LAUNCH COST CALCULATOR
What does it cost to launch a telehealth brand?
The worked example follows a new weight-loss brand on the Tessic Launch program through its first year: every fee, every patient, and the month the clinic pays for itself. Change any number and the tables recalculate.
THE CALCULATOR
Change any number.
The page opens on a worked example. Edit any input and every figure, table and step updates as you type.
Worked example
On these numbers a brand on the Launch program needs $27,593 in cash before the clinic pays for itself. It earns more than it spends from month 4 and has all of that cash back by month 10.
- Cash needed to launch
- $27,593
- Lowest cash point, month 3
- First month in profit
- Month 4
- All launch cash back
- Month 10
- Paid to Tessic, first 12 months
- $41,025
- Setup, platform fee and visits
| Month 1 | First 12 months | Paid to | |
|---|---|---|---|
| Costs | |||
| Tessic setup fee, one time | $8,000 | $8,000 | Tessic |
| Tessic Launch platform fee | $1,000 | $12,000 | Tessic |
| Provider visits, $25 each | $1,000 | $21,025 | Tessic |
| Medication at wholesale, 0% markup | $5,600 | $267,680 | Pharmacy, at cost |
| Advertising | $10,000 | $120,000 | Your ad accounts |
| Card fees, 3% | $299 | $14,283 | Your card processor |
| Brand launch: design, photos, copy | $5,000 | $5,000 | Your vendors |
| Total costs | $30,899 | $447,988 | |
| Money in | |||
| Patient payments | $9,960 | $476,088 | From patients |
| Net cash | -$20,939 | $28,100 | |
| Month | New patients | Active patients | Patient payments | Costs | Net | Cash position |
|---|---|---|---|---|---|---|
| Month 1 | 40 | 40 | $9,960 | $30,899 | -$20,939 | -$20,939 |
| Month 2 | 40 | 74 | $18,426 | $23,138 | -$4,712 | -$25,651 |
| Month 3 | 40 | 103 | $25,647 | $27,589 | -$1,942 | -$27,593 |
| Month 4 | 40 | 128 | $31,872 | $31,426 | $446 | -$27,147 |
| Month 5 | 40 | 149 | $37,101 | $34,648 | $2,453 | -$24,694 |
| Month 6 | 40 | 167 | $41,583 | $37,427 | $4,156 | -$20,539 |
| Month 7 | 40 | 182 | $45,318 | $39,740 | $5,578 | -$14,960 |
| Month 8 | 40 | 195 | $48,555 | $41,732 | $6,823 | -$8,137 |
| Month 9 | 40 | 206 | $51,294 | $43,429 | $7,865 | -$272 |
| Month 10 | 40 | 215 | $53,535 | $44,806 | $8,729 | $8,457 |
| Month 11 | 40 | 223 | $55,527 | $46,036 | $9,491 | $17,948 |
| Month 12 | 40 | 230 | $57,270 | $47,118 | $10,152 | $28,100 |
Cash position is the running total from the day the setup fee is paid. The shaded row is the lowest point: the cash needed to launch.
How the numbers work
- $10,000 of ads a month at $250 per new patient brings in 40 new patients a month.
- 85% of patients stay each month, so the clinic has 167 active patients by month 6 and 230 by month 12.
- Each patient pays $249 a month. Medication costs $140.00 at wholesale and card fees take $7.47. Every new patient has a first visit and a returning patient sees a provider every 4 months, at $25 a visit.
- Month 1 carries the one-time costs, the $8,000 Tessic setup fee and $5,000 of brand work, so month 1 ends at -$20,939.
- The clinic first takes in more than it spends in month 4. The running total bottoms out at -$27,593 in month 3; that is the cash needed to launch.
- Across the first 12 months patients pay $476,088 and the clinic spends $447,988, of which $41,025 goes to Tessic.
THE WORKED EXAMPLE
Where each default number comes from
Every input the worked example uses, and the reason for it. Tessic's own fees are published prices; everything else is an estimate to replace with your own.
- Tessic program
- Launch: $1,000/mo + $8,000 setup
- Launch runs the whole clinic: licensed providers in all 50 states, pharmacy at 0% markup, the storefront, patient portal and subscription billing.
- Ad budget per month
- $10,000
- A first paid-social budget for a new brand. Ads are the one cost that grows exactly as fast as the founder chooses to grow.
- Ad cost per new patient
- $250
- An assumption, not a Tessic figure: the ad spend it takes to turn a stranger into a paying patient. Replace it with the real number once ads are running.
- Patients who stay each month
- 85%
- 85% staying means about 15% leave each month. Grow and Scale add failed-payment recovery (automatic retries and reminders when a card is declined).
- Price per patient per month
- $249
- A monthly weight-loss program that includes medication, billed every month.
- Medication cost per patient per month
- $140
- The wholesale medication cost used in the Tessic article "Why zero markup matters". On Tessic it passes through at 0% markup.
- Months between follow-up visits
- 4 months
- Every new patient has a first visit. Stable patients on a subscription see a provider every few months, not every month.
- Card processing fees
- 3%
- A standard card-processing rate. The brand owns the billing relationship, so this goes to the brand's own processor.
- One-time brand work
- $5,000
- Logo, packaging design, product photos and launch copy. The storefront and patient portal come with every Tessic program.
NOT COUNTED
What these numbers leave out
- Salaries for the founder and any staff the brand hires.
- Inventory. Medication ships from the pharmacy one order at a time, so the brand holds none.
- Taxes, and interest if the setup fee is financed.
- Add-ons such as the branded mobile app ($4,999 a year) or Tessic AI+ Business Intelligence ($499 a month).
QUESTIONS
Questions founders ask
- What does Tessic charge to launch a brand?
- A one-time setup fee and a flat monthly platform fee. Launch is $8,000 to set up and $1,000 a month, Grow is $15,000 to set up and $2,000 a month and Scale is $25,000 to set up and $4,000 a month. Every completed visit is $25 and medication passes through at wholesale with 0% markup. Billing runs month to month after setup, and financing is available on the setup fee.
- What is the biggest cost of launching?
- In most scenarios, advertising. Tessic's fees are flat, so once the setup fee is paid the line that grows fastest is the money spent finding patients. It is also the line the founder controls month to month.
- Does the brand need a medical license?
- No. Licensed clinicians own the medical practice through a friendly PC (a professional corporation owned by a physician), and the brand's company owns the business and the brand. The setup fee covers drafting both.
- How soon can the clinic take its first patient?
- Within days of setup. The providers in all 50 states, the pharmacy and the software already run; setup puts them under the brand's name.
- Where do the default numbers come from?
- Tessic's fees are its published prices. The medication cost matches the worked example in the Tessic article "Why zero markup matters". Ad cost, retention and price are estimates for a new weight-loss brand, each listed above with its reason. Replace them with your own.
MORE CALCULATORS
Run the other numbers
FLAT FEE VS REVENUE SHARE
Flat fee vs revenue share: what you actually keep
Per-patient margin on a flat fee against a markup plus a revenue share, at every size.
Open the calculator$97.00
Kept per patient, flat fee, worked example
BUILD VS BUY
What it costs to build your own telehealth stack
An in-house build, line by line, against a Tessic program over the same years.
Open the calculator$1,900,500
Build it yourself, 3 years, worked example