{"product_id":"orthopedic-practice-startup-costs","title":"Orthopedic Clinic Startup Costs: Plan For $215M+ In 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\u003eBuildout needs tenant improvement assumptions, not estimates.\u003c\/li\u003e\n\n\u003cli\u003eEquipment spend depends on procedures, casting, therapy, imaging.\u003c\/li\u003e\n\n\u003cli\u003eImaging can add $1.8 million and radiology staffing.\u003c\/li\u003e\n\n\u003cli\u003eCredentialing delays can strain cash before revenue starts.\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=\"Orthopedic Clinic 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=\"Orthopedic Clinic Startup CAPEX Calculator\" data-note-title=\"What this excludes\" data-note-text=\"This covers capitalized startup assets only. It excludes working capital, payroll runway, deposits, debt service, inventory, marketing ramp, operating losses, and payer credentialing delay.\"\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\"\u003eOrthopedic clinic startup cost\u003c\/p\u003e\n\u003cp class=\"fml-capex-intro\"\u003eEstimates capitalized startup assets for an orthopedic clinic only, not operating 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\u003eMRI Equipment\u003c\/span\u003e\u003csmall\u003eMain imaging driver; scanner, install, and setup.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"mri_equipment\" data-capex-kind=\"money\" data-capex-label=\"MRI Equipment\" data-capex-note=\"Main imaging driver; scanner, install, and setup.\" data-lean=\"1300000\" data-base=\"1500000\" data-full=\"1800000\" name=\"mri_equipment\" type=\"text\" inputmode=\"numeric\" value=\"1,500,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eX-ray Equipment\u003c\/span\u003e\u003csmall\u003eCore diagnostic imaging for fractures and joints.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"xray_equipment\" data-capex-kind=\"money\" data-capex-label=\"X-ray Equipment\" data-capex-note=\"Core diagnostic imaging for fractures and joints.\" data-lean=\"240000\" data-base=\"300000\" data-full=\"360000\" name=\"xray_equipment\" type=\"text\" inputmode=\"numeric\" value=\"300,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eSurgical Equipment\u003c\/span\u003e\u003csmall\u003eProcedure room tools and operating setup.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"surgical_equipment\" data-capex-kind=\"money\" data-capex-label=\"Surgical Equipment\" data-capex-note=\"Procedure room tools and operating setup.\" data-lean=\"160000\" data-base=\"200000\" data-full=\"260000\" name=\"surgical_equipment\" type=\"text\" inputmode=\"numeric\" value=\"200,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003ePhysical Therapy Equipment\u003c\/span\u003e\u003csmall\u003eRehab machines and treatment-room gear.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"therapy_equipment\" data-capex-kind=\"money\" data-capex-label=\"Physical Therapy Equipment\" data-capex-note=\"Rehab machines and treatment-room gear.\" data-lean=\"80000\" data-base=\"100000\" data-full=\"140000\" name=\"therapy_equipment\" type=\"text\" inputmode=\"numeric\" value=\"100,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eClinic Fit-Out, Furniture and IT\u003c\/span\u003e\u003csmall\u003eLeasehold improvements, exam rooms, furniture, cabling, and system setup.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"fitout_it\" data-capex-kind=\"money\" data-capex-label=\"Clinic Fit-Out, Furniture and IT\" data-capex-note=\"Leasehold improvements, exam rooms, furniture, cabling, and system setup.\" data-lean=\"450000\" data-base=\"630000\" data-full=\"850000\" name=\"fitout_it\" type=\"text\" inputmode=\"numeric\" value=\"630,000\"\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 scope creep, price drift, and install changes.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-percent\"\u003e\n\u003cinput data-capex-field=\"contingency_reserve\" data-capex-kind=\"percent\" name=\"contingency_reserve\" type=\"range\" min=\"0\" max=\"25\" step=\"1\" data-lean=\"5\" data-base=\"10\" data-full=\"15\" 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\"\u003eCAPEX Output\u003c\/span\u003e\u003cdiv class=\"fml-capex-total\"\u003e\n\u003cspan\u003eTotal startup CAPEX\u003c\/span\u003e\u003cstrong data-capex-output=\"totalCapex\"\u003e$3,003,000\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$2,730,000\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eContingency amount\u003c\/dt\u003e\n\u003cdd data-capex-output=\"contingencyAmount\"\u003e$273,000\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eLargest cost driver\u003c\/dt\u003e\n\u003cdd data-capex-output=\"largestDriver\"\u003eMRI Equipment\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\u003eMRI\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"mri_equipment\" style=\"--fml-capex-share: 55%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"mri_equipment\"\u003e55%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eX-ray\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"xray_equipment\" style=\"--fml-capex-share: 11%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"xray_equipment\"\u003e11%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eSurgery\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"surgical_equipment\" style=\"--fml-capex-share: 7%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"surgical_equipment\"\u003e7%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eTherapy\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"therapy_equipment\" style=\"--fml-capex-share: 4%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"therapy_equipment\"\u003e4%\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=\"fitout_it\" style=\"--fml-capex-share: 23%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"fitout_it\"\u003e23%\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\u003eWhat this excludes\u003c\/strong\u003e This covers capitalized startup assets only. It excludes working capital, payroll runway, deposits, debt service, inventory, marketing ramp, operating losses, and payer credentialing delay.\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 tab show?\u003c\/span\u003e\u003c\/h3\u003e\n\n\u003cp\u003eThe \u003ca href=\"\/products\/orthopedic-practice-financial-model\"\u003eOrthopedic Clinic Financial Model Template\u003c\/a\u003e shows CAPEX tab, startup costs, launch timing, depreciation, amortization, runway. Review assumptions now.\u003c\/p\u003e\n\n\u003ch4\u003eKey screenshot highlights\u003c\/h4\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eMRI $15 million\u003c\/li\u003e\n\u003cli\u003eX-ray $300,000\u003c\/li\u003e\n\u003cli\u003eSurgery $200,000, PT $100,000\u003c\/li\u003e\n\u003cli\u003eFurniture $50,000, IT incomplete\u003c\/li\u003e\n\u003cli\u003eRevenue $2736 million\u003c\/li\u003e\n\u003cli\u003eWages $255 million\u003c\/li\u003e\n\u003cli\u003eOverhead $309,600, 18% variable\u003c\/li\u003e\n\u003cli\u003eRunway and debt tests\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\/orthopedic-practice-financial-model-capex-financialmodelslab_b26f23f6-d807-4738-a87d-94c11adf657b.webp\"\u003e\n\u003cimg class=\"preview-img\" width=\"100%\" height=\"auto\" src=\"\/cdn\/shop\/files\/orthopedic-practice-financial-model-capex-financialmodelslab_b26f23f6-d807-4738-a87d-94c11adf657b.webp?width=500\" alt=\"Orthopedic Clinic Financial Model capex inputs allowing users to customize equipment, facility and startup investment assumptions for accurate spend planning and 5-year projection readiness.\"\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;\"\u003eHow much money do you need to start an orthopedic clinic?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eYou need at least \u003cstrong\u003e$2,766,080\u003c\/strong\u003e to start an Orthopedic Clinic in this model: \u003cstrong\u003e$2.15 million\u003c\/strong\u003e CAPEX plus a \u003cstrong\u003e$616,080\u003c\/strong\u003e Year 1 cash gap before debt and taxes. For context on what drives performance after launch, see \u003ca href=\"\/blogs\/kpi-metrics\/orthopedic-practice\"\u003eWhat Is The Most Important Metric To Measure The Success Of Your Orthopedic Clinic?\u003c\/a\u003e.\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 Cash Need\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eUse \u003cstrong\u003e$2.15 million\u003c\/strong\u003e CAPEX floor\u003c\/li\u003e\n\u003cli\u003eAdd working capital, not optional\u003c\/li\u003e\n\u003cli\u003eYear 1 revenue: \u003cstrong\u003e$2.736 million\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eCapacity assumption: \u003cstrong\u003e60%\u003c\/strong\u003e\n\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\u003eQuick Math\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eRevenue: \u003cstrong\u003e$2,736,000\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eVariable costs: \u003cstrong\u003e$492,480\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eWages plus overhead: \u003cstrong\u003e$2,859,600\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003cli\u003eCash gap: \u003cstrong\u003e-$616,080\u003c\/strong\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\n\u003cp\u003eThat gap comes from payer credentialing, staffing readiness, and patient ramp-up timing; if visits lag while payroll is live, cash burns fast.\u003c\/p\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eWhat hidden costs of opening an orthopedic clinic affect working capital?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eIf you're opening an Orthopedic Clinic, the cash trap is \u003cstrong\u003eworking capital\u003c\/strong\u003e, not just buildout. Hidden needs include pre-opening payroll, payer enrollment delays, billing setup, malpractice deposits, insurance premiums, supply stocking, marketing ramp, and reserves; for the owner-income side, see \u003ca href=\"\/blogs\/how-much-makes\/orthopedic-practice\"\u003eHow Much Does The Owner Of An Orthopedic Clinic Typically Earn?\u003c\/a\u003e Delayed collections can make a full visit schedule look profitable and still leave you short on cash.\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\u003eHidden cash costs\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003ePre-opening payroll hits cash first.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMalpractice\u003c\/strong\u003e and insurance need upfront deposits.\u003c\/li\u003e\n\u003cli\u003eSupply stocking costs money before collections.\u003c\/li\u003e\n\u003cli\u003eMarketing ramp starts before patient cash comes in.\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\u003eMonthly cash burden\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eFixed overhead is \u003cstrong\u003e$25,800\/month\u003c\/strong\u003e.\u003c\/li\u003e\n\u003cli\u003eYear 1 payroll is about \u003cstrong\u003e$212,500\/month\u003c\/strong\u003e.\u003c\/li\u003e\n\u003cli\u003eRevenue-linked costs run at \u003cstrong\u003e18%\u003c\/strong\u003e of collections.\u003c\/li\u003e\n\u003cli\u003eThat \u003cstrong\u003e18%\u003c\/strong\u003e includes \u003cstrong\u003e7%\u003c\/strong\u003e supplies, \u003cstrong\u003e4%\u003c\/strong\u003e pharmaceuticals, \u003cstrong\u003e5%\u003c\/strong\u003e billing, and \u003cstrong\u003e2%\u003c\/strong\u003e marketing.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eHow should startup costs feed an orthopedic clinic business plan funding model?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003e\u003cstrong\u003eOrthopedic Clinic\u003c\/strong\u003e startup costs should feed the funding model as a \u003cstrong\u003eMonth 1 to Month 6 cash plan\u003c\/strong\u003e, not a one-time equipment line. Fund \u003cstrong\u003eMRI and X-ray by Month 3\u003c\/strong\u003e and \u003cstrong\u003esurgical equipment by Month 6\u003c\/strong\u003e, because Year 1 only reaches \u003cstrong\u003e60%\u003c\/strong\u003e capacity and collections will lag revenue. Even with \u003cstrong\u003e$2.736 million\u003c\/strong\u003e in Year 1 revenue, the clinic can still face an operating cash gap before debt and taxes, so lender or owner funding has to cover \u003cstrong\u003emore than equipment\u003c\/strong\u003e.\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 timing\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eMonth 1-3:\u003c\/strong\u003e fund MRI and X-ray.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMonth 4-6:\u003c\/strong\u003e fund surgical equipment.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e60%\u003c\/strong\u003e Year 1 capacity still limits cash.\u003c\/li\u003e\n\u003cli\u003eWorking capital must bridge the ramp.\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\u003eYear 1 build\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e2 surgeons\u003c\/strong\u003e drive core volume.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e4 PAs, 1 radiologist, 3 therapists, 5 nurses\u003c\/strong\u003e support throughput.\u003c\/li\u003e\n\u003cli\u003ePayer mix and collections shape cash.\u003c\/li\u003e\n\u003cli\u003eDebt service tightens the funding gap.\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=\"Orthopedic Clinic Startup Cost Summary\" data-locale=\"en-US\" data-currency=\"USD\" data-default-scenario=\"base\" data-export-filename=\"Orthopedic Clinic startup cost summary table.xlsx\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Orthopedic Clinic 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 table\u003c\/p\u003e\n\u003cp class=\"fml-summary-static-description\"\u003eThis table shows the main startup CAPEX and the excluded cash reserve needed to launch an orthopedic clinic.\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$2,150,000\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$3,159,000\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$5,309,000\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=\"1350000\" data-base=\"1500000\" data-high=\"1650000\" data-capex=\"true\"\u003e\n\u003ctd\u003eMRI Machine\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$1,500,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eImaging equipment purchase and install\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=\"270000\" data-base=\"300000\" data-high=\"330000\" data-capex=\"true\"\u003e\n\u003ctd\u003eX-ray Machine\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$300,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eDiagnostic imaging equipment\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=\"180000\" data-base=\"200000\" data-high=\"220000\" data-capex=\"true\"\u003e\n\u003ctd\u003eSurgical Equipment\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$200,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eOperating room tools and 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=\"90000\" data-base=\"100000\" data-high=\"110000\" data-capex=\"true\"\u003e\n\u003ctd\u003ePhysical Therapy Equipment\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$100,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eRehab equipment and room fit-out\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=\"45000\" data-base=\"50000\" data-high=\"55000\" data-capex=\"true\"\u003e\n\u003ctd\u003eOffice Furniture\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$50,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eFront desk and admin furniture\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=\"3000000\" data-base=\"3159000\" data-high=\"3500000\" data-capex=\"false\"\u003e\n\u003ctd\u003eOperating Reserve\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$3,159,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eMonth 25 cash trough before breakeven\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 are planning estimates; non-CAPEX cash excludes debt service and launch costs.\u003c\/p\u003e\u003c\/footer\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eOrthopedic Clinic Core Five Startup Costs\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\u003cbr\u003e\n\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eFacility Buildout And Leasehold Improvements 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\u003eBuildout Input\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003e\u003cstrong\u003eFacility buildout\u003c\/strong\u003e is a one-time \u003cstrong\u003etenant improvement\u003c\/strong\u003e cost, and this source only confirms a \u003cstrong\u003e$15,000\/month\u003c\/strong\u003e lease. Because no buildout dollar is provided, use a user-entered assumption for reception, exam rooms, cast or procedure areas, therapy space, ADA access, plumbing, electrical, HVAC, flooring, signage, and any radiology shielding.\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\u003eMain Drivers\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eEstimate this cost from scope, not guesses: leased-space condition, \u003cstrong\u003elandlord allowance\u003c\/strong\u003e, procedure-room needs, and imaging room shielding if you plan in-house imaging. Keep it separate from working capital, since the cash goes into walls, systems, and finishes, not payroll or supplies. Use contractor, architect, and permit quotes as the input.\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\u003eControl The Spend\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eKeep the first buildout tight: open only the rooms you need on day one, then phase therapy or imaging space later if volume supports it. Ask for landlord allowance terms early, and avoid paying for finish upgrades that do not help care or compliance. The clean rule: build for today’s schedule, not next year’s wish list.\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;\"\u003eBudget Placement\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003ePut \u003cstrong\u003eleasehold improvements\u003c\/strong\u003e above operating cash in the startup budget, then keep monthly rent separate at \u003cstrong\u003e$15,000\u003c\/strong\u003e. If the suite already has usable plumbing, HVAC, and flooring, the buildout input drops; if it needs ADA work, shielding, or procedure-room changes, the one-time cost rises. Don’t hide it inside payroll or supplies.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eOrthopedic Exam Room And Procedure 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\u003eRoom Gear\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThis cost covers reusable exam and procedure assets: exam tables, procedure lights, casting tools, splinting supplies, orthopedic instruments, sterilization gear, vital-sign monitors, and mobility aids. If the clinic does onsite surgical prep, the budget jumps fast. Source anchors are \u003cstrong\u003e$200,000\u003c\/strong\u003e for surgical equipment and \u003cstrong\u003e$100,000\u003c\/strong\u003e for physical therapy equipment.\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\u003eBuild the Budget\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eEstimate this with a room-by-room list, unit counts, and vendor quotes. Keep reusable assets separate from consumables: modeled medical supplies run at \u003cstrong\u003e7%\u003c\/strong\u003e of revenue and pharmaceuticals at \u003cstrong\u003e4%\u003c\/strong\u003e of revenue. That split keeps startup equipment from getting mixed into monthly stock use.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eCount each room’s equipment.\u003c\/li\u003e\n\u003cli\u003eGet written supplier quotes.\u003c\/li\u003e\n\u003cli\u003eSeparate stock from assets.\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\u003eBuy What You Use\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe cleanest savings come from matching gear to the service mix. If the clinic only does exams and injections, don’t buy full surgical prep sets. If it does casting, bracing, or therapy onsite, buy those tools first. That keeps cash off the shelf and still supports safe care.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eStart with needed procedures only.\u003c\/li\u003e\n\u003cli\u003eDelay low-use specialty gear.\u003c\/li\u003e\n\u003cli\u003eProtect sterilization standards.\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;\"\u003eService Mix Check\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eBefore pricing the room, ask one thing: does the clinic perform minor procedures, casting, bracing, injections, therapy, or surgical prep onsite? That answer drives the gear list, the number of units, and whether higher-cost reusable assets belong in the launch budget at all.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eIn-House Imaging 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\u003eImaging Only If Needed\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eIf imaging is not part of day-one patient flow, don’t force it into launch. An \u003cstrong\u003eMRI\u003c\/strong\u003e machine is \u003cstrong\u003e$1,500,000\u003c\/strong\u003e and an \u003cstrong\u003eX-ray\u003c\/strong\u003e machine is \u003cstrong\u003e$300,000\u003c\/strong\u003e, so the combined hardware start is \u003cstrong\u003e$1,800,000\u003c\/strong\u003e before shielding, install, storage integration, service contracts, and radiology staff.\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 Line Items\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eInclude X-ray equipment, shielding, installation, radiology workflow, image storage integration, service contracts, \u003cstrong\u003estate radiology requirements\u003c\/strong\u003e, and staffing. Price it with units × unit cost, plus months of coverage for contracts and software. Keep this separate from leasehold work and working capital.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eAsk if MRI is truly needed\u003c\/li\u003e\n\u003cli\u003eQuote shielding and install separately\u003c\/li\u003e\n\u003cli\u003eVerify storage integration costs\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\u003eKeep It Lean\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003ePhase the build to match the service model. A full MRI-plus-X-ray launch can reach \u003cstrong\u003e$1,800,000\u003c\/strong\u003e before soft costs, so buying MRI only makes sense when the case mix truly needs it. Don’t assume every orthopedic start needs high-end imaging on day one.\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;\"\u003eStaff And Rules\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eYear 1 staffing includes \u003cstrong\u003e1 radiologist\u003c\/strong\u003e at \u003cstrong\u003e$400,000\u003c\/strong\u003e a year, or about \u003cstrong\u003e$33,333\u003c\/strong\u003e a month. At \u003cstrong\u003e200\u003c\/strong\u003e monthly treatments at \u003cstrong\u003e$800\u003c\/strong\u003e each, imaging brings in \u003cstrong\u003e$160,000\u003c\/strong\u003e a month. Map \u003cstrong\u003estate radiology requirements\u003c\/strong\u003e early, and don’t assume \u003cstrong\u003eMRI\u003c\/strong\u003e, \u003cstrong\u003eC-arm\u003c\/strong\u003e, or ambulatory surgery center-level imaging belongs in every launch.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eEHR, Billing, And Healthcare IT 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\u003eCore tools\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThis cost covers the electronic health record (\u003cstrong\u003eEHR\u003c\/strong\u003e), practice management, billing clearinghouse, patient portal, phones, networking, cybersecurity, computers, printers, scanners, and imaging links. Recurring spend starts with \u003cstrong\u003e$1,000\/month\u003c\/strong\u003e for EHR software and billing services at \u003cstrong\u003e5% of revenue\u003c\/strong\u003e. Keep one-time hardware and setup in CAPEX, not monthly overhead.\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\u003eBudget split\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eTreat computers and IT setup as a separate CAPEX line. The source amount is incomplete, so make it a required input, not an estimate. Get vendor quotes for device count, install, support months, and any imaging or billing integration work. That keeps startup cash needs clear and avoids mixing setup with subscriptions.\u003c\/p\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 waste\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eBuy only the devices and modules the first users need. Delay extras until workflows are live, but do not skip billing and imaging integration; those links affect collection speed and claim accuracy. One clean stack is better than patching together duplicate tools later.\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;\"\u003eMissing input\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eAsk for the full one-time list before you open: hardware, install, networking, security, and integration labor. Then separate it from recurring items like \u003cstrong\u003e$1,000\/month\u003c\/strong\u003e EHR software and \u003cstrong\u003e5% of revenue\u003c\/strong\u003e billing services. That split makes the launch budget usable and keeps monthly burn honest.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eLicensing, Credentialing, And Insurance 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\u003eSetup Stack\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eEntity formation, legal setup, payer enrollment, provider credentialing, and compliance policies all sit here, along with malpractice deposits, general liability, workers' compensation, and any radiology steps if imaging starts at launch. Use quote-based inputs for filing fees, legal hours, provider count, and policy months. \u003cstrong\u003eMalpractice is $5,000\/month starting Month 1\u003c\/strong\u003e, so this cost hits before collections do.\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 Inputs\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eCount every person who needs approval: \u003cstrong\u003e2 surgeons, 4 PAs, 1 radiologist, 3 therapists, 5 nurses, 1 administrator, 2 billing specialists, and 2 receptionists\u003c\/strong\u003e. Add the number of payers, state licenses, and credentialing files. Keep this line separate from equipment and payroll, and include radiology registration or compliance only if imaging is part of the plan.\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 Cash Ready\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eStart credentialing early, because revenue can lag while rent and staff are already live. With a \u003cstrong\u003e20-person Year 1 team\u003c\/strong\u003e and \u003cstrong\u003e$15,000\/month\u003c\/strong\u003e facility rent, this expense needs working capital, not capex. Keep it outside equipment and payroll forecasts so the cash gap stays visible. No approvals, no assumed revenue.\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;\"\u003eLaunch Risk\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eIf payer enrollment or provider credentialing slips, the clinic still owes \u003cstrong\u003eMonth 1 malpractice\u003c\/strong\u003e, rent, and staffing costs. That timing gap is the real risk here, so treat licensing and insurance as a cash planning item, not a paperwork item.\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=\"Orthopedic Clinic Startup Cost Scenarios\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Orthopedic Clinic Startup Cost Scenarios\" data-note-label=\"Planning note\" data-note-text=\"These scenario ranges are researched planning assumptions, not vendor quotes or exact bids.\"\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\"\u003eStartup cost scenarios\u003c\/p\u003e\n\u003cp class=\"fml-scenario-table-description\"\u003eStartup cost moves with imaging choice, buildout size, staffing depth, and working capital. Lean stays light with outside imaging; Full carries the full equipment stack and the biggest cash need.\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 XL\nSX\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 for an orthopedic clinic.\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\"\u003eReferral-based\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\"\u003eSpecialty office\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\"\u003eFull-service diagnostic\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=\"Leased office space with outside imaging and user-entered equipment and buildout costs.\"\u003eLeased office space with outside imaging and user-entered equipment and buildout costs.\u003c\/td\u003e\n\u003ctd data-export-value=\"A multi-exam-room clinic with X-ray, therapy space, procedure capacity, and a ramped staff plan.\"\u003eA multi-exam-room clinic with X-ray, therapy space, procedure capacity, and a ramped staff plan.\u003c\/td\u003e\n\u003ctd data-export-value=\"The full model with MRI, X-ray, surgical equipment, therapy equipment, and the listed facility buildout.\"\u003eThe full model with MRI, X-ray, surgical equipment, therapy equipment, and the listed facility buildout.\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=\"A small orthopedic office that keeps imaging offsite and limits the initial footprint.\"\u003eA small orthopedic office that keeps imaging offsite and limits the initial footprint.\u003c\/td\u003e\n\u003ctd data-export-value=\"A balanced orthopedic site with on-site imaging and a wider service mix.\"\u003eA balanced orthopedic site with on-site imaging and a wider service mix.\u003c\/td\u003e\n\u003ctd data-export-value=\"A larger orthopedic clinic with broad diagnostic and treatment capacity and full support staffing.\"\u003eA larger orthopedic clinic with broad diagnostic and treatment capacity and full support staffing.\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=\"External imaging; light buildout; core staffing; working capital\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eExternal imaging\u003c\/li\u003e\n\u003cli\u003elight buildout\u003c\/li\u003e\n\u003cli\u003ecore staffing\u003c\/li\u003e\n\u003cli\u003eworking capital\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"X-ray setup; therapy space; provider ramp-up; billing lag; working capital\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eX-ray setup\u003c\/li\u003e\n\u003cli\u003etherapy space\u003c\/li\u003e\n\u003cli\u003eprovider ramp-up\u003c\/li\u003e\n\u003cli\u003ebilling lag\u003c\/li\u003e\n\u003cli\u003eworking capital\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"MRI and X-ray; surgical equipment; facility renovation; full staffing; working capital\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eMRI and X-ray\u003c\/li\u003e\n\u003cli\u003esurgical equipment\u003c\/li\u003e\n\u003cli\u003efacility renovation\u003c\/li\u003e\n\u003cli\u003efull staffing\u003c\/li\u003e\n\u003cli\u003eworking capital\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=\"$500,000 - $1,500,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$500,000 - $1,500,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eLowest cash\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$1,500,000 - $3,000,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$1,500,000 - $3,000,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eMid cash\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$3,000,000 - $5,000,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$3,000,000 - $5,000,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-warning\"\u003eHighest cash\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 referral-based orthopedic office that outsources imaging and keeps buildout simple.\"\u003eBest for a referral-based orthopedic office that outsources imaging and keeps buildout simple.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for a specialty office with exam rooms, X-ray, therapy, and a planned staffing ramp.\"\u003eBest for a specialty office with exam rooms, X-ray, therapy, and a planned staffing ramp.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for a full-service diagnostic clinic that wants MRI, surgery, therapy, and deeper staffing.\"\u003eBest for a full-service diagnostic clinic that wants MRI, surgery, therapy, and deeper staffing.\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 These scenario ranges are researched planning assumptions, not vendor quotes or exact bids.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003c\/section\u003e","brand":"FinancialModelsLab","offers":[{"title":"Default Title","offer_id":49303930274035,"sku":"orthopedic-practice-startup-costs","price":0.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0522\/6191\/2762\/files\/orthopedic-practice-startup-costs.webp?v=1782688589","url":"https:\/\/financialmodelslab.com\/products\/orthopedic-practice-startup-costs","provider":"Financial Models Lab","version":"1.0","type":"link"}