Establishing a premier 3,300 sq. ft. cardiology center of excellence in Miami-Dade's high-growth market. A comprehensive investment opportunity backed by data-driven analysis and projected returns.
July 26, 2025
Miami-Dade Market: A Strategic Opportunity
Demographic Advantage
The Miami-Dade region features a growing and aging population—a primary demographic driver for cardiology services. This fundamental market demand provides a stable foundation for our new practice location, ensuring a consistent patient base for the foreseeable future.
The increasing prevalence of age-associated chronic conditions further validates the need for accessible, high-quality cardiovascular care in this thriving metropolitan area.
Competitive Environment
In major metropolitan areas like Miami, the healthcare landscape is increasingly competitive. In some U.S. cities, a single private equity firm owns more than half of the physician market for certain specialties, including cardiology.
This environment necessitates a well-capitalized, efficiently managed, and strategically positioned practice to compete and thrive—precisely what our expansion plan delivers.
Strategic Location Selection
Patient Accessibility
Our location strategy prioritizes excellent patient access, ample parking, and favorable traffic patterns—critical factors for cardiovascular patients who may have mobility limitations.
Referral Network Proximity
The selected location is situated near a robust network of synergistic referral sources, including primary care practices, complementary specialists, and major hospitals, to maximize patient flow.
Premium Facility
We secured a lease at the MedSquare Class A medical office building, providing modern amenities, professional environments, and opportunities for shared resources—creating an atmosphere of quality that justifies potentially higher lease rates and attracts discerning patients.
Operational Blueprint: Facility Design
Our 3,300 sq. ft. facility at MedSquare is meticulously designed for optimal patient experience and clinical efficiency. Every element, from the spacious waiting areas to the advanced procedure rooms, reflects our commitment to superior cardiac care and a calming environment.
Patient-Centric Flow
Streamlined patient journeys minimize wait times and maximize comfort, enhancing the overall care experience from arrival to departure.
Advanced Diagnostics
Dedicated spaces for echocardiography, stress testing, and vascular ultrasound ensure rapid and accurate on-site diagnostic capabilities.
Modern Consultation Rooms
Spacious, private consultation rooms are equipped with integrated technology to facilitate comprehensive patient education and shared decision-making.
Operational Blueprint: Location & Accessibility
Strategically positioned at the intersection of SW 87th Avenue and SW 94th Street, MedSquare Health offers unparalleled accessibility. This prime location ensures seamless patient access while fostering strong relationships with nearby major medical centers, enhancing referral opportunities and operational synergy.
Transportation Network
- Immediate access to South Dixie Hwy, Don Shula Expressway, & Palmetto Expressway.
- Effortless connectivity via Dadeland North Metrorail Station & Metrobus 104.
- Approximately 13 miles from Miami Central Brightline Station for regional reach.
Strategic Proximity
- Minutes from Baptist Hospital of Miami and Jackson South Medical Center.
- Close to UHealth at Kendall, expanding collaborative and referral networks.
- Convenient access to Dadeland Mall, hotels, and other amenities for patients and staff.
Operational Blueprint: Facility Design
The deliberate choice of a 3,300 square-foot facility optimizes patient flow and accommodates essential in-office diagnostics, including EKG, echocardiography, and cardiac stress testing. This larger footprint is not an over-expenditure but a necessary investment to support a viable, high-revenue business model tailored to the specific needs of a cardiology practice.
The space will comfortably accommodate our target volume of 35-50 patients per day—a goal unattainable in a smaller office—while maintaining the premium patient experience that defines the amavita brand.
Square Feet
Optimal space for a high-volume specialty practice
Exam Rooms
Ensuring efficient patient flow and minimal wait times
Daily Patients
Target volume capacity for sustainable revenue
Staffing Model (Example): Excellence from Day One
Practice Manager (1 FT)
Oversees all non-clinical operations, financial management, and human resources to ensure organizational excellence.
Medical Receptionists (1.5 FTE)
Manages patient scheduling, check-in/check-out, and communications to create a seamless patient experience.
Medical Assistants (2 FT)
Assists with patient intake, vitals, and supports clinical workflow for optimal practice efficiency.
Registered Nurse (1 FT)
Manages patient triage, education, and assists with clinical procedures, ideally with cardiac care experience.
Cardiac Sonographer (1 FT)
Specialized technician dedicated to performing echocardiograms, a core revenue-generating diagnostic service.
This comprehensive staffing model is fundamental to achieving the projected patient volume and delivering the high standard of care associated with the amavita brand.
Capital Expenditures (Example): Foundation for Success
Leasehold Improvements
$660,000 total ($200/sq ft for 3,300 sq ft)
- Interior finishing with medical-grade soundproofing
- Specialized plumbing and electrical systems
- Custom medical cabinetry and fixtures
- ADA compliance and patient comfort features
Diagnostic Equipment
$110,000 total investment
- Echocardiogram Machine: $35,000
- Cardiac Stress Test System: $30,000
- 12-Lead EKG/ECG Machines: $15,000
- Holter Monitor System: $10,000
- Additional diagnostic equipment: $20,000
IT & Furnishings
$116,000 total investment
- IT Infrastructure: $20,000
- EMR/EHR Implementation: $30,000
- Office & Waiting Room Furnishings: $66,000
Operating Expenditures (Example): Monthly Budget
Total Monthly Operating Expenses: $68,286
Working Capital Requirement (6 months): $409,716
These projections provide a transparent view of the ongoing costs associated with maintaining a premier cardiology practice in the Miami market, ensuring sufficient capital allocation for the critical startup phase.
Total Investment Requirement (Example)
Capital Expenditures
$888,500
- Leasehold Improvements: $660,000
- Medical Equipment: $110,000
- IT Infrastructure: $50,000
- Furnishings: $66,000
- Administrative Setup: $42,500
Working Capital
$409,716
- 6 months of operating expenses
- Covers credentialing period
- Supports patient volume ramp-up
- Ensures operational stability
Total Required
$1,300,000
This seven-figure capital requirement necessitates a partnership with a sophisticated investor capable of deploying significant capital in exchange for a professionally structured investment vehicle with clear metrics for return.
Investment Structure: MSO/PC Model
A direct equity investment by a non-physician into a medical practice is prohibited in Florida under the Corporate Practice of Medicine doctrine. Our legally compliant structure follows the industry-standard Management Services Organization (MSO) model:
Professional Corporation (PC)
amavita Heart and Vascular Health® remains 100% physician-owned and is the exclusive provider of all clinical services, employing all clinical staff.
Management Services Organization (MSO)
A new entity (e.g., "amavita Management, LLC") where the investor contributes capital and holds equity. The MSO provides all non-clinical assets and services to the PC.
Management Services Agreement (MSA)
The PC pays the MSO a management fee (set at Fair Market Value) in exchange for comprehensive services. The investor's return is generated from their share of the MSO's net profit.
Royalty-Based Financing Structure (Example)
Phase 1: Capital Recoupment
The investor receives 100% of the MSO's distributable cash flow until their entire initial $1.3M investment is repaid, coupled with an 8% annualized preferred return.
Phase 2: Revenue Sharing
Following recoupment, the MSO receives a management fee that provides the investor with a targeted annual return (e.g., 20%) until a predetermined cap is reached—similar to a book royalty arrangement.
Benefits for Both Parties
- Investor receives predictable cash flow and defined return
- Physician maintains 100% ownership of clinical practice
- Non-dilutive financing preserves future practice value
- Structure complies with healthcare regulations
- Mutually aligned incentives for practice growth
Strategic & Financial Blueprint: amavita Heart and Vascular Health® Expansion