Fluoroscopy Suite Break-Even Analysis: About $102K/Month

Fixed costs $28.8K/mo Base overhead

Contribution margin 66% After variable costs

Break-even revenue $43.8K/mo Monthly target

Break-even timing Month 1 Launch month

Break-even calculator

Use this to test monthly revenue against variable expenses and fixed costs, so you can see when the imaging-room build business clears break-even.

Lean Base Full

Monthly revenue Revenue is the top line that must cover direct costs and then fixed costs. $ Slow month Peak month Variable expenses These are the direct project costs that rise as more work gets booked. $ Light load Heavy load

Money available to cover fixed costs $544,750 $706,250 revenue - $161,500 variable expenses

Margin ratio

77%

Covers fixed costs

Yes

Fixed monthly costs This is the monthly overhead the business has to cover before profit starts. $ Lean overhead High overhead

Break-even chart Revenue Total costs

Which expenses are fixed, variable, or step up as this medical construction firm grows?

Cost classification

Your break-even number is only useful if fixed overhead stays separate from project-driven costs. Rent and core software hit every month, but materials, subcontractor labor, and commissions move with jobs, so mixing them can overstate margin.

Expense	Cost	Break-Even Treatment	Common Mistake
Specialized Office Rent	Fixed	Carry $12,000/month as baseline overhead before any project margin.	Allocating rent to active jobs and understating slow-month burn.
BIM and CAD Subscriptions	Fixed	Carry $2,200/month as a standing operating expense.	Treating core design software as optional project spend.
Utilities and High Speed Data	Semi-variable	Start with the $1,100/month base and monitor project file-transfer usage.	Leaving data-heavy project activity buried in fixed overhead.
Subcontractor Labor Pool	Variable	Model at 10.0% of first-year revenue, then use the forecast rate by year.	Calling project labor overhead and overstating contribution margin.
Sales Commissions	Variable	Model at 3.0% of revenue as jobs are sold.	Using a flat monthly amount after sales volume changes.
Turnkey suite unit materials	Variable	Use $44,000/project for listed materials tied to each build.	Treating shielding components as fixed inventory burn.
Hybrid OR Conversion unit materials	Variable	Use $60,000/project for listed conversion materials.	Averaging these materials into lower-complexity project work.
Senior Project Manager	Semi-fixed	Add salary capacity in steps as headcount rises from 1.0 to 5.0 FTE.	Scaling management payroll as a simple percentage of revenue.

How does break-even change from lean to full pipeline in this fluoroscopy suite business?

Scenario table

Break-even moves with the project mix because revenue, delivery cost, and staffing all scale together. The margin stays strong across all three cases, so the real risk is hiring ahead of signed work.

Planning assumptions only; these scenario figures are not guarantees and can shift with scope changes, timing, and award timing.

Scenario	Monthly Revenue	Variable Costs	Fixed Costs	CM Ratio	Operating Profit	Break-Even Signal
Lean pipeline case	$706,250	$155,000	$78,800	78.1%	$472,450	Break-even sits near $101,000 a month, so the cushion is positive if Year 1 work starts on time.
Base pipeline case	$1,056,667	$225,583	$94,417	78.7%	$736,667	This is the cleanest balance; it supports break-even without staffing ahead of awarded work.
Full pipeline case	$1,530,417	$318,500	$120,083	79.2%	$1,091,834	Break-even rises to about $152,000 a month, but the larger backlog gives a wider cushion.

What breaks the break-even plan for a fluoroscopy suite builder?

Stress test

The base plan clears break-even by a wide margin, with about $706,000 in average Year 1 revenue against roughly $102,000 in monthly break-even revenue. The real risk is timing and rework: a delayed turnkey award, higher fixed overhead, or 1-point margin pressure can shrink the cushion fast.

Stress Case	Changed Assumption	Break-Even Revenue	Revenue Gap	Risk Signal
Current plan	No change.	$102,000/month	$604,000 cushion	Permit timing and hospital approvals still matter.
Revenue shortfall	One turnkey suite slips out of the opening year.	$102,000/month	$533,200 cushion	Slow hospital approvals can push a suite into the next year.
Fixed-cost pressure	Fixed overhead rises by $10,000 per month.	$115,000/month	$591,000 cushion	Rent and staffing creep lift the break-even line.
Margin pressure	Variable expenses rise by 1 percentage point.	$111,000/month	$595,000 cushion	Shielding rework or subcontractor overages eat margin.
Combined pressure	One turnkey suite slips, fixed overhead rises by $10,000 per month, and variable expenses rise by 1 point.	$124,000/month	$511,200 cushion	Delay plus rework and overhead can compress the cushion fast.

Can this fluoroscopy suite builder cover the lease, payroll, and buildout before it signs the office commitment?

Founder checklist

Do not sign the $12,000 monthly office lease until awarded backlog can support about $102,000 in monthly revenue. In Month 1, keep $1.21M of cash ready, cover about $50,000 a month of payroll, and map the $378,000 capex stack first.

1Backlog Cover$102K/mo

Verify signed work can carry the lease and core overhead before you lock the space.

2Cash Cushion$1.21M

Keep Month 1 cash at or above the model minimum so launch spend does not choke delivery.

3Payroll Burn$50K/mo

Confirm first-year payroll stays covered before owner income, since the base team runs about $600,000 a year.

4Capex Stack$378K

Fund detection gear, workstations, fitout, ERP, vehicles, racking, and network hardware before you commit to field work.

5Insurance Load$4.5K/mo

Build professional liability insurance into fixed costs so coverage is there even when billing slows.

6Estimate Flow5 scopes

Test pricing and change-order control across shielding, flooring, MEP coordination, compliance audits, and blueprint work before launch.