The IV hydration & wellness clinic launch plan

Every step from deciding to opening, in the order it happens, shaped to your situation, with your own numbers beside it. About 54 steps in 8 phases, 28 of them specific to an IV hydration & wellness clinic. Free to read; ticking steps off and putting in your own numbers come with membership.

The plan54 steps

Your situationthe usual plan for a iv hydration & wellness clinic

  1. 01

    Decide with the numbersa week or two

    Before a dollar is spent. Most expensive mistakes happen here, and this phase costs nothing.

    Not started0/6Fold
    • A clinic sells nurse time in a chair, priced per bag.

    • Typical for one unit is $250,000 to $750,000 a year; the owner keeps 15 to 30% of it before paying themselves. If that band does not cover what you need, that is the signal to pause and look again.

    • ~50% survive 5 years. Roughly half of new U.S. employer businesses are still operating after five years.

    • Twelve questions about your money, time, experience and temperament, scored. Then the 5 questions this business asks of its owner, about the hours and the work. Answer both before you spend a dollar.

    • Rule of thumb: build unless a clinic with real memberships, clean charts and nurses who will stay is for sale at about two times owner earnings. Answer it in your situation above and the plan reshapes.

    • Customers, prices, rent, staff pay, what it costs to open. We filled in typical numbers; change what you know and everything on this page follows.

    • Opening an IV clinic means buying recliners and a medical refrigerator, stocking fluids and additives, setting up the emergency kit, fitting out a small suite, and putting the legal structure,...

    • The itemized cost to open10 lines
      • Infusion recliners, IV poles and chairside setup: $3,900 to $21,400A clinical recliner runs about $980 to $2,500; used ones about $400 to $900
      • Medical refrigerator, AED, emergency kit and vitals: $3,700 to $12,300The emergency setup is what clinicians and insurers expect for needles and fluids
      • Clean prep area, sharps and medical waste setup: $1,100 to $4,700
      • Reception, waiting, POS, tablets and network: $2,600 to $14,500
      • Exterior sign and window graphics: $3,300 to $14,000
      • Opening stock of fluids, vitamins, NAD+ and shots: $7,000 to $19,000A bag of fluid costs about $8 to $14; additives from 503B facilities are the bigger line
      • Mobile nurse kits: $500 to $3,000A used vehicle for event runs adds about $15k to $35k if you want one
      • Clinic fit-out, drawings and permits: $12,000 to $201,400The biggest swing; a former clinic or office with a sink costs far less than a raw shell
      • Legal setup, medical director agreement, licenses, insurance and training: $6,400 to $25,500Entities your state allows, protocols and consents, first premiums, IV and BLS or ACLS training
      • Lease and utility deposits, brand, website and grand opening: $7,500 to $35,000
    • Costs start on day one; customers take months. Map the first twelve months of cash so the business does not run out of money while it is getting going.

    • The business has to earn your pay like any other bill. Set it in your numbers and watch the month it move.

    • How deals in this business are financed4 lines
      • SBA 7(a) loan (Up to $5M · up to 10 yr (25 with real estate) · 75-85% guaranteed)The usual way to fund a build-out, equipment, first stock, working capital or a purchase.
      • SBA microloan or community lender (Up to $50k · up to 7 yr)For a lean opening under about $50,000: recliners, a refrigerator, the legal setup and first stock.
      • Equipment financing (Secured by the equipment · 3-5 yr)Recliners, the refrigerator and a vehicle can be financed against the asset itself, keeping cash for marketing and payroll through the ramp.
      • Seller financing (Often 10-20% of price · 3-5 yr)Common when buying an existing clinic.
    • Most new shops pair an with 10 to 20% of your own cash. Know the monthly payment before you look at a single space.

    • Before you shop. A lender tells you what they would fund, what they need from you (credit, your cash in, a plan with numbers), and a pre-qualification letter makes a landlord or a seller take you seriously.

    • Your state’s business name search, the trademark register, and the domain, before the name is on a sign, a van, or a lease.

    • A , an , and the S-corporation election each change what you keep and what you are exposed to. Compare them with the numbers, confirm with a CPA and an attorney, then file with your state.

      After:
    • The is free from the IRS in minutes once the company exists. The bank account needs both. Keep business money separate from day one.

      After:
    • Pick the accounting software and connect the bank account now, so every cost of opening is captured and the numbers you later are real.

    • What decides it for this business: a trade area that pays cash for wellness, visible suite with easy parking, hotels, event venues, gyms and offices nearby, workable state rules, second-generation clinic or office space.

    • One call to the planning desk with the address: is this use allowed there, and what will it take (, permits, fire sign-off)? A space that needs a change of use can add months.

    • Rent, free months for the , who pays for what, the and the renewals, subject to financing and permits. The lender needs this letter or a draft lease to take your application.

      After: ,
    • , renewal options, increase caps, what the landlord adds on top of rent, and what happens if you have to leave. For a location business the lease is part of the purchase price.

      After:
    • at minimum; property, workers’ compensation and the rest as the business needs. The landlord asks for a certificate at signing and the lender at closing.

    • Your plan with numbers (download it as a PDF from this page), the company’s papers, the or draft lease, the and equipment quotes, your personal financial statement, and proof of the cash you put in.

      After:
    • The lender approves against the ; you sign the lease once approved; the loan closes against the signed lease and the insurance certificate. Ask for the to match the or longer.

      After:
    • Bind the policies you had quoted before a contractor, a vehicle or a customer is in play. Keep the certificates; the landlord, the lender and the city will ask.

      After:
    • Local approval for a medical or wellness use, and building, plumbing and electrical permits for the sink, private room and refrigerator circuit.

      After:
    • Most cities approve exterior signs separately; signs take weeks to make. Order early.

    • City or county business license, state tax registration for retail shots and products, and any clinic or facility registration your state asks for.

    • City or county business license, state tax registration for retail shots and products, and any clinic or facility registration your state asks for.

    • In states with a corporate practice of medicine rule, the medical side must be owned by a physician (or, in some states, an NP); a nurse-owner runs a management company that...

    • A written agreement with a physician, or an NP where the state allows, who writes the protocols, reviews charts, is reachable for complications and whose license the drug...

    • Most states require a physician, NP or PA to assess each new patient and order the IV before a nurse administers it; the exam may be in person or by telehealth and must be...

    • RNs administer under an order; LPN or LVN scope is narrower and varies by state, and Texas bars LVNs, paramedics and medical assistants from elective IV therapy under H.B.

    • Fluids, vitamins and medications are prescription drugs bought under the medical director from licensed distributors or FDA-registered 503B outsourcing facilities; some states...

    • Adding additives to a bag is compounding under most state pharmacy laws: USP 797 standards, a clean area, written procedures, trained staff and short beyond-use dating; some...

    • A bloodborne pathogens exposure control plan, sharps containers and a licensed medical waste hauler; patient records fall under HIPAA.

    • State boards and the FTC act on cure, hangover-proof, detox and weight-loss claims; keep the menu descriptive and the consent honest.

    • Hired and non-owned auto insurance for nurses driving their own cars, and any local permit for events in public spaces or vendor badges at venues.

    • Fire-marshal review of exits, extinguishers and load, after the build and before the .

      After:
    • Local approval for a medical or wellness use, and building, plumbing and electrical permits for the sink, private room and refrigerator circuit.

      After:
    • Online booking, consents, vitals and medication charting, good-faith exam records and recurring membership billing in one place; tools built for med spas and...

    • A physician or NP collaborative agreement, protocols and chart review, plus a per-patient telehealth exam service until an NP on staff pays for itself.

    • Card and tap payments at the chair and on mobile visits, with saved cards for memberships and tips for nurses handled separately.

    • Entity malpractice that names IV therapy and NAD+, , property and hired and non-owned auto for mobile runs.

    • Separate accounts for the management company and, where the state requires one, the professional entity.

    • See the price the the business needs implies, then check it against what the market pays.

    • Federal plus state withholding, unemployment and once you hire.

      After:
    • Wages are the start: , insurance, training time and the hours you stop billing. Owners usually post the jobs a month out and hire two to four weeks before opening so training happens before the doors open.

    • Daily: Open the booking calendar, check the refrigerator log, confirm each... Weekly: Order fluids and additives in small lots against beyond-use dates,... Monthly: Review per nurse-hour, membership sign-ups and churn,...

    • Opening, closing, the sale, the complaint, the cash. One page each. This is the manual a franchise would have sold you.

    • Free, and it is how most people will find you. Address, hours, photos and the menu or price list, live before opening day; then the sign, the soft opening and the first regulars.

    • Friends, neighbors and a short menu or list. Find the problems while the room is forgiving.

    • Enter the real numbers and see every cost line against the for this business.

    • Empty nurse-hours; The exam and the medical director; Marketing an elective service.

    • Growth consumes cash before it produces it. Find the rate your own cash funds before you push.

    • You are building an asset you can sell, but a modest one: single IV clinics trade to individual buyers, often nurses, on owner earnings, and the price rides on members, nurses...