Health & BeautyB2B recurring revenuecompliance-driven demandmobile service

Occupational Health Screening

Budget required

$10.6K–$28.8K

equipment, certification, insurance, first marketing push

Year-1 revenue

$40-150/test

physicals, drug screens, fit tests, audiometry billed per employee

First revenue

5-7 weeks

from certification to first paid on-site visit

Payback

~4-5 months

at 2-3 employer contracts running

Small and mid-size employers with safety-sensitive or noise-exposed workers face OSHA- and DOT-mandated testing (respirator fit tests annually, audiometry for noise exposure, periodic DOT physicals) they can't easily fulfill in-house, and the largest incumbent, Concentra, is built around fixed clinics rather than mobile service to smaller accounts — creating room for a mobile occupational health provider that shows up on-site and bills the employer directly on a recurring schedule.

Opportunity score

A real, mandated, recurring compliance spend with predictable renewal timing — the ceiling isn't demand, it's how fast one operator can staff and route mobile visits before needing to hire.

Demand evidence4/5

Competition headroom3/5

Speed to first revenue3/5

Profitability4/5

Time investment3/5

Scalability4/5

Worth knowing

Concentra and WorkCare dominate the large-employer and fixed-clinic segment; small employers (10-200 employees) with safety-sensitive crews are underserved because it's not worth their time to drive workers to a clinic for a $50-150 test. Respirator fit tests are required annually per OSHA 1910.134, and audiometric testing is required for workers in noise environments above 85 dBA under the OSHA noise standard — both are calendar-driven, not discretionary, which makes them the easiest wedge to sell first.

Suits you if

✓You are (or can partner with) a licensed clinician who can get NRCME-certified
✓You're comfortable doing B2B outreach to safety managers and HR directors
✓You want a recurring, calendar-driven revenue base rather than one-off transactions

Skip it if

✕You have no clinical background and can't find a certified examiner to partner with
✕You're not willing to drive to job sites, warehouses, and construction yards on a schedule
✕You need faster than 5-7 weeks to first revenue

Skills: NRCME certification (or a partnership with someone who holds one), comfort with basic audiometric and spirometry equipment, MRO relationship for drug-test chain of custody, and B2B sales skill to get past HR gatekeepers and close annual service agreements.

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