MEDISPA.PRO
1.3.7 1.3 · General therapeutic interventions and high-tech therapy (General therapeutic interventions)

Room 1.3.7 · Colon hydrotherapy room (monitored colon cleansing)

Industry analytical passport of room type Medical procedure / infusion room. Full profile of architectural TEP, medical equipment specification (CapEx), MEP engineering loads (HVAC, electrical, water supply and drainage), resort price benchmarks and unit economics financial model.

Net usable area NUA
20.0 m²
GBA: ~26.0 m²
Treatment stations
1 station
Type: T3
Equipment CapEx
1 651 400 ₽
6 items
CapEx Finishes / MEP
3 300 000 ₽
Class B
Total investment
4 951 400 ₽
Turnkey incl. VAT
Payback period
8.2 mo
Base scenario

🏛 1. Architectural and planning parameters and zoning

Total area: 20.0 m²

Building requirements and finishing materials (SanPiN)

Cleanliness class:Class B (cleanrooms)
Wet point:Required (cold + hot water + drain)
Ceiling height:≥ 3.0 m (clear height)
Door opening width:≥ 1.0–1.2 m (medical standard)
Floor covering:Homogeneous antistatic linoleum
Wall finish:Moisture-resistant paint / disinfectant resistance

Functional zone schedule (3 zones)

Functional zone Area Purpose and technological equipment
Specialist's consultation and work area 6.0 m² Physician/nursing workstation, documentation and MIS
Procedure and treatment zone 11.0 m² Procedure and device treatment zone for 1 station
Preparation and disinfection area 3.0 m² Storage of sterile consumables and disinfectants

⚡ 2. Engineering and technology profile (MEP)

Electrical 6.2 kW · HVAC +3.0/-3.0

Electrical (power supply)

Installed power:
6.2 kW
Design power (Kd=0.72):
4.46 kW
Cable lines:
2 beams
Distribution board:
230V / 50Hz (dedicated medical distribution board)
Residual current protection (RCD):
Individual medical type 'A' RCDs 10 mA / 30 mA
Medical UPS:
None kVA (None min)

HVAC (ventilation & SanPiN)

SanPiN cleanliness class:
Class B (cleanrooms)
Supply air exchange:
+3.0 ACH
Exhaust air exchange:
-3.0 ACH
Temperature:
20-22°C
Humidity:
45-55%
Gas destruction:
General ventilation filtration

Water supply & drainage and safety

Cold/hot water points:
1 stations (elbow-operated)
Floor drains:
1 pcs (dry trap)
Water treatment:
Standard cold water filtration
Clinical and technological rationale for synergy
Automatic fire alarm, type 2-3 warning and evacuation system, powder/gas fire extinguishers
Nurse call system:
Installed at stations

🔬 3. Medical and spa equipment specification (CapEx)

1 651 400 ₽
№ Equipment name Brand / Manufacturer Country Ministry of Health registration certificate Qty Unit price Amount (CapEx)
1 Monitored colon cleansing / hydrocolonoscopy device

Balneological equipment for therapeutic and wellness water treatments, thermal and hydromassage action on body tissues.

★ HERO HIGH-TECH
— — Registration certificate not stated 1 1 400 000 ₽ 1 400 000 ₽
2 Medical examination couch

Medical examination couch with adjustable headrest and seamless washable upholstery for positioning the patient during initial examination and physical procedures.

— — FSR 2009/05812 dated 12.11.2015 1 8 000 ₽ 8 000 ₽
3 Nurse workstation

Modular nurse station for keeping the prescription log, recording medicines, storing consumables and coordinating procedures promptly.

— — Registration certificate not stated 1 80 000 ₽ 80 000 ₽
4 Personal computer with printer / MFP

Workstation connected to the MIS, the secure EGISZ network and peripherals for maintaining electronic records and generating reports and prescriptions.

— — not a medical device 1 150 000 ₽ 150 000 ₽
5 Elbow-operated medical dispenser

Wall-mounted elbow-operated contactless dispenser for hygienic and surgical antiseptic hand treatment of medical staff with liquid disinfectant.

— — FSR 2011/12142 dated 30.04.2019 2 3 200 ₽ 6 400 ₽
6 OBR-30 recirculating irradiator

Closed-type ozone-free bactericidal ultraviolet recirculator for continuous air disinfection in the presence of people in accordance with SanPiN 2.1.3678-20.

— — FSR 2012/13558 dated 28.06.2012 1 7 000 ₽ 7 000 ₽
Equipment specification total: 1 651 400 ₽

Key flagship systems of the treatment room (Hero High-Tech)

Medical Class IIa / Russian Ministry of Health registration certificate 1 400 000 ₽

Monitored colon cleansing / hydrocolonoscopy device

Leading manufacturer (Russia / international) · 1.5 kW

Balneological equipment for therapeutic and wellness water treatments, thermal and hydromassage action on body tissues.

📋 4. Medical services nomenclature and clinical protocols

3 services
Code Unified directory service Market median Facilities Procedure passport
A11.18.005 Colon hydrotherapy 3 950 ₽ 4 Passport →
A14.19.002 Therapeutic enema / colon irrigation 1 675 ₽ 7 —
— Autoprobiotic course (with cryostorage of biomaterial) 11 200 ₽ 1 —

📊 5. Comparative price benchmarking of leading resorts in Russia

Price analytics in the Knowledge Base

Summary price statistics by service category (10 resorts in Russia)

Category Min P25 Median P50 P75 Max Segment leader MEDISPA rec.
Colon hydrotherapy 3 000 ₽ 3 400 ₽ 4 000 ₽ 4 900 ₽ 6 500 ₽ Medical Spa / Premium segment 5 450 ₽

💰 6. Unit economics financial model and payback scenario analysis

Payback 8.2 mo
Model scenario OCC occupancy Visits/year Revenue per year Gross profit (60%) CapEx payback
Conservative 35% 1 260 7 066 080 ₽ 4 239 648 ₽ 14.0 mo
Base (MEDISPA.PRO plan) 60% 2 160 12 113 280 ₽ 7 267 968 ₽ 8.2 mo
Optimistic 75% 2 700 15 141 600 ₽ 9 084 960 ₽ 6.5 mo

Calculated from the room's procedures: average ticket 5 608 ₽ is the mean of the market medians of 3 of 3 profile procedures; average slot 60 min including service time (norm 30 / 60 min, special procedures by duration); capacity 1 station × 10 h × 360 days (300 h per month = 100 % utilisation) = 3 600 sessions per year. Session duration and margin are planning assumptions.

📚 7. International evidence base (PubMed Evidence Base)

1 studies

Canonical 5P medicine protocols & PRISMA systematic analysis (1)

Evidence Hub
PROT-M1-COLON-01 · M1 Level 2a

Colon hydrotherapy protocol with a microbial rebiotic reset

5P protocol and calculator

Clinical rationale: Cleansing of the colonic crypts and rectal infusion of short-chain fatty acids (butyrate) to restore nutrient absorption.

Effects of bowel cleansing on the intestinal microbiota. Jalanka J, Salonen A, Salojärvi J et al. · Gut (2015)
Level Level 1b (CEBM)

🔄 8. End-to-end patient pathway and interdisciplinary synergy

4 stages
Pathway stage Linked treatment room Fire safety:
Admission diagnostics 1.2.1 Ultrasound and functional diagnostics room Screening of baseline morphofunctional status, exclusion of contraindications and mapping of treatment areas.
Medical case conference 1.1.1 Integrative preventive medicine physician's office Development of a personalised rehabilitation programme and prescription of treatment courses.
Metabolic synergy 1.3.1 Treatment room for infusion and ozone therapy (IV-Therapy) Support of the cellular antioxidant pool and mitochondrial energy metabolism to enhance response to the treatment.
Effectiveness monitoring 3.1.1 Comprehensive check-up monitoring and bioimpedance room Assessment of changes in phase angle, extracellular water balance and autonomic tone after completing the course.

📜 9. Regulatory and licensing status and medical staff requirements

2 staff roles

Russian Ministry of Health regulatory framework

Russian Ministry of Health licensing: primary specialised pre-medical and medical primary healthcare in the following specialities: General Medicine, Nursing, Physiotherapy, Ozone Therapy.

SanPiN: SanPiN 2.1.3678-20 "Sanitary and epidemiological requirements for the operation of premises, buildings and structures in the course of medical activity", Section IV.

5P medicine & integrative concept profile:

  • M0: Fundamentals of integrative preventive medicine — Basic functional diagnostics, dietetics, assessment of somat...
  • M6: Cellular biogenesis, mitochondrial health & Longevity: activation of mitochondrial biogenesis (PGC-1α), optimisation of tissue...

Staffing and qualification requirements

Medical specialist / Preventive medicine physician (Therapy) 1.0 FTE · 2-on/2-off shift pattern

Higher medical education, a valid specialist certificate and certification in integrative preventive 5P medicine

Treatment room nurse 1.0 FTE · 2-on/2-off shift pattern

Secondary vocational medical education, 'Nursing' certificate, authorisation to perform specialised procedures

💡 10. Frequently Asked Questions & Engineering Specifications

2 verified answers

Q1 What are the space programme and MEP requirements for room MOK room?

The planned net usable area for room 1.3.7 (MOK room) is 20.0 sqm (Class B). HVAC ventilation requires 3.0 air exchanges per hour inflow and 3.0 outflow, with an electrical connected load of 6.2 kW.

Q2 What is the CapEx budget and estimated payback for room MOK room?

Equipment CapEx is estimated at 1 651 400 ₽, fitout at 3 300 000 ₽, with an estimated payback of 8.2 mo across 1 treatment station(s).