About Metropolitan Spine and Pain Clinic Franchise
Metropolitan Spine and Pain Clinic is a healthcare franchise specializing in interventional pain management and spine care services.
The brand offers patients access to advanced treatment options for chronic pain, including injections, nerve blocks, physical therapy, and minimally invasive procedures.
Since beginning franchise operations in 2023, the company has been building a network of clinics staffed by qualified medical professionals.
Metropolitan Spine and Pain Clinic Franchise Cost & Fees
Minimum Investment
$106K
Average Investment
$158K
Maximum Investment
$210K
| Fee Type | Amount | Notes |
|---|---|---|
| Initial Franchise Fee | $30,000 | One-time payment upon signing |
| Royalty Fee | 7% of your gross sales of gross sales | Ongoing; paid monthly |
| Marketing/Ad Fund | 1% of your gross sales | National brand fund |
| Total Investment Range | $105,725 – $209,750 | Includes build-out, inventory, working capital |
The investment range of $106K–$210K reflects variability in build-out costs, store size, lease terms, and market. The combined royalty (7% of your gross sales) and marketing fee (1% of your gross sales) are ongoing costs paid as a percentage of gross sales.
Investment Breakdown (Item 7)
| Item | Low | High |
|---|---|---|
| Initial franchise fee (see Note 1) | $30,000 | $30,000 |
| Rent and Lease Security Deposit (see Note 2) | $1,125 | $18,750 |
| Utilities | $100 | $500 |
| Leasehold Improvements | $5,000 | $25,000 |
| Market Introduction Program | $1,500 | $6,000 |
| Furniture, Fixtures, and Equipment | $25,000 | $50,000 |
| Computer Systems | $1,000 | $3,000 |
| Insurance | $500 | $1,500 |
| Signage | $3,000 | $6,000 |
| Office Expenses | $500 | $1,000 |
| Inventory | $1,000 | $3,000 |
| Licenses and Permits | $2,500 | $4,000 |
| Professional Fees (lawyer, accountant, etc.) | $1,500 | $5,000 |
| Travel, lodging and meals for initial training | $3,000 | $6,000 |
| Additional funds (for first 3 months) (see Note 3) | $30,000 | $50,000 |
Additional Fees (Item 6)
| Fee Type | Amount |
|---|---|
| Transfer Fee | $10,000 plus any broker fees and other out-of-pocket costs we incur |
| Technology Fee | Currently, $250-$450 per month/per person |
| Audit Fee | Our actual cost |
| Market Cooperative Contribution | As determined by co-op. Currently, none. (Max 5% of gross sales) |
| Local Marketing/Required Spending | 1% of your gross sales |
| Replacement / Additional Training fee | Currently, $200 per day |
| Non-compliance fee | $500 (then $250 per week) |
| Reimbursement | Amount that we spend on your behalf, plus 10% |
| Late fee | $100 plus interest on the unpaid amount at a rate equal to 18% per year |
| Insufficient funds fee | $30 |
| Costs of collection | Our actual costs |
| Special support fee | Our then-current fee, plus our expenses. Currently, $600 per day. |
| Customer complaint resolution | Our expenses |
| Special inspection fee | Currently $600, plus our out-of-pocket costs |
| Non-compliance cure costs and fee | Our out-of-pocket costs and internal cost allocation, plus 10% |
| Liquidated damages | An amount equal to royalty fees and marketing fund contributions for the lesser of (i) 2 years or (ii) the remaining weeks of the franchise term. |
| Indemnity | Our costs and losses from any legal action related to the operation of your franchise |
| Prevailing party’s legal costs | Our attorney fees, court costs, and other expenses of a legal proceeding, if we are the prevailing party |
Training Program (Item 11)
| Detail | Information |
|---|---|
| Total Duration | 21.5 hours |
| Classroom Training | 13.5 hrs |
| On-the-Job Training | 8 hrs |
| Training Location | Alexandria, VA or Your Location |
| Additional Training | If you need to send a new general manager to our training program, we will charge a fee, which is currently $200 per day. Otherwise, we do not currently require additional training programs or refresher courses, but we have the right to do so. |
Territory Rights (Item 12)
| Detail | Information |
|---|---|
| Territory Type | Exclusive |
| Exclusive Territory | Yes |
| Territory Size | approximately 50,000-100,000 people |
| Description | Your territory will usually be specified as a radius around your location; however, we may use other boundaries (such as county lines or other political boundaries, streets, geographical features, or trade area). |
Renewal, Termination & Transfer (Item 17)
| Detail | Information |
|---|---|
| Initial Term | 10 years from date of franchise agreement |
| Renewal Term | up to 2 additional 5-year terms |
| Renewal Conditions | To renew, you must give advance notice to us; be in compliance with all contractual obligations to us and third parties; renovate to our then-current standards; sign then-current form of franchise agreement and related documents (including personal guaranty); sign general release (unless prohibited by applicable law). |
| Transfer Fee | $10,000 plus any broker fees and other out-of-pocket costs we incur |
| Transfer Conditions | Pay transfer fee; buyer meets our standards; buyer is not a competitor of ours; buyer and its owners sign our then-current franchise agreement and related documents (including personal guaranty); you’ve made all payments to us and are in compliance with all contractual requirements; buyer completes training program; you sign a general release; business complies with then-current system specifications (including remodel, if applicable). |
| Termination for Cause | Franchisee may terminate if franchisor violates a material provision and fails to cure within 30 days. Franchisor may terminate for non-payment (10-day cure), other breaches (30-day cure), or without cure for misrepresentation, false reports, bankruptcy, failure to open, loss of location, material violation of laws/confidentiality/non-compete, abandonment, slander, refusal to cooperate with audits/inspections, health/safety danger, multiple defaults, termination of other agreements, or felony conviction/accusation. |
| Non-Compete Period | 2 years |
| Non-Compete Details | During the term of the franchise, neither you, any owner, nor any spouse of an owner may have an ownership interest in, lend money to, provide services to, or be employed by any competitor. For two years after termination or expiration, the same restrictions apply within five miles of your former territory or any other My Favorite Doctor business operating on the date of termination. |
Operations & Supply (Items 8 & 15)
| Detail | Information |
|---|---|
| Owner-Operator Required | No |
| Participation Details | You are not required to participate personally in the direct operation of your business. However, we recommend that you participate. You must designate one person as your “Principal Executive” who is primarily responsible for your business and has decision-making authority, owning at least 10% of the business and completing initial training. On-premises supervision by the owner is recommended but not required; a general manager who completed training can fulfill this role. |
| Required Suppliers | We have the right to require you to purchase or lease all goods, services, supplies, fixtures, equipment, inventory, computer hardware and software, real estate, or comparable items related to establishing or operating your business (1) either from us or our designee, or from suppliers approved by us, or (2) according to our specifications. |
| Supply Restrictions | You may have to buy or lease items from the franchisor or a limited group of suppliers the franchisor designates. These items may be more expensive than similar items you could buy on your own. You must purchase required items from our approved vendors as prescribed. |
| Franchisor Revenue from Suppliers | We currently do not derive revenue from the required purchases and leases by franchisees. However, the franchise agreement does not prohibit us from doing so. |
Financing (Item 10)
| Detail | Information |
|---|---|
| Financing Available | No |
| Description | We do not offer direct or indirect financing. We do not guarantee your note, lease or obligations. |
Metropolitan Spine and Pain Clinic Franchise Earnings — Item 19
Metropolitan Spine and Pain Clinic does not make an Item 19 financial performance representation in their FDD. This means they do not disclose revenue, profit, or earnings data for franchised locations. Before investing, ask the franchisor directly for franchisee contact information so you can speak with existing owners about their actual financial performance.
Metropolitan Spine and Pain Clinic does not include an Item 19 financial performance representation in their FDD. Contact information for current and former franchisees is listed in Item 20 of the FDD.
Metropolitan Spine and Pain Clinic Litigation & Risk Flags
Clean Litigation RecordMetropolitan Spine and Pain Clinic has no pending litigation actions listed in their FDD. There is also no bankruptcy history disclosed.
Litigation and bankruptcy data is sourced from Items 3 and 4 of the FDD. Always verify current status directly from the most recent FDD.
Metropolitan Spine and Pain Clinic System Growth
Total Units
3
Franchised
0
Company-Owned
3
Metropolitan Spine and Pain Clinic currently operates 0 franchised locations and 3 company-owned units. Unit count data is sourced from Item 20 of the FDD.
Unit History (Item 20)
| Year | Opened | Closed | Total |
|---|---|---|---|
| 2020 | 0 | 0 | 2 |
| 2021 | 0 | 0 | 2 |
| 2022 | 1 | 0 | 3 |
Transfers: 0 | Closures: 0
State Registrations
Registered in 15 states: CA, HI, IL, IN, MD, MI, MN, NY, ND, OR, RI, SD, VA, WA, WI
Franchisor Financials (Item 21)
Total Assets
$6K
Audited by NAPER CPA GROUP for year ending December 31.
Metropolitan Spine and Pain Clinic Franchise — FAQ
The total investment to open a Metropolitan Spine and Pain Clinic franchise ranges from $105,725 to $209,750, per their Franchise Disclosure Document. This includes the initial franchise fee of $30,000. The investment covers build-out, inventory, equipment, signage, working capital, and other startup costs.
Metropolitan Spine and Pain Clinic charges a royalty fee of 7% of your gross sales of gross sales, plus a 1% of your gross sales contribution to the marketing/advertising fund. These fees are paid on an ongoing basis.
You can download the Metropolitan Spine and Pain Clinic Franchise Disclosure Document free on this page. The FDD is a public document filed with state franchise registries. Always also request the current FDD directly from Metropolitan Spine and Pain Clinic to ensure you have the most up-to-date version.
Metropolitan Spine and Pain Clinic does not provide an Item 19 financial performance representation in their FDD, which means they do not disclose franchisee revenue or earnings data. Prospective investors should contact existing franchisees directly (listed in Item 20 of the FDD) to gather real-world financial performance information.
Metropolitan Spine and Pain Clinic has been franchising since 2023. The FDD shows an investment range of $105,725-$209,750, a 7% of your gross sales royalty, and no Item 19 earnings disclosure. There is no pending litigation. Review the full FDD and contact current franchisees listed in Item 20 before making any investment decision.
The franchise fee is $30,000 and the total investment ranges from $105,725 to $209,750 depending on location size and market. A minimum of $30,000 in liquid capital is required. Contact the franchisor directly for current net worth and liquid capital requirements, territory availability, and application details.
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Data Source & Disclaimer: This website is for informational purposes only. It is not an offer to sell or buy a franchise. This profile is based on publicly available FDD data sourced from state franchise registry filings. All information is for research purposes only and does not constitute legal, financial, or investment advice. Data may be outdated or contain errors. Always obtain the current FDD directly from Metropolitan Spine and Pain Clinic and consult a qualified franchise attorney before making any investment decision. FranchiseOverview.com is operated by Franchising Compliance, LLC and is not affiliated with Metropolitan Spine and Pain Clinic or any of its subsidiaries. To report an inaccuracy: info@franchiseoverview.com