Proforma
for Adding PET and PET/CT |
The decision to add a dedicated
PET or PET/CT scanner to your imaging center
involves many factors including market demographics,
local competition, reimbursement estimates,
and many cost assumptions. A proforma is a
useful tool to help simulate your business
model with varying assumptions.
|
| Some initial assumptions
should be made in your proforma model: |
 |
| Available Payment Options |
 |
Five year FMV (Fair Market Value) lease,
no down payment, 10 year financing on
facility/room, and 7 year financing on
hot lab and other capital equipment |
|
|
Five year Capital Lease, $300,000 down
payment on the scanner with 5 year financing,
10 year financing on facility, and 7
year on hot lab and other capital equipment |
|
|
Cash purchase for the scanner, facility/room,
hot lab and other capital equipment |
| |
| Service Costs |
|
Assume somewhere between 7% and 10%
of the purchase price per year starting
in year 2 (after 12 month warranty period) |
|
| |
| Some revenue
inputs to consider in a proforma include: |
|
| Operations |
|
Number of days per year PET procedures
will be performed |
|
|
Average number of daily procedures
projected each year (including free cases) |
|
|
Current or projected payer mix for
PET |
|
|
Are professional fees captured by your
facility or an independent physician
or physician group (Y/N) |
| |
| Payment |
|
Medicare reimbursement rate for PET
procedures in your geography – based
on APC or IDTF, this will or will not
include FDG |
|
|
Professional fee reimbursement depending
on geographic location |
|
|
Projected gross charge for private
payers |
|
|
Professional charge for private payers |
|
|
Percentage of private payer charges
collected |
|
|
Projected net revenue per procedure
for out of pocket (cash) payers – consider
bad debt |
|
|
Projected net revenue per procedure
for out of pocket (cash) for professional
fee |
|
| |
| Some cost inputs to consider
in a proforma include: |
|
| Start Up Costs |
|
Projected cost of PET or PET/CT scanner |
|
|
Tax exempt status - If not exempt,
your local sales tax rate |
|
|
Lease information |
|
|
Facility construction costs |
|
|
Hot lab, office or other capital equipment |
|
|
Start up licensing or permit fees |
|
|
Incidental start up costs |
| |
| Employees |
|
Projected annual FTEs and average salary |
|
|
Employee benefits |
| |
| Annual Costs |
|
Space (rental) |
|
|
Marketing costs |
|
|
Standard maintenance agreement |
|
|
Telephone costs |
|
|
Utility costs |
|
|
Insurance |
|
|
Licensing and permits |
|
|
Miscellaneous |
| |
| Variables |
|
Average acquisition costs per dose
of FDG |
|
|
Cost of delivery per dose of FDG |
|
|
Film cost per procedure |
|
|
Average disposable and supply costs
per procedure |
|
|
Miscellaneous per procedure |
| |
| Tax/Inflation Factors |
|
Annual inflation rate |
|
|
Facility income tax rate |
|
| |
