QC Kinetix franchise unit economics
QC Kinetix franchisees run clinics offering non-surgical regenerative treatments for joint and musculoskeletal pain, with licensed providers on staff and appointments booked through a mandatory call center. Across 39 reporting clinics the 2025 average was $924,273 of sales and $176,702 of net operating income, which is 19.12%. Advertising at 22.67% of sales is the largest line in the business, ahead of wages.
- Primary source
- QC Franchise Group LLC, 2026 Franchise Disclosure Document
- Items read
- Items 5 and 6 for fees; Item 19 for sales and any profit figure; Item 20 for the location count
- Population
- 39 of 104 locations
- Our calculations
- Marked on the page with an asterisk. Method
- Last reviewed
- 26 September 2026
Disclosure-based. Not a forecast, not an offer to sell a franchise, and not advice.
Advertising is the largest line in this business at $209,546, ahead of wages at $204,539. Every dollar of it buys $4.41 of revenue, which makes the media budget the operating lever. Break-even sits at about $697,000 of sales, 75% of the average, and the median clinic earns $108,642 against a lowest-selling clinic that lost $193,745.
- Advertising outspends wages and buys $4.41 of revenue a dollar. $209,546 against $204,539, which is 22.67% and 22.13% of sales, on $924,273 of revenue that is $4.41 back for each advertising dollar *, and it is the number every other line on this page follows.
- Break-even is about $697,000, three quarters of the average clinic. $542,073 of fixed cost against a 77.77% contribution rate after supplies, franchise fees and card charges *, so a clinic at the average is running $227,221 above the line and one at $700,000 is running at it.
- The required media spend is $240,000 to $480,000 a year, and these clinics spent $209,546. $20,000 a month from opening, rising to as much as $40,000 from month six, $30,454 below the yearly minimum *, and the upper end would be 51.9% of average sales.
- The median clinic earns 61.5% of what the average one does. $108,642 of net operating income against $176,702 *, on a range running from $1,167,539 down to a loss of $193,745. The highest-selling clinics earns 6.6 times the average.
- Franchised clinics fell from 172 to 104 in two years. 39.5% *, openings collapsed from 44 to 18 to 6 while terminations ran 20, 17 and 32. The clinics the brand owns itself fell from 14 to 6 during 2025 alone.
How much does a QC Kinetix franchise make?
The average QC Kinetix unit reported $924,273 of revenue in the 2026 FDD. The brand’s disclosure document puts the profit line at 19.1% of revenue. Fees come off the top first, at about 10% 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.
Top performers
What separates the top QC Kinetix performers
QC Kinetix publishes one average, $924,273, and nothing else. The gap between its best and worst locations is not in the filing.
Decided before you open
- Territory, and how much of it is real.This model sells from a territory rather than a building. Two owners with the same brand and different ground are running different businesses, and density decides how much driving sits between jobs.
- What you spend to open.Opening costs $250,100 to $494,600, a 2.0× range inside one brand. The high end usually buys more capacity, so the cheapest build is not always the cheapest route to the top band.
- Lease economics.Occupancy cost ran 6.8% of sales in this filing. The rent does not fall when sales do, so the same lease is a far heavier line at the bottom of the system than at the top. That is how a weak site compounds into a weak profit line.
Live operating levers
- Wages, the dominant line.Wages take 22.1% of sales, against 19.1% kept at the end. Staff productivity, scheduling against demand hour by hour, and the balance of base pay to commission are where this is won. Small movements here move the result more than anything else, because nothing else in the structure is that large.
- Occupancy, the line that does not flex.Rent and building costs take 6.8% of sales here. Sales per square foot and the hours the space is earning are the only two ways to move it, because the rent itself is fixed at signing.
- Visits, the operating driver.This model bills on visits. The owner watches how many visits happen, what each one is worth, and how many customers book the next one before they leave. It is worth watching every week, because by the time it turns up in a monthly close the quarter is half gone.
- Fees, and where the minimum bites.Fees run about 10.0% of sales. A minimum sits underneath the percentage, so the low-volume location pays the higher effective rate. The brand charges the weakest locations the most. Work out the sales level where the percentage overtakes the minimum and know which side of it you are on, because the answer changes what an extra dollar of sales is worth.
Context you underwrite around
- The reporting screen.39 of 104 locations are behind these figures. Locations open less than the full year, brand-owned, or not meeting the reporting criteria are excluded, so the numbers describe locations that cleared that screen, not the system as a whole.
- What the disclosure leaves out.Item 19 publishes no median, no performance bands, no attainment figure. Anything below the sales line has to come from the franchisor or from owners you call.
- What the rest of the category shows.Across the 38 Health & Wellness brands in this library that do publish bands, the top group sells 3.1× the bottom at the typical brand, and a median 43% of locations reach their own average *. Assume a spread of that order here until the franchisor shows you otherwise.
The costs, line by line
Ninety cents of every dollar survives the supply cupboard.
| Line | Amount | Share of sales |
|---|---|---|
| Sales revenue | $924,272.54 | 100% |
| Medical supplies | $94,657.96 | 10.24% |
| Gross profit | $829,614.58 | 89.76% |
| Advertising and marketing | $209,546.27 | 22.67% |
| Wages | $204,539.15 | 22.13% |
| Franchise fees | $82,583.58 | 8.93% |
| Rent and office expenses | $63,050.92 | 6.82% |
| Bank fees | $28,256.38 | 3.06% |
| Technology and call center fees | $16,548.14 | 1.79% |
| Travel and meals | $10,779.91 | 1.17% |
| Insurance | $10,690.98 | 1.16% |
| Dues, subscriptions and licenses | $8,475.30 | 0.92% |
| Office and clinic supplies | $8,073.47 | 0.87% |
| Professional fees | $6,268.96 | 0.68% |
| Computer, software and internet | $2,303.80 | 0.25% |
| Training | $1,795.90 | 0.19% |
| Total operating expenses | $652,912.75 | 70.64% |
| Net operating income after operating costs | $176,701.83 | 19.12% |
Every figure is as the brand reported it, from 39 of the 100 clinics that traded the full year. Net operating income after operating costs sits above what an owner takes home.
The treatment itself is close to free to deliver. Medical supplies are 10.24% of sales, so 89.76% of every dollar reaches the operating lines. This is a marketing and capacity business wearing a clinical coat, and the economics look far more like a med spa than like a surgery.
Two lines take 44.8% of revenue between them. Advertising at 22.67% and wages at 22.13% *, and everything else on the statement together comes to 25.8%, so a clinic’s result is decided almost entirely by how those two move against sales.
The franchise fees line reads 8.93% against a stated 8% royalty plus a 2% brand fund. 1.07 points below the 10% those two come to *. The difference is $9,890 a clinic, and the likeliest reading is that part of the brand fund sits in the advertising line above.
Card processing costs more than the technology stack. Bank fees at $28,256 against technology and call center fees at $16,548, 3.06% of sales going to payment processing is high. Is what a large average ticket paid by card and by patient finance looks like.
Rent is 6.82% of sales. $63,051 a year, modest for a clinical format, and a reminder that the fixed cost that matters here is the media budget.
Covering costs, and how much locations differ
Three quarters of the average, just to covers its costs.
| Measure | Amount | Against the average |
|---|---|---|
| Variable cost: supplies, franchise fees, card charges | $205,498 | 22.23% of sales |
| Fixed cost: everything else | $542,073 | n/a |
| Break-even sales | $697,052 | 75.4% of $924,273 |
| Highest net operating income | $1,167,539 | 6.61 times the average |
| Average net operating income | $176,702 | 19.12% of sales |
| Median net operating income | $108,642 | 61.5% of the average |
| Lowest net operating income | −$193,745 | n/a |
The high, average, median and low net operating income figures are as the brand reported it and the rest of this table is marked *.
Break-even asks for $697,052 of sales. Which is 158,062 advertising dollars at the filed $4.41 of revenue a dollar *, so the media budget and the break-even are two readings of the same number.
The gap between the average clinic and break-even is $227,221 of sales. *, at 19.12% that gap is worth $43,445 of net operating income. At the contribution rate of 77.77% it is worth $176,710. Is the whole of the average clinic’s result.
The median clinic earns $108,642 and the average $176,702. A gap of $68,060 *, so the mean here is carried by a small number of very strong clinics, one of which earned $1,167,539.
The lowest-selling clinics lost $193,745 of net operating income. Before any owner draw, on a fixed cost base of $542,073 that is a clinic running at roughly $448,000 of sales. That is two thirds of what it needs.
Opening costs $250,100 to $494,600. 27.1% to 53.5% of an average year’s sales *, and since the first six months have a $20,000 monthly media commitment on top, the cash requirement before break-even is materially larger than the printed range.
The media budget
The media budget is the business.
| Measure | A month | A year * | Share of average sales * |
|---|---|---|---|
| Required from the first month | $20,000 | $240,000 | 26.0% |
| May be raised from the sixth month | up to $40,000 | up to $480,000 | up to 51.9% |
| Actually spent, 39 clinics | $17,462 | $209,546 | 22.67% |
The monthly requirement is as the brand reported it and the annual totals, the monthly equivalent of the filed spend and all three shares are marked *.
Every advertising dollar brings back $4.41 of revenue. $924,273 of sales on $209,546 of media *, which is the single most useful ratio on this page, because it converts a budget decision into a revenue forecast and back again.
The reporting clinics spent $30,454 less than the stated a yearly minimum. $209,546 against $240,000 *, so either the requirement is applied with discretion, or these 39 clinics sit below what a new franchisee would be asked to commit.
At the top of the range the requirement would take 51.9% of average sales. $480,000 against $924,273 *, more than double what these clinics spent. On the filed statement it would turn $176,702 of net operating income into a loss of $93,752.
The call center is mandatory, and keeping it in house is barred. $1,500 to $2,500 a month for each clinic on a schedule that alternates as you add units, on top of up to $1,795 a month of technology. So the path from advertisement to booked appointment runs through the brand at a fixed monthly price.
The filed technology and call center line is $16,548. Against a call center minimum of $18,000 a year on its own *, another place where what these clinics paid sits below what the fee schedule describes.
A system that halved
From 172 clinics to 104.
| Year | At start | Opened | Terminations | Non-renewals | Reacquired | Ceased, other | At end | Net * |
|---|---|---|---|---|---|---|---|---|
| 2023 | 160 | 44 | 20 | 0 | 2 | 10 | 172 | +12 |
| 2024 | 172 | 18 | 17 | 0 | 7 | 13 | 153 | −19 |
| 2025 | 153 | 6 | 32 | 0 | 1 | 22 | 104 | −49 |
Every figure is as the brand reported it apart from the net column, which is marked *.
Openings fell from 44 to 6 in two years while terminations rose to 32. 68 clinics opened across the three years and 124 left *, and 2025 alone accounts for 55 of those departures.
The clinics the brand owns itself fell from 14 to 6 during 2025. Against 12 at the end of 2023, so the contraction reached the company estate as well as the franchised one. The whole system went from 184 outlets to 110.
Of 104 franchised clinics, 100 traded the full year and 39 sent figures. The operating statement on this page therefore describes 37.5% of the clinics standing at year end *, and the 61 that stayed silent are the group an owner would most want to see.
Territory is a Nielsen market area, and it is stated as non-exclusive. The Express model has a seven-mile protected radius instead, and since the model runs on broadcast and digital media buying, a market area is the unit that matters.
The royalty minimum is $1,500 a month from the sixth month. $18,000 a year, which 8% overtakes at $225,000 of sales *, and it continues to the contractual expiry date even after a franchise ends.
Questions we get asked
Questions an owner asks.
What does a QC Kinetix clinic bill?
Across the 39 clinics that reported, the 2025 average was $924,272.54 of sales revenue, with gross profit of $829,614.58 after $94,657.96 of medical supplies. Net operating income after operating costs averaged $176,701.83, which is 19.12%. The median was $108,641.99, the highest $1,167,538.75 and the lowest a loss of $193,744.93.
Where does the money go?
Advertising and marketing takes 22.67% of sales, wages 22.13%, franchise fees 8.93%, rent and office 6.82%, bank fees 3.06% and technology and call center 1.79%. Everything else together comes to 5.24%. Total operating expenses are 70.64% of sales.
What does the brand take?
A flat 8% royalty on weekly gross revenues for the whole term, paid each Tuesday. A $1,000 monthly minimum in months three to five and $1,500 a month from month six. Plus a brand development fee currently at 2%, capped at 3%. Plus technology of up to $1,795 a month and a mandatory call center at $1,500 to $2,500 a month for each clinic.
What is the marketing requirement?
$20,000 a month for each location in the first month. That the franchisor may raise to as much as $40,000 a month from the sixth month depending on the market. That is $240,000 to $480,000 a year, against $209,546 of advertising and marketing actually reported by the 39 clinics.
What is break-even?
On our reading, about $697,052 of sales, 75.4% of the average clinic. That uses $542,073 of fixed cost against a contribution rate of 77.77% after medical supplies, franchise fees and card charges. At the filed ratio of $4.41 of revenue for each advertising dollar, break-even corresponds to roughly $158,062 of media.
What does it cost to open?
$250,100 to $494,600 for a single clinic, on a $55,000 initial franchise fee. A development agreement for two or more units has its own fee schedule. The six months after opening have a $20,000 monthly media commitment. So the cash needed before break-even runs above the printed range.
How stable is the system?
104 franchised clinics at the end of 2025, down from 172 two years earlier and 153 a year earlier. Across 2023 to 2025, 68 opened and 124 left, 69 terminations, 10 reacquired by the franchisor and 45 that ceased for other reasons. Company and affiliate owned clinics fell from 14 to 6 during 2025. Total outlets went from 184 to 110.
Which two numbers should run monthly?
Revenue for each advertising dollar against $4.41, because the media budget is the largest line in the business and this ratio turns it into a forecast. And sales against $58,088 a month, which is the $697,052 break-even range across the year.
- No median. Only an average is published, which a few large locations can lift on their own.
- No range. The filing does not show the highest and lowest locations, so the spread inside the system is unknown.
- No attainment figure. The filing does not say how many locations reached the average it publishes.
Questions worth putting to QC Kinetix
The filing answers what it answers. These are the gaps an owner or a buyer should close directly.
- Is the profit figure in Item 19 before or after owner pay, and how many locations sit below it?
- What did the highest and lowest locations sell last year, and what explains the gap?
- 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 QC Kinetix locations closed, were sold, or changed hands last year, and why?
Run your own numbers.
The Franchise Finance Diagnostic 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 →What is your media budget actually returning?
A structured review of your unit economics, cash forecast. Reporting, built around $4.41 of revenue for each advertising dollar, a break-even at $697,052. The difference between what the fee schedule asks for and what your clinic is spending.
Request the reviewthe franchise library, all 243 brands · how franchise unit economics work · running the books across several locations · what Averan does for franchise owners
QC Kinetix reads against the rest of the clinics & medical services group: AFC Urgent Care · FYZICAL · Medi-Weightloss. The clinics & 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?How royalty, ad fund and minimums actually work on a monthly statement.
- How much cash do I fund before a new location covers its own costs?A 13-week forecast for the months before break-even.
- My payroll percentage keeps climbing. Is that a payroll problem?Usually it is a revenue problem wearing a payroll costume.
- What should I be looking at every week?The handful of numbers that move before the P&L does.
- Do I need a bookkeeper, a controller, or a CFO?What each one owns, and the point at which the next one pays for itself.