You're opening an outpatient clinic: core monthly fixed costs include a $60,000 lease, $8,000 IT hosting, $12,000 marketing retainers, $10,000 utilities, and $6,000 insurance, while CT financing, payroll (radiology techs $80,000/yr each), lab panels, and performance marketing add variable cash needs. Plan for a projected minimum cash of -$1,751,000 in Jan-27 and delay noncritical capex to protect runway.
#
Operating Expense
Description
Min Amount ($X)
Max Amount ($Y)
1
First Operating Expense Outpatient Clinic
Monthly lease of clinical locations major fixed cost starting March 2026.
$60,000
$60,000
2
Second Operating Expense Outpatient Clinic
Low-dose CT capital for initial two units with planned expansion in 2027.
$1,800,000
$2,700,000
3
Third Operating Expense Outpatient Clinic
Radiology tech wages scale with FTEs; base 3 FTEs at $80k each.
$240,000
$400,000
4
Fourth Operating Expense Outpatient Clinic
IT platform MVP capex plus monthly hosting, PACS, and license costs.
$400,000
$520,000
5
Fifth Operating Expense Outpatient Clinic
Outsourced laboratory panels represent a variable COGS percentage of revenue.
$100,000
$300,000
6
Sixth Operating Expense Outpatient Clinic
Digital performance marketing spend and fixed retainers driving customer acquisition.
$150,000
$350,000
7
Seventh Operating Expense Outpatient Clinic
Utilities, insurance, processing fees, consumables, and one-time backup generator capex.
$192,000
$312,000
Total
$2,942,000
$4,642,000
Key Takeaways
Negotiate staged leases to reduce $60,000 monthly burn
Delay additional CT purchases until utilization justifies
Cut performance marketing and optimize channels to lower CAC
Arrange bridge financing before Jan-27 negative $1,751,000
What Does It Cost To Run Outpatient Clinic Each Month?
Running an outpatient clinic costs are dominated by large fixed monthly bills, so you must plan cash and runway carefully. The biggest single outflow is the clinical lease at $60,000 per month, plus utilities and facilities at $10,000 monthly. Add IT hosting and PACS maintenance at $8,000 and marketing/brand retainers at $12,000; wages for core leadership and center staff are a significant additional payroll burden. For setup and financial planning see How to Write a Business Plan for an Outpatient Clinic?
Give a header name
Lease: $60,000 / month
IT & PACS: $8,000 / month
Marketing retainers: $12,000 / month
Utilities & facilities: $10,000 / month
Where Does Most Of Your Monthly Cash Go In Outpatient Clinic?
You're running an outpatient clinic; most monthly cash goes to the clinical lease and staffing-here's the quick split and what to watch. See How to Write a Business Plan for an Outpatient Clinic? for actions that align costs to revenue. The largest single outflow is the clinical location lease at $60,000 monthly, followed by payroll for radiology techs and center managers, marketing retainers plus performance spend, and CT unit financing; the model shows a Minimum Cash of -$1,751,000 in Jan-27.
CT financing/leases impact monthly cash and runway
How Can Outpatient Clinic Founder Reduce Operating Expenses?
You're scaling an outpatient clinic and need faster wins to cut monthly burn; here are proven levers that reduce outpatient clinic operating expenses and improve runway. Negotiate the clinical lease, shift imaging work to teleradiology, delay noncritical CT capex, optimize marketing CAC, and outsource labs to get volume discounts. Read more context in How to Write a Business Plan for an Outpatient Clinic?
Practical cost cuts to lower monthly cost to operate an outpatient imaging clinic
Negotiate staged lease terms or revenue-share clauses to reduce upfront clinic lease costs and manage runway.
Shift imaging capacity to contracted teleradiology to cut healthcare clinic payroll expenses for radiology techs.
Delay noncritical CT scanner purchases (CT scanner cost and financing) until utilization justifies the CAPEX.
Optimize digital marketing to lower marketing CAC for outpatient clinics and outsource lab panels to achieve per-test discounts.
What Costs Are Fixed, And What Costs Scale With Sales?
Direct answer: Fixed costs in the outpatient clinic are the clinical lease, IT hosting and maintenance, insurance, and marketing retainers; sales-linked costs are outsourced lab panels, payment processing fees, variable onsite staffing, consumables, and referral/affiliate fees - read operational KPIs 5 KPI & Metrics for Outpatient Clinic Success: What Should We Track? to tie costs to throughput. Fixed costs set your baseline monthly burn; scalable costs rise as patient volume and tests increase. Match staffing and outsourcing to appointment demand to control outpatient clinic operating expenses and CAC for outpatient clinics.
Fixed vs Scalable Costs
Fixed: clinical lease, IT hosting, insurance, marketing retainers
Onsite variable staffing scales with appointment volume and throughput
Consumables, disposables, and referral fees scale directly with patient visits
What Are The Most Common Operating Costs Founders Underestimate?
You're likely undercounting hidden outpatient clinic operating expenses-read on to avoid a cash surprise. Regulatory and compliance legal bills pile up beyond retainers, CT maintenance and downtime add recurring cost, and IT hosting and PACS storage grow with imaging volume. Recruitment, training, and rising insurance premiums also push healthcare clinic payroll expenses higher during ramp; see operational setup details at How Much Does It Cost to Start an Outpatient Clinic?.
CT maintenance & downtime: service contracts and lost revenue during repairs
IT hosting & PACS: data storage and security scale with imaging volume
Hiring & training: ramp-time payroll for radiology techs and managers
What Are Outpatient Clinic Operating Expenses?
Operating Cost: First Operating Expense Outpatient Clinic
You're signing leases before revenue ramps, so clinical location lease at $60,000 monthly (starts March 2026) is the single biggest fixed cost and directly raises monthly burn and required initial capital.
What This Expense Includes
Base rent for clinical space at $60,000/month
Common area maintenance (CAM) and property taxes
Lease insurance and tenant improvements amortized in rent
Utilities pass-throughs included in lease
Lease ramp or escalation clauses beginning after opening
Biggest Cost Drivers
Location and square footage (urban vs suburban)
Lease term and escalation or revenue-share clauses
Timing of lease start relative to clinic opening
Typical Monthly Cost Range
Fixed lease cost: $60,000/month (starts Mar 2026)
Overall monthly overhead impact depends on phased openings and footprint
How to Reduce This Expense
Negotiate staged lease or rent-free period-push cash start until patient volume builds
Ask for revenue-share or performance rent to align landlord incentives
Open smaller footprint or phase centers to delay additional $60k commitments
Common Budget Mistake
Signing full rent before March 2026 opening → immediate cash drain and shorter runway
Not negotiating ramp or revenue-share terms → inflexible fixed cost that defintely hurts burn
Operating Cost: Second Operating Expense Outpatient Clinic
The CT scanner capex for an outpatient clinic-initially $1,800,000 for two low‑dose units with an additional $900,000 planned in 2027-is a large upfront and ongoing cash item because its purchase, financing, depreciation, and service contracts directly set monthly burn and the clinic's revenue ceiling.
What This Expense Includes
Purchase cost: $1,800,000 for two CT units, plus $900,000 for one more in 2027
Financing or lease payments and depreciation schedules
Preventive maintenance and service contracts with vendor technicians
Contracted technician staffing and on‑call support fees
Downtime-related revenue loss when units are offline
Biggest Cost Drivers
Financing terms versus outright purchase (term, rate)
Service contract tier and guaranteed uptime SLA
Scanner utilization rate (throughput determines need for extra units)
Typical Monthly Cost Range
Capital noted: $1,800,000 initially and $900,000 in 2027; monthly cost depends on chosen financing or depreciation term
Cost varies by: financing rate/term, service contract level, and uptime-related replacement/reserve policies
How to Reduce This Expense
Negotiate vendor financing or lease-to-own to smooth monthly cash flow and include performance clauses
Phase equipment buys-delay the $900,000 add-on until utilization justifies it
Buy a lower-tier service plan plus a small in-house spares budget to lower recurring service fees
Common Budget Mistake
Underestimating maintenance and downtime costs → unexpected revenue loss and higher cash burn
Ignoring financing details (balloon payments or high rates) → short‑term runway shock
Operating Cost: Third Operating Expense Outpatient Clinic
This category covers wages and payroll-related costs for radiology technologists and center clinical staff, which directly drive monthly cash burn and must match patient throughput to protect margins.
What This Expense Includes
Base salaries for radiology techs (annual $80,000 per FTE)
Payroll taxes and employer benefits (health, retirement, leave)
Center manager and clinical staff wages
Recruiting, onboarding, and training costs for specialized staff
Temporary staffing or overtime to cover peak shifts
Biggest Cost Drivers
Staffing level and FTE count (utilization rises, hire more)
Throughput per scanner (appointments per day)
Premiums for temps/overtime and benefits package design
The IT platform hosting and PACS expense for the outpatient clinic covers core software, storage, and uptime guarantees and matters because it consumes steady monthly cash and scales with imaging volume, affecting your ability to meet the 48-hour result guarantee.
What This Expense Includes
$8,000/month for IT hosting and maintenance (from launch 2026)
$5,000/month for PACS and software licenses with SLA requirements
$400,000 MVP platform capex in 2026 (development and integrations)
Data storage, backup, and encryption for imaging and patient records
Support contracts and contracted technician time for uptime and incident response
Biggest Cost Drivers
Imaging volume and retention (more scans → more storage and egress costs)
Service tier and SLAs for PACS uptime and result turnaround
Integration complexity (EHR, scheduling, reporting) driving dev and support
Typical Monthly Cost Range
$8,000/month - hosting & maintenance (explicit)
$5,000/month - PACS and software licenses (explicit); $400,000 MVP capex ≈ $33,333/month if allocated across 12 months in 2026 (approximate)
How to Reduce This Expense
Negotiate tiered SLAs and pay for required uptime only; move noncritical features to lower-cost tiers
Use cloud cold storage for older imaging and hot storage only for 48-hour turnaround items
Phase MVP features and defer nonessential integrations to spread the $400,000 capex over time
Common Budget Mistake
Underestimating storage growth - consequence: sudden spike in monthly hosting and egress fees that strains cash flow
Signing fixed high-tier PACS contracts without usage review - consequence: paying for unused capacity and higher ongoing OPEX
For the outpatient clinic, outsourced laboratory panels are a variable cost that starts at 10% in 2026 and matters because it directly reduces gross margin and scales with patient volume.
What This Expense Includes
Third-party lab test fees per panel
Per-test logistics and courier charges
Contract admin and QA audit fees
Volume discounts or tiered pricing adjustments
Vendor onboarding and compliance validation
Biggest Cost Drivers
Patient volume and test mix
Vendor rates and contract tiers
Membership repeat rates smoothing unit cost
Typical Monthly Cost Range
Cost varies by test mix, volume, and negotiated rates
Higher volumes lower per-test cost via tiered discounts
How to Reduce This Expense
Negotiate volume-based price tiers and annual true-ups
Shift low-margin panels to pooled vendors or batch runs to defintely cut per-test freight
Use membership pricing to increase repeat customers and secure guaranteed volume discounts
Common Budget Mistake
Assuming per-test price stays fixed - consequence: rising COGS as volume shifts or new panels added
Digital marketing for the outpatient clinic is the mix of fixed brand retainers and variable performance spend (customer acquisition cost) that directly drives monthly cash outflow and affects runway and breakeven.
What This Expense Includes
Monthly brand retainers of $12,000
Performance marketing ad spend starting at 8% of revenue
Campaign creative, landing page and tracking costs
Paid search and social media media-buy fees
Analytics, attribution tooling, and incremental CRO work
Biggest Cost Drivers
Volume of paid acquisition (higher spend to hit growth targets)
Target cost per acquisition (CAC) and channel efficiency
Agency/retainer vs. in-house staffing model
Typical Monthly Cost Range
Fixed brand retainer: $12,000 per month
Variable performance spend: starts at 8% of revenue (scales with bookings)
How to Reduce This Expense
Move low-performing channels to test budgets and reallocate to top CAC performers
Negotiate retainer+performance fee with agency to tie fees to booked appointments
Invest in landing-page conversion rate optimization to lower CAC per booking
Common Budget Mistake
Budgeting only the $12,000 retainer and ignoring variable performance spend, causing unexpected monthly burn
Not tracking CAC by channel, which hides inefficient spend and delays breakeven
For the outpatient clinic this category covers building utilities, facility support, insurance, small transaction fees, consumables, and the one-time backup generator capex - it matters because these items create a steady monthly drain and a material upfront capital hit that both squeeze runway.
What This Expense Includes
Facilities and utilities starting at $10,000 monthly
Insurance (malpractice & general liability) baseline $6,000 monthly
Payment processing fees that scale with transactions
Consumables and disposables that scale with patient volume
One-time backup generator and redundancy capex of $120,000
Biggest Cost Drivers
Patient volume and throughput (drives utilities, consumables, processing fees)
Vendor rates and service tiers (insurance premiums, facility service contracts)
Location and lease terms (local utility rates and facility requirements)
Typical Monthly Cost Range
$10,000 monthly for utilities and facilities (starts Mar‑2026)
$6,000 monthly for insurance baseline (from 2026)
Payment processing and consumables vary by appointment volume and test mix
How to Reduce This Expense
Negotiate lease utility caps or landlord cost‑sharing clauses to lower monthly utilities
Shop insurance annually and bundle GL/malpractice to reduce premiums
Consolidate consumable vendors and commit to volume tiers for lower per‑unit pricing
Common Budget Mistake
Underestimating insurance and service contracts → unexpected monthly step‑up in burn
Ignoring transaction fee leakage (processing and card declines) → margin erosion as volume grows
Core screening packages are forecasted revenue drivers and cost the business $1,500 to $3,000 per customer as the target price point The model projects total Core Screening Packages revenue of $2,000,000 in 2026 and $5,000,000 in 2027 Pricing aligns with high-margin goals and a target of roughly 75% margin on imaging time and interpretation fees
Appointments are designed to be 60 minutes in-and-out to minimize patient time burden Rapid throughput supports the business model and helps reach breakeven in Year 2 Short appointment windows enable higher utilization of imaging assets and contribute to projected revenue growth from $2,550,000 year one to $6,850,000 year two
No, the Outpatient Clinic eliminates the need for primary care referrals for screening services That referral-free model supports direct-to-consumer acquisition and corporate executive contracts beginning in 2026 Revenue streams include Corporate Executive Contracts projected at $300,000 in 2026 and growing to $1,000,000 in 2027 to support employer-sponsored access
If cash runs low the company will need bridge financing or cost reductions because the model shows a Minimum Cash of -$1,751,000 occurring in Jan-27 Proactive measures include delaying nonessential capex, negotiating lease ramps, or tightening marketing spend to protect runway and reach positive EBITDA by Year 2
Annual subscription memberships launch July 1, 2026 and offer discounted follow-up testing for repeat customers The forecast shows Membership revenue of $150,000 in 2026 growing to $450,000 in 2027 and $900,000 in 2028 Subscriptions improve retention, predictable revenue, and lifetime value for proactive members