The medical center as a business requires very big investments on the early stages. But as the company operates, costs are already decreasing, and profits, with the right approach, are growing. The business plan below medical center can be used as a basis for making calculations, because the costs will directly depend on the specialization and type of your organization.
Medical center business plan: calculations and important points
The main costs when opening this kind of business are premises and equipment. And often the second comes out many times more expensive than the building itself. But first things first.
Video: How to open honey. center!
Video: how to open your own medical center! Part 2.
Range of services
The medical center can provide diagnostic services for diseases (tests, consultations, x-rays, etc.) or treat (hospital ward, dental office, surgery, etc.). And can provide both types of services at once. What your medical center will do is up to you. If you don't know what to base your decision on, then try to analyze your competitors. The types of services that they do not have, it is logical to provide in your medical center.
By the way, monoprofile centers that specialize in one type of activity (analysis, gynecology, etc.) also function well. The opening of such a medical center will reduce start-up costs. And at each stage, you can increase 1-2 new services.
Here we will consider the option with a medical center that provides several services at once.
Location and premises
We advise you to choose a place in a residential area. Firstly, renting or buying a room will cost you much less. Secondly, you will be able to focus on a narrow potential audience - residents of nearby areas. By the way, not all types of services will be allowed to be provided to a medical center located in a residential building. For example, it will not be possible to equip an X-ray room here.
It is better, of course, if the center is located in a separate building. Although, for a single-industry center, it will be enough small area. Make sure in advance that the voltage of the electrical network in the rented building is suitable for the equipment that will be located in the center. In addition to medical offices, you will definitely need:
- staff quarters;
- toilet room;
- reception;
- waiting hall.
Together, all this will amount to about 25m 2, but when drawing up a business plan for a medical center, it is worth considering specific cases. For example, one toilet room will not be enough for a two-story center. The area of each office will depend on the nature of the purpose, as well as on the requirements for obtaining a license. By the way, the height of the ceilings also plays a role - it must be at least 3m.
Taking into account the requirements for premises medical purpose, it is better to build a center from scratch. Buying 100m 2 in Moscow (the highest land prices here) will cost you 300 000 rubles. It costs about 2,000,000 rubles. Internal renovation and finishing - 1,000,000 rubles.
Equipment and furniture
For equipment, you will have to pay a considerable amount, because in this area it is important to make correct diagnoses and effectively treat patients. Then they will come again and again.
As for small appliances for professional and private use, their manufacturers often hold promotions. Under its terms, you are given a free kit to work during the promotional period. For example, glucometers with test strips.
In the medical center with an area of 90m 2, about 8 rooms can be equipped on each floor. Below are the average hardware costs for the most requested services:
- Dental office — 700,000 rubles
- Gynecologist's office - 250,000 rubles
- Andrologist's office – 60,000 rubles
- Massage room - 60,000 rubles
- Neurologist's office - 60,000 rubles
- Ultrasound room - 3,200,000
- Nephrologist's office - 120,000 rubles
- ECG room - 140,000 rubles
Total: 4 590 000 rubles
Staff
Your clients will come to the doctors. And you want to come to good doctors again and again. Therefore, pay great attention to the selection of personnel. And from the point of view of formalities, in the ranks of your specialists, all doctors must be with the necessary certificates confirming their level of professionalism.
In our case, we need 8 specialists, 1 cleaning lady, 2 administrators. Wage for each of the specialists in their field will be about 40,000 rubles. Average pay cleaning services - 10,000, and administrators - 15,000 rubles each. Don't forget about tax deductions for employees. Total turns out 449 000 rubles per month.
Licensing
For the legal operation of a medical center, you must have licenses for all types of activities. Moreover, for each service you will have to obtain a license separately. When issuing a license, the authorities will examine your premises for compliance with sanitary standards, as well as the qualifications of your employees and the suitability of the equipment used. The process is quite laborious, you have to run. But it's worth it.
Utilities
for a two-story medical center with a total area of 160m 2 will be about 15 000 rubles.
Franchise medical center
Many large commercial medical centers are willing to sell you a franchise for one of the services or the entire range. Usually the price does not include equipment, but you are given the official right to introduce yourself on behalf of a well-known medical center. This will greatly increase your competitiveness and create for your customers a certain level trust. Franchise cost without equipment from 100 000 rubles and higher.
Of the advantages of buying a franchise for a medical center, mentoring can also be noted. When buying a franchise from a firm, you can get advice on issues of interest to you from the practicing side. For people who are not sufficiently versed in this field of activity, this can play a decisive role.
counting
Initial costs:
- Land, construction and repair - 3,300 million rubles
- Equipment - 4,590 million rubles
- Franchise - 100,000 rubles
Total: RUB 7,990,000
Monthly costs:
- Staff - 449,000 rubles
- Utilities - 15,000 rubles
- Consumables for the work of doctors - 100,000 rubles
Total: 564 000 rub
On average, such a medical center can receive about 100 people per day. Considering average cost medical services, the average monthly income at full load will be about 1,600,000 rubles. Profit - 1,036,000 rubles.
It is impossible to draw up a business plan for a medical center without analyzing the wound, its structure and saturation in a particular locality. A sample business plan outlines the main points that need to be reflected in the study.
To develop a good business plan for a medical center, it is necessary to analyze the size of the market and study the structure of the market for paid services to the population. To do this, you can do it like own research, and use the available information from specialized publications and reference books. An additional analysis is being carried out on the markets for voluntary and compulsory health insurance. The document describes the concept of the medical center and its main points.
The nature of the center
Paid medical services:
- Physiotherapy procedures;
- Massage (hygienic, therapeutic, sports, cosmetic);
- Reception of a neurologist.
Key staff of the center
Director: higher legal education, organizational skills, ability to work with a computer and medical equipment. Chief Accountant: higher economic education, ability to work with a computer, work experience in the specialty for at least 3 years.
Engineer: higher technical education, ability to work with a computer, experience with medical equipment for at least 3 years. Neurologist: higher medical education, work experience in the specialty for at least 5 years.
Staffing: Name of positions Number of units. Official salary (rate), c.u.
- Director 1 800
- Chief accountant 1 550
- Engineer 1 500
- Neurologist 1 500
- Masseur 4 500
- Nurse 1 400
- Mistress sister 1 250
- Note: massage therapists - 1/2 official salary(bets);
- Neurologist - for 1/4 of the official salary (rate).
Sales
Clients: key figures There are no people involved in decision-making when purchasing company services. Nature of demand: for the first year, services are expected to be provided for a total amount of 120,000 rubles. Financial base: ways of financing the company: authorized capital.
Management information systems: accumulation, systematization and storage primary documents in the context of indicators necessary for the management and control of economic activity center, as well as for compiling financial statements, is produced in accordance with the current instructions for office work. Operational and settlement information is stored in the form of a database on the company's computer.
Inventory level: no stocks of raw materials. Sales plan: pricing policy.
List of established prices:
- Physiotherapy procedure - 100 rubles;
- Massage session - 1,000 rubles;
- Reception of a neurologist - 750 rubles.
Procedure for determining prices: these prices are set in accordance with the current pricing instructions. Price = (Cost + Profit) X VAT According to the Instruction of the State Tax Service Russian Federation dated December 9, 1991 "On the procedure for calculating and paying value added tax" (published on the basis of the law of the RSFSR "On value added tax" dated December 6, 1991) as amended and supplemented No. 1 dated August 21, 1992, No. 2 dated January 29, 1993, No. 3 of August 31, 1993, No. 4 of March 16, 1994:
V. List of goods (works, services) exempt from tax. 13.
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 business development, you 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 works with impeccable reputation, even if there is not the newest equipment.
Note: you can download ready medical center business plan with our partners with a guarantee of quality.
Doctors often leave institutions where they are not valued and paid a small salary in order to get better working conditions.
Common Services
- Obtaining a sick leave and documents for the leisure of children, a driver's license.
- 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 average price for a $50 service).
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 time when medical services were absolutely free and were provided only by specialized medical institutions, long gone.
At the moment, citizens increasingly prefer private medical clinics.
There are several reasons for this:
- the cost of a service in a commercial center is slightly higher than in a public institution;
- the level of service in the hospital leaves much to be desired, which cannot be said about a private organization.
Market and competition analysis
An entrepreneur planning to open his own clinic or diagnostic center should be aware that both the state and potential clients put forward several high demands, therefore, the beginning of a successful and productive activity is impossible without familiarization with legislative documents, a thorough analysis of the existing market and taking into account many fundamental factors.
Before proceeding with the official registration of your own institution, you need to pay attention to the choice of a suitable profile that brings the greatest amount of profit. That is why an analytical section should be placed at the beginning of the business plan, in which information should be reflected:
- about the saturation of the paid medical services market in the region/city;
- about the demand for a particular therapeutic service;
- on the effectiveness of such a center;
- on the cost of services that are in greatest demand.
A detailed market analysis is necessary to determine the most promising directions activities of the future private clinic, on the basis of which the optimal location of the institution, initial and monthly costs, as well as the expected profit will be determined.
No less important is information about existing competitors and potential customers, since without this it is impossible to determine the desired position in the market.
Interesting information about the opening of this type of activity is presented in the following video:
Production plan
The future profit to a large extent depends on the favorable location of the clinic, because many people prefer the institution that is located close to home.
Thus, the highest level of income will go to the clinic located next to a luxury building, whose inhabitants are wealthy people. And vice versa, it is hardly worth counting on the success of the center if it is located in a residential area built fifty years ago.
It is not so easy to find a suitable place, because you need:
- effectively allocate the area in accordance with the functional plan (treatment rooms, treatment room, staff room, room where staff can relax, bathrooms for employees and visitors (it is desirable to have 2 - male and female), sterilization, reception, cloakroom, offices for administrative staff (director , accountant), etc.);
- make an assessment to determine the amount Money necessary for repairs, because the institution must be equipped with all communications (requirement of Rospotrebnadzor).
In addition, it is impossible to disregard existing competitors and the estimated future development of the area. Based on the available resources (financial, personnel, client, technical, administrative), it is necessary to determine the level of the future clinic - premium, business or economy.
The acquisition of equipment is the most expensive part of the project implementation, since medical devices and devices have never been cheap. For example, the purchase of a high-quality ultrasound will cost about 160 thousand dollars, and the price of equipment for analysis ranges from 10 to 70 thousand dollars. Currently, customers appreciate high quality and it is for him that they are ready to pay money, therefore, the equipment must meet this requirement.
At the beginning of the activity, you can resort to purchasing used foreign-made equipment - it is of high quality and lasts a long time.
Opening your own clinic involves hard work for several years (2-3 years minimum) and only after that you can count on a stable income.
Financial plan
The business plan involves a description of the financial costs necessary for the opening and stable functioning of the institution. Their value largely depends on the planned type of activity.
Consider the monthly costs for a small diagnostic laboratory as an example:
- rental payment - 40,000-60,000 rubles;
- salary - about 100 thousand rubles. (laboratory doctor, biologist, laboratory technician, laboratory assistant, administrator, cleaner);
- tax deductions to the PFR and the FSS - about 30 thousand rubles;
- utilities - 10 thousand rubles;
- purchase of consumables - 15 thousand rubles;
- transportation costs - 15 thousand rubles;
- for other expenses - 10 thousand rubles.
The amount of capital investment also depends on the expected level of the institution, the equipment and furniture purchased, as well as the necessary repairs. The amount of investment in a large private clinic can reach tens of millions of rubles.
organizational plan
The range of services depends on the chosen area of activity:
- Diagnosis of diseases:
- analysis;
- consulting practices;
- x-ray, ultrasound, MRI, etc.
- Treatment:
- hospital rooms;
- dentistry;
- surgery;
- gynecology;
- urology, etc.
If there are difficulties when choosing a direction, then you can analyze the success of competitors. Services that are not in their price list can be safely included in your own.
Quite successful is the opening of a monoprofile center specializing in the provision of any one type of activity (testing, gynecological services, etc.).
A significant advantage of such an institution is the fact that much less finance is required to open it. In addition, over time (as profits grow), new services can be gradually introduced.
The staff of the organization is completely dependent on the range of services. For example, laboratory tests require the employment of a laboratory doctor and 1-2 laboratory assistants, and the provision of gynecological services requires a gynecologist and a midwife, etc. In addition, it is necessary to provide for the presence of accompanying personnel. So, you can not do without a director, administrator (registrar), accountant and cleaning lady.
Launch Schedule
Be sure to specify the calendar sequence of actions. So, opening such a business involves going through the following steps:
- search for investors - 1 month;
- selection suitable premises- 2-3 weeks;
- official registration of activities - 2 weeks;
- receipt - 2 months;
- signing (if you don't have your own) - 1-3 days;
- repair work - 1-2 months;
- purchase of necessary equipment and consumable to him - 1 month;
- recruitment of qualified employees - 1 month;
- conducting advertising campaign- a month before the opening and after it.
That is, everything needs a minimum 7-8 months.
Marketing plan
Medical activities require effective outreach, as:
- at potential client a complete picture should be formed about the center as a whole and about each service provided separately;
- information should not be neutral, but positive;
- the consumer must clearly understand what service he will receive in the clinic, how much he will need to pay for it, what qualifications the doctor has and what impression previous clients received.
The implementation of the above tasks should underlie the advertising campaign. The use of one or more of the following communication tools is encouraged:
- a corporate website where you can place all the information that interests the consumer (staff, price list, working hours, location map, etc.);
- television advertising (for example, a local TV channel broadcasting in a given region);
- advertising in the immediate vicinity of the institution (board advertising, pillar, sign, etc.);
- transit advertising (posters placed on municipal public transport);
- direct mail (sending advertising to the consumer's mailbox in the form of a leaflet).
Risk Analysis
The implementation of each business project involves the possibility of unforeseen risks. Potential risk hides in itself legal environment as well as political and economic situation in the country. Russian legislators at the local or regional level often edit tax and financial law, as well as make changes to the procedure for passing certain licensing procedures, which can both facilitate and complicate entrepreneurial activity.
It is not uncommon for the manifestation of an economic crisis or the strengthening of political sanctions, which negatively affects demand.
Of course, we must not forget about the wear and tear of equipment and a possible natural disaster.
Now more and more people trust only private medical institutions, as public ones are no longer always able to provide proper service and good medical care.
Absolutely every person who decides to do business has the opportunity to open a medical center from scratch. entrepreneurial activity. It is not at all necessary to have a medical education for this, although if you do, you will have a very small advantage over other entrepreneurs, as you will be able to better understand all the specifics of the activity. However, organizational and entrepreneurial skills are more important here than specialized medical education.
Download free medical center business plan
How to open a medical center
First of all, you should start by researching the market for these services in your city or region. Many people tend to visit the same medical institutions if they are satisfied with the quality of service, prices and qualifications of doctors. Therefore, if your city is oversaturated with private clinics of various profiles, it may be very difficult to squeeze into this market and win the sympathy of a large number of clients. After studying the competitors, you will be able to create your own market entry strategy, which will be the most optimal for you.
Licensing procedure
If many other types of business, for example, or, do not require a license to operate, then doing medical activities impossible without a licensing procedure. An application for a license can be submitted after the premises have been brought into the desired condition in accordance with the standards, there will be necessary equipment and staff with valid medical practice certificates will be recruited. The whole collection process required documents and waiting for a response from the licensing authority can take a long time, up to one year. Consider this simple in organizing your business.
After obtaining a license, you will not be able to move your clinic to another location, as the license will only be valid at a specific address. If you plan to provide different types medical services, then a separate application for licensing must be submitted for each type.
Location selection
A medical center is a business in which location plays a huge role. Regardless of whether your clinic is specialized or multidisciplinary, it should be located as close as possible to the city center.
On the street where the clinic is located, there should be a constant flow of people. So more and more people will learn about your clinic, even just passing by. And your visitors won’t have to search for it for a long time, which will also only benefit you.
Room size selection
The size of the premises directly depends on the number of services that you are going to provide. If your clinic is highly specialized, for example, it is a dental office, then an area of 30 square meters will be enough to open it.
In the case of computer diagnostic centers, the situation is more complicated. Although this is also a specialized clinic, here you need to consider whether you can fit all the necessary equipment in the available space. For a multidisciplinary clinic in which doctors of various specializations will be treated, you should look for a room of 80 square meters or more.
Cost of equipment
Medical equipment is an expensive purchase, and you must understand that the largest part of the investment will go to the equipment. State-of-the-art equipment from foreign manufacturers is a strong factor in attracting customers. The prestige of the clinic will largely be determined by the level of technology, in addition to the qualifications of doctors.
For example, the apparatus ultrasound diagnostics will cost you no less than 170 thousand dollars, and the apparatus for laboratory research - about 60 thousand dollars.
You can also consider buying used equipment. If it is in excellent condition and performs all its functions perfectly, then your patients will definitely not suffer from this, and you can save a significant amount of money at the initial stage of business.
Staff
You can choose personnel to work in the medical center as you like, the main thing is to follow the selection rules: a diploma of higher medical education, successful completion medical practice, sufficient work experience. Internships in foreign clinics and participation in international medical conferences will be a significant advantage.
There will always be people who will significantly increase their confidence in the clinic if certificates of professional success and achievements hang in the office of the doctor who receives them.
Such a phenomenon as enticement good specialists from other companies to their own, has always been and will be present in different areas business. When it comes to medicine, here this phenomenon is practiced very often. If you have enough arguments to convince a good doctor to go to work in your medical center, then by all means try to do it. Maybe in relation to the clinic in which this doctor is already working, this is not fair, but such are the harsh laws of business: everyone is trying to take their place under the sun and does it by any means available to him.
The most profitable areas of medicine
A considerable profit can be obtained both from multidisciplinary medical centers and from narrowly focused clinics. If you are considering opening a multidisciplinary clinic, of course, you have a chance to get more clients. But you must take into account that the costs of opening and developing such a clinic will be much higher, and marketing events to increase popularity will also be more difficult and extensive.
If you are thinking about opening a clinic that specializes in one direction, then please note that the most popular areas in private medicine today are:
- Dentistry;
- Gynecology;
- Urology;
- Cosmetology;
- Laboratory research.
Often entrepreneurs who are interested in medical field business, first open a small highly specialized clinic. Such a business requires less investment, less equipment and is also much easier to manage. Over time, when the entrepreneur has already earned enough money from a small clinic and gained experience in doing business, he opens a large multidisciplinary clinic. Such a strategy is very reasonable and justified, but, of course, only you can evaluate your capabilities.