How much does an on-site clinic cost?

Published industry figures put a dedicated on-site clinic at roughly $300K in first-year startup costs and $800K to $1M in annual operating costs depending on membership size. EZaccessMD has no buildout; it's a per-employee-per-month subscription priced to utilization, launching in 2 to 4 weeks, with a renewal credit if usage runs below plan.

Do on-site clinics pay off?

The published evidence is mixed. Industry estimates suggest well-run clinics can return about $1.50 per $1 spent, but only after three to five years, and independent evaluations have found cases where clinics didn't reduce costs. Returns depend heavily on utilization, which depends on proximity and hours.

When is EZaccessMD the better fit?

Distributed or multi-site workforces, employers below the several-hundred-employee threshold where a clinic pencils out, night and weekend coverage, and covered family members at home. A clinic serves one address during business hours; EZaccessMD serves every member wherever they are, around the clock.

Can an employer run both?

Yes. Some employers with a flagship campus keep an on-site clinic for daytime walk-ins and add EZaccessMD for after-hours episodes, remote sites, and household members the clinic doesn't reach.

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EZaccessMD vs. On-Site Clinics

On-site health centers are an established strategy for large employers: industry surveys find roughly a third of US organizations with 5,000 or more employees sponsor one. For a big single-campus workforce, the convenience case is real. The economics are the catch: published figures put a dedicated clinic around $300K in first-year startup costs and $800K to $1M a year to operate, tied to one address and one set of hours. Here's the honest side-by-side.

Feature	EZaccessMD	On-Site Clinics
Upfront investment	None; EZaccessMD is a PEPM subscription	About $300K in first-year startup costs for a dedicated clinic
Ongoing operating cost	Included in the PEPM	$800K to $1M per year, based on membership size
Pay only for what you use	Yes: utilization-based pricing, with a renewal credit if usage runs below plan	No; the building and staff cost the same regardless of use
Coverage hours	24/7/365	Set clinic hours; employers commonly add telemedicine for after-hours gaps
Where care is delivered	The member's home or workplace, wherever they are	A single fixed location
Remote and distributed members	Covered: telehealth in 50 states, in-home diagnostics in 22	A poor fit when the workforce doesn't live near the site
Employer size required	No hard minimum	The financial case typically requires several hundred employees or more
Time to launch	2 to 4 weeks from signed agreement to member access	A construction, staffing, and licensing project
Expected return on investment	72% projected net ROI under our savings model, at every utilization tier	About $1.50 per $1 for well-run clinics, and only after 3 to 5 years
Member Net Promoter Score	+85	Not reported
Family coverage	The whole family included, no limit on dependents	Varies; some clinics are employee-only
Scales with headcount	Yes; cost tracks member count with no fixed overhead	No; the building and staff cost the same regardless of utilization

The bottom line

For a large employer with thousands of people on one campus, an on-site health center is a legitimate strategy, and adoption among jumbo employers reflects that. But the published economics are demanding: six-figure startup costs, roughly a million dollars a year to operate, returns that take three to five years to appear, and independent evaluations that have questioned whether the savings materialize at all. And the clinic only works for people who can walk to it, during the hours it's open.

EZaccessMD delivers the thing an on-site clinic is really for, convenient care that heads off facility claims, without the building. Care travels to the member: a physician on the phone within the hour, 24/7/365, and a technician at the door with X-ray, ultrasound, EKG, labs, and rapid tests. It covers the night shift, the remote employee, the second location, and the covered family at home, launches in weeks on utilization-based pricing that scales with headcount, and if usage runs below plan on an annual agreement, the difference comes back as a renewal credit.

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Frequently asked questions

How much does an on-site clinic cost?: Published industry figures put a dedicated on-site clinic at roughly $300K in first-year startup costs and $800K to $1M in annual operating costs depending on membership size. EZaccessMD has no buildout; it's a per-employee-per-month subscription priced to utilization, launching in 2 to 4 weeks, with a renewal credit if usage runs below plan.
Do on-site clinics pay off?: The published evidence is mixed. Industry estimates suggest well-run clinics can return about $1.50 per $1 spent, but only after three to five years, and independent evaluations have found cases where clinics didn't reduce costs. Returns depend heavily on utilization, which depends on proximity and hours.
When is EZaccessMD the better fit?: Distributed or multi-site workforces, employers below the several-hundred-employee threshold where a clinic pencils out, night and weekend coverage, and covered family members at home. A clinic serves one address during business hours; EZaccessMD serves every member wherever they are, around the clock.
Can an employer run both?: Yes. Some employers with a flagship campus keep an on-site clinic for daytime walk-ins and add EZaccessMD for after-hours episodes, remote sites, and household members the clinic doesn't reach.