Surgeons in Surgery

Financial Model - ASC Development

Typical Project requirement: $5,900,000 investment.

Typical Financing: $4,800,000 on a limited recourse basis (guarantees limited to each partner's percentage interest).

Typical Equity/Capital: $1,100,000 with partner cash contributions.

Individual contribution (for 10% ownership in the center): Equity of $110,000 (10% x $1,100,000). Limited guarantee of $480,000 (10% x $4,800,000).

Typical cost breakdown (construction, equipment, furnishings,supplies, and working capital reserves).

The total cost has four main components:

  • Architectural and engineering design ranges between $180,000 and $265,000. This includes obtaining state approvals and completion of the accreditation process.
  • Construction costs are approximately $165-$255 per square foot and the typical size is 9,000-11,000 SF (between $1,500,000 and $2,800,000). We contract for construction management and provide oversight of the project.
  • Equipment and furnishings generally cost between $2,000,000 and $3,000,000 depending on the medical specialties in the surgical facility.
  • Working capital of $900,000-$1,100,000 is required. These funds are necessary to pay regular operating expenses – rent, staff salaries, utilities, etc. – until facility fee collection is sufficient to cover expenses (usually six months after beginning operation).

Total cost:Between $4,580,000 and $7,165,000.