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Business plan for medical clinics. How to open a medical center from scratch

Attention! The free business plan provided for download below is an example. The business plan that best suits the conditions of your business must be created with the help of specialists.

The times when all medical services were provided free of charge in specialized medical institutions are long gone. Now more and more citizens of our country prefer to go to private medical centers, since the cost of services in commercial ones is not much higher than in public ones, and the high level of service is a weighting factor in favor of private clinics.

Therefore, medical centers are currently very profitable business, the demand for which is not to be doubted. Our website provides a sample business plan for a medical center, with the help of which everyone who wants to earn money by providing medical services will be able to determine for themselves priority tasks and ways to solve them.

People who decide to open their own clinic or diagnostic center should understand that the subjects of the medical services market, both the state and potential clients, are very high requirements Therefore, in order to start a successful and productive activity, it is necessary to take into account many factors, familiarize yourself with the legislation, analyze the market, etc.

Here you can download exemplary business plan medical center, which analyzed the most significant factors affecting the profitability and payback period of private clinics.

Before submitting documents for registration of your own clinic, first of all, you need to choose a profile of activity that will bring the greatest profit. For this purpose, an analytical section is included in the business plan of the medical center, which reflects the following factors:

— saturation of the paid honey market. services in the city/region of interest;
— demand various kinds therapeutic services;
— performance of several types of medical and diagnostic centers;
— the cost of medical services in demand.

The task of a detailed market analysis is to identify the most promising direction activities of the future medical center and, based on this, determine the location of the clinic, calculate the costs and expected profit.

Also, the business plan of the medical center, an example of which is on our website, should contain data on real competitors and potential clients of a new private clinic, since the desired market position is determined based on this information.

The location of the medical center is a factor that has a significant impact on the amount of future profit, since most people prefer to go to clinics that are close to home.

Therefore, the center located near new business and elite class buildings, where wealthy people live, will bring the greatest income. And vice versa, a clinic that provides paid medical services, located on the outskirts of the city in a residential area built 50-60 years ago, is unlikely to pay for itself.

In order for those who decide to open their own clinic to be able to calculate the estimated costs of bringing this idea to life, we offer an approximate business plan for a medical center for free. It outlines mandatory expenses and gives a methodology for calculating the payback period of fixed and working capital.

The amount of expenses and the amount of profit largely depend on the specifics of the activities of the medical center and the city (region) in which the clinic will be located.

In order to open a clinic, it is imperative to calculate the exact amount needed for the following purposes:

- construction or rental of premises;
– purchase and maintenance of medical equipment, furniture;
- purchase of consumables - medicines, medical devices;
- contributions to the insurance fund;
- contributions to Pension Fund and salary for specialists;
- payment for communication, utilities, security, etc.;
— the cost of a license to provide medical services;
— material and technical maintenance of the premises;
- advertising;
- depreciation.

The profit of the owner of a private medical center consists of proceeds from one-time consultations with doctors and from proceeds from single or complex procedures (if such services are provided in the clinic).

Some businessmen who own their own clinics enter into contracts with large business structures, according to which the management of these enterprises will pay for the treatment of their employees at the medical center.

Such contracts, of course, are the key to having a permanent clientele and good profits.

Good to know!

We respect your choice, but we want to remind you that the least risky, relatively easy and comfortable start of a business can be organized under the wing of a successful company on a franchise basis. We invite you to get to know "Catalog of profitable franchises".

Why it is easier and more convenient to start a business with a franchise can be found in the selection of articles published in the section: "Articles about franchising"

You can also open a medical center where children's doctors will work, because all parents care about the health of their children and are ready to spend any money so that the child does not have health problems.

By and large, the business plan of a children's medical center does not have significant differences from the business plan of a private clinic or an adult diagnostic center.

With regard to the payback of the medical center, it is necessary to find the combination of costs and expected income at which the center will fully pay for itself within 5 years.

The license for the provision of medical services is valid for 5 years (then it must be renewed), so it is better to get back the money invested in the business in that time in order to make a profit in the following years.

Watch the video: "Business Secrets: Anna Znamenskaya"

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From this article you will learn:

Is it important to open a medical center today?
How to start opening a medical center
How to write a medical center business plan
Mistakes to Avoid When Starting a Medical Business

A private clinic is today an example of a successful business, the services of which are in demand, and the activity brings a good income. In this article, we will tell you how to write a business plan for a medical center in order to create a company specializing in providing paid medical services.

Is it relevant today to open a private medical center

It is safe to say that even 10-15 years ago it was hard to believe in the success of a private medical center. Few people imagined that the services of non-state doctors would not only be in demand, but also well paid. However, as practice shows, more and more often patients seek medical help in private clinics, and not in district hospitals.

From this it can be concluded that this species entrepreneurship is not only relevant today, but also very promising in terms of profitability. This is confirmed by the results of sociological surveys.

In the fall of 2017, MAR CONSULT conducted a marketing study, during which more than one and a half thousand respondents of both sexes aged 18–65 years old living in different regions of the Russian Federation were interviewed.

In the structure of paid medical services, the leaders are:

Dentistry - 49% of patients seek help from private dentists.
Laboratory (tests) and diagnostic studies - 43% of respondents, 63% of whom simultaneously use similar services provided under the compulsory health insurance program.
Consultations of highly specialized doctors (cardiology, oncology, etc.) – 30% of respondents.

Comparing the statistics of 2010 and 2017, it can be argued that the number of Russians who are ready to use the services of paid medicine has increased: by 28% - dentistry, by 36% - tests and diagnostics, by 29% - admission of "narrow" specialists.

In 2017, 48% of respondents were ready to turn to a private massage therapist, compared with only 1% in 2010.

Increasing demand and paid services provided by government clinics. According to the Central Research Institute of Health Organization and Informatization, due to the shortage of allocated budget funds municipal institution forced to look for other sources of funding.

long absence legislative framework for the provision of paid services did not give public clinics legal ways obtaining additional funds, but today the situation has changed and district hospitals have such an opportunity.

How to start opening a medical center

A business plan for opening a medical center should begin with a market analysis. First of all, you should find out whether your services will be in demand. It is important to understand that private organizations are subject to high demands from both patients and government oversight bodies.

If you decide to go into this business, then we advise you to initially position the clinic not as a multidisciplinary, but as a highly specialized one. At the first stages, it is necessary to determine the services of doctors of what specialties you will provide, then equip the working space, recruit staff.

In the process of activity, it will become clear which specialists are in demand in your area. locality or area, and you can expand the scope of activities.

To create a medical center, you need to understand the market conditions, and for this you need to find out:

Do private clinics operate in your city / district, how many of them, what services do they provide, the current level of prices for specialist appointments, laboratory, diagnostic tests, etc.
What kind of services are in demand in your locality. Collect this information easy: contact the nearest municipal medical institution, chat with registrars, find out the density of appointments for certain doctors.
Find out how competent specialists will be, whether they will be able to diagnose and recommend effective treatment.
Create an approximate price list for services.

Based on the analysis, you will be able to determine the feasibility of a startup, and then prepare a business plan for a medical center with a financial model. Only after a thorough study of the market situation will you predict an approximate estimate for the purchase of equipment, a plan for spending on an advertising campaign, the cost of recruiting and remunerating them.

How to draw up a business plan for a medical center with calculations

Service Description

Since any medical organization is under the control of supervisory authorities (Roszdravnadzor, Rospotrebnadzor, etc.), each type of its activity is subject to mandatory licensing. The license must not only be obtained, which is a very costly process in terms of time and money, but also timely renewed (once every 5 years).

Therefore, with a limited budget the best option there will be an open narrow-profile center (neurology, reproductive medicine, treatment of the musculoskeletal system). This will not only speed up the process of obtaining licenses, but also reduce the cost of purchasing equipment, medical instruments, staff salaries, etc.

For example, consider the list of services provided by a private gynecological clinic:

consultation with a gynecologist;
treatment of diseases of the cervix, inflammatory and other diseases;
treatment of STIs;
pregnancy planning;
obstetric appointment;
video colposcopy (colposcopy);
ultrasound examination of the pelvis, mammary glands, pregnant women;
insertion and removal of the IUD;
medical abortion and follow-up (hospital).

Location

The main parameter that affects the number of potential patients is the geographical location. You can also open a medical center in a remote area, but you should pay attention to such factors as the possibility of access for cars, the availability of parking spaces near the clinic, and the proximity to public transport stops.

The environment should be comfortable. The nuances should be carefully considered so that patients can comfortably visit a doctor: during entrance group put a basket with shoe covers, organize a reception area for visitors (reception), installing a sofa or chairs in it, a cooler with water and cups, a table with the press, a TV.

According to the rules, the consumer's corner should be designed so that it is clearly visible.

The psychological state of the patient depends, among other things, on how the doctor's office looks. The interior in all rooms should be concise, designed in a single corporate style and color.

Pay special attention to the color scheme, as different colors cause different reactions. So, light green creates a feeling of calm and security, while red is associated with aggression and danger.

When writing a business plan for a medical center, consider conducting promotions for new and regular customers. Recently, complex programs have been in great demand, for example, Pregnancy Management, the Cardiorisk study, Women's Health after 45, etc.

It should be provided that within the framework of the complex discounts are provided for the treatment that the patient will undergo in your clinic. Consider creating a loyalty program that accumulates discount system or about one-time bonuses, for example, during the initial visit to the gynecologist, a free analysis for oncocytology.

Service and maintenance

To create a positive reputation, first of all, you need to work on building trust among customers. Therefore, special attention should be paid to the quality of service.

When interacting with any of the employees, from the cloakroom attendant to the leading specialist, the visitor should not have doubts about their professionalism, as well as negative feelings when communicating with them. Therefore, all employees must be not only competent, but also polite.

Regardless of what area of medicine the medical center specializes in, the cycle of services for clients should be closed. In other words, in the clinic, a person should receive not only a doctor's consultation, but also all related procedures: take tests, undergo a diagnostic examination, receive an opinion and recommendations for treatment.

Organize the process in such a way that the patient does not have to, for example, take a blood test or do an ultrasound in another place.

Schedule

Standard operating hours of a private clinic:

Monday - Saturday from 08:00 to 20:00,

Sunday from 10:00 to 18:00.

Sales market

Portrait of the target audience

Parameters that must be taken into account when creating a client portrait: gender, age, marital status (including the presence of children), field of activity (profession), lifestyle.

An example of one portrait of a client of a private gynecological clinic: a woman aged 24-32, active, working, married, who does not yet have children, but plans to have them in the near future.

In the case of creating a business plan for a multidisciplinary medical center target audience should be divided into several categories, that is, make different portraits of the client.

However, all these categories of people are united by the reason why they use paid medicine - the lack of desire or ability to go to a state clinic, which may be due to the following factors:

Lack of free time due to a busy work schedule.
Low qualification of specialists in the district hospital.
Pre-booking required and long wait times.
Absence the right specialist or too dense record to it.
Inability to make an appointment with a doctor via the Internet, etc.

To form a company policy, it is necessary to evaluate the main competitive advantages, and to do this, analyze or conduct a survey, for what reasons citizens refuse to be treated under the compulsory health insurance program.

The business plan of a clinic or medical center should also take into account the expectations of the target audience.

Think about what potential customers want to get:

a competent attending physician who will conduct a thorough diagnosis, make a correct diagnosis, and prescribe an effective treatment;
a high level of service, whether it is the convenience of recording, the courtesy of employees, their concern for the comfort of the patient;
convenient work schedule, the ability to take tests throughout the day, quickly get a consultation or undergo diagnostics (for example, ultrasound, MRI) on the day of admission;
transport accessibility, availability of own parking;
reasonable prices and a loyalty program for regular visitors.

To better reach your target audience, create and include a clear list of customer needs in your business plan. Think about it too optimum time work: when exactly your patient wants to visit the doctor - on a weekday or weekend, in the morning, at lunchtime or at the end of the working day.

An exception can only be the appointments of highly specialized doctors, whose schedules are compiled individually due to tight records.

Based on these data, you can prepare a schedule for the appointment of gynecologists at the medical center, provided that it is open from 08:00 to 20:00.

Day of the week	Gynecologist of the highest category	Gynecologist of the first category	Obstetrician-gynecologist	Procedural cabinet	Fence analyzes

	Day off
		Day off
	Day off
			Day off
		Day off
			Day off

This chart is just a template that needs to be edited according to your situation. No matter what mode the specialists work in, there must be a doctor on duty every day who could receive clients without an appointment.

To successfully compete in the market, it is worth considering all the expectations of the target audience. The staff of highly qualified specialists, optimal prices, convenient location and work schedule will allow you to increase the number of patients.

SWOT analysis

Strengths:

a staff of competent and qualified doctors, specialists with academic degrees;
narrow specialization, which brings together workers who are well versed in this field of medicine, leading many years of practice, which allows them to provide better advice and recommend effective treatment to patients;
a full range of services for laboratory and diagnostic studies for a comprehensive study of anamnesis;
convenient location of the medical center, pleasant environment, availability modern equipment to create a sense of comfort for visitors;
work on the formation of a good reputation allows you to achieve the loyalty of existing customers and attract new ones;
regular training and advanced training of existing specialists;
bonus system or loyalty program;
reception of doctors on weekends, non-working days, holidays;
a convenient corporate website with a description of services and the possibility of online appointments.

Weak sides:

One or two negative reviews about the work of the clinic can damage the established reputation;

Too high prices scare away potential clients;

The risk of revocation of a license to provide medical services if a medical error is made by one of the specialists;

The transfer of a sought-after specialist to another institution.

Opportunities:

the possibility of opening a branch or creating a network of centers in other parts of the city or region;
expanding the staff of doctors, obtaining licenses for the provision of other types of pre-medical, medical and specialized medical care;
cooperation with an independent service specializing in laboratory research;
cooperation with insurance companies to receive patients under the voluntary medical insurance program.

Threats:

Increasing competition, emergence network companies On the market;

Increasing the level of service delivery in the district polyclinic closest to you;

Unfavorable economic situation in the country;

Tightening of legislation in the field of healthcare;

Refusal of the landlord from further cooperation or increase in rent.

Production plan

When thinking about how to open a medical center and write a business plan, create a list of services provided. To do this, it is necessary to decide what exactly the clinic will specialize in.

The following criteria will help determine the specialization:

Location. Services will be in demand if there is no local doctor of a narrow specialty in the area.
Staff. You can hire a sought-after specialist with an established client base.
Personal experience. If you have a specialized medical education or understand the market from a patient's point of view.

It should be understood that the main flow of visitors needs the help of specialized doctors of a narrow profile, the rest of the specialists must provide related services.

For example, if your center has an examination program for expectant mothers, then the staff should not only have an obstetrician-gynecologist, but also a mammologist, an endocrinologist, prenatal screening services, etc.

If you are making a business plan for a children's medical center, then include in staffing pediatric neurologist, surgeon, ENT doctor, speech therapist, etc.

The second stage is the search for a building or premises for a clinic.

Sanitary and epidemiological requirements to organizations that medical activities, are contained in SanPin 2.1.3.2630-10. In this document you will find answers to questions regarding the area of the premises, layout, communications, etc.

Let's continue to consider an example of a business plan for a private gynecological clinic.

The approximate area of the premises of such a center:

entrance group and waiting area - 10 m²,
wardrobe - 5 m²,
toilet room - 6 m²,
gynecologist's office (2 pcs.) - 17 m²,
ultrasound diagnostic room - 20 m²,
treatment room - 17 m²,
office space - 15 m²,
sterilization room - 6 m²,
storage room for cleaning equipment - 4 m²,
administrative premises (reception, office of the head physician) - 20 m².

The result of the addition is about 140 m². The monthly rent of such premises will be approximately 120 thousand rubles.

When choosing an object, pay attention not only to the location of the building and the area of \u200b\u200bthe premises, but also to the presence of working communications. Ideally, the clinic should be located in a separate non-residential building.

However, if you managed to find only the first floor of a residential building, then you should know that sanitary and epidemiological standards do not allow the installation of X-ray equipment or an MRI machine there.

To renovate the premises, it is necessary to use harmless, non-toxic, fire-resistant materials that can be washed and disinfected. Keep fire safety certificates for all purchased consumables, they will be needed when obtaining an SES conclusion and licensing.

Conclude agreements with the laundry for washing work uniforms, agreements for disinfection, disinfestation, deratization with a specialized company.

The cost of repairing the premises will be about 300 thousand rubles.

Having decided on the premises, proceed to the solution of legal and organizational issues: select the legal form and taxation system.

The recommended form is a society with limited liability(LLC) with OKVED code 85.11.1., taxation form - simplified (15% of the amount "income minus expenses" or 6% of gross income). The latter option should be used if you do not plan constant high expenses, such as rent.

To save time and money, entrust the registration of the company to a law firm or a private lawyer who specializes in medical practice.

The next step is to create a staffing plan. First of all, employment contracts are concluded with the director of the organization and the chief accountant, because copies of these documents will be required when obtaining a license.

Then you need to draw up and include in the business plan an estimate for the purchase of furniture and equipment. Often, in order to save money, medical equipment is purchased that has already been used before. In this case, also keep the certificates and passports of each product, as they are necessary for licensing.

However, it is better to order new equipment, medical equipment, consumables and tools, since a large batch is often provided good discount. The cost of purchasing equipment is the main part of the investment, the amount of which will be about 6.56 million rubles.

When the preparatory work is completed, it is necessary to start obtaining a license.

To do this, you need to collect a package of documents:

charter of a limited liability company;
certificates - the main state registration number, taxpayer identification number, statistics codes;
extract from the United state register legal entities;
an order appointing a (general) director;
an order to appoint a chief accountant or to assign his duties to a director;
employment contract with the head physician;
diplomas of education of medical personnel;
receipt of payment of state duty in the amount of 2600 rubles;
conclusion of the SES;
a lease agreement for premises or a certificate of ownership;
list of MTS, tools, furniture;
inventory book in the prescribed form;
certificates and registration certificates for equipment.

Again, to save time, seek help from a specialized law firm. Paperwork through lawyers is faster and easier. To pay for their services will have to spend about 40 thousand rubles.

It will take about two months to obtain a license, during which the medical center does not have the right to receive patients. However, this time can be spent on compiling marketing plan and advertising campaign. Once the license has been issued, you can start customer service.

Organizational structure

Director

He is entrusted with the main responsibility for the work of the center, including the risks associated with medical practice, financial activities, labor protection and safety, organizational issues, etc.

The choice of a candidate for this position should be approached responsibly, because it is he who will establish the workflow, control income and expenses, and resolve disputes. Recall that the license also indicates who is the director of the organization.

Opening hours: Mon - Fri - 09:00 - 18:00, Sat - 10:00 - 14:00.

Monthly salary: 60 thousand rubles.

Deputy Director for Finance (Chief Accountant)

Conducts accounting activities in full or controls the work of the department, deals with budgeting and analytics financial activities companies, conducts an inventory, cooperates with regulatory authorities (FTS, PFR, FSS).

Opening hours: Mon - Fri - 09:00 - 18:00.

Deputy Director for Technical Issues (Chief Physician)

A highly qualified specialist (a degree), an impeccable reputation, good communication skills, and established relationships with pharmaceutical companies should be appointed to this position, which will allow the center to purchase drugs and medical instruments at competitive prices.

Monthly salary: 45 thousand rubles.

Supervisor technical department(Chief Engineer)

The issues of uninterrupted operation of equipment and communications should be dealt with responsible person. It should be noted that diagnostics and repair of medical equipment should be outsourced to a specialized company.

The chief engineer is responsible for the health of the equipment, fire safety, technical operation of the rented building or premises.

Opening hours: Mon - Fri - 09:00-18:00.

Medical staff (doctors)

The staff should take specialists with a completed medical education, medical practice for at least three years, who already have regular patients. Any practicing doctor needs to regularly improve their qualifications.

In order to have competent employees in your center, include the costs of training, seminars, the purchase of medical journals, etc. in your spending plan.

Working hours: the schedule is compiled individually, based on the degree of employment.

Monthly salary: 40 thousand rubles.

Paramedical personnel (nurses)

Since most of the procedures (blood sampling, dressing, processing, etc.) are performed nurse, then such an employee should be neat, polite, friendly.

When considering candidates for this position, consider whether the applicant has relevant experience and letter of recommendation from a previous job. The number of nursing staff is calculated based on the proportions - 2 nurses per 1 attending physician.

Monthly salary: 25 thousand rubles.

Junior medical staff (orderlies)

Cleaning and maintaining cleanliness of offices and common areas.

Opening hours: 2/2 – 08:00–20:00.

Monthly salary: 18 thousand rubles.

Registry staff (administrators)

It is the receptionists who face the main load: they receive calls, make an appointment, advise on the list and cost of services, make reminders to registered patients, meet visitors and make settlements with them.

At the initial stage, all these functions can be entrusted to administrators, however, if the budget allows, then it is worth introducing an additional cashier rate in order to distribute the load and responsibility.

Opening hours: 2/2 – 08:00–20:00.

cashier-operator

Accepts payment for services, draws up receipts and debit orders, maintains cash registers, collects cash.

Opening hours: 2/2 – 08:00–20:00.

Monthly salary: 20 thousand rubles.

Without exception, all employees of the clinic are required to have health books and timely undergo a scheduled medical checkup.

Marketing

Complex marketing activities includes developing a strategy and advertising campaign, product and pricing policy, analyzing the current market situation and competitors, finding ways to increase sales, developing a loyalty program for regular customers.

All these actions are aimed at the return on investment and increase in company revenues.

Advertising

Advertising costs are also included in the example of a business plan for a medical center with calculations, since at the stage of opening a clinic this article will be justified, since it is precisely effective advertising is the main source of attracting new customers.

First of all, to promote the services of the center, you need to use the Internet space (media, contextual advertising etc.). As for the corporate site, its structure should contain the following sections: "About the company", "Services", "Prices", "Employees".

Create a form feedback so that site visitors can ask questions (anonymously) and get expert advice. Thus, not only the most popular requests will appear on the page, but also a large site traffic will occur, which will organically raise it in the search.

To attract a target audience that does not use the Internet (the older generation), you can use flyers in your area: put them in mailboxes, distribute them on the street, place ads in entrances and elevators.

Since the topic of women's health is relevant at all times, then effective way promotion will informational article in a ladies' magazine. For example, answers to questions of interest to women from the head physician of the clinic or the leading obstetrician-gynecologist.

To encourage sales, place a first-visit discount coupon after your interview text. Offer a discount percentage based on your capabilities. According to statistics, one out of three patients who come to the center for the first time becomes a regular client if he was satisfied with the work of the doctor and the level of service.

Sale of services

The first contact of the patient with the medical center takes place by phone and begins with communication with the administrator. It depends on the receptionist who answered the call whether the patient makes an appointment or not: whether the administrator will be able to explain and present the services in an accessible way, consult, orient on the cost, find a convenient time for the appointment in the schedule.

For accurate and effective use data install CRM - software, designed to automate the accounting of the client base.

The registrar's job is also to remind the patient about the upcoming visit, instruct about preparing for the procedure, meet the visitor, tell about integrated programs and bonus system. Therefore, a person who communicates with customers must be polite, smiling, competent.

Use labor and monetary motivation, such as bonuses upon achievement certain indicators, discounts for treatment at the center, corporate meals or travel reimbursement.

Analyze the performance of each of the promotion channels. Do not ignore the reviews that customers leave on the sites. Respond to both positive and negative comments.

Pay attention to SMM promotion, create social media accounts: VKontakte, Instagram, Facebook. There you can post up-to-date information about special offers, working hours and appointments of specialists, medical news, covering events in the company, maintaining thematic headings, answering questions from users and making an appointment.

Financial plan

We bring to your attention financial model in the business plan of the medical center.

The total investment required to open the clinic and start accepting the first patients is about 8 million rubles, 80% of which will be spent on repairs and finishing works, purchase of medical equipment and tools.

The cost of equipment needed to open a private gynecology clinic will be about 6.56 million rubles.

Name	Qty	Price for 1 piece	total amount
Apparatus for ultrasound diagnostics
Colposcopy apparatus
Gynecological chair
obstetric chair
Drying and sterilization cabinet
Cabinet with a set for anti-shock therapy
Means of antishock therapy
pharmaceutical refrigerator
Containers with disinfectants
Bixes with sterile material
Steam autoclave
ultrasonic bath
dry oven
bactericidal cabinet
UV germicidal irradiator
germicidal lamps
Tonometer
Thermometer
Electric suction
Gynecological set disposable
Disposable syringes
water distiller
Expendable materials
Disposables
Cabinet for tools and medicines
File cabinet
Office chair
Office table


Reception desk

Rack for shoe covers
TV set

You can base this business plan medical center, however, keep in mind that it is based on the purchase of new medical equipment. To save money, you can buy equipment that has already been used or take out a lease.

Investments to open
Registration of a legal entity
Purchase of medical equipment
Commissioning of medical equipment
Software installation
Purchase of overalls for employees
Purchase of office equipment
Purchase of office furniture
Purchase of medicines

Premises for rent


Total	8 002 880

Make a business plan in such a way as to take into account the costs of obtaining a license, payroll and advertising campaign during the first quarter.

Current expenses:

The average bill for an appointment with a specialist in a private medical center consists of two figures: the cost of a doctor's consultation and the cost of laboratory tests.

Risk factors

The health care business comes with many risks that you should take into account in advance in order to save your business and not be left at a loss.

1. Internal risks

Preparatory stage

High requirements are imposed on the premises, layout, decoration, communications and specialized equipment, compliance with which will be checked by supervisory authorities. It will take time to comply with the current sanitary and epidemiological standards.

Unscrupulous staff

Since any action of a doctor affects the health and life of the patient, each specialist must be careful and extremely careful. In any institution where there is invasive manipulation, there is a risk of infection, which affects both visitors and the doctors themselves. Therefore, increased attention should be paid to safety and labor protection.

Don't save money personal protection and consumables which should be disposable. Make sure that all employees undergo scheduled medical examinations, laboratory tests, and vaccinations in a timely manner.

These activities should be carried out at the official level and recorded in in due course, thus you protect your business, as well as the health of customers and employees.

medical errors

The duty of any doctor is to make a correct diagnosis and prescribe an effective treatment. When forming a staff, carefully study the biography of the applicant, check the authenticity of education documents, ask for recommendations from previous place work or make a call to this organization to get a characterization for a person.

If the specialist had in the past negative feedback patients or there is no confirmation of his qualifications, refuse him employment. An incompetent doctor will ruin the reputation of your medical center.

2. External risks

Licensing of medical activity

To obtain a license, you need to have a room that meets sanitary and epidemiological requirements, purchase certified medical equipment, and recruit a team of specialists. Firstly, this process is lengthy, and secondly, it is not always possible to pass the licensing the first time.

It is possible that you will be refused or ordered to eliminate inconsistencies.

Pricing

Prices for services should not only contribute to the enrichment of the owner of the clinic, but also attract customers and take into account the interests of the medical staff. pricing policy needs to be made flexible. However, this should not affect the salaries of doctors. If a specialist is not in demand, then review the cost of his services or work schedule, reducing the load.

Reputation of the medical center

A good reputation is hard to earn but very easy to lose. It works on the principle of word of mouth: the more satisfied patients you have, the more new customers you get. Of course, it will not be possible to please all visitors, but try to observe the following principles of work:

Polite, friendly communication of employees with the patient, attentive attitude to his interests, willingness to help with the solution of any problem.
Preserving customer privacy. The protection of personal data is the responsibility of the institution, this requirement must be indicated in each employment contract and fixed in a separate position.
Regular training and advanced training of employees. Discoveries and achievements in the field of healthcare, changes in medical legislation should be brought to the attention of your doctors in a timely manner.

This type of business is very risky, so carefully choose a team of specialists who are focused on helping the sick. Your activity should be not only profitable, but also useful for society.

An example of a medical center business plan

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Typical mistakes of opening a medical center

Desire to open a clinic without commercial ability

Usually practitioners want to become owners of their own medical center. However, despite all their outstanding professional quality, these people do not always have an entrepreneurial streak. Failure to run a business often leads to bankruptcy.

The approach to any type of entrepreneurial activity should be systematic. The difference between a talented doctor and successful entrepreneur lies precisely in the ability to build a system.

If the first knows his business well, conducts accurate diagnostics and prescribes effective treatment, then the second knows “his” client well, in particular, what services he needs, what price he is willing to pay for them, what result he expects.

If a medical center is created by an experienced businessman, then it is initially considered not as a “lifelong business”, but as a project for investment. That is why such organizations are more stable and successful.

This does not mean that the doctor will not be able to build a profitable business, but for this it is necessary to abstract from professional activities and concentrate on building a system.

Concentration only on medical procedures

Even if you managed to recruit a team of first-class specialists, the operation of the clinic can still be unprofitable. Causes:

This list is endless. As you can see, to create successful business, it is not enough to be a good doctor, organizational skills are necessary for the smooth operation of the medical center.

The clinic will work stably if marketing and control over receipts and expenditures are established. Creating a smoothly running mechanism is the responsibility of the business owner.

Lack of a sound business model

When creating a medical center business model, consider it not as a medical institution, but as a source of profit. Create a budget on your own, which will take into account all cash receipts and expenses.

Take your time, because if you lose sight of even an insignificant cost item, you can quickly lead the company to a state of bankruptcy.

What to consider in a business plan:

list of services provided;
pricing policy;
official duties of employees;
system of remuneration and bonuses;
rules of work, customer service, medical appointments, etc.

The more detailed your business model is, the easier it will be for you to make decisions, for example, when ordering medical equipment, searching for personnel, choosing a clinic specialization, etc.

If production mechanisms are not established, then any failure will bring the system out of working order, and in practice it will be expressed in the form of skirmishes and the search for the culprit, to whom all responsibility can be shifted. The proceedings take a lot of time, and, as you know, it is money.

Failure to delegate responsibilities

As for the calculation of the wage fund, it is obvious that each work unit is an additional cost, which ultimately affects the total amount of profit.

How to get out of the situation if you need non-core workers (accounting or personnel records, legal assistance), but you cannot afford the costs of their employment?

In this case, it is necessary to use outsourcing - the use of other people's resources. There is a simple outsourcing rule - everything that buyers do not pay you for, transfer to other companies.

Activities that can be outsourced:

accounting;
software support;
promotion of the site and social networks;
legal assistance;
cleaning.

In this case, you both get higher quality, since you entrust the work to professionals, and reduce costs, since professional services take less time.

Lack of financial "airbag"

The power supply system failed, the doctor on duty did not come to work, the fire service imposed a fine based on the results of the check, and repair of the heating main began before entering the clinic. All these events increase costs and reduce the number of visitors, but you cannot compensate for them. high prices. Patients will leave.

The best and richest clinic, which patients stopped visiting, will instantly go bankrupt. To prevent such situations, you must include in the price some insurance amount, a "safety cushion".

With such insurance, you can cope with an unpleasant situation with minimal losses. It is important that all these unpleasant events do not affect patients in any way.

Finally, adjust for inflation in all your calculations. Prices for materials are gradually rising, and this should be reflected in the cost of your services.

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Any person who does not even have a specialized education can open a medical center. The main thing is to want to start your own business and have organizational skills.

conduct a thorough market analysis in the region where you are going to open a medical institution (what services do the local population need, how much money are people with average incomes willing to pay for an examination);
find out how efficiently the market works;
collect information about competitors.

Medical center business plan

Think through all the important points. Indicate the type of future clinic (specialized or multidisciplinary), how much money will be spent on equipment, the nature of the premises, the number of employees.

Directions in the work of the medical center

The founders of private medical institutions should initially make a list services, think about whether it will be located only a diagnostic center or a clinic. Popular areas are gynecology, dentistry and cosmetology.

In the ides of medical centers:

Children's;
Consulting and diagnostic;
highly specialized;
Multidisciplinary.

Location of the clinic and its appearance

For successful development businesses should take care of the convenience and aesthetics of the building. Choose a location in the city center or on a busy street.

To open a small dental office, you will need a room of 25-30 square meters. m. Room for treatment - at least 14 square meters. m, for sterilization - 6 sq. m, plus a reception area for visitors.

Purchase of equipment

On the modern devices will have to spend. For a conventional ultrasound diagnostic device alone, shell out at least $160,000.

Official permissions

The activities of all medical institutions are subject to licensing. The center receives documents if the premises and staff have been checked for requirements. The license will also require a list of equipment and certificates for each unit of medical equipment. A complete list of requested documents is issued by the regional Ministry of Health. It will be different for a consultation center and a full-fledged clinic with a hospital.

The application is considered for about two months. But each type of medical service requires a separate license. To be eligible to issue sick leave, you will need a separate paper. Obtaining all work permits can take up to a year. If the company moves to another address, you will have to deal with them again.

Often, medical centers turn to commercial companies for document verification and turnkey licensing. This can cost a lot.

Clinics are taxed according to a simplified system. This is 6% of income or 15% of the difference between them and costs. The first option saves the entrepreneur from scrupulous calculations and most often turns out to be more profitable.

Medical center staff

In a good private clinic, only real specialists with an official experience of 3 years or more should work. If candidates have completed internships abroad, they have foreign language, this will be taken into account during the interview.

Let's list the employees:

Medical staff. Its quantity depends on the scale of the clinic.
Two administrators with a 2x2 or 2x3 schedule.
Cleaners. For a small center, two shifts are enough.

The salary of a doctor is about 800 USD. per month, nurses - 300 c.u.

Patients are more likely to go to the clinic where the doctor with an impeccable reputation works, even if they do not have the newest equipment.

Note: you can download ready medical center business plan with our partners with a guarantee of quality.

Doctors are often fired from institutions where they are not valued and paid a small salary, for the sake of better conditions work.

Common Services

Receipt sick leave and documents for the leisure of children, driving licenses.
Consultation. Many customers would like to get help in the selection medicinal product. Scheduled examinations by specialists can also be included in this category.
Dentistry.
Examination: fluorography, ultrasound, ECG, tomography, tests.
Gastroenterology.
Gynecology.
Pediatrics.
Cosmetology and treatment of skin diseases.

How much money is needed to open a medical center

The amount is about 20-30 thousand dollars. It will be enough for a narrow specialty clinic.

Many aspiring entrepreneurs choose this business to gain experience, knowledge and skills for development. Hire a minimum number of workers, buy used equipment, provide a limited number of services.

Mandatory initial costs:

rent of premises, repair for the needs of the center. On average - 3 thousand dollars;
purchase of equipment - about 15 thousand dollars for one type of medical equipment;
obtaining an official license - at least $ 200;
purchase of tools and materials - about 2 thousand.

If you add up all these amounts, then on average you get $ 20,200 for opening a small private clinic. For a full-fledged center, you will need at least $100,000.

Profitability

Profitability depends on traffic. If an average of 50 people visit the institution in 1 day, the income will be about $60,000 per month (with an average price for the service of $50).

The number of clients depends on the ratio of cost and quality of service, as well as the reputation of the clinic and specialists. If a doctor changes jobs, his patients can follow him. But one unscrupulous specialist can ruin the reputation of the entire center.

The need for medical services is growing every year. According to the forecast, by 2021 the market volume will grow to 2.865 billion rubles. from the current almost 2.5 billion rubles. According to a study by MAR Consult conducted in 2017, more and more Russians are willing to pay for quality medical services: how simple tests, and for the reception of specialized specialists.

Under these conditions, the opening of a private medical clinics and has great prospects even under conditions high competition. The implementation of such a project will require quite large investments from the entrepreneur, taking into account the important features of this business area.

In this medical center business plan, we will describe a brief organizational plan, touch on the points necessary for the success of the case. At the end of the article, for familiarization, an example of calculating the payback is proposed.

Directions in the work of the medical center

The range of services offered in medical centers depends on their profile and the scale of the clinic.

Sample list of services:

primary and secondary reception of specialized doctors;
preventive examinations;
traumatology;
laboratory research;
x-ray studies;
ultrasound diagnostics;
MRI (magnetic resonance imaging);
tomography;
colonoscopy;
FGDS, etc.

From highly specialized areas:

children's;
cardiological;
ophthalmic;
surgical (including plastic surgery), etc.;

Plastic surgery is now one of the most profitable business areas.

The more profiles a medical clinic includes, the more investments and highly qualified personnel will be required.

Opening a medical center: step by step instructions

Here is a brief organizational plan for opening a medical center.

The first step is to conduct a SWAT analysis, assess all opportunities, risks, strengths and weak sides business. Development should be based on a clear document (business plan), which will describe the entire sequence of actions and development prospects.

After analyzing, making a decision to open a business and finding investment capital, the entrepreneur proceeds to real actions.

Selects the organizational and legal form of activity, launches the licensing process.
Finds and prepares a room for the object.
Looking for experienced staff.
Procures and installs equipment.
Coordinates the mechanism of the institution, the interaction of all staff.
Organizes a large-scale advertising campaign for a new medical clinic.

Private medical institution can start work after working out the 5th stage of the plan.

What do you need to start a business

The largest initial cost item is the purchase of equipment. Of course, when buying equipment, you need to look for the best offer in terms of price, but you should not save on it. The quality and, ultimately, the success of the work of a private health / rehabilitation center depends on the equipment.

Table 1. The amount of initial costs for opening a medical center.

The work is supposed to be in a city with a population of 1.5-2 million people. AT additional costs the costs for communal payments, promotion, preparation of premises, etc. The amount of tax deductions is not taken into account in the calculation.

Documentation

Initially, the entrepreneur will have to choose the organizational and legal form of activity: individual entrepreneur or LLC.

When registering, indicate OKVED codes 2 from group 86 "Health activities":

86.21 "General medical practice";
86.22 "Special medical practice";
86.23 "Dental practice";
86.90 "Other activities in the field of medicine."

When providing inpatient medical services, the documents indicate 86.10 "Activities of hospital organizations", in the presence of massage services - 86.90.3 "Activities of massage parlors".

Licenses are required to operate. Before applying for a license, you need to take into account all the requirements, prepare the premises, purchase equipment (with certificates), employ staff, etc. Licensing itself will take a lot of time - at least about six months.

room

When choosing a complex of premises, several factors must be taken into account: transport accessibility, human flow, rental cost.

It is best to rent a room at the intersection of traffic flows, the presence of people: a new medical center will be noticed faster, the influx of new customers will be higher. We are not necessarily talking about the central part of the city (where the rent is always high). It is advisable to open near government medical facilities.

Necessarily need to prepare the premises, make repairs: from appearance medical clinic depends a lot. The more prestige and comfort customers will feel, the higher the credibility of the institution will be.

During the selection and preparation of premises for the medical center, the requirements of SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities" are taken into account.

Staff

It is necessary to carefully select the employees of the health center - this is very important. Qualified employees will help in solving the problem, because of which customers contact the company. This will lead to satisfaction of the need and increase the image of the clinic.

Experienced physicians are much less likely to make errors in diagnosis and treatment than inexperienced workers.

Employees are required to communicate with customers in a respectful manner.

The list of employees depends on the profile of the clinic. To get started, you need to have the following specialists:

gynecologist, 1 specialist;
cardiologist, 1 specialist;
pediatrician, 1 specialist;
Ultrasound room specialist, 1 specialist;
dentist, 1 specialist;
therapist, 2 specialists

Administrators, nurses and laboratory assistants (if analysis and diagnostic services are available), accountants and cleaners (orderlies) will be required. Staff in total - 16 people.

Equipment

Reception of clients is carried out in several separate rooms, where specialists will work and the required equipment will be installed. The purchase of the latter will take most of initial capital.

You need to buy high-quality samples of equipment that will give accurate results of analysis and diagnostics. The success of the entire business depends on the quality of the selected equipment, therefore it is not worth saving on this item of expenditure.

Approximate list of equipment:

complex equipment of cardiological, gynecological, pediatric and therapeutic rooms (1.20 million rubles);
equipping the dentist's office (700 thousand rubles)
ultrasound machine (650 thousand rubles);
lamps for quartzing (50 thousand rubles);
laboratory equipment (thousand rubles);
purchase of additional tools, consumables, refrigerators (350 thousand rubles).

Total - 3.350 million rubles.

Common Services

When compiling the list, data from a study by MAR Consult were used.

In the first place - dental services. Clients are willing to pay for better treatment, more expensive drugs and advanced dental equipment.

Secondly, it is the delivery of tests (blood, feces, urine, etc.). Private medical clinics use more modern and sensitive laboratory equipment than public institutions.

Thirdly, it is the reception and consultation of specialized specialists. Often qualified doctors work in private medical centers - this allows them to receive more money for your work.

Fourth, massage. The popularity of this direction has grown literally over the past 7-8 years. In clinics, people are looking for massage therapists.

Financial plan: profitability and payback of the medical center

The amount of initial costs - 4.940 million rubles.

Prices depend on the qualifications, specialization of the doctor, order of consultation, etc. To calculate the revenue, let's turn to the cost of the services offered by the center:

initial consultation with a gynecologist - 1500 rubles, 150 times a month, total 225 thousand rubles.
initial consultation with a cardiologist - 1600 rubles, 180 times a month, total 288 thousand rubles.
initial consultation with a pediatrician - 1700 rubles, 270 times a month, total 459 thousand rubles.
ultrasound examination - 1300 rubles. (average), 150 times a month, total 195 thousand rubles.
initial consultation, dental treatment - 2500 rubles. (average), 200 times a month, total 500 thousand rubles.
primary consultation of a therapist - 1200 rubles, 360 times a month, total 432 thousand rubles.

Total for the month - 2.099 million rubles.

You can earn so much if the clinic is developed and known to people. You can develop an institution in about 1 year, subject to an active advertising campaign. The calculation takes into account only the prices for initial consultations, subsequent appointments also bring a lot of money.

The total amount of monthly costs is 1.340 million rubles.
Net profit (in the developed state) - 759 thousand rubles.
Under such conditions, the medical center will pay off in 6.5 months, plus a year for development. The clinic will go to zero in 18.5 months.

Table 2. Economic justification business ideas.

Business risks and cons

Working in the medical field comes with certain risks.

Decrease in the well-being of citizens. People with a higher income level, that is, a narrower target audience, turn to private medical centers. In conditions economic crisis and falling levels of real incomes, the flow of customers to the establishment may decrease.
High competition. For the most part, people prefer to go to free public clinics and hospitals. In part, this leads to an outflow of potential customers. At the same time, more modern private medical clinics are opening - that is, direct competitors capable of "intercepting" customers.
Unprofessional staff. An incorrect diagnosis and the appointment of incorrect treatment can not only not give the desired result to the client, but also worsen his condition. This threatens at least negative consequences for the image of the center, and even litigation or even deprivation of the license.

The opening of a medical center in the current conditions of popularization of paid medicine is very beneficial. After going to zero, the business will bring a good income to the owner. But the entrepreneur needs to prepare: to achieve the goal, many risks will have to be taken into account; Only with a thoughtful approach is it really possible to succeed in this business.

AT last years in the territory Russian Federation private medical centers began to open more often, which, unlike state structures, are able to offer people a wider range of specialized services. Despite the fact that large initial investments are needed to launch such a project, some business entities decide to develop this direction. To begin with, they need to draw up a competent business plan for the medical center, which will determine the amount of costs for its opening and subsequent maintenance.

Before opening a medical center, each business entity must realistically assess its financial capabilities, since this will require very big investment. Some businessmen who do not have enough money Money attract third-party investments to the implementation of projects. In this case we are talking on credit funds, as well as on investments made by private investors who plan to receive a percentage of the profits of medical centers in the future.

For each private medical institution, a competent strategy should be developed that will minimize risks and avoid financial losses. It is mandatory for business entities to conduct marketing research that will help answer the following questions:

How relevant and cost-effective is the chosen business direction?
What kind of competition exists in a particular region?
What medical services are very popular among the local population?
What are the current prices?
What equipment is installed by competitors?
The financial solvency of the target audience, which focuses on the medical center.

Business entities can use publicly available statistical data to conduct analytical activities, and can also independently collect necessary information. After that, it will be possible to decide on the profile of a medical institution:

diagnostic center;
multidisciplinary clinic;
specialized medical institution, etc.

For start-up entrepreneurs, it is worth considering the option of opening a medical institution that will have a narrow focus. This is primarily due to the fact that it does not take too much to open it. start-up capital. In this case, we are talking about the following areas:

cosmetology;
dentistry;
urology;
gynecology.

Stages of organization

Before opening a medical center, a business entity must draw up a business plan for it. This document should include the following sections:

If the entrepreneur manages to develop a competent strategy and find the necessary funds for the implementation of his project, then the opening of a medical institution may occur in a few months. He needs to act in a certain sequence:

Each business entity that plans to open such a center from scratch should have at least a basic understanding of this area. If he does not understand medicine at all, then for work he needs to invite a highly qualified specialist who will solve all organizational issues in the clinic.

Search for clients, advertising

Before the doors of a medical institution open to clients, a business entity needs to draw people's attention to this solemn event. To do this, he will have to conduct a large-scale advertising campaign, which can be organized using the following tools:

The entrepreneur needs to determine the target audience, which will be the main focus. When forming a portrait of a potential client, it is recommended to consider the following criteria:

age;
floor;
social status;
marital status;
lifestyle, etc.

A private medical center should focus on the following target audience:

people living not only in the locality where the institution operates, but also in nearby areas;
Small children;
pensioners;
employees of public and private enterprises, who must undergo regular preventive examinations;
pregnant women;
military personnel, etc.

Currently, it is quite easy for business entities to promote this business topic, as many people decide in favor of receiving paid medical services. They do not want to visit state medical institutions, as they are dissatisfied with the quality of service, as well as the lack of professionalism of doctors. This can be explained as follows. Due to low wages in state structures many first-class specialists were forced to go to work in private centers and clinics, which offered them a decent level of pay and various social guarantees.

To communicate with clients over the phone, an entrepreneur should hire several people who will be savvy in medicine, able to interest potential clients as much as possible and force them to make an appointment for the first appointment. This position should be filled with people who have following characteristics:

sociability;
grammatically correct speech;
politeness;
knowledge of medical terminology, etc.

Immediately after opening, the medical center should begin to form its own customer base. For each visitor, an electronic dossier is created, in which information about each visit will be accumulated. To attract customers, an entrepreneur is recommended to develop a program of bonuses and discounts that will help them save money on paying for expensive medical services.

Necessary equipment, material selection

To open a private medical institution, a business entity needs to find a good place. In this matter, the following nuances should be taken into account:

there should be stops in the immediate vicinity of the center public transport;
there should be a convenient transport interchange so that customers can get to road transport;
near the center there should be an area that should be equipped for parking the cars of staff and customers;
to place a medical center, you should choose sleeping areas in which the rent is much lower than in the central part of the city;
if it is planned to equip an x-ray room, then the medical institution should be located in a separate building.

After signing the lease agreement, the business entity must proceed with the repair and creation of the interior. The center should be equipped with the following facilities:

offices in which narrow-profile specialists will be receiving;
manipulation;
staff quarters;
reception (a design sample can be viewed from competitors);
waiting hall;
toilet room;
cabinets for hardware diagnostics.

The entrepreneur must purchase equipment for his center:

When forming the staff of employees, the entrepreneur must invite to vacant positions doctors who have a high level of qualification and relevant certificates. He also needs to hire two administrators, an accountant, a cleaner and a few people who will answer the phone. The total payroll for the month will be approximately 650,000 rubles. Tax deductions will amount to at least 30,000 rubles per month.

Costs and profits

Each business plan should contain a financial section with calculations, which reflects all the start-up and monthly expenses of the center.

The monthly expenses for the maintenance of the medical center will be.