{"product_id":"mechanical-circulatory-support-startup-costs","title":"Mechanical Circulatory Support Startup Costs: $129M+ CAPEX","description":"\u003cdiv class=\"card_smpl\"\u003e\n\n\u003cdiv class=\"double_border\"\u003e\n\n\u003cdiv class=\"card_smpl_header\"\u003e\n\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-plus-icon.svg\" alt=\"Key Takeaways\" class=\"icon_how_to_use\"\u003e\n\n\u003ch3\u003eKey Takeaways\u003c\/h3\u003e\n\n\u003c\/div\u003e\n\n\u003cul class=\"lst_crct_blog\"\u003e\n\n\u003cli\u003eSeparate equipment CAPEX from starter inventory and disposables.\u003c\/li\u003e\n\n\u003cli\u003eExisting-hospital upgrades cost less than new clinical space.\u003c\/li\u003e\n\n\u003cli\u003eCompliance needs setup plus ongoing legal, registry overhead.\u003c\/li\u003e\n\n\u003cli\u003eYear 1 staffing and training drive the largest burn.\u003c\/li\u003e\n\n\u003c\/ul\u003e\n\n\u003c\/div\u003e\n\n\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eEstimate Startup Costs with Calculator\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-capex-calculator\" aria-label=\"Mechanical Circulatory Support Services Startup CAPEX Calculator\" data-locale=\"en-US\" data-currency=\"USD\" data-default-scenario=\"base\" data-export-filename=\"Startup CAPEX calculator.xlsx\" data-source-site-name=\"Financial Models Lab\" data-source-site-url=\"https:\/\/financialmodelslab.com\" data-source-page-title=\"Mechanical Circulatory Support Services Startup CAPEX Calculator\" data-note-title=\"Excluded from CAPEX\" data-note-text=\"Not included: pre-opening payroll, training expense, licenses, consumed case inventory, deposits, working capital, debt service, financing costs, or operating expenses. Model those separately.\"\u003e\u003cdiv class=\"fml-capex-card\"\u003e\n\u003cheader class=\"fml-capex-header\"\u003e\u003cdiv class=\"fml-capex-heading\"\u003e\n\u003cp class=\"fml-capex-eyebrow\"\u003eStartup CAPEX Calculator\u003c\/p\u003e\n\u003cp class=\"fml-capex-intro\"\u003eThis estimates capitalized startup assets only for a mechanical circulatory support service, so you can size the buildout before adding runway or other cash needs.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-scenarios\" aria-label=\"Scenario presets\"\u003e\n\u003cbutton class=\"fml-capex-scenario\" type=\"button\" data-scenario=\"lean\"\u003eLean\u003c\/button\u003e\u003cbutton class=\"fml-capex-scenario is-active\" type=\"button\" data-scenario=\"base\"\u003eBase\u003c\/button\u003e\u003cbutton class=\"fml-capex-scenario\" type=\"button\" data-scenario=\"full\"\u003eFull\u003c\/button\u003e\n\u003c\/div\u003e\u003c\/header\u003e\u003cdiv class=\"fml-capex-layout\"\u003e\n\u003cform class=\"fml-capex-inputs\"\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eAdvanced Surgical Simulation Equipment\u003c\/span\u003e\u003csmall\u003eBuilds surgical simulation and training capability.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"simulation_equipment\" data-capex-kind=\"money\" data-capex-label=\"Advanced Surgical Simulation Equipment\" data-capex-note=\"Builds surgical simulation and training capability.\" data-lean=\"220000\" data-base=\"250000\" data-full=\"290000\" name=\"simulation_equipment\" type=\"text\" inputmode=\"numeric\" value=\"250,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eClinical Data Platform and Secure Network\u003c\/span\u003e\u003csmall\u003eCovers the clinical data platform plus secure server and IT network setup.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"clinical_data_platform\" data-capex-kind=\"money\" data-capex-label=\"Clinical Data Platform and Secure Network\" data-capex-note=\"Covers the clinical data platform plus secure server and IT network setup.\" data-lean=\"240000\" data-base=\"275000\" data-full=\"320000\" name=\"clinical_data_platform\" type=\"text\" inputmode=\"numeric\" value=\"275,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eHeadquarters Medical Office Fit-Out\u003c\/span\u003e\u003csmall\u003eCovers office build-out, procedure space, and sterile handling areas.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"office_fitout\" data-capex-kind=\"money\" data-capex-label=\"Headquarters Medical Office Fit-Out\" data-capex-note=\"Covers office build-out, procedure space, and sterile handling areas.\" data-lean=\"100000\" data-base=\"120000\" data-full=\"145000\" name=\"office_fitout\" type=\"text\" inputmode=\"numeric\" value=\"120,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eMobile ECMO Support Units and Clinical Fleet\u003c\/span\u003e\u003csmall\u003eCovers mobile support units and clinical lead vehicles.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"mobile_support_units\" data-capex-kind=\"money\" data-capex-label=\"Mobile ECMO Support Units and Clinical Fleet\" data-capex-note=\"Covers mobile support units and clinical lead vehicles.\" data-lean=\"500000\" data-base=\"570000\" data-full=\"650000\" name=\"mobile_support_units\" type=\"text\" inputmode=\"numeric\" value=\"570,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eTelemedicine Integration Hardware\u003c\/span\u003e\u003csmall\u003eCovers remote consult hardware and setup-ready connectivity.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"telemedicine_hardware\" data-capex-kind=\"money\" data-capex-label=\"Telemedicine Integration Hardware\" data-capex-note=\"Covers remote consult hardware and setup-ready connectivity.\" data-lean=\"60000\" data-base=\"75000\" data-full=\"90000\" name=\"telemedicine_hardware\" type=\"text\" inputmode=\"numeric\" value=\"75,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eContingency Reserve\u003c\/span\u003e\u003csmall\u003eCovers installation, freight, and small startup overruns.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-percent\"\u003e\n\u003cinput data-capex-field=\"contingency\" data-capex-kind=\"percent\" name=\"contingency\" type=\"range\" min=\"0\" max=\"20\" step=\"1\" data-lean=\"8\" data-base=\"10\" data-full=\"12\" value=\"10\"\u003e\u003coutput data-capex-output=\"contingencyValue\"\u003e10%\u003c\/output\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/form\u003e\n\u003caside class=\"fml-capex-results\" aria-live=\"polite\"\u003e\u003cspan class=\"fml-capex-tag\"\u003eStartup CAPEX\u003c\/span\u003e\u003cdiv class=\"fml-capex-total\"\u003e\n\u003cspan\u003eTotal startup CAPEX\u003c\/span\u003e\u003cstrong data-capex-output=\"totalCapex\"\u003e$1,419,000\u003c\/strong\u003e\n\u003c\/div\u003e\n\u003cdl class=\"fml-capex-result-list\"\u003e\n\u003cdiv\u003e\n\u003cdt\u003eSubtotal before contingency\u003c\/dt\u003e\n\u003cdd data-capex-output=\"subtotal\"\u003e$1,290,000\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eContingency amount\u003c\/dt\u003e\n\u003cdd data-capex-output=\"contingencyAmount\"\u003e$129,000\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eLargest cost driver\u003c\/dt\u003e\n\u003cdd data-capex-output=\"largestDriver\"\u003eMobile ECMO Support Units and Clinical Fleet\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003c\/dl\u003e\n\u003cdiv class=\"fml-capex-chart\" aria-label=\"CAPEX cost category breakdown\"\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eSimulation\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"simulation_equipment\" style=\"--fml-capex-share: 19%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"simulation_equipment\"\u003e19%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eData + IT\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"clinical_data_platform\" style=\"--fml-capex-share: 21%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"clinical_data_platform\"\u003e21%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eFit-out\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"office_fitout\" style=\"--fml-capex-share: 9%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"office_fitout\"\u003e9%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eMobile Units\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"mobile_support_units\" style=\"--fml-capex-share: 44%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"mobile_support_units\"\u003e44%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eTelemedicine\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"telemedicine_hardware\" style=\"--fml-capex-share: 6%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"telemedicine_hardware\"\u003e6%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cbutton class=\"fml-capex-export\" type=\"button\" data-capex-export\u003eEXPORT XLSX\u003c\/button\u003e\u003c\/aside\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-note\"\u003e\n\u003cspan class=\"fml-capex-note-icon\" aria-hidden=\"true\"\u003e!\u003c\/span\u003e\u003cp\u003e\u003cstrong\u003eExcluded from CAPEX\u003c\/strong\u003e Not included: pre-opening payroll, training expense, licenses, consumed case inventory, deposits, working capital, debt service, financing costs, or operating expenses. Model those separately.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cbr\u003e\u003cdiv class=\"container_new_design_blog\"\u003e\n\n\u003cdiv class=\"text-section_blog text-2_new_design_blog\"\u003e\n\n\u003cdiv class=\"line_top_blog\"\u003e\u003cbr\u003e\u003c\/div\u003e\n\n\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eWhat does the CAPEX and startup cost tab show?\u003c\/span\u003e\u003c\/h3\u003e\n\n\u003cp\u003eOpen the \u003ca href=\"\/products\/mechanical-circulatory-support-financial-model\"\u003eMechanical Circulatory Support Services Financial Model Template\u003c\/a\u003e tab for startup costs and CAPEX. Check categories, timing, costs, depreciation, amortization, then adjust assumptions.\u003c\/p\u003e\n\n\u003ch4\u003eKey screenshot highlights\u003c\/h4\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eMonth 1 to 12 timing\u003c\/li\u003e\n\u003cli\u003eCAPEX and startup lines\u003c\/li\u003e\n\u003cli\u003eDepreciation and amortization\u003c\/li\u003e\n\u003c\/ul\u003e\n\n\u003c\/div\u003e\n\n\u003cdiv class=\"image-section_blog image-2_new_design_blog\"\u003e\n\n\u003cdiv class=\"preview-card\" data-preview-src=\"\/cdn\/shop\/files\/mechanical-circulatory-support-financial-model-capex-financialmodelslab_7a7c1bdb-3c84-403c-892e-d4f3ce1a976b.webp\"\u003e\n\u003cimg class=\"preview-img\" width=\"100%\" height=\"auto\" src=\"\/cdn\/shop\/files\/mechanical-circulatory-support-financial-model-capex-financialmodelslab_7a7c1bdb-3c84-403c-892e-d4f3ce1a976b.webp?width=500\" alt=\"Mechanical Circulatory Support Services Financial Model capex inputs showing capital expenditure categories and timing, letting users customize equipment purchases, installation, and depreciation assumptions for scenario-ready forecasting and investor-ready reporting.\"\u003e\n\u003cdiv class=\"preview-overlay\"\u003e\n\u003cbutton class=\"preview-btn\" type=\"button\" style=\"align-items: center; vertical-align: middle; display: inline-flex; justify-content: center; gap: 6px; line-height: 1;\"\u003e\nPREVIEW \u003csvg fill=\"#fff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\" role=\"presentation\" viewbox=\"0 0 448 512\" width=\"14\"\u003e\u003cpath d=\"M416 176V86.63L246.6 256L416 425.4V336c0-8.844 7.156-16 16-16s16 7.156 16 16v128c0 8.844-7.156 16-16 16h-128c-8.844 0-16-7.156-16-16s7.156-16 16-16h89.38L224 278.6L54.63 448H144C152.8 448 160 455.2 160 464S152.8 480 144 480h-128C7.156 480 0 472.8 0 464v-128C0 327.2 7.156 320 16 320S32 327.2 32 336v89.38L201.4 256L32 86.63V176C32 184.8 24.84 192 16 192S0 184.8 0 176v-128C0 39.16 7.156 32 16 32h128C152.8 32 160 39.16 160 48S152.8 64 144 64H54.63L224 233.4L393.4 64H304C295.2 64 288 56.84 288 48S295.2 32 304 32h128C440.8 32 448 39.16 448 48v128C448 184.8 440.8 192 432 192S416 184.8 416 176z\"\u003e\u003c\/path\u003e\u003c\/svg\u003e\n\u003c\/button\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eWhat hidden costs come with starting a mechanical circulatory support service?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eMechanical Circulatory Support Services has a lot of hidden non-CAPEX costs before the first patient, from credentialing, privileging, policies, training, proctoring, and accreditation prep to billing setup and reimbursement lag; see \u003ca href=\"\/blogs\/operating-costs\/mechanical-circulatory-support\"\u003eWhat Are Operating Costs For Mechanical Circulatory Support Services?\u003c\/a\u003e for the operating side. The big fixed items here are \u003cstrong\u003e$8k\/month\u003c\/strong\u003e for legal and regulatory oversight, \u003cstrong\u003e$45k\/month\u003c\/strong\u003e for registry and compliance software, and \u003cstrong\u003e$6k\/month\u003c\/strong\u003e for IT infrastructure and security. Add \u003cstrong\u003e65% of Year 1 revenue\u003c\/strong\u003e for malpractice allocation, plus \u003cstrong\u003e$85k\u003c\/strong\u003e for a billing and coding specialist and \u003cstrong\u003e$115k\u003c\/strong\u003e for a quality and registry manager, and these costs can hit before cash collections stabilize.\u003c\/p\u003e\n\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eStartup costs\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eCredentialing and privileging come first\u003c\/li\u003e\n\u003cli\u003eClinical training and proctoring need cash\u003c\/li\u003e\n\u003cli\u003eAccreditation prep starts before revenue\u003c\/li\u003e\n\u003cli\u003eEmergency call coverage adds early pressure\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eOngoing load\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eLegal and regulatory oversight: \u003cstrong\u003e$8k\/month\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eRegistry software: \u003cstrong\u003e$45k\/month\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eIT and security: \u003cstrong\u003e$6k\/month\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eMalpractice allocation: \u003cstrong\u003e65% of Year 1 revenue\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\n\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eTeam costs\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eBilling and coding specialist: \u003cstrong\u003e$85k\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eQuality and registry manager: \u003cstrong\u003e$115k\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eBiomedical engineering support is needed early\u003c\/li\u003e\n\u003cli\u003eBilling setup can precede first collections\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eCash timing\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eCosts may start before first patient\u003c\/li\u003e\n\u003cli\u003eReimbursement lag can stretch cash needs\u003c\/li\u003e\n\u003cli\u003eSupport staff can be required upfront\u003c\/li\u003e\n\u003cli\u003eCollections may not stabilize at launch\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eHow much does it cost to open a mechanical circulatory support service?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eOpening \u003cstrong\u003eMechanical Circulatory Support Services\u003c\/strong\u003e is not a universal quote; the modeled planning budget starts at \u003cstrong\u003e$129M\u003c\/strong\u003e in known CAPEX, plus \u003cstrong\u003e$109M\u003c\/strong\u003e in Year 1 salary load and \u003cstrong\u003e$5.064M\u003c\/strong\u003e in fixed overhead. For funding logic, see \u003ca href=\"\/blogs\/write-business-plan\/mechanical-circulatory-support\"\u003eHow To Write A Business Plan For Mechanical Circulatory Support Services?\u003c\/a\u003e, because scope shifts fast when adding temporary MCS, durable VAD coordination, ECMO, or broader advanced heart failure coverage.\u003c\/p\u003e\n\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eCore cost stack\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$129M\u003c\/strong\u003e known CAPEX planning base\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$109M\u003c\/strong\u003e Year 1 salary load\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$5.064M\u003c\/strong\u003e fixed overhead\u003c\/li\u003e\n\u003cli\u003eFacility integration can move funding materially\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eCapacity ramp\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eCardiac surgeons ramp at \u003cstrong\u003e65%\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eHeart failure cardiologists ramp at \u003cstrong\u003e60%\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eVAD coordinators ramp at \u003cstrong\u003e70%\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003ePerfusionists \u003cstrong\u003e60%\u003c\/strong\u003e; data specialists \u003cstrong\u003e50%\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eHow much funding is needed for a mechanical circulatory support program?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003e\u003cstrong\u003eMechanical Circulatory Support Services\u003c\/strong\u003e needs more than equipment money: plan for \u003cstrong\u003e$129M\u003c\/strong\u003e of CAPEX, plus \u003cstrong\u003e$109M\u003c\/strong\u003e in Year 1 salaries and \u003cstrong\u003e$5.064M\u003c\/strong\u003e in fixed overhead, before you count pre-opening expenses, inventory timing, reimbursement lag, case ramp, and a working capital reserve. Here’s the quick math: modeled Year 1 revenue is about \u003cstrong\u003e$436M\u003c\/strong\u003e, and the first-month run-rate revenue is about \u003cstrong\u003e$363k\u003c\/strong\u003e if the monthly assumptions hold.\u003c\/p\u003e\n\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eFunding stack\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$129M\u003c\/strong\u003e CAPEX is known\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$109M\u003c\/strong\u003e Year 1 salaries\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$5.064M\u003c\/strong\u003e fixed overhead\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e185%\u003c\/strong\u003e variable cost burden\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eModeled revenue\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eYear 1 revenue: about \u003cstrong\u003e$436M\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eCardiac surgeon: about \u003cstrong\u003e$193M\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eHeart failure cardiologist: about \u003cstrong\u003e$979k\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eVAD coordinator: about \u003cstrong\u003e$756k\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003ePerfusionist: about \u003cstrong\u003e$507k\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eClinical data specialist: about \u003cstrong\u003e$180k\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eCalculate Fuding Needs\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-summary-static\" aria-label=\"Mechanical Circulatory Support Services Startup Cost Summary\" data-locale=\"en-US\" data-currency=\"USD\" data-default-scenario=\"base\" data-export-filename=\"Mechanical Circulatory Support Services Startup Cost Summary.xlsx\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Mechanical Circulatory Support Services Startup Cost Summary\" data-source-url=\"\"\u003e\u003cdiv class=\"fml-summary-static-card\"\u003e\n\u003cheader class=\"fml-summary-static-header\"\u003e\u003cdiv\u003e\n\u003cp class=\"fml-summary-static-eyebrow\"\u003eStartup cost summary\u003c\/p\u003e\n\u003cp class=\"fml-summary-static-description\"\u003eShows startup CAPEX and excluded cash needs for a cardiac mechanical circulatory support service.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-summary-static-actions\"\u003e\n\u003cdiv class=\"fml-summary-static-scenarios\" aria-label=\"Highlight scenario\"\u003e\n\u003cbutton class=\"fml-summary-static-scenario\" type=\"button\" data-scenario=\"low\"\u003eLow\u003c\/button\u003e\u003cbutton class=\"fml-summary-static-scenario is-active\" type=\"button\" data-scenario=\"base\"\u003eBase\u003c\/button\u003e\u003cbutton class=\"fml-summary-static-scenario\" type=\"button\" data-scenario=\"high\"\u003eHigh\u003c\/button\u003e\n\u003c\/div\u003e\n\u003cbutton class=\"fml-summary-static-export\" type=\"button\" data-summary-export\u003eEXPORT XLSX\u003c\/button\u003e\n\u003c\/div\u003e\u003c\/header\u003e\u003csection class=\"fml-summary-static-metrics\" aria-live=\"polite\"\u003e\u003cdiv class=\"fml-summary-static-metric is-primary\"\u003e\n\u003cspan\u003eHighlighted CAPEX\u003c\/span\u003e\u003cstrong data-summary-metric=\"capex\"\u003e$1,050,000\u003c\/strong\u003e\u003csmall data-summary-metric=\"scenario\"\u003eBase planning example\u003c\/small\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-summary-static-metric is-warning\"\u003e\n\u003cspan\u003eExcluded cash needs\u003c\/span\u003e\u003cstrong data-summary-metric=\"working\"\u003e$704,000\u003c\/strong\u003e\u003csmall\u003eOutside CAPEX total\u003c\/small\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-summary-static-metric\"\u003e\n\u003cspan\u003eFunding need\u003c\/span\u003e\u003cstrong data-summary-metric=\"funding\"\u003e$1,754,000\u003c\/strong\u003e\u003csmall\u003eCAPEX + excluded cash needs\u003c\/small\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cdiv class=\"fml-summary-static-table-wrap\"\u003e\u003ctable class=\"fml-summary-static-table\"\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth scope=\"col\"\u003eCost Category\u003c\/th\u003e\n\u003cth scope=\"col\" class=\"fml-summary-static-estimate-header\" data-summary-estimate-header\u003eBase Estimate\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eMain Cost Driver\u003c\/th\u003e\n\u003cth scope=\"col\"\u003eCAPEX Calculator\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr data-summary-row data-low=\"225000\" data-base=\"250000\" data-high=\"290000\" data-capex=\"true\"\u003e\n\u003ctd\u003eAdvanced Surgical Simulation Equipment\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$250,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eTraining lab and simulation setup\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"315000\" data-base=\"350000\" data-high=\"410000\" data-capex=\"true\"\u003e\n\u003ctd\u003eMobile ECMO Support Units\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$350,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eTransportable support units and bedside coverage\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"160000\" data-base=\"180000\" data-high=\"215000\" data-capex=\"true\"\u003e\n\u003ctd\u003eCustom Clinical Data Platform Development\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$180,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eRegistry workflow and data capture buildout\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"105000\" data-base=\"120000\" data-high=\"145000\" data-capex=\"true\"\u003e\n\u003ctd\u003eHeadquarters Medical Office Fit-out\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$120,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eClinical space buildout and room readiness\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"135000\" data-base=\"150000\" data-high=\"180000\" data-capex=\"true\"\u003e\n\u003ctd\u003eInitial Inventory of MCS Training Devices\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$150,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eTraining-device stock and launch inventory\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr class=\"is-excluded\" data-summary-row data-low=\"650000\" data-base=\"704000\" data-high=\"850000\" data-capex=\"false\"\u003e\n\u003ctd\u003eOperating Cash Reserve\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$704,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003ePayroll burn, reimbursement lag, and inventory float\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill is-no\"\u003eNo\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\u003c\/div\u003e\n\u003cfooter class=\"fml-summary-static-note\"\u003e\u003cspan class=\"fml-summary-static-note-icon\" aria-hidden=\"true\"\u003e!\u003c\/span\u003e\u003cp\u003e\u003cstrong\u003ePlanning note:\u003c\/strong\u003e Ranges reflect researched planning assumptions; non-CAPEX rows cover cash reserve, payroll runway, and reimbursement lag.\u003c\/p\u003e\u003c\/footer\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eMechanical Circulatory Support Services Core Five Startup Costs\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\u003cbr\u003e\n\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eMechanical Circulatory Support Equipment Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eCAPEX anchor\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eKeep durable equipment separate from implants and disposables. Start with \u003cstrong\u003e$350k\u003c\/strong\u003e for a mobile ECMO support unit and \u003cstrong\u003e$250k\u003c\/strong\u003e for advanced surgical simulation equipment, then add consoles, controllers, monitors, backup units, emergency readiness gear, and biomedical installation. That puts the visible equipment floor at \u003cstrong\u003e$600k\u003c\/strong\u003e before site-specific add-ons.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eSizing inputs\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eBuild this line from \u003cstrong\u003ehow many support locations\u003c\/strong\u003e, \u003cstrong\u003ebackup units\u003c\/strong\u003e, and \u003cstrong\u003eemergency transport\u003c\/strong\u003e needs the program must cover. Ask for vendor quotes on support systems, training devices, and biomedical installation, then price each unit separately. If quotes are pending, keep initial MCS training devices as a quote-dependent inventory item, not a fixed CAPEX number.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eKeep it lean\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eDon’t buy duplicate backup gear before you know call volume and transport coverage. A shared emergency pool, phased purchases, and bundled installation can trim waste without cutting readiness. One-line rule: buy for the coverage you must prove, not the coverage you hope to grow into. Keep training devices separate until the vendor quote is final.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eStarter inventory split\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eKeep launch stock outside CAPEX. Put unpriced MCS training devices in a separate starter inventory budget until quotes arrive, then split \u003cstrong\u003estarter stock\u003c\/strong\u003e, \u003cstrong\u003ereorder reserve\u003c\/strong\u003e, and \u003cstrong\u003eemergency replacements\u003c\/strong\u003e into their own lines. That keeps the equipment ask clean and stops disposable case inventory from being mixed into startup hardware.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eMechanical Circulatory Support Facility Buildout Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eSite Readiness\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003e\u003cstrong\u003eFacility cost is site-specific.\u003c\/strong\u003e Build it around procedure room readiness, ICU integration, power and backup systems, sterile handling, infection control, storage, equipment parking, and patient flow. The known readiness line is \u003cstrong\u003e$120k\u003c\/strong\u003e for headquarters medical office fit-out. Ask first: does this sit inside an existing cardiac program, or does it need major renovation?\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eSeparate existing-hospital upgrades\u003c\/li\u003e\n\u003cli\u003eSeparate new clinical space\u003c\/li\u003e\n\u003cli\u003ePrice each room and system\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eCost Inputs\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eUse two buckets: \u003cstrong\u003eupgrade costs\u003c\/strong\u003e for an existing hospital site, and \u003cstrong\u003ebuildout costs\u003c\/strong\u003e for new or expanded space. Get quotes for square feet, room count, electrical and backup systems, clean storage, and ICU-adjacent workflow. The model should not use one universal estimate, because facility scope changes fast with infection control and patient movement needs.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eCount procedure rooms\u003c\/li\u003e\n\u003cli\u003eCount backup units\u003c\/li\u003e\n\u003cli\u003eMeasure square feet\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eKeep It Lean\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eControl spend by using existing cardiac space when possible, phasing work, and getting facility, ICU, and engineering sign-off before leasing or construction. The \u003cstrong\u003e$120k\u003c\/strong\u003e office fit-out is only one line. What this estimate hides is the big swing from minor upgrades to full renovation, so price those separately.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eSeparate the Scope\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eFor planning, keep \u003cstrong\u003eexisting-hospital upgrade costs\u003c\/strong\u003e apart from \u003cstrong\u003enew or expanded clinical space\u003c\/strong\u003e. That split keeps the budget honest and stops a small office fit-out from masking the real cost of procedure rooms, ICU integration, sterile flow, and backup power.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eMechanical Circulatory Support Accreditation and Compliance Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eCompliance setup\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eStartup compliance for mechanical circulatory support covers clinical protocols, privileging, quality reporting, payer enrollment, hospital accreditation prep, \u003cstrong\u003eCenters for Medicare \u0026amp; Medicaid Services (CMS)\u003c\/strong\u003e requirements, legal review, documentation systems, and registry readiness. This is planning content, not legal or regulatory advice, so confirm scope with counsel, accrediting bodies, facility leadership, and payer enrollment teams.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eBudget lines\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe main setup line is \u003cstrong\u003e$45k\u003c\/strong\u003e for registry and compliance software. Add one-time work for policy drafting, template documents, mock survey prep, and registry onboarding. Use vendor quotes, number of sites, and existing hospital workflows to size the build. That keeps setup costs separate from ongoing compliance overhead.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eProtocol and privileging files\u003c\/li\u003e\n\u003cli\u003ePayer enrollment packet prep\u003c\/li\u003e\n\u003cli\u003eRegistry build and testing\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eRun-rate overhead\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eOngoing overhead is the part that keeps running after launch: \u003cstrong\u003e$8k\u003c\/strong\u003e a month for legal and regulatory oversight, or \u003cstrong\u003e$96k\u003c\/strong\u003e a year if steady for 12 months, plus the \u003cstrong\u003e$115k\u003c\/strong\u003e \u003cstrong\u003eYear 1\u003c\/strong\u003e quality and registry manager salary. One line is setup, one line is run-rate, and mixing them hides the real burn.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eApproval gate\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eDo not open the program until counsel, the accrediting body, facility leaders, and payer enrollment teams sign off on the protocol set, documentation flow, and registry plan. The software and staffing line only works if those approvals are in place before launch.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eMechanical Circulatory Support Staffing and Training Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eRamp-Up Team\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003ePre-opening staffing is the real burn here: recruitment, onboarding, proctoring, simulation, device training, call coverage planning, ICU nurse education, perfusion support, VAD coordinator readiness, and admin coordination. The Year 1 clinical service plan assumes \u003cstrong\u003e4 cardiac surgeons\u003c\/strong\u003e, \u003cstrong\u003e4 heart failure cardiologists\u003c\/strong\u003e, \u003cstrong\u003e8 VAD coordinators\u003c\/strong\u003e, \u003cstrong\u003e4 perfusionists\u003c\/strong\u003e, and \u003cstrong\u003e2 clinical data specialists\u003c\/strong\u003e.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eCost Inputs\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eEstimate this with \u003cstrong\u003eheadcount × ramp-up months × loaded pay\u003c\/strong\u003e, then add training travel, proctor time, and backfill coverage. The corporate Year 1 salaries named here total \u003cstrong\u003e$1.43M\u003c\/strong\u003e: \u003cstrong\u003e$450k\u003c\/strong\u003e Chief Medical Officer, \u003cstrong\u003e$220k\u003c\/strong\u003e VP of Hospital Relations, \u003cstrong\u003e$185k\u003c\/strong\u003e Director of Clinical Operations, \u003cstrong\u003e$115k\u003c\/strong\u003e Quality and Registry Manager, \u003cstrong\u003e$85k\u003c\/strong\u003e Billing and Coding Specialist, and \u003cstrong\u003e$375k\u003c\/strong\u003e Human Resources Coordinator.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eCount months before live cases\u003c\/li\u003e\n\u003cli\u003ePrice proctoring and simulation\u003c\/li\u003e\n\u003cli\u003eAdd call-coverage backfill\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eTrim Safely\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eCut cost by staging hires, sharing coverage across sites, and using train-the-trainer sessions instead of one-off sessions. Keep ICU nurse education and device training intact, because weak onboarding raises errors fast. The clean savings lever is fewer paid ramp-up months, not thinner clinical readiness.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eCoverage Readiness\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eWhat this estimate hides is the cost of keeping the program safe before volume arrives: call schedules, cross-coverage, and last-minute admin work. If the team starts too lean, overtime and locum-style backfill can erase savings. The model’s stated \u003cstrong\u003eYear 1 salary load is $109M\u003c\/strong\u003e, so the budget needs a hard ramp plan, not hopeful staffing.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eMechanical Circulatory Support Initial Inventory and Maintenance Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eLaunch stock\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eSeparate \u003cstrong\u003elaunch inventory\u003c\/strong\u003e from ongoing burn. Opening stock should cover disposables, cannulation-related supplies, sterile packs, and emergency replacements for the first cases. Add quote-based MCS training devices as separate \u003cstrong\u003ecapital spending (CAPEX) or inventory. Size it with units × unit cost × coverage months, so the startup budget shows stock, not service cost.\u003c\/strong\u003e\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"container_2_clmn_row\"\u003e\n\u003cdiv class=\"card_smpl_2\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-tips-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003ePer-case burn\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eIn the model, \u003cstrong\u003eMedical Consumables and Sterile Kits\u003c\/strong\u003e are \u003cstrong\u003e45% of Year 1 revenue\u003c\/strong\u003e and ease to \u003cstrong\u003e35% by Year 5\u003c\/strong\u003e. That is per-case burn, not opening stock. \u003cstrong\u003eMalpractice\u003c\/strong\u003e is another \u003cstrong\u003e65% of Year 1 revenue\u003c\/strong\u003e, but it is an operating allocation, not physical inventory. Keep those lines separate when you size startup cash.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eMatch stock to case volume.\u003c\/li\u003e\n\u003cli\u003eQuote every consumable line.\u003c\/li\u003e\n\u003cli\u003eHold emergency reserve stock.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eCost control\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eTo keep cost down, match kit counts to the procedure plan, standardize pack contents, and reorder only against actual use. Keep emergency stock small and visible. One clean one-liner: if it isn’t on the case cart or in the service contract, don’t park it in inventory.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eStandardize sterile pack contents.\u003c\/li\u003e\n\u003cli\u003eTrack waste and expiry.\u003c\/li\u003e\n\u003cli\u003eSeparate maintenance from stock.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cdiv class=\"card_smpl\"\u003e\u003cdiv class=\"double_border\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-pin-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eReadiness reserve\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eAdd \u003cstrong\u003evendor service agreements\u003c\/strong\u003e, \u003cstrong\u003epreventive maintenance\u003c\/strong\u003e, \u003cstrong\u003ebiomedical testing\u003c\/strong\u003e, and \u003cstrong\u003ereadiness checks\u003c\/strong\u003e as a separate reserve. Quote the initial MCS training devices if vendor pricing is pending, and keep emergency replacements outside launch stock. That keeps the startup budget clean: stock, per-case burn, and uptime support each sit in its own line.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eCompare 3 Startup Cost Scenarios\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-scenario-table\" aria-label=\"Mechanical Circulatory Support Services Startup Cost Scenarios\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Mechanical Circulatory Support Services Startup Cost Scenarios\" data-note-label=\"Planning note\" data-note-text=\"Ranges are researched planning assumptions based on the model, not exact quotes.\"\u003e\u003cdiv class=\"fml-scenario-table-card\"\u003e\n\u003cheader class=\"fml-scenario-table-header\"\u003e\u003cdiv\u003e\n\u003cp class=\"fml-scenario-table-eyebrow\"\u003eScenario table\u003c\/p\u003e\n\u003cp class=\"fml-scenario-table-description\"\u003eCosts rise fast as you move from a small hospital pilot to a full platform because more device types, deeper call coverage, inventory, and reserve use all add cash demand.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-scenario-table-actions\"\u003e\u003cbutton class=\"fml-scenario-table-export\" type=\"button\" data-scenario-export\u003eEXPORT XLSX\u003c\/button\u003e\u003c\/div\u003e\u003c\/header\u003e\u003cdiv class=\"fml-scenario-table-wrap\"\u003e\u003ctable class=\"fml-scenario-table-grid\"\u003e\n\u003ccaption\u003eLean, Base, and Full launch cost comparison\u003c\/caption\u003e\n\u003cthead\u003e\u003ctr\u003e\n\u003cth class=\"fml-scenario-table-stub\" scope=\"col\" data-export-value=\"Scenario\"\u003eScenario\u003c\/th\u003e\n\u003cth class=\"fml-scenario-table-column\" scope=\"col\" data-export-value=\"Lean Launch\"\u003e\n\u003cspan class=\"fml-scenario-column-title\"\u003eLean Launch\u003c\/span\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eHospital pilot\u003c\/span\u003e\n\u003c\/th\u003e\n\u003cth class=\"fml-scenario-table-column\" scope=\"col\" data-export-value=\"Base Launch\"\u003e\n\u003cspan class=\"fml-scenario-column-title\"\u003eBase Launch\u003c\/span\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eIntegrated center\u003c\/span\u003e\n\u003c\/th\u003e\n\u003cth class=\"fml-scenario-table-column\" scope=\"col\" data-export-value=\"Full Launch\"\u003e\n\u003cspan class=\"fml-scenario-column-title\"\u003eFull Launch\u003c\/span\u003e\u003cspan class=\"fml-scenario-badge is-warning\"\u003eAdvanced platform\u003c\/span\u003e\n\u003c\/th\u003e\n\u003c\/tr\u003e\u003c\/thead\u003e\n\u003ctbody\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Launch model\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-launch\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-launch-model.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eLaunch model\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Start with a limited temporary support service using existing facilities and a narrow device set.\"\u003eStart with a limited temporary support service using existing facilities and a narrow device set.\u003c\/td\u003e\n\u003ctd data-export-value=\"Run a fully integrated cardiac program with the device mix and staffing in the model.\"\u003eRun a fully integrated cardiac program with the device mix and staffing in the model.\u003c\/td\u003e\n\u003ctd data-export-value=\"Expand into broader heart failure and circulatory support coverage with more device types and call burden.\"\u003eExpand into broader heart failure and circulatory support coverage with more device types and call burden.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Typical setup\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-setup\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-typical-setup.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eTypical setup\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Use one care path, lower backup capacity, and a smaller working capital reserve.\"\u003eUse one care path, lower backup capacity, and a smaller working capital reserve.\u003c\/td\u003e\n\u003ctd data-export-value=\"Use the modeled clinical team, fitted-out headquarters, core software, and steady operating reserves.\"\u003eUse the modeled clinical team, fitted-out headquarters, core software, and steady operating reserves.\u003c\/td\u003e\n\u003ctd data-export-value=\"Add deeper on-call coverage, more training load, larger inventory, and a bigger reimbursement reserve.\"\u003eAdd deeper on-call coverage, more training load, larger inventory, and a bigger reimbursement reserve.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Cost drivers\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-drivers\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-cost-drivers.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eCost drivers\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Existing facility use; fewer device categories; lower backup staffing; smaller inventory; modest reserve\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eExisting facility use\u003c\/li\u003e\n\u003cli\u003efewer device categories\u003c\/li\u003e\n\u003cli\u003elower backup staffing\u003c\/li\u003e\n\u003cli\u003esmaller inventory\u003c\/li\u003e\n\u003cli\u003emodest reserve\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"Full capex buildout; clinical salaries; fixed overhead; revenue-linked costs; compliance systems\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eFull capex buildout\u003c\/li\u003e\n\u003cli\u003eclinical salaries\u003c\/li\u003e\n\u003cli\u003efixed overhead\u003c\/li\u003e\n\u003cli\u003erevenue-linked costs\u003c\/li\u003e\n\u003cli\u003ecompliance systems\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"Broader device mix; deeper call coverage; heavier training; larger inventory; reimbursement reserve\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eBroader device mix\u003c\/li\u003e\n\u003cli\u003edeeper call coverage\u003c\/li\u003e\n\u003cli\u003eheavier training\u003c\/li\u003e\n\u003cli\u003elarger inventory\u003c\/li\u003e\n\u003cli\u003ereimbursement reserve\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Planning range\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-range\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-planning-range.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003ePlanning range\u003c\/span\u003e\u003cspan class=\"fml-scenario-row-subtitle\"\u003eCAPEX only\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"$900,000 - $1,400,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$900,000 - $1,400,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eLowest cash need\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$1,400,000 - $2,200,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$1,400,000 - $2,200,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eModeled build\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$2,000,000 - $3,200,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$2,000,000 - $3,200,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-warning\"\u003eHighest cash need\u003c\/span\u003e\n\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Best fit\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-fit\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-best-fit.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eBest fit\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Best for a hospital pilot that wants to prove demand before scaling.\"\u003eBest for a hospital pilot that wants to prove demand before scaling.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for an integrated cardiac center that wants the modeled Year 1 scale.\"\u003eBest for an integrated cardiac center that wants the modeled Year 1 scale.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for an advanced heart failure platform with multi-site support needs.\"\u003eBest for an advanced heart failure platform with multi-site support needs.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\u003c\/div\u003e\n\u003cdiv class=\"fml-scenario-table-note\"\u003e\n\u003cspan class=\"fml-scenario-table-note-icon\" aria-hidden=\"true\"\u003e!\u003c\/span\u003e\u003cp\u003e\u003cstrong\u003ePlanning note:\u003c\/strong\u003e Ranges are researched planning assumptions based on the model, not exact quotes.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003c\/section\u003e","brand":"FinancialModelsLab","offers":[{"title":"Default Title","offer_id":49304163451123,"sku":"mechanical-circulatory-support-startup-costs","price":0.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0522\/6191\/2762\/files\/mechanical-circulatory-support-startup-costs.webp?v=1782686626","url":"https:\/\/financialmodelslab.com\/products\/mechanical-circulatory-support-startup-costs","provider":"Financial Models Lab","version":"1.0","type":"link"}