{"product_id":"radiation-oncology-startup-costs","title":"Radiation Oncology Center Startup Costs: $68M CAPEX Plan","description":"\u003cdiv class=\"container_new_design\"\u003e\n\u003cdiv class=\"text-section text-1_new_design\"\u003e\n\u003cdiv class=\"line_top\"\u003e\u003c\/div\u003e\n\u003cp\u003eYou’re planning a radiation oncology center, so the first cost answer is capital-heavy: the model shows \u003cstrong\u003e$6795 million\u003c\/strong\u003e of startup CAPEX from Month 1 to Month 8 This US planning scope includes treatment equipment, shielded buildout, CT simulation, planning systems, IT, staffing readiness, insurance, supplies, and launch cash needs, but excludes acquisition pricing, real estate purchase costs, and long-term operating losses The first operating year forecast shows \u003cstrong\u003e$18052 million\u003c\/strong\u003e of revenue, breakeven in \u003cstrong\u003eMonth 1\u003c\/strong\u003e, and a minimum cash need of \u003cstrong\u003e$942,000 in Month 6\u003c\/strong\u003e, based on researched assumptions rather than vendor quotes\u003c\/p\u003e\n\n\n\u003c\/div\u003e\n\u003cdiv class=\"image-section image-1_new_design\" id=\"main_article_image\"\u003e\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eRadiation oncology CAPEX calculator objective\n\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-capex-calculator\" aria-label=\"Radiation Oncology Center 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=\"Radiation Oncology Center Startup CAPEX Calculator\" data-note-title=\"CAPEX only\" data-note-text=\"This calculator covers capitalized pre-opening assets only. It excludes working capital, payroll runway, debt service, deposits, inventory, reimbursement delays, marketing, and post-opening operating losses.\"\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 pre-opening capitalized assets for a radiation oncology center, including equipment, buildout, technology, 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\u003eLinear Accelerator System\u003c\/span\u003e\u003csmall\u003eTherapy machine, delivery hardware, and install scope drive this cost.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"linear_accelerator_system\" data-capex-kind=\"money\" data-capex-label=\"Linear Accelerator System\" data-capex-note=\"Therapy machine, delivery hardware, and install scope drive this cost.\" data-lean=\"3150000\" data-base=\"3500000\" data-full=\"3900000\" name=\"linear_accelerator_system\" type=\"text\" inputmode=\"numeric\" value=\"3,500,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eRadiation Shielding Vault\u003c\/span\u003e\u003csmall\u003eVault size, shielding thickness, and room layout drive this cost.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"radiation_shielding_vault\" data-capex-kind=\"money\" data-capex-label=\"Radiation Shielding Vault\" data-capex-note=\"Vault size, shielding thickness, and room layout drive this cost.\" data-lean=\"1080000\" data-base=\"1200000\" data-full=\"1380000\" name=\"radiation_shielding_vault\" type=\"text\" inputmode=\"numeric\" value=\"1,200,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eCT Simulator\u003c\/span\u003e\u003csmall\u003eImaging unit selection, setup, and room prep drive this cost.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"ct_simulator\" data-capex-kind=\"money\" data-capex-label=\"CT Simulator\" data-capex-note=\"Imaging unit selection, setup, and room prep drive this cost.\" data-lean=\"765000\" data-base=\"850000\" data-full=\"935000\" name=\"ct_simulator\" type=\"text\" inputmode=\"numeric\" value=\"850,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eFacility Interior Buildout\u003c\/span\u003e\u003csmall\u003eClinical fit-out, walls, finishes, and room prep drive this cost.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"facility_interior_buildout\" data-capex-kind=\"money\" data-capex-label=\"Facility Interior Buildout\" data-capex-note=\"Clinical fit-out, walls, finishes, and room prep drive this cost.\" data-lean=\"540000\" data-base=\"600000\" data-full=\"690000\" name=\"facility_interior_buildout\" type=\"text\" inputmode=\"numeric\" value=\"600,000\"\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-row\"\u003e\n\u003clabel class=\"fml-capex-label\"\u003e\u003cspan\u003eTechnology and Clinical Equipment\u003c\/span\u003e\u003csmall\u003ePlanning workstations, electronic medical record, patient monitoring, and office setup drive this cost.\u003c\/small\u003e\u003c\/label\u003e\u003cdiv class=\"fml-capex-money\"\u003e\n\u003cspan\u003e$\u003c\/span\u003e\u003cinput data-capex-field=\"technology_and_clinical_equipment\" data-capex-kind=\"money\" data-capex-label=\"Technology and Clinical Equipment\" data-capex-note=\"Planning workstations, electronic medical record, patient monitoring, and office setup drive this cost.\" data-lean=\"580000\" data-base=\"645000\" data-full=\"725000\" name=\"technology_and_clinical_equipment\" type=\"text\" inputmode=\"numeric\" value=\"645,000\"\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, install delays, and pre-opening build 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=\"5\" max=\"20\" step=\"1\" data-lean=\"8\" data-base=\"12\" data-full=\"15\" value=\"12\"\u003e\u003coutput data-capex-output=\"contingencyValue\"\u003e12%\u003c\/output\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\n\u003c\/form\u003e\n\u003caside class=\"fml-capex-results\" aria-live=\"polite\"\u003e\u003cspan class=\"fml-capex-tag\"\u003eStartup CAPEX\u003c\/span\u003e\u003cdiv class=\"fml-capex-total\"\u003e\n\u003cspan\u003eTotal startup CAPEX\u003c\/span\u003e\u003cstrong data-capex-output=\"totalCapex\"\u003e$7,610,400\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$6,795,000\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eContingency amount\u003c\/dt\u003e\n\u003cdd data-capex-output=\"contingencyAmount\"\u003e$815,400\u003c\/dd\u003e\n\u003c\/div\u003e\n\u003cdiv\u003e\n\u003cdt\u003eLargest cost driver\u003c\/dt\u003e\n\u003cdd data-capex-output=\"largestDriver\"\u003eLinear Accelerator System\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\u003eLinear accelerator\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"linear_accelerator_system\" style=\"--fml-capex-share: 52%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"linear_accelerator_system\"\u003e52%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eShielding vault\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"radiation_shielding_vault\" style=\"--fml-capex-share: 18%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"radiation_shielding_vault\"\u003e18%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eCT simulator\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"ct_simulator\" style=\"--fml-capex-share: 13%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"ct_simulator\"\u003e13%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eBuildout\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"facility_interior_buildout\" style=\"--fml-capex-share: 9%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"facility_interior_buildout\"\u003e9%\u003c\/b\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"fml-capex-bar-row\"\u003e\n\u003cspan\u003eTech and equipment\u003c\/span\u003e\u003cdiv\u003e\u003ci data-capex-bar=\"technology_and_clinical_equipment\" style=\"--fml-capex-share: 9%;\"\u003e\u003c\/i\u003e\u003c\/div\u003e\n\u003cb data-capex-share=\"technology_and_clinical_equipment\"\u003e9%\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\u003eCAPEX only\u003c\/strong\u003e This calculator covers capitalized pre-opening assets only. It excludes working capital, payroll runway, debt service, deposits, inventory, reimbursement delays, marketing, and post-opening operating losses.\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 should the CAPEX tab show?\u003c\/span\u003e\u003c\/h3\u003e\n\n\u003cp\u003eThe screenshot of \u003ca href=\"\/products\/radiation-oncology-financial-model\"\u003eRadiation Oncology Center Financial Model Template\u003c\/a\u003e CAPEX tab shows startup costs, launch timing, amounts, depreciation\/amortization. Review assumptions.\u003c\/p\u003e\n\n\u003ch4\u003eScreenshot highlights\u003c\/h4\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eMonth 1 to 8 CAPEX\u003c\/li\u003e\n\u003cli\u003e$6,795,000 total spend\u003c\/li\u003e\n\u003cli\u003e$942,000 cash need\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\/radiation-oncology-financial-model-capex-financialmodelslab_668e8694-1dc9-456a-a18e-ffd827daa686.webp\"\u003e\n\u003cimg class=\"preview-img\" width=\"100%\" height=\"auto\" src=\"\/cdn\/shop\/files\/radiation-oncology-financial-model-capex-financialmodelslab_668e8694-1dc9-456a-a18e-ffd827daa686.webp?width=500\" alt=\"Radiation Oncology Center Financial Model capex inputs showing capital expenditure categories and timing, letting users customize equipment, facility and startup investments for accurate cash needs and scenario-ready planning\"\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 should a radiation oncology startup funding plan be modeled?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eModel the \u003cstrong\u003eRadiation Oncology Center\u003c\/strong\u003e funding plan as an \u003cstrong\u003e8-month CAPEX\u003c\/strong\u003e and ramp model, then layer in reimbursement, staffing, payer mix, treatment volume, debt service, and working capital. The base case uses \u003cstrong\u003e$6,795,000\u003c\/strong\u003e total CAPEX from Month 1 to Month 8, with Year 1 revenue of \u003cstrong\u003e$18,052,000\u003c\/strong\u003e and EBITDA of \u003cstrong\u003e$13,451,000\u003c\/strong\u003e. That output points to \u003cstrong\u003e23%\u003c\/strong\u003e IRR, \u003cstrong\u003e21,539%\u003c\/strong\u003e ROE, \u003cstrong\u003eMonth 1 breakeven\u003c\/strong\u003e, and a \u003cstrong\u003e9-month payback\u003c\/strong\u003e, so the next step is a funding model that stress-tests assumptions before lender or investor review.\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\u003eCAPEX and ramp\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$6,795,000\u003c\/strong\u003e total CAPEX\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMonth 1 to Month 8\u003c\/strong\u003e spend window\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMonth 1 breakeven\u003c\/strong\u003e in base case\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e9-month payback\u003c\/strong\u003e target\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\u003eReturns and review\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$18,052,000\u003c\/strong\u003e Year 1 revenue\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$13,451,000\u003c\/strong\u003e EBITDA\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e23%\u003c\/strong\u003e IRR output\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e21,539%\u003c\/strong\u003e ROE output\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 startup costs for a radiation oncology center should founders plan for?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eIf you're opening a Radiation Oncology Center, the hidden costs are mostly pre-opening work and working capital, not just equipment. The business plan at \u003ca href=\"\/blogs\/write-business-plan\/radiation-oncology\"\u003eHow Do I Write A Business Plan For Radiation Oncology Center?\u003c\/a\u003e should include physicist commissioning, shielding reports, credentialing, payer enrollment, staff training, QA testing, insurance, compliance, initial supplies, billing setup, and cash reserves. Use \u003cstrong\u003e$8,500\u003c\/strong\u003e monthly professional liability insurance, \u003cstrong\u003e$15,000\u003c\/strong\u003e equipment service contracts, and \u003cstrong\u003e$59,000\u003c\/strong\u003e total monthly fixed facility overhead as anchors, with \u003cstrong\u003e18%\u003c\/strong\u003e of Year 1 revenue for variable costs and a \u003cstrong\u003e$942,000\u003c\/strong\u003e Month 6 cash gap.\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\u003ePre-opening costs\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003ePhysicist commissioning before launch\u003c\/li\u003e\n\u003cli\u003eShielding reports and QA testing\u003c\/li\u003e\n\u003cli\u003eCredentialing and payer enrollment\u003c\/li\u003e\n\u003cli\u003eStaff training, compliance, billing setup\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003cdiv class=\"card_smpl\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-intro-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch3\u003eCash and overhead\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$8,500\u003c\/strong\u003e monthly liability insurance\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$15,000\u003c\/strong\u003e equipment service contracts\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$59,000\u003c\/strong\u003e fixed monthly overhead\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e18%\u003c\/strong\u003e Year 1 variable costs, plus \u003cstrong\u003e$942,000\u003c\/strong\u003e gap\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eHow much does a linear accelerator cost for a radiation oncology center?\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\n\u003cp\u003eA linear accelerator for a \u003cstrong\u003eRadiation Oncology Center\u003c\/strong\u003e is modeled at \u003cstrong\u003e$3,500,000\u003c\/strong\u003e, and that number dominates the radiation therapy equipment budget because it includes installation, accessories, patient monitoring linkages, commissioning, quality assurance, service setup, and the treatment capacity you buy. The machine is separate from the \u003cstrong\u003e$1,200,000\u003c\/strong\u003e radiation shielding vault and \u003cstrong\u003e$600,000\u003c\/strong\u003e facility buildout, so the core project is about \u003cstrong\u003e$5,300,000\u003c\/strong\u003e before other startup costs. New vs. used equipment, bunker condition, and clinical capabilities can move the budget a lot.\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\u003eWhat drives machine cost\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$3,500,000\u003c\/strong\u003e modeled system cost\u003c\/li\u003e\n\u003cli\u003eInstallation is part of CAPEX\u003c\/li\u003e\n\u003cli\u003eAccessories raise the total\u003c\/li\u003e\n\u003cli\u003eCommissioning and QA add spend\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\u003eWhat changes the budget\u003c\/h3\u003e\n\u003c\/div\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003e\n\u003cstrong\u003e$1,200,000\u003c\/strong\u003e shielding vault is separate\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003e$600,000\u003c\/strong\u003e buildout is separate\u003c\/li\u003e\n\u003cli\u003eUsed units can lower CAPEX\u003c\/li\u003e\n\u003cli\u003eClinical capability changes price\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;\"\u003eRadiation oncology startup cost breakdown table objective\n\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-summary-static\" aria-label=\"Radiation Oncology Center Startup Cost Summary\" data-locale=\"en-US\" data-currency=\"USD\" data-default-scenario=\"base\" data-export-filename=\"Radiation Oncology Center Startup Cost Summary.xlsx\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Radiation Oncology Center 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\"\u003eStartup cost table for core radiation oncology equipment, facility buildout, and the excluded opening cash reserve.\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$6,795,000\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$942,000\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$7,737,000\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=\"3200000\" data-base=\"3500000\" data-high=\"3900000\" data-capex=\"true\"\u003e\n\u003ctd\u003eLinear accelerator system\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$3,500,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eMachine spec, vendor install, and commissioning\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=\"1100000\" data-base=\"1200000\" data-high=\"1350000\" data-capex=\"true\"\u003e\n\u003ctd\u003eRadiation shielding vault\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$1,200,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eShielding design, concrete, and build complexity\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=\"780000\" data-base=\"850000\" data-high=\"940000\" data-capex=\"true\"\u003e\n\u003ctd\u003eCT simulator\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$850,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eImaging configuration and vendor package\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=\"540000\" data-base=\"600000\" data-high=\"680000\" data-capex=\"true\"\u003e\n\u003ctd\u003eFacility interior buildout\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$600,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eTenant improvements and clinical room buildout\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill\"\u003eYes\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-summary-row data-low=\"580000\" data-base=\"645000\" data-high=\"730000\" data-capex=\"true\"\u003e\n\u003ctd\u003eClinical systems, furniture, and office setup\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$645,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eTreatment planning workstations, EMR, monitors, and office 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 class=\"is-excluded\" data-summary-row data-low=\"850000\" data-base=\"942000\" data-high=\"1100000\" data-capex=\"false\"\u003e\n\u003ctd\u003eOperating reserve\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-estimate\" data-summary-value\u003e$942,000\u003c\/td\u003e\n\u003ctd class=\"fml-summary-static-driver\"\u003eMonth 6 cash gap before payback\u003c\/td\u003e\n\u003ctd\u003e\u003cspan class=\"fml-summary-static-pill is-no\"\u003eNo\u003c\/span\u003e\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/tbody\u003e\n\u003c\/table\u003e\u003c\/div\u003e\n\u003cfooter class=\"fml-summary-static-note\"\u003e\u003cspan class=\"fml-summary-static-note-icon\" aria-hidden=\"true\"\u003e!\u003c\/span\u003e\u003cp\u003e\u003cstrong\u003ePlanning note:\u003c\/strong\u003e Ranges reflect researched startup assumptions; non-CAPEX cash needs are shown separately.\u003c\/p\u003e\u003c\/footer\u003e\n\u003c\/div\u003e\u003c\/section\u003e\u003cbr\u003e\n\n\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eRadiation Oncology Center Core Five Startup Costs\u003c\/span\u003e\u003c\/h2\u003e\u003cbr\u003e\u003cbr\u003e\n\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eLinear Accelerator System 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\u003eAccelerator package\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe \u003cstrong\u003e$3,500,000\u003c\/strong\u003e base budget covers Months \u003cstrong\u003e1-6\u003c\/strong\u003e for purchase or lease planning, installation, accessories, patient positioning links, commissioning, quality assurance, and service arrangements. This is the treatment delivery system, and it is separate from the \u003cstrong\u003e$1,200,000\u003c\/strong\u003e vault and \u003cstrong\u003e$850,000\u003c\/strong\u003e CT simulator. Match the beam package to \u003cstrong\u003eIMRT\u003c\/strong\u003e, \u003cstrong\u003eSBRT\u003c\/strong\u003e, and \u003cstrong\u003eIGRT\u003c\/strong\u003e needs.\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\u003eUse one vendor quote, install scope, service start date, beam capability, expected uptime, and commissioning timeline to size the spend. New versus used changes both price and risk. The clean split is \u003cstrong\u003e$3,500,000\u003c\/strong\u003e for the accelerator package, separate from the \u003cstrong\u003e$1,200,000\u003c\/strong\u003e vault and \u003cstrong\u003e$850,000\u003c\/strong\u003e CT simulator.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eAsk for new-versus-used pricing\u003c\/li\u003e\n\u003cli\u003eConfirm service start timing\u003c\/li\u003e\n\u003cli\u003eVerify beam options and uptime\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\u003eControl cost by separating hardware price, installation, and service terms, then paying only for beam features you will use. The big mistake is buying extra capability before patient volume proves it. Tighten the quote, protect quality assurance, and avoid late change orders that push the \u003cstrong\u003eMonth 1-6\u003c\/strong\u003e budget higher.\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;\"\u003eCommissioning check\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eBefore signing, confirm whether the service contract starts on delivery or on go-live, how long commissioning takes, and what uptime is guaranteed after installation. If the beam spec does not support the planned \u003cstrong\u003eIMRT\u003c\/strong\u003e, \u003cstrong\u003eSBRT\u003c\/strong\u003e, or \u003cstrong\u003eIGRT\u003c\/strong\u003e workflow, the center can end up with a costly mismatch.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eRadiation Vault And Facility Buildout Startup Expense\u003c\/span\u003e\u003c\/h3\u003e\u003cbr\u003e\n\u003cdiv class=\"card_smpl blue_card\"\u003e\n\u003cdiv class=\"card_smpl_header\"\u003e\n\u003cimg src=\"\/cdn\/shop\/files\/fml_20_fml-Orange-blog-colons-icon.svg\" alt=\"Icon\" class=\"icon_how_to_use\"\u003e\u003ch4\u003eVault Budget\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003ePlan \u003cstrong\u003e$1,200,000\u003c\/strong\u003e for the vault from \u003cstrong\u003eMonth 1\u003c\/strong\u003e to \u003cstrong\u003eMonth 8\u003c\/strong\u003e. This covers shielding design, concrete or lead, structural work, HVAC, electrical capacity, patient flow, control areas, and inspection readiness. Keep it separate from the accelerator and CT simulator, or bids will look cheaper than they are.\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\u003eInterior Buildout\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003e\u003cstrong\u003e$600,000\u003c\/strong\u003e from \u003cstrong\u003eMonth 1\u003c\/strong\u003e to \u003cstrong\u003eMonth 7\u003c\/strong\u003e is the base interior buildout. Use it for the shell work that supports clinical use: walls, finishes, utilities, and room flow, not the treatment machine itself. Ask for itemized quotes by scope so you can see what the landlord covers and what stays on you.\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\u003eControl the Scope\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe cleanest savings come from matching scope to the existing shell. Get the landlord work letter, confirm electrical service, and check local inspection timing before bidding. A ready vault cuts redesign risk; a bad lease or weak electrical feed can add delay and change the price fast.\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;\"\u003eWhat to Verify\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eStart with the site facts: existing vault condition, landlord work letter, electrical service, local inspection timing, and lease language on specialized clinical construction. These five items decide whether the \u003cstrong\u003e$1.8 million\u003c\/strong\u003e core shell budget stays intact or needs rework.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eCT Simulation, Planning, Imaging, And QA 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\u003eCT Sim Budget\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe CT simulation, planning, imaging, and QA stack starts at \u003cstrong\u003e$1,195,000\u003c\/strong\u003e: \u003cstrong\u003e$850,000\u003c\/strong\u003e for the CT simulator in Months \u003cstrong\u003e1-5\u003c\/strong\u003e, \u003cstrong\u003e$250,000\u003c\/strong\u003e for planning workstations in Months \u003cstrong\u003e2-4\u003c\/strong\u003e, and \u003cstrong\u003e$95,000\u003c\/strong\u003e for patient monitoring equipment in Months \u003cstrong\u003e4-6\u003c\/strong\u003e. Add software, dosimetry tools, immobilization devices, phantoms, QA gear, and delivery-system integration.\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\u003eCost Inputs\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eBuild this cost from units × price, vendor quotes, and months of coverage. Treat CT simulation, contouring, planning software, dosimetry tools, immobilization devices, phantom and QA equipment, and integration work as required workflow assets, not add-ons. One clean check: all tools must work together before first patient.\u003c\/p\u003e\n\u003cul class=\"lst_crct_blog\"\u003e\n\u003cli\u003eUse vendor quotes for each system.\u003c\/li\u003e\n\u003cli\u003eMatch spend to launch months.\u003c\/li\u003e\n\u003cli\u003eVerify delivery-system integration early.\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 Tight\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eDo not cut QA or simulation hardware to save cash; that usually moves cost into delays and rework. Ask for phased installs, bundled service, and clear start dates for support. One simple rule: buy for uptime and compliance first, then trim only where quality stays intact.\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;\"\u003eSoftware Fees\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003ePlan for \u003cstrong\u003eYear 1\u003c\/strong\u003e treatment planning software fees at \u003cstrong\u003e30% of revenue\u003c\/strong\u003e. That is a recurring operating cost, so model it monthly against collections, not as one-time capex. If volume ramps fast, this line scales fast too, and it can squeeze cash even after the build is funded.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003eLicensing, Compliance, Physics, And Professional Services 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\u003eLicense path\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThis budget covers state radiation control approval, shielding calculations, legal setup, accreditation prep, payer enrollment, and radiation safety officer setup. The approval path changes by state and by \u003cstrong\u003eagreement-state\u003c\/strong\u003e or federal oversight, so don’t use one generic license plan. Keep it separate from the \u003cstrong\u003e$6,795,000\u003c\/strong\u003e CAPEX if these costs are expensed.\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\u003eYear 1 anchors\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eUse the model’s staffing anchors to price this work: \u003cstrong\u003e$210,000\u003c\/strong\u003e for the medical physicist and \u003cstrong\u003e$450,000\u003c\/strong\u003e for the medical director in Year 1. Add outside help for commissioning, compliance filings, and payer setup. Here’s the quick math: these are startup operating costs, not treatment equipment, so don’t bury them in vault or accelerator spend.\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\u003eTiming risk\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eThe real risk is starting late. Commissioning, physics sign-off, and local approval must finish before the first patient, or payroll runs with no treatment revenue. If inspection, lease work, or electrical service slips, opening slips too. One delayed month can matter more than a small fee cut.\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;\"\u003eNo template\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eDon’t copy a one-size-fits-all license packet. State rules differ, and the center may need separate steps for shield review, medical physics commissioning, radiation safety officer naming, and payer enrollment. Confirm who files each item, when the physicist starts, and whether any of these costs are capitalized or expensed before treatment begins.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch3\u003e\u003cspan style=\"color: #126CFF;\"\u003ePre-Opening Staffing, Insurance, Supplies, And Launch Setup 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 Readiness\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003ePre-opening spend covers recruiting, credentialing, training, front office setup, billing setup, patient positioning supplies, and launch marketing, plus payroll before the first treatment. Separate this \u003cstrong\u003eone-time readiness spend\u003c\/strong\u003e from \u003cstrong\u003erecurring payroll\u003c\/strong\u003e after opening so you can see true launch cash needs. What this estimate hides is the cash gap between hiring and the first paid claims.\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\u003eCore Payroll\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eYear 1 core payroll totals \u003cstrong\u003e$1,170,000\u003c\/strong\u003e: \u003cstrong\u003e$450,000\u003c\/strong\u003e medical director, \u003cstrong\u003e$210,000\u003c\/strong\u003e medical physicist, \u003cstrong\u003e$145,000\u003c\/strong\u003e dosimetrist, \u003cstrong\u003e$190,000\u003c\/strong\u003e oncology nurse specialists, \u003cstrong\u003e$65,000\u003c\/strong\u003e patient navigator, and \u003cstrong\u003e$110,000\u003c\/strong\u003e center administrator. Estimate it from headcount, start dates, and months worked before opening.\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\u003eInsurance\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eMalpractice (professional liability) insurance is \u003cstrong\u003e$8,500 per month\u003c\/strong\u003e, or \u003cstrong\u003e$102,000\u003c\/strong\u003e a year. Estimate it with months of coverage and carrier quotes, and keep general liability on its own line. If coverage must start before training, include that month in launch cash.\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;\"\u003eSupply Load\u003c\/span\u003e\u003c\/h4\u003e\n\u003c\/div\u003e\n\u003cp\u003eYear 1 supplies and isotopes run at \u003cstrong\u003e60%\nof revenue\u003c\/strong\u003e, so this is the biggest variable cost after staffing. Keep one-time readiness buys separate from recurring use, and tie order size to actual volume, not the opening schedule.\u003c\/p\u003e\n\u003c\/div\u003e\u003c\/div\u003e\u003cbr\u003e\u003cbr\u003e\u003ch2\u003e\u003cspan style=\"color: #126CFF;\"\u003eRadiation oncology center startup cost scenarios table objective\n\u003c\/span\u003e\u003c\/h2\u003e\n\u003csection class=\"fml-scenario-table\" aria-label=\"Radiation Oncology Center Startup Cost Scenarios\" data-site-name=\"Financial Models Lab\" data-site-url=\"https:\/\/financialmodelslab.com\" data-source-title=\"Radiation Oncology Center Startup Cost Scenarios\" data-note-label=\"Planning note\" data-note-text=\"Scenario ranges are researched planning assumptions, not exact quotes or vendor 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\"\u003eScenario Table\u003c\/p\u003e\n\u003cp class=\"fml-scenario-table-description\"\u003eLean, Base, and Full launches change cost fast because equipment, vault work, staffing, and working capital all scale together. The biggest swing is whether you already have a usable vault and can keep the staffing ramp tight.\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\u003eThree launch paths with different capital, staffing, and runway needs.\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\"\u003eLean scope\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\"\u003eCore stack\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\"\u003eExpanded 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=\"Uses fewer treatment capabilities, a tighter staffing ramp, and an existing usable vault if one is available.\"\u003eUses fewer treatment capabilities, a tighter staffing ramp, and an existing usable vault if one is available.\u003c\/td\u003e\n\u003ctd data-export-value=\"Uses the modeled build with the core equipment set and standard opening ramp.\"\u003eUses the modeled build with the core equipment set and standard opening ramp.\u003c\/td\u003e\n\u003ctd data-export-value=\"Adds deeper staffing, broader services, and a stronger imaging and planning stack.\"\u003eAdds deeper staffing, broader services, and a stronger imaging and planning stack.\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=\"Starts with one accelerator, limited planning gear, and only the staff needed to open safely.\"\u003eStarts with one accelerator, limited planning gear, and only the staff needed to open safely.\u003c\/td\u003e\n\u003ctd data-export-value=\"Includes one $3.5M accelerator, a $1.2M vault, an $850k CT simulator, and $250k of planning workstations.\"\u003eIncludes one $3.5M accelerator, a $1.2M vault, an $850k CT simulator, and $250k of planning workstations.\u003c\/td\u003e\n\u003ctd data-export-value=\"Runs with more specialists, more redundancy in care delivery, and more working capital to absorb ramp risk.\"\u003eRuns with more specialists, more redundancy in care delivery, and more working capital to absorb ramp risk.\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr data-scenario-row\u003e\n\u003cth class=\"fml-scenario-row-heading\" scope=\"row\" data-export-value=\"Cost drivers\"\u003e\u003cspan class=\"fml-scenario-row-heading-inner\"\u003e\u003cspan class=\"fml-scenario-row-icon is-drivers\" aria-hidden=\"true\"\u003e\u003cimg class=\"fml-scenario-row-icon-img\" src=\"\/cdn\/shop\/files\/scenario-cost-drivers.svg\" alt=\"\" loading=\"lazy\"\u003e\u003c\/span\u003e\u003cspan\u003e\u003cspan class=\"fml-scenario-row-title\"\u003eCost drivers\u003c\/span\u003e\u003c\/span\u003e\u003c\/span\u003e\u003c\/th\u003e\n\u003ctd data-export-value=\"Existing vault use; fewer specialists; smaller imaging stack; lighter buildout; lower runway\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eExisting vault use\u003c\/li\u003e\n\u003cli\u003efewer specialists\u003c\/li\u003e\n\u003cli\u003esmaller imaging stack\u003c\/li\u003e\n\u003cli\u003elighter buildout\u003c\/li\u003e\n\u003cli\u003elower runway\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"Accelerator; vault; CT simulator; planning workstations; Month 6 cash gap\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eAccelerator\u003c\/li\u003e\n\u003cli\u003evault\u003c\/li\u003e\n\u003cli\u003eCT simulator\u003c\/li\u003e\n\u003cli\u003eplanning workstations\u003c\/li\u003e\n\u003cli\u003eMonth 6 cash gap\u003c\/li\u003e\n\u003c\/ul\u003e\u003c\/td\u003e\n\u003ctd data-export-value=\"More specialists; stronger imaging stack; broader service mix; extra working capital; higher launch burn\"\u003e\u003cul class=\"fml-scenario-list\"\u003e\n\u003cli\u003eMore specialists\u003c\/li\u003e\n\u003cli\u003estronger imaging stack\u003c\/li\u003e\n\u003cli\u003ebroader service mix\u003c\/li\u003e\n\u003cli\u003eextra working capital\u003c\/li\u003e\n\u003cli\u003ehigher launch burn\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=\"$4.8M - $5.8M\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$4.8M - $5.8M\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=\"$6.8M - $7.8M\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$6.8M - $7.8M\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-soft\"\u003eBase funding case\u003c\/span\u003e\n\u003c\/td\u003e\n\u003ctd data-export-value=\"$8.5M - $10.5M\"\u003e\n\u003cstrong class=\"fml-scenario-range\"\u003e$8.5M - $10.5M\u003c\/strong\u003e\u003cspan class=\"fml-scenario-badge is-warning\"\u003eHigher funding risk\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 founders with an existing vault, referral access, and a slow start plan.\"\u003eBest for founders with an existing vault, referral access, and a slow start plan.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for teams building a full-service center around the modeled equipment and staff plan.\"\u003eBest for teams building a full-service center around the modeled equipment and staff plan.\u003c\/td\u003e\n\u003ctd data-export-value=\"Best for operators aiming for wider clinical coverage and more cushion before cash turns positive.\"\u003eBest for operators aiming for wider clinical coverage and more cushion before cash turns positive.\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 Scenario ranges are researched planning assumptions, not exact quotes or vendor bids.\u003c\/p\u003e\n\u003c\/div\u003e\n\u003c\/div\u003e\u003c\/section\u003e","brand":"FinancialModelsLab","offers":[{"title":"Default Title","offer_id":49303972020467,"sku":"radiation-oncology-startup-costs","price":0.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0522\/6191\/2762\/files\/radiation-oncology-startup-costs.webp?v=1782690496","url":"https:\/\/financialmodelslab.com\/products\/radiation-oncology-startup-costs","provider":"Financial Models Lab","version":"1.0","type":"link"}