MEDISPA.PRO
2.1.2 2.1 · Water spa treatments and hydromassage (Water treatments)

Room 2.1.2 · Charcot shower

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
20.0 m²
GBA: ~26.0 m²
Treatment stations
1 station
Type: T5
Equipment CapEx
487 000 ₽
2 items
CapEx Finishes / MEP
3 300 000 ₽
Class V
Total investment
3 787 000 ₽
Turnkey incl. VAT
Payback period
12.3 mo
Base scenario

🏛 1. Architectural and planning parameters and zoning

Total area: 20.0 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 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 3.5 kW · HVAC +3.0/-3.0

Electrical (power supply)

Installed power:
3.5 kW
Design power (Kd=0.72):
2.52 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)

487 000 ₽
№ Equipment name Brand / Manufacturer Country Ministry of Health registration certificate Qty Unit price Amount (CapEx)
1 Charcot shower stand

Shower stand for Charcot shower and other therapeutic hydromassage methods under adjustable pressure.

Neva Trade Russia Registration certificate not stated 1 480 000 ₽ 480 000 ₽
2 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: 487 000 ₽

📋 4. Medical services nomenclature and clinical protocols

5 services
Code Unified directory service Market median Facilities Procedure passport
A20.30.011 Charcot shower 1 750 ₽ 8 —
A20.30.011 Circular shower 1 000 ₽ 7 —
A20.30.011 Vichy shower 1 600 ₽ 5 —
A20.30.011 Ascending shower 1 150 ₽ 4 —
A20.30.011 Therapeutic shower (rain, fan) 1 645 ₽ 2 —

📊 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 12.3 mo
Model scenario OCC occupancy Visits/year Revenue per year Gross profit (60%) CapEx payback
Conservative 35% 2 520 3 601 080 ₽ 2 160 648 ₽ 21.0 mo
Base (MEDISPA.PRO plan) 60% 4 320 6 173 280 ₽ 3 703 968 ₽ 12.3 mo
Optimistic 75% 5 400 7 716 600 ₽ 4 629 960 ₽ 9.8 mo

Calculated from the room's procedures: average ticket 1 429 ₽ is the mean of the market medians of 5 of 5 profile procedures; average slot 30 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) = 7 200 sessions per year. Session duration and margin are planning assumptions.

📚 7. International evidence base (PubMed Evidence Base)

2 studies

🔄 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 Charcot shower?

The planned net usable area for room 2.1.2 (Charcot shower) is 20.0 sqm (Class V). HVAC ventilation requires 3.0 air exchanges per hour inflow and 3.0 outflow, with an electrical connected load of 3.5 kW.

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

Equipment CapEx is estimated at 487 000 ₽, fitout at 3 300 000 ₽, with an estimated payback of 12.3 mo across 1 treatment station(s).