Job-Level Profitability for Specialty and Surgical Clinics

We assign block time cost per minute based on your fully loaded OR hourly rate, including nursing, anesthesia, and facility overhead, then multiply actual case duration from your scheduling system to yield true allocated cost per procedure. If block time goes unused, we flag the unabsorbed cost separately so you can see both per-case margin and the penalty of unfilled capacity.

We integrate your supply chain or inventory management feed to capture actual implant, device, and disposable cost by case identifier or CPT, then reconcile monthly to your GL supply expense. For high-cost implants like spinal hardware or joint replacements, we tie vendor invoice line items directly to the procedure date and patient account so margin calculation reflects true landed cost, not an average.

We quantify the margin gap and model three scenarios: renegotiate reimbursement to breakeven or better, limit case volume to preserve capacity for higher-margin procedures, or exit the contract and redeploy block time. For employed surgeons, we also calculate the impact on physician-level productivity and compensation, so you can make the decision with full downstream visibility before the next budget cycle.

Buyers build their quality-of-earnings model at the case level, applying your payer mix and per-procedure contribution margin to forecast post-transaction EBITDA under their cost structure and contract rates. If you present auditable procedure economics, documented block time utilization above 80 percent, and diversified payer mix during diligence, you eliminate the recast risk that typically compresses EBITDA by 10 to 20 percent and justify a multiple at the higher end of the 5 to 17x range for specialty and surgical clinics.