{"product_id":"preoperative-assessment-clinic-startup-costs","title":"Preoperative Assessment Clinic Startup Costs: $287K CAPEX Plan","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\u003eLandlord work should stay separate from founder build-out.\u003c\/li\u003e\n\n\u003cli\u003eMedical equipment starts around $115,000 before supplies.\u003c\/li\u003e\n\n\u003cli\u003eEHR setup adds $65,000 plus monthly IT fees.\u003c\/li\u003e\n\n\u003cli\u003ePre-opening payroll is separate from ongoing staffing costs.\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=\"Preoperative Assessment 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=\"Preoperative Assessment Clinic Startup CAPEX Calculator\" data-note-title=\"What this excludes\" data-note-text=\"This only covers capitalized startup assets. It excludes payroll runway, working capital, rent deposits, debt service, inventory, payer delays, and ongoing operating expenses.\"\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\"\u003eEstimates the capitalized startup assets needed to open a preoperative assessment clinic, including fit-out, equipment, IT, furniture, signage, and contingency.\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\u003eClinic build-out and exam rooms\u003c\/span\u003e\u003csmall\u003eRenovation, room fit-out, and patient flow areas.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"clinic_buildout_exam_rooms\" data-capex-kind=\"money\" data-capex-label=\"Clinic build-out and exam rooms\" data-capex-note=\"Renovation, room fit-out, and patient flow areas.\" data-lean=\"54000\" data-base=\"60000\" data-full=\"69000\" name=\"clinic_buildout_exam_rooms\" type=\"text\" inputmode=\"numeric\" value=\"60,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eMedical equipment package\u003c\/span\u003e\u003csmall\u003eExamination gear, EKG units, and phlebotomy station setup.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"medical_equipment_package\" data-capex-kind=\"money\" data-capex-label=\"Medical equipment package\" data-capex-note=\"Examination gear, EKG units, and phlebotomy station setup.\" data-lean=\"102000\" data-base=\"115000\" data-full=\"132000\" name=\"medical_equipment_package\" type=\"text\" inputmode=\"numeric\" value=\"115,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eEHR setup and hardware\u003c\/span\u003e\u003csmall\u003eEHR implementation, computers, and servers.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"ehr_setup_hardware\" data-capex-kind=\"money\" data-capex-label=\"EHR setup and hardware\" data-capex-note=\"EHR implementation, computers, and servers.\" data-lean=\"58000\" data-base=\"65000\" data-full=\"76000\" name=\"ehr_setup_hardware\" type=\"text\" inputmode=\"numeric\" value=\"65,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eFurniture and waiting area\u003c\/span\u003e\u003csmall\u003eReception desk, chairs, and patient seating.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"furniture_waiting_area\" data-capex-kind=\"money\" data-capex-label=\"Furniture and waiting area\" data-capex-note=\"Reception desk, chairs, and patient seating.\" data-lean=\"31000\" data-base=\"35000\" data-full=\"39000\" name=\"furniture_waiting_area\" type=\"text\" inputmode=\"numeric\" value=\"35,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eSignage and external branding\u003c\/span\u003e\u003csmall\u003eExterior signs and wayfinding.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"signage_branding\" data-capex-kind=\"money\" data-capex-label=\"Signage and external branding\" data-capex-note=\"Exterior signs and wayfinding.\" data-lean=\"10000\" data-base=\"12000\" data-full=\"14000\" name=\"signage_branding\" type=\"text\" inputmode=\"numeric\" value=\"12,000\"\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\u003eReserve for scope creep, price jumps, and minor rework.\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=\"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$315,700\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$287,000\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eContingency amount\u003c\/dt\u003e\n\u003cdd data-capex-output=\"contingencyAmount\"\u003e$28,700\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eLargest cost driver\u003c\/dt\u003e\n\u003cdd data-capex-output=\"largestDriver\"\u003eMedical equipment package\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\u003eBuild-out\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"clinic_buildout_exam_rooms\" style=\"--fml-capex-share: 21%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"clinic_buildout_exam_rooms\"\u003e21%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eEquipment\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"medical_equipment_package\" style=\"--fml-capex-share: 40%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"medical_equipment_package\"\u003e40%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eIT\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"ehr_setup_hardware\" style=\"--fml-capex-share: 23%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"ehr_setup_hardware\"\u003e23%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eFurniture\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"furniture_waiting_area\" style=\"--fml-capex-share: 12%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"furniture_waiting_area\"\u003e12%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eSignage\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"signage_branding\" style=\"--fml-capex-share: 4%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"signage_branding\"\u003e4%\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 only covers capitalized startup assets. It excludes payroll runway, working capital, rent deposits, debt service, inventory, payer delays, and ongoing operating expenses.\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\u003ePreoperative Assessment Clinic Financial Model Template CAPEX tab maps \u003cstrong\u003e$287k\u003c\/strong\u003e, Month 1-8 timing, depreciation\/amortization, and \u003cstrong\u003e$886k\u003c\/strong\u003e cash; validate payer timing.\u003c\/p\u003e\n\n\u003ch4\u003eScreenshot highlights\u003c\/h4\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eYear 1 revenue\u003c\/strong\u003e $4.457m\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eFixed costs\u003c\/strong\u003e $23,750 monthly\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eVariable costs\u003c\/strong\u003e 18.5%\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\/preoperative-assessment-clinic-financial-model-capex-financialmodelslab_1058ddf2-bd7c-4331-b593-857b4f2e5329.webp\"\u003e\n\u003cimg class=\"preview-img\" width=\"100%\" height=\"auto\" src=\"\/cdn\/shop\/files\/preoperative-assessment-clinic-financial-model-capex-financialmodelslab_1058ddf2-bd7c-4331-b593-857b4f2e5329.webp?width=500\" alt=\"Preoperative Assessment Clinic Financial Model capex inputs showing capital expenditure categories and customizable asset purchase, timing and depreciation assumptions to plan startup investment and cash needs for 5-year projections\"\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 are the biggest startup costs for a preoperative assessment clinic?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eFor a \u003cstrong\u003ePreoperative Assessment Clinic\u003c\/strong\u003e, the biggest startup costs are the physical buildout and clinical gear: \u003cstrong\u003e$60,000\u003c\/strong\u003e for the waiting area plus leasehold work, \u003cstrong\u003e$75,000\u003c\/strong\u003e for medical exam equipment, \u003cstrong\u003e$25,000\u003c\/strong\u003e for EKG machines and monitors, \u003cstrong\u003e$15,000\u003c\/strong\u003e for phlebotomy setup, \u003cstrong\u003e$45,000\u003c\/strong\u003e for EHR implementation, and \u003cstrong\u003e$20,000\u003c\/strong\u003e for hardware. That puts hard startup spend at about \u003cstrong\u003e$240,000\u003c\/strong\u003e before staffing and compliance. \u003cstrong\u003eOne line:\u003c\/strong\u003e the room, the machines, and the system cost more than the first few hires.\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\u003eFacility and equipment\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$60,000\u003c\/strong\u003e waiting-area renovation\u003c\/li\u003e\n\u003cli\u003eReception, exam, and consult rooms\u003c\/li\u003e\n\u003cli\u003eADA access, plumbing, electrical, HVAC\u003c\/li\u003e\n\u003cli\u003eEKG, phlebotomy, and exam gear\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\u003eStaffing and compliance\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eCredentialing and onboarding\u003c\/li\u003e\n\u003cli\u003eProtocol training before opening\u003c\/li\u003e\n\u003cli\u003ePre-opening payroll during ramp-up\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eHIPAA\u003c\/strong\u003e, \u003cstrong\u003eOSHA\u003c\/strong\u003e, and payer enrollment support\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 you plan funding for a preoperative assessment clinic?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003ePlan the funding in \u003cstrong\u003efour buckets\u003c\/strong\u003e: \u003cstrong\u003e$287,000\u003c\/strong\u003e of CAPEX, pre-opening expenses, operating runway, and a payer timing reserve. The \u003cstrong\u003eMonth 1 minimum cash need is $886,000\u003c\/strong\u003e, and CAPEX should run from \u003cstrong\u003eMonth 1 through Month 8\u003c\/strong\u003e because signage stretches to Month 8 while clinical assets land in Months 3 to 6. Use a Year 1 revenue case of \u003cstrong\u003e$4.457 million\u003c\/strong\u003e at \u003cstrong\u003e55% to 65%\u003c\/strong\u003e capacity, but don’t assume Month 1 breakeven is guaranteed.\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 buckets\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$287,000\u003c\/strong\u003e CAPEX schedule\u003c\/li\u003e\n\u003cli\u003ePre-opening expenses\u003c\/li\u003e\n\u003cli\u003eOperating runway\u003c\/li\u003e\n\u003cli\u003ePayer timing reserve\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\u003eRisk checks\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eSlow credentialing\u003c\/li\u003e\n\u003cli\u003eLower utilization\u003c\/li\u003e\n\u003cli\u003eDelayed referrals\u003c\/li\u003e\n\u003cli\u003eHigher build-out cost\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eWhat hidden costs come with starting a preoperative assessment clinic?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eThe biggest hidden cost is cash, not the exam room. A \u003cstrong\u003ePreoperative Assessment Clinic\u003c\/strong\u003e can face a \u003cstrong\u003e$12,500\u003c\/strong\u003e monthly lease deposit, plus \u003cstrong\u003e$23,750\u003c\/strong\u003e in fixed monthly commitments before wages, so the business burns money early even before the first patient is seen. For a deeper cost lens, see \u003ca href=\"\/blogs\/profitability\/preoperative-assessment-clinic\"\u003eHow Increase Profits Preoperative Assessment Clinic?\u003c\/a\u003e Also, Year 1 variable costs can run at \u003cstrong\u003e185%\u003c\/strong\u003e of base activity from supplies, lab processing, commissions, and EHR fees, which makes reimbursement timing a real runway risk.\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\u003eUpfront costs\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eLease deposit\u003c\/strong\u003e on $12,500 rent\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eInsurance setup\u003c\/strong\u003e before care starts\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMalpractice\u003c\/strong\u003e coverage before launch\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePayer enrollment\u003c\/strong\u003e and credentialing delays\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\u003eRun-rate risks\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003eTraining\u003c\/strong\u003e and policy writing time\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMedical waste\u003c\/strong\u003e and cybersecurity setup\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMarketing\u003c\/strong\u003e spend before revenue lands\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eLab and EHR\u003c\/strong\u003e fees hit cash fast\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=\"Preoperative Assessment Clinic Startup Cost Summary\" data-locale=\"en-US\" data-currency=\"USD\" data-default-scenario=\"base\" data-export-filename=\"Preoperative Assessment Clinic Startup Cost Summary.xlsx\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Preoperative Assessment 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\u003c\/p\u003e\n\u003cp class=\"fml-summary-static-description\"\u003eThis table shows the main opening assets and the non-CAPEX cash reserve needed to launch the 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$240,000\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$886,000\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$1,126,000\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=\"67500\" data-base=\"75000\" data-high=\"82500\" data-capex=\"true\"\u003e\n\u003ctd\u003eMedical Examination Equipment\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$75,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eExam tables, diagnostic tools, and procedure 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=\"54000\" data-base=\"60000\" data-high=\"66000\" data-capex=\"true\"\u003e\n\u003ctd\u003eWaiting Area Renovation\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$60,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eBuildout scope, finishes, and patient flow changes\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=\"40500\" data-base=\"45000\" data-high=\"49500\" data-capex=\"true\"\u003e\n\u003ctd\u003eEHR Implementation and Setup\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$45,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eSystem setup, data migration, and implementation work\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=\"31500\" data-base=\"35000\" data-high=\"38500\" data-capex=\"true\"\u003e\n\u003ctd\u003eClinic Office Furniture\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$35,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eDesks, chairs, storage, and front-desk layout\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=\"22500\" data-base=\"25000\" data-high=\"27500\" data-capex=\"true\"\u003e\n\u003ctd\u003eEKG Machines and Monitors\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$25,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eCardiac screening equipment and monitoring devices\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=\"850000\" data-base=\"886000\" data-high=\"950000\" data-capex=\"false\"\u003e\n\u003ctd\u003eOpening cash reserve\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$886,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eMonth 1 minimum cash need for payroll and operating runway\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 researched planning estimates; non-CAPEX excludes post-opening payroll, debt service, and routine operating costs.\u003c\/p\u003e\u003c\/footer\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003ePreoperative Assessment Clinic Core Five Startup Costs\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\u003cbr\u003e\n\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003ePreoperative Assessment Clinic Build-Out 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\u003eBuild-out scope\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eA clinic build-out needs \u003cstrong\u003ereception\u003c\/strong\u003e, waiting, exam rooms, consultation rooms, specimen collection, staff work areas, secure records, \u003cstrong\u003eADA access\u003c\/strong\u003e, HVAC, plumbing, electrical, signage, and a contractor contingency. Use \u003cstrong\u003e$60,000\u003c\/strong\u003e for patient waiting area renovation and \u003cstrong\u003e$12,000\u003c\/strong\u003e for signage and external branding as base CAPEX anchors.\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 inputs\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eEstimate this cost from \u003cstrong\u003esquare footage\u003c\/strong\u003e, local construction rates, landlord allowance, plumbing needs, and whether \u003cstrong\u003emedical gas\u003c\/strong\u003e is required. Here’s the quick math: if the space already has exam-room shell work, some leasehold improvements sit outside listed CAPEX; if not, founder-funded build-out rises fast.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eGet two contractor quotes\u003c\/li\u003e\n\u003cli\u003eConfirm landlord allowance early\u003c\/li\u003e\n\u003cli\u003eTest inspection timing risk\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\u003eSpend control\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eKeep landlord-paid work separate from founder-funded work, or the budget gets messy fast. Push for the landlord to cover base shell items, then fund only clinic-specific items like signage, waiting area finish-out, and room fit-out. The main swing factor is whether exam-room construction is already in place.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eScope by room, not by guess\u003c\/li\u003e\n\u003cli\u003eReserve contingency for delays\u003c\/li\u003e\n\u003cli\u003eTrack landlord invoices separately\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;\"\u003eCost split\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eWhat this estimate hides is timing risk: HVAC, plumbing, electrical, and inspections can move the number as much as the room count. If the site needs new exam-room construction, broader leasehold improvements may sit outside the listed CAPEX, so separate \u003cstrong\u003elandlord-paid\u003c\/strong\u003e shell work from \u003cstrong\u003efounder-funded\u003c\/strong\u003e clinic fit-out before signing.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003ePreoperative Assessment Clinic Medical 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\u003eCore gear\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe main equipment budget starts with \u003cstrong\u003e$75,000\u003c\/strong\u003e for medical examination equipment, \u003cstrong\u003e$25,000\u003c\/strong\u003e for EKG machines and monitors, and \u003cstrong\u003e$15,000\u003c\/strong\u003e for phlebotomy station setup. That covers exam tables, vital-sign monitors, scales, specimen handling, crash cart readiness, and storage. Add point-of-care testing only if the clinic will actually run it onsite.\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\u003eWhat to buy\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003ePrice the build by workflow, not by guesswork. Use vendor quotes for each unit, then separate exam-room gear, EKG gear, and blood-draw supplies. The key question is simple: does the clinic test onsite, or send work out?\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eCount exam rooms first\u003c\/li\u003e\n\u003cli\u003eQuote each device separately\u003c\/li\u003e\n\u003cli\u003eKeep backup supplies on hand\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\u003eWhere to save\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eDo not buy extra diagnostics for low volume. If testing is referred out, keep the equipment set lean and avoid idle gear. Here’s the quick math: onsite scope drives CAPEX, while disposable clinical supplies run at \u003cstrong\u003e45%\u003c\/strong\u003e of revenue and diagnostic lab processing fees at \u003cstrong\u003e65%\u003c\/strong\u003e of revenue as operating costs, not startup cost.\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;\"\u003eScope drives spend\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eIf the clinic offers more onsite diagnostics, cash goes into EKGs, monitors, phlebotomy setup, specimen handling, and testing storage. If it mostly refers out, the startup bill stays closer to exam-room basics and the lab cost moves into monthly operating spend instead.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eEHR And IT Costs For A Preoperative Assessment Clinic 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\n    \u003ch4\u003eCore IT Spend\u003c\/h4\u003e\n  \u003c\/div\u003e\n  \u003cp\u003eFor a preoperative assessment clinic, the first IT check is about \u003cstrong\u003e$65,000\u003c\/strong\u003e in CAPEX: \u003cstrong\u003e$45,000\u003c\/strong\u003e for EHR implementation and setup plus \u003cstrong\u003e$20,000\u003c\/strong\u003e for computers, hardware, and servers. Then budget \u003cstrong\u003e$2,200\u003c\/strong\u003e a month for IT maintenance and cybersecurity, plus EHR transactional fees at \u003cstrong\u003e25%\u003c\/strong\u003e of Year 1 revenue.\u003c\/p\u003e\n\u003c\/div\u003e\u003cbr\u003e\n\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\n      \u003ch4\u003eWhat It Covers\u003c\/h4\u003e\n    \u003c\/div\u003e\n    \u003cp\u003eThis spend covers the EHR, practice management, scheduling, billing, patient portal, secure messaging, e-prescribing, eligibility checks, networking, backup, and interfaces with surgeons, hospitals, labs, and billing workflows. Interoperability means systems share patient data without manual re-entry. The big inputs are implementation, data migration, training, interface work, and cybersecurity requirements.\u003c\/p\u003e\n    \u003cul class=\"lst_crct_blog\"\u003e\n      \u003cli\u003ePrice each interface separately\u003c\/li\u003e\n      \u003cli\u003eScope migration before go-live\u003c\/li\u003e\n      \u003cli\u003eConfirm backup and recovery terms\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\n      \u003ch4\u003eControl The Cost\u003c\/h4\u003e\n    \u003c\/div\u003e\n    \u003cp\u003eKeep the first build tight. Start with the modules you need on day one, then phase extra integrations after launch. Don’t cut cybersecurity or data backup to save a little cash. The cheapest mistake is usually scope control; the expensive mistake is paying twice for cleanup, re-entry, or failed interfaces.\u003c\/p\u003e\n    \u003cul class=\"lst_crct_blog\"\u003e\n      \u003cli\u003eLaunch core workflows first\u003c\/li\u003e\n      \u003cli\u003eDelay nonessential integrations\u003c\/li\u003e\n      \u003cli\u003eTrain staff before go-live\u003c\/li\u003e\n    \u003c\/ul\u003e\n  \u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n  \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\n      \u003ch4\u003e\u003cspan style=\"color: #ffffff;\"\u003eBudgeting Trap\u003c\/span\u003e\u003c\/h4\u003e\n    \u003c\/div\u003e\n    \u003cp\u003eThe hidden pressure is variable cost. With EHR transaction fees set at \u003cstrong\u003e25%\u003c\/strong\u003e of Year 1 revenue, the monthly bill moves with volume, not just with headcount. So the budget should track collections, claim flow, and interface volume, not only the one-time setup quote and server purchase.\u003c\/p\u003e\n  \u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eCompliance And Insurance Costs For A Preoperative Assessment Clinic 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\u003eWhat It Covers\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThis cost covers entity formation, state medical practice rules, professional licenses, provider credentialing, payer enrollment, \u003cstrong\u003eCLIA waiver\u003c\/strong\u003e if waived testing is offered, \u003cstrong\u003eOSHA\u003c\/strong\u003e and \u003cstrong\u003eHIPAA\u003c\/strong\u003e policies, consent forms, referral contracts, billing compliance, malpractice coverage, general liability, workers’ compensation if needed, and insurance binders. The fixed anchor here is \u003cstrong\u003e$1,800 per month\u003c\/strong\u003e for general liability insurance.\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\u003eWhat Drives Price\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eBudget from the clinic’s ownership structure, onsite testing scope, payer mix, supervising physician rules, and whether billing runs directly or through affiliated providers. Add carrier quotes for malpractice and workers’ compensation, plus time for credentialing and enrollment. \u003cstrong\u003eState licensing fees vary\u003c\/strong\u003e, so use local rules instead of a universal figure.\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\u003eHow To Control It\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eKeep the scope tight: use referral-out testing unless onsite labs truly add value, and limit payer enrollment to plans you can serve well. Do not cut \u003cstrong\u003eHIPAA\u003c\/strong\u003e or \u003cstrong\u003eOSHA\u003c\/strong\u003e work; rework costs more later. One clean move is separating landlord-paid work from founder-funded compliance so cash needs stay real.\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;\"\u003eInsurance Binders\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eAsk for insurance binders early, since landlords and hospital partners often want proof before move-in. Carry \u003cstrong\u003emalpractice\u003c\/strong\u003e, \u003cstrong\u003egeneral liability\u003c\/strong\u003e, and \u003cstrong\u003eworkers’ compensation\u003c\/strong\u003e if staff exposure applies. The monthly insurance line is only part of the spend; timing, claims history, clinical scope, and specimen testing all move the price.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003ePre-Opening Staffing Costs For A Preoperative Assessment Clinic 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 Hiring\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003ePre-opening hiring covers recruiting, background checks, credentialing, payer enrollment paperwork, onboarding, protocol training, scheduling templates, care pathways, emergency procedures, and billing workflows. Treat it as one-time launch payroll, not monthly burn. Year 1 service staffing assumes \u003cstrong\u003e2 perioperative physicians\u003c\/strong\u003e, \u003cstrong\u003e3 nurse practitioners\u003c\/strong\u003e, \u003cstrong\u003e2 physician assistants\u003c\/strong\u003e, \u003cstrong\u003e4 registered nurses\u003c\/strong\u003e, and \u003cstrong\u003e4 medical assistants\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\u003eAdmin Payroll\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eAdministrative payroll should be tracked separately from clinical staffing. The plan includes a \u003cstrong\u003e$280,000\u003c\/strong\u003e medical director, \u003cstrong\u003e$95,000\u003c\/strong\u003e clinic administrator, \u003cstrong\u003e$85,000\u003c\/strong\u003e sales and relations manager, \u003cstrong\u003e2\u003c\/strong\u003e patient coordinators at \u003cstrong\u003e$55,000\u003c\/strong\u003e each, \u003cstrong\u003e1\u003c\/strong\u003e billing and coding specialist at \u003cstrong\u003e$65,000\u003c\/strong\u003e, and \u003cstrong\u003e2\u003c\/strong\u003e receptionists at \u003cstrong\u003e$42,000\u003c\/strong\u003e each. That totals about \u003cstrong\u003e$59,900\/month\u003c\/strong\u003e before taxes and benefits.\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\u003eRamp Control\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eKeep pre-open spend lean by hiring in waves, finishing credentialing before start dates, and using draft workflows early so staff train once. Common mistake: putting every role on payroll before payer enrollment and schedule demand are ready. One clean rule: open with the smallest team that can safely run the first clinic days.\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;\"\u003eCash Plan\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe budget test is simple: if pre-opening payroll runs for \u003cstrong\u003e2 to 3 months\u003c\/strong\u003e, use the monthly admin base of \u003cstrong\u003e$59,900\u003c\/strong\u003e plus the clinical ramp team, then add employer taxes and b\nenefits on top. Separate founder-funded launch payroll from ongoing operating payroll so setup cash does not blur into steady-state staffing.\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=\"Preoperative Assessment Clinic Startup Cost Scenarios\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Preoperative Assessment Clinic Startup Cost Scenarios\" data-note-label=\"Planning note\" data-note-text=\"These scenario ranges are researched planning assumptions, not exact quotes or 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 costs swing with how much testing you do on site, how ready the staff is, and how deep the clinic's systems go. Referral volume, payer mix, and credentialing timing drive the right launch size.\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 paths for a preoperative assessment 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\"\u003eLower CAPEX\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\"\u003eBalanced launch\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\"\u003eHigher scope\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 referral-based evaluations and a limited onsite test menu.\"\u003eStart with referral-based evaluations and a limited onsite test menu.\u003c\/td\u003e\n\u003ctd data-export-value=\"Build a standard clinic around the source CAPEX of $287,000 and the Month 1 minimum cash need of $886,000.\"\u003eBuild a standard clinic around the source CAPEX of $287,000 and the Month 1 minimum cash need of $886,000.\u003c\/td\u003e\n\u003ctd data-export-value=\"Add broader onsite testing, more exam rooms, and heavier integrations from day one.\"\u003eAdd broader onsite testing, more exam rooms, and heavier integrations from day one.\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 fewer rooms, basic equipment, and lighter technology integration.\"\u003eUse fewer rooms, basic equipment, and lighter technology integration.\u003c\/td\u003e\n\u003ctd data-export-value=\"Use the modeled core equipment, standard rooms, and normal staffing and systems.\"\u003eUse the modeled core equipment, standard rooms, and normal staffing and systems.\u003c\/td\u003e\n\u003ctd data-export-value=\"Use deeper compliance support, stronger systems, and more working capital for ramp-up.\"\u003eUse deeper compliance support, stronger systems, and more working capital for ramp-up.\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=\"Limited diagnostics; fewer exam rooms; basic EHR setup; smaller staff; lighter compliance support\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eLimited diagnostics\u003c\/li\u003e\n\u003cli\u003efewer exam rooms\u003c\/li\u003e\n\u003cli\u003ebasic EHR setup\u003c\/li\u003e\n\u003cli\u003esmaller staff\u003c\/li\u003e\n\u003cli\u003elighter compliance support\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"Source CAPEX; core medical equipment; EHR implementation; lease and build-out; working capital\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eSource CAPEX\u003c\/li\u003e\n\u003cli\u003ecore medical equipment\u003c\/li\u003e\n\u003cli\u003eEHR implementation\u003c\/li\u003e\n\u003cli\u003elease and build-out\u003c\/li\u003e\n\u003cli\u003eworking capital\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"Broader testing; more exam rooms; heavier integrations; compliance support; deeper working capital\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eBroader testing\u003c\/li\u003e\n\u003cli\u003emore exam rooms\u003c\/li\u003e\n\u003cli\u003eheavier integrations\u003c\/li\u003e\n\u003cli\u003ecompliance support\u003c\/li\u003e\n\u003cli\u003edeeper working 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=\"$650,000 - $900,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$650,000 - $900,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eLower funding need\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$886,000 - $1,173,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$886,000 - $1,173,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eCore model\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$1,150,000 - $1,500,000\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$1,150,000 - $1,500,000\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-warning\"\u003eHigher funding 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 clinics with steady referrals, slow credentialing, and a narrow service mix.\"\u003eBest for clinics with steady referrals, slow credentialing, and a narrow service mix.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for teams with a solid referral pipeline and moderate payer and credentialing risk.\"\u003eBest for teams with a solid referral pipeline and moderate payer and credentialing risk.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for operators with strong referrals, faster credentialing, and a payer mix that supports more onsite work.\"\u003eBest for operators with strong referrals, faster credentialing, and a payer mix that supports more onsite work.\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 exact quotes or bids.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003c\/section\u003e","brand":"FinancialModelsLab","offers":[{"title":"Default Title","offer_id":49304070029555,"sku":"preoperative-assessment-clinic-startup-costs","price":0.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0522\/6191\/2762\/files\/preoperative-assessment-clinic-startup-costs.webp?v=1782689924","url":"https:\/\/financialmodelslab.com\/products\/preoperative-assessment-clinic-startup-costs","provider":"Financial Models Lab","version":"1.0","type":"link"}