PracticeMargins
What the ongoing take does to your operating cash

The clinic operating-cash modeler · figures dated July 29, 2026

What does a franchise’s cut do to the cash you actually keep?

$0
That’s the operating cash the heaviest franchise structure in this set removes every year versus a 0%-royalty license — at $600,000/yr gross and your current cost assumption. Same revenue, same costs; the only difference is who takes a cut off the top.
Top-line revenue is not what you keep. That take pulls $0/day · $0/week · $0/month out of the operator’s cash — $0.00 since you opened this page. It does not stop for slow months.

Enter a hypothetical annual gross and your other operating costs as a percentage of revenue. The tool subtracts each fee structure’s ongoing take (dated from 2025 disclosure materials as digested by franchise-analytics services — each company’s current FDD controls) plus your operating costs, and shows the operating cash that remains. Your inputs are hypothetical; results are arithmetic on those inputs, not projections, estimates, or predictions of any business result.

Fee structure (dated — current FDD controls)Ongoing takeOperating cash left*

*Operating cash left = gross − your operating costs − the ongoing franchise take (royalty + brand/ad fund + mandated local-marketing spend; monthly minimums applied where the percentage falls below them). One-time entry fees, financing, taxes, and owner draw are excluded — this isolates the effect of the ongoing take on the same revenue and cost base. The 0%-royalty row models a structure with no percentage-of-gross royalty and no mandated monthly obligations.

How to read this

Hold revenue and operating costs constant and the only variable is the franchise take. The difference between the top and bottom rows is what a percentage-of-gross model costs you every year, for as long as you operate.

Where we stand — disclosedThis page is published by Atlas Metabolic, which offers a 0%-royalty license in this category (the operator owns their own brand; final terms are controlled by a written agreement, and Atlas makes no earnings or income-performance representations). Use this resource against every offer you are weighing — including ours. See how Atlas structures it.

Questions buyers ask

What net margin does a medical weight-loss or wellness clinic keep?
It varies widely by model, location, and how the clinic is run — there is no single number, and this tool does not claim one. What it does show is the effect of one variable in isolation: how much operating cash the franchise ongoing take removes from the same revenue and cost base.
How much does a franchise royalty reduce my take-home?
Because the royalty and brand fund come off gross, they hit your operating cash dollar-for-dollar. On a hypothetical clinic, the heaviest published structure in this set can remove six figures a year versus a 0%-royalty structure — run your own numbers above.
Does the calculator include one-time franchise fees?
No. It deliberately excludes one-time entry fees, financing, taxes, and owner draw so you can see the effect of the ongoing take alone, on the same revenue and costs. Add entry costs separately when you build your full model.
Why does a percentage of gross matter more than it looks?
Because it is charged before your costs. A 7% royalty on gross is not 7% of your profit — on a clinic with thin operating margins, a percentage of gross can consume a large share of what you would otherwise keep. That is the gap this tool makes visible.
How is a 0%-royalty license different?
A 0%-royalty license (like the one Atlas Metabolic, this tool’s publisher, offers) charges no percentage-of-gross royalty, so more of the same revenue survives to operating cash — subject entirely to the written agreement and your own costs. Compare structures, not entry fees; final terms are controlled by the actual agreement.
Fee-structure sources (2025 disclosure-year digests via sharpsheets.io, franchisechatter.com, franchisepayback.com, franchisesidekick.com; retrieved July 29, 2026)
  1. GameDay Men’s Health: 6% royalty + ~$2,000/mo advertising obligation.
  2. Medi-Weightloss: 10% royalty (≈$2,500/mo minimum) + 1.5% brand fund + $5,000/mo mandated local marketing.
  3. 4Ever Young: 7% royalty + 2% brand fund + $7,500/mo mandated local marketing.
  4. The DRIPBaR: 7% royalty + 2% brand fund.