081 | $32,708 | $3,271 | $60,000 | $1,200 | $97,179 | 29.7% |
We applied Medi-Weightloss's current filed schedule, starting with a royalty of the greater of 10% of monthly gross sales or $2,250 a month. The system branding contribution is the greater of 1% of monthly gross sales or $250 a month, with a stated ceiling of 2%. The current monthly local advertising requirement is $5,000. We also applied the marketing automation fee at its $100 monthly entry point, which rises to $500 with patient volume.
The load is 14.3% of sales at the top third and 23.0% at the bottom. That is 8.7 points of difference, and all of it comes from the $60,000 local advertising requirement plus $1,200 of automation landing on a smaller base. At the lowest clinic disclosed, billing $327,081, the schedule reaches 29.7% of sales.
$61,200 a year is fixed whatever the clinic bills. That is the $5,000 monthly advertising requirement plus the entry-level automation fee. Set that against the bottom third's $49,096 of net income before other expenses and the fixed marketing obligation is larger than the entire remaining margin.
The technology fee sits at $500 a month, uncharged today, with a $1,500 ceiling. Switched on at the current rate that is $6,000 a year. At the ceiling it is $18,000, which at the bottom third's sales is 3.5% of revenue appearing on thirty days' notice. Include it in the model now.
Cost to open
| Line | Low | High |
|---|---|---|
| Initial franchise fee | $60,000 | $60,000 |
| Initial package | $49,000 | $54,000 |
| Training fee | $15,000 | $15,000 |
| Building work | $30,000 | $125,000 |
| Furniture, fixtures, equipment and extra supplies | $16,000 | $40,000 |
| Three months of lease payments, plus deposits | $13,500 | $28,000 |
| Signage, architecture, permits, licenses and computers | $12,500 | $23,000 |
| Grand opening campaign and three months of local advertising | $30,000 | $35,000 |
| Insurance, professional fees, travel and bookkeeping | $11,750 | $34,500 |
| Optional IV therapy, hormone therapy and contact center | $0 | $16,360 |
| Additional funds, three months | $20,000 | $60,000 |
| Total | $257,750 | $490,860 |
As the brand reported it, except five grouped lines. Those are marked *. We combined furniture with additional inventory and supplies. We combined three months of lease payments with security deposits, and signage with architecture fees, permits, licenses and the computer system. We combined the grand opening campaign with three months of local advertising, and insurance with professional fees, training travel and bookkeeping.
Discounts available
- Medi-Weightloss sells development rights for two units for a $110,000 development fee and ten units for $350,000, with no separate initial franchise fee for units opened under the Area Development Agreement.
From Item 5 of the Medi-Weightloss 2026 FDD. The costs on this page use the full initial franchise fee for one unit, before any discount.
$124,000 of the low estimate goes to the franchisor before a door opens. That is the $60,000 franchise fee, the $49,000 initial package and the $15,000 training fee, which together are 48% of the $257,750 low estimate. The package buys touchscreens, printers, medical and testing supplies, supplements, program materials and branded stock, so half the opening check is written to one payee.
Building work costs $30,000 to $125,000 depending on the space. A grey shell runs substantially above the high end. That decision comes back every month as a rent line worth 4.5% or 10.0% of sales. The bottom third’s rent is 12.2% of its gross profit.
Three months of additional funds is $20,000 to $60,000, against build-up data showing a clinic at $49,159 a month in its second year. With costs taking 90% of sales at the bottom third, that reserve funds a quarter of the first year. The lowest single month recorded is $15,996.
Territory
Your territory holds about 125,000 people, with a minimum of 100,000. At the all-56 average of $1,073,665 that is $8.59 of annual revenue per resident, $14.73 at the top third and $4.09 at the bottom. The same population produces three and a half times the revenue depending on who is running the clinic.
Internet and e-commerce selling stays with the franchisor. The agreement grants no rights to alternative channels (wholesale, internet or mail order) and bars independent online marketing or e-commerce except under the franchisor's online policy. Direct marketing to people living outside your territory is permitted; selling to them online is a separate matter.
The network of locations
Units opened and closed, 2023 to 2025
| Year | Franchised start | Opened | Terminated | Left for other reasons | Franchised end | Company-owned end | Total |
|---|---|---|---|---|---|---|---|
| 2023 | 76 | 15 | 3 | 0 | 88 | 17 | 105 |
| 2024 | 88 | 5 | 2 | 4 | 87 | 17 | 104 |
| 2025 | 87 | 33 | 3 | 0 | 117 | 10 | 127 |
As the brand reported it.
33 clinics were added in 2025 after 5 in 2024. Openings rose more than six-fold in one year, with 26 of the 33 genuinely new and 7 converted from company ownership. Set against 60 more agreements signed and 34 openings projected, the Medi-Weightloss system is set to grow by 29% again. An existing owner should read the visit tables knowing that the average age of Medi-Weightloss clinics is falling, which drags the reported averages down.
Three franchises were terminated in 2025 and none closed for other reasons. Across three years Medi-Weightloss recorded 8 terminations and 4 other departures against 53 openings. Openings went from 5 in 2024 to 33 in 2025.
The franchisor has taken its own estate from 21 clinics to 10 with zero closures. Eleven were sold to franchisees, 4 in 2023 and 7 in 2025. That is 11 established clinics with existing patient bases moving into franchisee hands, which is the one route into this system that skips the build-up entirely.
Questions we get asked
Questions owners ask.
How much does a Medi-Weightloss franchise make?
Medi-Weightloss franchisees averaged $1,073,665 of sales in 2025, with a median of $857,443, according to Item 19 of Medi-Weightloss’ 2026 FDD, issued 30 April 2026. The 56 in that group are 48%* of Medi-Weightloss’ 117 franchised clinics. Fees paid to Medi-Weightloss come to about 11%* of sales. A Medi-Weightloss franchise costs $257,750 to $490,860 to open.
What should a Medi-Weightloss clinic be billing?
Across the 56 clinics that reported expenses for 2025, average gross sales were $1,073,665 with a median of $857,443, ranging from $327,081 to $3,210,524. Split into thirds by sales, averages were $1,841,339, $909,125 and $510,935. On a monthly basis across the wider group of 84 clinics open the whole year, clinics over two years old averaged $79,450 a month with a median of $65,730. Clinics one to two years old averaged $49,159.
What does the cost structure look like at Medi-Weightloss?
At the average of all 56 clinics, cost of goods takes 19.2% of sales, compensation 35.9%, rent 5.7%, local advertising 7.2% and royalty 9.1%, leaving 23.0% as net income before other expenses. Across the thirds, compensation moves from 33.4% to 41.2% and rent from 4.5% to 10.0% while cost of goods stays between 18.0% and 20.6%. Net income before other expenses excludes insurance, processing fees, taxes, professional services, licenses, office supplies and business taxes. That Medi-Weightloss figure excludes any pay for the owner, so treat it as the pool your own compensation comes out of.
What do Medi-Weightloss's fees add up to?
On the current schedule, Medi-Weightloss charges a 10% royalty against a $2,250 monthly minimum, a 1% system branding contribution against a $250 monthly minimum with a 2% ceiling, a $5,000 monthly local advertising requirement and a marketing automation fee of $100 to $500 a month. A technology fee is set at $500 a month, currently uncharged, with a $1,500 ceiling. That works out at 14.3% of sales at the top third's volume, 17.7% at the middle third's and 23.0% at the bottom third's. Opening costs $257,750 to $490,860, of which $124,000 to $129,000 is paid to the franchisor as the franchise fee, initial package and training fee.
How many visits does a Medi-Weightloss clinic need?
Clinics over two years old averaged 501 visits a month with a median of 419, ranging from 124 to 1,654, on 17 new patients a month. Clinics one to two years old averaged 289 visits on 22 new patients. Revenue per visit works out at $158.58 on the mature group's averages and $170.10 on the younger group's, with the medians agreeing at $156.87 and $165.02. Product sales run 11.4% to 13.9% of gross sales, averaging $59,541 to $182,128 a year across thirds.
Who does bookkeeping for a Medi-Weightloss franchise?
Match your chart of accounts to these definitions before any of it means anything, and three specifics matter. Cost of goods bundles labs, medications, supplements, injections, insurance billing and card fees into one line. So a medication price change disappears inside a 19% ratio unless you break it out. Compensation excludes the owner’s own pay by design, so your statement needs the same split to be comparable. And revenue has paid programs, medications, product and ancillary lines together. So 501 visits at $158.58 a visit only reconcile when deferred program revenue is recognized in the period the visits happen. Averan provides bookkeeping, controller, and fractional CFO support for franchise owners and has Certified QuickBooks ProAdvisors on the team.
- The filing gives no attainment figure. The filing does not say how many locations reached the average it publishes.
Questions worth putting to Medi-Weightloss
These are questions the Medi-Weightloss filing leaves open. An owner or a buyer can put them to Medi-Weightloss directly.
- How would wages and rent at a new Medi-Weightloss location compare with the figures in the filing? Item 19 of the Medi-Weightloss FDD publishes gross sales, gross profit and net income before other expenses for 56 reporting businesses, split into thirds by sales.
- Which factors does Medi-Weightloss see in its highest-selling locations, such as trade area, years open and size?
- How long does a new location take to reach the average you publish, and what does the build-up look like month by month?
- At what level of sales do the minimum charges stop applying and the percentage take over?
- How many Medi-Weightloss locations closed, were sold, or changed hands last year, and why?
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 →Which third is your clinic in, and why at Medi-Weightloss?
We review your unit economics, cash forecast and reporting, built around compensation, rent and visits, the three lines that decide it.
Talk to AveranWhere these figures come from.
Every figure here comes from Medi-Weightloss Franchising USA, LLC's 2026 FDD, covering the 2025 calendar year. The figures are unaudited by us and by the franchisor. We are unaffiliated with Medi-Weightloss. The figures describe past performance at other Medi-Weightloss clinics. Calculations of our own are labeled where they appear. The Medi-Weightloss expense tables cover 56 clinics, and the visit tables cover 84. Net income before other expenses is the brand’s disclosure document's own term, and it excludes several cost categories and any pay for the owner. This page is an educational summary and is not legal, medical or tax advice. MEDI-WEIGHTLOSS® is a registered trademark of its owner. How Averan reads a Franchise Disclosure Document.
These figures come from the brand's disclosure. They are not a forecast, an offer to sell a franchise or advice. Source: Medi-Weightloss Franchising USA, LLC, 2026 Franchise Disclosure Document, issued 30 April 2026.
the franchise library, all 447 brands · how franchise unit economics work · running the books across several locations · what Averan does for franchise owners
Medi-Weightloss reads against the rest of the clinics and medical services group: AFC Urgent Care · FYZICAL · QC Kinetix. The clinics and medical services guide compares all of them on the same figures.
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.