MEDISPA.PRO
2.1.1 2.1 · Water spa treatments and hydromassage (Water treatments)

Room 2.1.1 · Bath unit (hydromassage)

Industry analytical passport of room type Hydro-balneological spa complex. 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
16.0 m²
GBA: ~20.8 m²
Treatment stations
1 station
Type: T5
Equipment CapEx
8 630 953 ₽
8 items
CapEx Finishes / MEP
2 640 000 ₽
Class V
Total investment
11 270 953 ₽
Turnkey incl. VAT
Payback period
28.6 mo
Base scenario

🏛 1. Architectural and planning parameters and zoning

Total area: 16.0 m²

Building requirements and finishing materials (SanPiN)

Cleanliness class:Class V
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 4.8 m² Physician/nursing workstation, documentation and MIS
Procedure and treatment zone 8.8 m² Procedure and device treatment zone for 1 station
Preparation and disinfection area 2.4 m² Storage of sterile consumables and disinfectants

⚡ 2. Engineering and technology profile (MEP)

Electrical 8.1 kW · HVAC +3.0/-3.0

Electrical (power supply)

Installed power:
8.1 kW
Design power (Kd=0.72):
5.83 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:
Not required

HVAC (ventilation & SanPiN)

SanPiN cleanliness class:
Class V
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:
2 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)

8 630 953 ₽
№ Equipment name Brand / Manufacturer Country Ministry of Health registration certificate Qty Unit price Amount (CapEx)
1 "Golfstrim" hydrotherapy bath for underwater shower massage (650/570 litres; + Vacuum hydromassage attachment (attachment + hose)

A medical hydrotherapy bath for hydromassage, balneotherapy and restorative procedures in musculoskeletal disorders.

★ HERO HIGH-TECH
Neva Trade Russia Registration certificate not stated 1 845 000 ₽ 845 000 ₽
2 "Caracalla" hydromassage bath

A flagship automatic hydromassage bath with 260 water and air micro-jets divided into 20 anatomical zones. Automatic disinfection of the pipework, Starlight chromotherapy with 150 LEDs.

★ HERO HIGH-TECH
Unbescheiden GmbH Germany FSZ 2009/04231 1 4 350 000 ₽ 4 350 000 ₽
3 Unbescheiden medical balneological bath, model 1.5-3

Balneological bath for treatments with mineral or fresh water, hydromassage and sanatorium-resort rehabilitation.

★ HERO HIGH-TECH
Unbescheiden Germany Registration certificate not stated 1 814 553 ₽ 814 553 ₽
4 KVATRODZHET dry hydromassage bath

A dry hydromassage system for mechanical water action through an elastic membrane without direct patient contact with water.

★ HERO HIGH-TECH
Physiotherapy equipment Russia Registration certificate not stated 1 2 350 000 ₽ 2 350 000 ₽
5 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 ₽
6 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 ₽
7 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 ₽
8 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 5 7 000 ₽ 35 000 ₽
Equipment specification total: 8 630 953 ₽

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

Medical Class IIa / Russian Ministry of Health registration certificate 845 000 ₽

"Golfstrim" hydrotherapy bath for underwater shower massage (650/570 litres; + Vacuum hydromassage attachment (attachment + hose)

Neva Trade (Russia) · 1.5 kW

A medical hydrotherapy bath for hydromassage, balneotherapy and restorative procedures in musculoskeletal disorders.

Medical Class IIa / Russian Ministry of Health registration certificate 4 350 000 ₽

"Caracalla" hydromassage bath

Unbescheiden GmbH (Germany) · 1.5 kW

A flagship automatic hydromassage bath with 260 water and air micro-jets divided into 20 anatomical zones. Automatic disinfection of the pipework, Starlight chromotherapy with 150 LEDs.

Medical Class IIa / Russian Ministry of Health registration certificate 814 553 ₽

Unbescheiden medical balneological bath, model 1.5-3

Unbescheiden (Germany) · 1.5 kW

Balneological bath for treatments with mineral or fresh water, hydromassage and sanatorium-resort rehabilitation.

Medical Class IIa / Russian Ministry of Health registration certificate 2 350 000 ₽

KVATRODZHET dry hydromassage bath

Fiziotekhnika (Russia) · 1.5 kW

A dry hydromassage system for mechanical water action through an elastic membrane without direct patient contact with water.

📋 4. Medical services nomenclature and clinical protocols

16 services
Code Unified directory service Market median Facilities Procedure passport
A20.30.031 Carbon dioxide / Narzan bath 2 550 ₽ 6 Passport →
A20.30.002 Hydrogen sulphide bath 2 125 ₽ 2 Passport →
A20.30.003 Radon bath 2 300 ₽ 1 Passport →
A20.30.005 Therapeutic bath with herbal and aroma additives 2 350 ₽ 8 —
A20.30.001 Mineral bath 1 800 ₽ 8 —
A20.30.010 Underwater shower massage 2 475 ₽ 8 —
A20.30.030 Pearl bath 1 475 ₽ 6 —
— SPA bath (signature, with cosmetic concentrates) 3 462 ₽ 4 —
A20.30.001 Iodine-bromine bath 1 938 ₽ 4 —
— Dry hydromassage (hydromassage bed) 1 850 ₽ 4 —
A20.30.008 Whirlpool / hydromassage bath 2 250 ₽ 3 —
A20.30.006 Turpentine bath (Zalmanov method) 2 000 ₽ 3 —
A20.30.006 Pine bath 2 000 ₽ 3 —
A17.30.023 Four-chamber galvanic bath 2 000 ₽ 3 —
A20.30.009 Hydromassage foot bath 1 075 ₽ 2 —
A20.30.031 Hydrogen bath 1 400 ₽ 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.
Hydromassage 1 400 ₽ 1 800 ₽ 2 600 ₽ 3 800 ₽ 4 600 ₽ Market segment (anonymised) 4 000 ₽

💰 6. Unit economics financial model and payback scenario analysis

Payback 28.6 mo
Model scenario OCC occupancy Visits/year Revenue per year Gross profit (60%) CapEx payback
Conservative 35% 2 223 4 592 718 ₽ 2 755 631 ₽ 49.1 mo
Base (MEDISPA.PRO plan) 60% 3 811 7 873 526 ₽ 4 724 116 ₽ 28.6 mo
Optimistic 75% 4 764 9 842 424 ₽ 5 905 454 ₽ 22.9 mo

Calculated from the room's procedures: average ticket 2 066 ₽ is the mean of the market medians of 16 of 16 profile procedures; average slot 34 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) = 6 352 sessions per year. Session duration and margin are planning assumptions.

📚 7. International evidence base (PubMed Evidence Base)

2 studies

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

Evidence Hub
PROT-M4-BALNEO-01 · M4 Level 1b

Carbonic and radon balneotherapy protocol for neurovegetative syndrome

5P protocol and calculator

Clinical rationale: Transdermal resorption of free carbon dioxide causes marked capillary vasodilation and improved tissue perfusion.

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

Licensing by the Russian Ministry of Health: primary specialised pre-medical and medical health care in the specialities: Wellness activities.

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:

  • M4: Neurovegetative balance, stress & somnology (HPA axis): relief of allostatic adrenal overload, normal...
  • M5: Cardiometabolic continuum & vascular health — Prevention of atherosclerosis, insulin resistance, metabolic...
  • M6: Cellular biogenesis, mitochondrial health & Longevity: activation of mitochondrial biogenesis (PGC-1α), optimisation of tissue...

Staffing and qualification requirements

Specialist physician / Preventive medicine specialist (Health improvement activities) 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 Bath department (hydromassage)?

The planned net usable area for room 2.1.1 (Bath department (hydromassage)) is 16.0 sqm (Class V). HVAC ventilation requires 3.0 air exchanges per hour inflow and 3.0 outflow, with an electrical connected load of 8.1 kW.

Q2 What is the CapEx budget and estimated payback for room Bath department (hydromassage)?

Equipment CapEx is estimated at 8 630 953 ₽, fitout at 2 640 000 ₽, with an estimated payback of 28.6 mo across 1 treatment station(s).