Laser Suite & Procedure Room
Buildout Capital
A dedicated laser suite or procedure room transforms an optometry practice from a refraction and retail operation into a medical revenue platform. Lumina Medical Capital structures the buildout capital that funds the construction, equips the suite, and positions the practice for a materially higher exit multiple.
Intelligence Report — Node 12
The Procedure Suite as a Practice Valuation Instrument
Lumina Medical Capital advises Arizona OD practice owners on capital deployment decisions through the lens of one question: how does this investment affect the eventual transaction value of the practice? The laser suite and procedure room buildout is one of the most powerful answers to that question available to the modern optometrist.
A practice with IPL dry eye treatment capability, YAG laser access, selective laser trabeculoplasty (SLT) in-house, or an anti-VEGF injection suite generates a fundamentally different revenue profile than a pure examination-and-dispensary practice. The additional revenue streams are largely cash-pay or professionally-billed at high reimbursement rates — exactly the revenue quality that DSO acquisition teams and private equity underwriters assign premium multiples to.
The total buildout capital for a laser and procedure suite in a Scottsdale or Phoenix Metro practice typically ranges from $180,000 to $450,000 — covering leasehold improvements, equipment acquisition, regulatory compliance buildout, and working capital for the ramp period. At a 7x exit multiple, a suite that adds $50,000 in annual procedure EBITDA recovers $350,000 at transaction — on an investment that may have cost $200,000 to deploy.
Procedure Suite Architecture
Four Suite Types. Four Capital Structures.
The capital requirement and revenue potential varies substantially across procedure suite types. Lumina advises on suite selection based on the practice's clinical scope, patient demographics, and exit timeline.
Dry Eye & Anterior Segment Therapy Suite
IPL platform (Lumenis OptiLight, Deka M22), LipiFlow, RF therapy, and meibography workstation. Buildout capital: $80K–$180K. Revenue model: cash-pay per-session fees at $300–$800 per treatment. Highest ROI suite type for Scottsdale and East Valley demographics. Section 179 eligible on equipment component.
Glaucoma Laser Suite (SLT / YAG)
Selective laser trabeculoplasty and YAG capsulotomy capability. Requires Class IV laser room with appropriate ventilation and safety infrastructure. Buildout capital: $120K–$250K including room construction. Revenue billed via CPT codes at Medicare and commercial rates. Transforms practice into therapeutic optometry destination.
Intravitreal Injection Suite
Anti-VEGF injection capability for AMD, diabetic retinopathy, and retinal vein occlusion management. Requires dedicated procedure room with sterile field compliance, appropriate waste management, and DEA-registered drug storage. Buildout: $90K–$200K. High-volume billing potential with expanding expanded-scope OD certification.
Full Medical Optometry Procedure Floor
Comprehensive procedural build encompassing two or more suite types. Full Class IV laser compliance, injection suite, dry eye center, and minor procedure capability. Buildout: $280K–$450K+. Positions the practice as a DSO acquisition anchor asset and commands the highest available EBITDA multiple in the Maricopa County market.
Capital Instruments
How Lumina Structures Laser Suite Buildout Capital
Covers both the leasehold improvement (room construction) and equipment acquisition in a single instrument. Up to $5M. 10-year term for equipment; 25-year for real property improvements. Lowest monthly service per dollar deployed. Preferred for total buildout packages over $150K.
5–7 year term. Fixed rate. No SBA documentation requirements or guarantee fees. Preferred for practices with established lender relationships and strong DSCR. Faster approval cycle — critical when lease improvement timeline is constrained.
Equipment acquisition separated from leasehold construction to capture first-year Section 179 expensing on qualifying technology. Leasehold improvements amortized separately. Optimal tax structure for high-income ODs in the year of buildout.
Lumina coordinates tenant improvement allowance negotiations with landlord before capital commitment. TIA reduces net capital required. For practices renewing or entering new leases, a well-negotiated TIA can fund 30–60% of construction cost — reducing the Lumina instrument size and debt service burden.
Build the Suite.
Capture the Multiple.
The procedure suite is not a luxury capital expenditure — it is a transaction preparation instrument. Lumina structures buildout capital that deploys the technology, generates the revenue, and delivers the EBITDA profile that earns the premium multiple at exit.
Initialize Practice Equity Assessment →Complimentary advisory. Institutional capital structures.