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Clinic & Diagnostic Center ROI
Pick a typical Indian clinic, lab or imaging centre, read the verdict against Indian benchmarks — EBITDA margin, IRR, payback — then fine-tune equipment, fit-out, doctor revenue-share and volume ramp.
Live model
Total investmentEverything to open: equipment, fit-out, licences, contingency and construction-period interest.
₹1.2 Cr
Project IRRAnnual return of the project itself, before any loans — compare to your hurdle rate.
14.2%
Equity IRRAnnual return on your own money after loan payments. Borrowing amplifies this — both ways.
19.7%
Pick a preset or set the six decisions, read the verdict — then fine-tune any assumption below. Export or share a live link to this exact model.
A 80-visit/day practice at ₹1.2 Cr all-in runs a 25% EBITDA margin and pays back in 5.2 yr at 19.7% equity IRR. Full breakdown below.
Your project
Start from a typical Indian practice, then adjust the six decisions that drive the whole model: how many patients, what you charge, what the doctors take, how much space, the equipment budget and how it's funded. Everything else — licences, staff, tax, depreciation — has sensible Indian-market defaults you can fine-tune in the sections below.
What it costs & what it returns
Live results — every number updates instantly as you change anything, here or in the fine-tune sections below.
Setting up this 80-visit/day practice costs ₹1.2 Cr all-in — equipment, fit-out, licences, contingency and construction-period interest. Once ramped up (around year 3) it bills ₹1.35 Cr a year; doctors take 25% of every rupee first, leaving ₹33.3 L as EBITDA (25% margin — within the typical 15–25% for a standalone Indian clinic; listed chains like Dr Lal touch 28% with brand and scale). The investment pays back in 5.2 yr (typical 3–6 yr) and returns 14.2% on the project / 19.7% on your equity over 10 years — creating ₹7.3 L of value at your 13% hurdle rate.
Bottom line: Viable at these assumptions
Total investmentEverything it takes to open: equipment, fit-out, licences, contingency and interest paid during the build.
₹1.2 Cr
₹480 per annual visit
Revenue / yr (ramped up)Annual billings once utilization reaches its plateau. Revenue is the top line, not take-home.
₹1.35 Cr
EBITDA / yrOperating profit before loan interest, depreciation and tax, at the stabilized year.
₹33.3 L
25% margin
Within typical 15–25%
PaybackYears of operation until cumulative cash covers the investment.
5.2 yr
Within typical 3–6 yr
Project IRRAnnual return of the project itself, before any loans — compare it to your hurdle rate.
14.2%
Equity IRRAnnual return on your own money, after loan payments. Borrowing amplifies this — both ways.
19.7%
NPVToday's value of all future cash minus the investment, at your hurdle rate. Positive = the project beats your hurdle.
₹7.3 L
Peak equity neededThe deepest your own capital goes before the clinic starts paying it back — the cheque you must be able to write.
₹47.5 L
Min DSCRWorst-year cash cover on loan payments. Banks want at least 1.2–1.3× — below 1.0 the clinic can't pay its EMIs from operations.
1.30×
Equity multipleTotal cash returned per rupee of your own money invested, over the whole horizon.
3.97×
Break-even utilisationThe utilization below which the project stops covering its cost of capital. Closer to your plateau = thinner cushion.
68%
Revenue / visitStabilized-year billing per patient, escalation included — listed diagnostics chains average about ₹900 per patient.
₹772
chains avg ≈₹900/patient
Cumulative cash flow — payback
Utilisation ramp
Fine-tune
Every assumption below is editable — the verdict updates live.
Volume & ramp-up
312 days/yr · consumables ₹70/visit · utilization 40% → 70% over 3 yrs — open to tune operating days, consumables and the ramp.
Build cost (CapEx)
₹1.2 Cr total — equipment ₹80 L + fit-out ₹24 L + licences ₹5 L + contingency. Open to edit fit-out and every licence line.
Running cost (OpEx)
Staff ₹20 L/yr · rent ₹60/sqft/mo (₹14.4 L/yr) · doctor share 25% of revenue — open to edit staff, rent, escalations.
Revenue & financing
70% debt @ 10.5% over 7 yrs · WDV 40% depreciation · min DSCR 1.30× — open for the loan terms, tax and the full per-year P&L.
Operations & throughput
56 visits/day at stabilized run-rate · break-even at 68% utilisation — open for throughput and per-visit economics.
Charts
Cost mix, payback curve, revenue vs running cost, earnings trend, utilisation ramp and debt coverage — the full visual read.
Stress test
What breaks the case first — move one driver (price, volume, doctor share…), rank all by impact, cross two, or solve back from a target return.
Scenarios
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Clinic model summary