There are two operating models, and the investment differs between them. Here is what each one is, what it costs, and how to work through the numbers for your own market.
Before any number makes sense, the choice between the two models has to be clear — because they serve different patients, at different prices, and the vehicle is the smallest part of the difference.
Treatment is delivered in the patient’s own home. The partner owns no vehicle: the machine is moved by hired ambulance as and when a session requires it.
Everything in the Home model, plus a fitted mobile unit. Dialysis on wheels serves several patients a day on a route — reaching families a fixed home setup cannot practically serve.
* Indicative entry investment for a Tier A territory at a single dialysis machine. Both models scale with the number of patients under ongoing care, because each patient on home treatment needs a machine of their own. The calculator below works this through for your own numbers.
Why the per-session prices differ. The two models are priced differently because they are different services, not because one is a discount on the other. A home session is a dedicated setup in a single family’s home. A wheels session is delivered from a shared mobile unit running a route. The economics of each rest on throughput as much as on price.
The franchise fee scales with the size and price level of the market. Royalty is a flat twelve per cent of territory revenue across all tiers. The figures below are the Home model at entry — one machine, one territory.
| Tier | Franchise fee | Other investments | Working capital | Total investment | Royalty | Indicative home price / session |
|---|---|---|---|---|---|---|
| Tier A — Metro | ₹15,00,000 | ₹14,00,880 | ₹7,00,000 | ₹36,00,880 | 12% | ₹7,000 |
| Tier B — Large city | ₹12,00,000 | ₹14,00,880 | ₹7,00,000 | ₹33,00,880 | 12% | ₹5,500–6,500 |
| Tier C — Tier 2 / 3 | ₹9,00,000 | ₹14,00,880 | ₹7,00,000 | ₹30,00,880 | 12% | ₹4,500–5,500 |
Other investments covers the dialysis machine, the portable RO unit, opening consumables inventory, office setup and IT, and licences, registration and legal. Working capital is three months’ operating cover and stays in the partner’s own account. Choosing Home + Wheels adds the fitted mobile unit and its vehicle RO — approximately ₹18.9 lakh above the Home figure at entry. The franchise fee is fixed within each tier and is not negotiated territory by territory.
The full breakdown for both models, the investment calculator and the working economics are released to identified applicants who accept our confidentiality terms. It takes a moment, and it is read by a person.
Figures released here are illustrations prepared from the operating data of Diagnex’s existing home haemodialysis operations. They are not projections, forecasts or guarantees of return. The Information Memorandum is sent by the team and is never a public download.
Shown at entry — a Tier A territory running a single machine. The franchise fee is one part of the total; the remainder is the partner’s own operating asset, which stays on the partner’s books.
| Item | Home | Home + Wheels | Paid to |
|---|---|---|---|
| Franchise fee — Tier A | ₹15,00,000 | ₹15,00,000 | Diagnex |
| Dialysis machine (Fresenius 4008S) — per machine | ₹7,40,880 | ₹7,40,880 | Diagnex |
| RO unit — portable (Home) / vehicle-fitted (Wheels) | ₹60,000 | ₹1,50,000 | Third party |
| Ambulance, fitted as a mobile unit | — | ₹18,00,000 | Third party |
| Opening consumables inventory | ₹3,00,000 | ₹3,00,000 | Diagnex |
| Office setup, IT and furniture | ₹2,00,000 | ₹2,00,000 | Third party |
| Licences, registration and legal | ₹1,00,000 | ₹1,00,000 | Third party |
| Working capital (three months) | ₹7,00,000 | ₹7,00,000 | Own account |
| Total at entry | ₹36,00,880 | ₹54,90,880 | — |
The machine is the line that moves. Every patient under ongoing home treatment needs a machine of their own, so the machine line multiplies as the patient list grows. On wheels, one machine serves up to seven patients before a second is required. Everything else in the table above is a one-time setup cost. The calculator below shows what that means at your own patient numbers.
Two calculators, one for each model. Set the tier and your patient numbers, and the machine count and capital requirement follow.
Gross revenue only, at the capacity you have set. This is not profit: consumables, staffing, clinical supervision, transport and running costs are not deducted here.
Gross revenue only, at the capacity you have set. This is not profit: consumables, staffing, clinical supervision, fuel and vehicle upkeep are not deducted here.
The calculators model capital and gross revenue only. They deliberately do not show profit, payback or return, because those depend on cost lines that are set territory by territory and are reviewed with you directly rather than estimated on a web page.
The group supply position leaves a durable per-session margin that an independent operator cannot match — on genuine, quality-assured stock. Across a full patient load, this is the largest single driver of the territory’s economics.
A dialysis patient needs treatment two to three times a week, often indefinitely. Revenue is recurring and predictable once a patient is established, not transactional.
A machine earning across several sessions a day returns more than the same machine used once. This is the whole argument for the wheels model, and the reason a lower price per session is not a weaker business.
Because the partner owns and runs the operation rather than franchising a dispatch service, more of the value created in the territory stays with the operator.
On the numbers. Every figure here is an illustration prepared from the operating data of Diagnex’s existing home haemodialysis operations. It is not a projection, forecast or guarantee of return, and it is not a representation of what any territory will earn. The full financial model, including slower-ramp scenarios, is shared during the discovery stage under confidentiality.
The complete model — every assumption, every scenario — is walked through with serious applicants during discovery.
Apply now, or request the full financial model under confidentiality.