How to open a medical center from scratch. How to open a medical office from scratch, where to start a Marketing plan for a month in a medical center

A business plan for a private clinic is the most important document at the stage of preparing a business and a step-by-step guide for an entrepreneur. How to develop effective business plan What points must be included in the document and how to open your own clinic (maybe a whole multidisciplinary medical center) from scratch - we will consider further.

Stages of opening a private clinic

A business plan for a private clinic should cover all stages of preparation for opening. Only in this way will a businessman be able not to lose sight of a single important detail and clearly control the launch of the project. First, you need to draw up a business resume and carefully analyze the market for the presence of competitors, the needs of the target audience and the possibility of reaching a good profit. Then it is worth taking up the choice of premises, the buying process or drawing up a long-term lease agreement, repairing and purchasing the necessary equipment. But this is only in general terms. An example of a business plan for a private clinic with calculations will be presented below.

The most important thing for successful development business - to determine the specialization of the center. Take as an example of a business plan for a private clinic, you can open a dentistry or other institution - medical centers differ only in the range of services, and all other registration procedures will be similar. It is desirable to have a medical degree, but this alone will not be enough to launch a successful project. A businessman must have organizational and entrepreneurial skills.

Drawing up a business plan

A dental clinic business plan with calculations is a ready-made guide to action. Therefore, the preparation of the document must be approached with all responsibility. A business plan for opening a private clinic should include the following sections:

1. Title page. It is necessary to indicate the name of the project and state the essence in one phrase, indicate the actual and legal addresses, contacts of managers.
2. Privacy Statement. If the business plan of the dental clinic falls into third hands, then on the second page, restrictions on disclosure, copying and dissemination of information should be stated.
3. Business plan summary. The section summarizes the main provisions, necessary resources and the expected results. A ready-made business plan for a dentistry or a clinic providing services should arouse the interest of investors and show the prospects for investments. This is the main goal of this part of the project.
4. Information about the enterprise. It is necessary to present information about the enterprise in more detail. Imagine legal form organizations, analysis of the company's work for the previous period (if any) or relevant marketing research, information about partners, suppliers and so on.
5. or products. Please describe in detail the services offered, the required permits (licenses and certificates). Diagrams, drawings and photographs are very welcome.
6. Marketing. Analyze the sales market for services, provide information about competitors, give their comparative characteristics, make a SWOT analysis and determine the factors that can affect demand.
7. Organizational plan. Expand in detail organizational structure and give a description of the management system, indicate the requirements for the qualifications of hired personnel.
8. Financial section... This is one of the most important sections. It is necessary to reflect all the costs of preparing and implementing the project, as well as calculate the payback and expected profit, describe cash flows(costs, revenues, taxes, profits, and so on).
9. Guarantees and risks. Should be analyzed possible risks associated with the implementation of the project, and a strategy for their minimization.
10. Add-ons and applications. In this part, documents are attached that were used to develop a business plan for opening a private clinic.
11. Marketing research.

Center specialization

Market research is important medical services in a certain locality, in order to accurately determine the needs and ability to pay of the population. Traditionally, the most popular are gynecology and reproductive health, urology, ophthalmology, cosmetology and dentistry. A business plan with calculations should clearly define the specialization.

There are separate centers that specialize in laboratory research, which is also profitable. These laboratories are best located near large government hospitals or in the city center. With great demand in big cities, you can think about a project of a multidisciplinary medical center with the involvement of a large number specialists of different profiles and providing patients with a full range of care.

Choice of organizational and legal form

An obligatory item in the business plan of a private clinic is the choice of an organizational form. Before starting work, you need to register as a legal entity (with it, in the future, it is necessary to create a health care institution) or an individual entrepreneur. An individual entrepreneur in this area can open Self employed without appropriate education, but in this case it is necessary to hire qualified specialists to serve the patients.

Room selection and renovation

The premises can be owned or long-term leased. It is better to choose a spacious building at the intersection of main streets, in the city center, in crowded places, near metro stations, and so on.

It should be convenient to get to the medical center by public transport and a private car. The location can attract a certain group of clients: for example, elderly patients can be expected in a medical center in residential areas, and if you buy a building near new buildings, then the clients are likely to be middle-aged people with children.

When planning the location of the center, you need to take into account building codes, as well as all the requirements for ventilation, quartzization, lighting and ventilation of various types of offices.

The area depends on the list of services. For dentistry or a small center for receiving tests, only 25-40 m 2 will be enough, but a multidisciplinary private clinic will occupy a building of 2000-3000 m 2.

When developing a design project, it is worth moving away from the standard blue and white walls that resemble state clinics, because clients will feel uncomfortable and remember the district hospital (although the level of quality of services is noticeably different).

Clinic room design

Use calm color combinations and warm tones. Adequate lighting is required, both artificial and natural. In addition to patients, specialists, an administrator and other staff will be at the clinic every day, so the working conditions should be comfortable.

As for furniture, you will need an ordinary office, as well as medical equipment and equipment. Cabinets, shelving, tables and racks must be made of durable materials. It is necessary to buy sofas for the reception, armchairs and chairs for the offices. The color of furnishings should be in harmony with the overall design of the premises.

Purchase of equipment

This is the most expensive item of expenditure when opening a private medical clinic. High-quality equipment has to be ordered from abroad at a fairly high price. A clinic of any kind will require serious investments in the purchase of equipment. Dentistry and gynecology need special chairs, ultrasound or X-ray, in the laboratory - devices for examining the material, and so on. It is important that when equipping offices, you need to use the norms for the table of technology for special-purpose products, which is approved by the Ministry of Health.

Computers and software

You will definitely need computer equipment and appropriate software. You need to purchase a sufficient number of system units, monitors, network equipment and accessories. In some workplaces, laptops or tablets will be more appropriate. This will enable communication with clients: many private clinics today send patients research results and other information via e-mail or remind of the reception in messengers.

For work computer technology you need to purchase software. We need software for accounting, personnel management, electronic document management. The customer base must be stored in a specialized program. Records should be kept of clients' health, procedures, research, treatment prescribed and results.

Training

In the business plan of a private clinic (an ultrasound room is supposed to be done with all other diagnostic services, or just a small laboratory, it does not matter), it is imperative to reflect the expected staff of health workers: doctors and nurses with the appropriate qualification level... The qualifications of workers must be necessarily confirmed by certificates and diplomas, and other official documents. This will be required when obtaining a business license.

After the opening of a private clinic, it is the professionalism of the doctors that will determine whether patients will visit your center. Often people do not go to a specific clinic, but simply to a doctor with good reviews. The level of satisfaction does not depend on the smile of the administrator (although politeness in communicating with clients must be present), but on whether the health problem has been resolved.

Licensing procedure

To obtain a license to carry out medical activities, you need to prepare a large set of documents and submit directly to the licensing authority or through the website of "State Service". For receipt, a state fee is provided in the amount of 7,500 rubles. The list of documents differs for a legal entity and individual entrepreneur.

Advertising campaign

Before opening a medical center, it is necessary to carry out advertising campaign... In the business plan of a private clinic, this stage should also be described point by point. It is necessary to educate the target audience about the benefits of the new medical center. You can use the usual advertising methods, for example, banners, posted on the streets and on public transport, flyers, publications in special editions. To more modern methods advertising includes search and contextual on the Internet, media. It is imperative to create a high-quality corporate website. At the initial stage, it would be nice to launch a discount program and actively use a variety of promotions.

The cost of opening a medical center

V total costs to open a narrow-profile clinic include:

• rent and repair of premises, purchase of consumables;
• legal registration, obtaining a license;
• purchase of equipment, machinery, special software;
• costs of an advertising campaign.

The final cost depends on the size of the clinic and the list of services to be provided to clients. It is important to take into account the cost of rent, because if you are located in a large room, then it can be very high.

Let's take as an example the financial part of a dentistry business plan for two chairs. It is necessary to rent a room (about 80 square meters will be enough), purchase two chairs, hire 6 doctors and an administrator. Such an office can serve up to 12 patients a day, and with an average cost of 1,600 rubles per person, the gross profit will be 720 thousand rubles.

The purchase of the necessary equipment and repairs will cost 2.5 million rubles. Monthly expenses will amount to approximately 450 thousand rubles. This amount includes rent of premises, public services and salaries of specialists. In addition, you need to consider the cost of consumables. It will turn out to be about 100 thousand rubles a month.

Total net profit will be about 200 thousand rubles. per month. The payback period for such a small dental clinic will be about a year.

Business without special education

Today, a medical business can be opened without an appropriate education - the law permits. Another thing is that it will be quite difficult to deal with a project without knowing the specifics of the work. When it comes to opening a private clinic for a franchise, then companies prefer to cooperate with professional doctors and may refuse to sell a franchise to a person without medical education.

The need for quality, highly qualified medicine creates many opportunities for the creation of centers for the provision of medical care. But like any other business, the medical one also needs planning. A medical center business plan will allow you to open a profitable and interesting business and not go bankrupt.

It is not only a person with the appropriate education who can open a business for the provision of medical services. But also the one who possesses the necessary skills and information necessary to launch a medical center into operation. First of all, you need to collect as much information as possible about the activities of those already existing on the market. medical organizations and various clinics. Then determine which market segment will become target audience.

Before opening a medical center from scratch, you need to decide on the types of services provided and the types of assistance provided:

1. A specialized clinic provides services to patients with certain types of diseases, for example, an oncology clinic.
2. The multidisciplinary clinic deals with the treatment of various types of diseases and injuries.
3. The Diagnostic Center provides services for the diagnosis and detection of diseases, but does not provide treatment.
4. The presence of block structures, such as dentistry, traumatology, gynecology, and so on, is a priority for large cities with a large number of clients.

Instructions on how to open and what is needed for this

There are a number of steps to go through in order to open a private health center.

Stage 1 - execution and preparation of documents

Unlike many other types of business, medicine requires a license to provide services of this kind. This is a vivid example of the fact that medical practice is a very serious matter and only trained personnel can deal with it.

Gathering all the necessary data is an example of the fact that medical services are a very difficult process, since the application procedure can take several months, and the decision on whether to issue a license or to refuse will have to wait no more than sixty days.

Stage 2 - finding a room

At this stage, there is an important task - to find a suitable room in which you will have to open the center. The building should be located in a walkable and easily accessible place. There is no need to force patients to travel long distances. An example of a good location is next to a hospital campus where public health services are provided. People who are tired of standing in lines at free institutions are willing to pay to get the help they need, this is a fact.

The premises of the center must correspond to the services provided. Dentistry needs much less space than a trauma clinic. You should also provide for the presence of special rooms, which should be in every medical facility.

Stage 3 - purchase and installation of the necessary equipment

The biggest expenses are for the purchase of modern high-tech medical equipment. Its cost, depending on the type of services provided, can reach huge sums. None of the clients will want to spend money on services that are provided using old or unreliable equipment. In this regard, it is impossible to save on the purchase of devices.

Stage 4 - recruiting

Only highly qualified certified professionals with experience should work in the medical center. Ideally, the employee should complete an internship abroad and hold several continuing education certificates.

For a small clinic, the following state is suitable:

1. Two therapists working in shifts.
2. Two nurses assigned to one of the doctors.
3. Chief Accountant.
4. Administrator.

If you are just opening, then such a staff will provide the required minimum of clients, and then it will need to be expanded, attracting more and more new specialists.

Stage 5 - promotion and advertising

At the stage of preparation for the opening, it is advisable to conduct a massive campaign to attract customers:

• for example, issue booklets;
• place banners in crowded places;
• engage in newspaper and television advertisements.

The main task is to get clients to talk about the new center.

Financial plan

The costs of opening a medical center are quite high:

1. Repair - 140,000 rubles;
2. Rent - 120,000 rubles;
3. Purchase of equipment - 2,500,000 rubles;
4. Acquisition medical instruments and other necessary supplies - 350,000 rubles;
5. License - 15,000 rubles.

Potential risks

When starting such a business, the following points should be considered:

1. The provision of medical services is associated with direct work with the population. In this regard, the reputation of the institution can be destroyed by only one negative feedback about the work of doctors. Therefore, the attitude towards customers must be perfect.
2. The pricing policy must match the level of demand. You should not break prices at the beginning of the journey, as this can play into the hands of competitors.
3. Medical errors can lead to license revocation and center closure.
4. Saturated competitive environment in the market of medical services is able to attract valuable personnel, which will hurt the prestige of the organization.

The opening of a medical center is associated with a large number of all kinds of risks. Therefore, at the planning stage, it is worth paying great attention to crisis management and internal management of the institution.

Video "The idea of ​​creating a medical center"

From this video you will learn how to correctly draw up a business plan for opening a medical institution.

The medical center is opening with the aim of providing advisory, therapeutic and preventive services to the population. The business plan provides data on the level of competition in the industry, composition potential audience and the financial aspects of opening an institution.

Being in fact a private general clinic, the medical center is a complex structure that provides paid services the population. Accordingly, it should immediately occupy an appropriate niche in its market sector and determine its pricing policy. Since in the field of paid medicine the requirements for the quality of service are higher, already at the initial stage it is necessary to set a high bar, subsequently constantly confirming it.

Medical center as a type of business

A medical center, or a private clinic, is a modern full-fledged type of business that has a wide potential audience and takes its place in. Increasing public confidence in private clinics increases the prospects for this type of business. Nevertheless, some of the difficulties that every entrepreneur who opens a medical center faces remain relevant.

The most important requirements for an entrepreneur - a founder of a medical structure are as follows:

1. - availability of medical education - higher or secondary;
2. - certain experience in the medical field;
3. - Obtaining a license issued by the Ministry of Health and a special certificate for this type of activity;
4. - the presence of a room that meets the established technical requirements and legally owned by the founder of the center;
5. - a business plan drawn up in accordance with existing regulations and accurate financial calculations.
6. There are several factors that determine the success of a medical center:
7. - efficiency of planning activities and literacy of project management;
8. - the peculiarities of the use of resources, their distribution in accordance with the stipulated norms;
9. - the nature of the implementation of the compiled strategy for the development of the enterprise.

A private clinic often includes several directions at once. Unlike highly specialized centers, such an institution has more prospects due to its wide potential audience. The most popular areas of activity that should be included in the range of services provided will be the following:

1. - therapy;
2. - pediatrics;
3. - preventive activities;
4. - areas of alternative medicine and other competitive activities.

According to the results recent years the most profitable areas of private medicine are named:

1. - pediatrics;
2. - gynecology, sexology;
3. - narcology.

The format of family medicine, which is especially popular among wealthy segments of the population, is considered to be successful.

When opening a paid clinic, it is worth considering what competitive advantages will be offered to potential clients, thanks to which the new organization will be able to attract and retain its audience.

The following features should become the main features of a private clinic:

1. - high quality of the services provided and improved service: unlike state medical institutions, a private clinic should offer patients separate comfortable wards, if necessary - round-the-clock nursing care and improved medical support;
2. - a wide variety of services;
3. - high-quality technical supply;
4. - flexible discount and discount systems that allow working with patients on an ongoing basis.

It is the listed features that distinguish private medical institutions from public hospitals that do not provide patients with an adequate level of comfort.

The organization of the work of a medical center should be aimed not only at attracting new clients, but above all at retaining old ones. This will be the high quality of services, profitable loyalty programs for regular customers and attractive family offers.

Before opening a company, it is worth studying the proposals of existing medical organizations, analyzing which services are currently in short supply, and which are presented on the market in sufficient volume. The optimal range of services for a mid-sized center includes the following:

- specialist consultation and initial examination;

- carrying out analyzes;

- the appointment and conduct of treatment;

- ultrasound and other main types of examinations;

- functional diagnostics;

- operational activity.

This list can be expanded or narrowed depending on the territorial location and the expected scale of the activity. At the initial stage, a treatment room can be opened, specializing only in the collection of material for further analyzes. To this end, the cabinet is establishing cooperation with larger ones, in fact, becoming a local branch. Such a move will allow you to start a business with minimal investment: it is enough to open a small office, obtain a license and a certificate, as well as hire a small staff.

Medical center marketing plan

Before starting a business in the field of providing counseling and treatment services, a mandatory stage will be the development of a marketing plan. It is based on the study of the dynamics of the industry, the level of development of competitors, the ratio of offers from private and state-owned enterprises in the industry.

The marketing plan will include the formation and consolidation of consumer opinion regarding new organization... The main points of such a plan will be:

1. - creation of a unified advertising concept for the future institution;
2. - development of your own style of the company;
3. - creation of a media plan, videos and other materials;
4. - development of an action plan to promote the service, increase sales and retain existing customers;
5. - creation of a company website;
6. - creation of appropriate infrastructure, planning of working conditions.

In addition to promoting services via the Internet, it is rational to place advertisements in the media, distribute leaflets and business cards of the new organization. You should first study the mechanism and effectiveness of each of the advertising methods. When located in a busy location the best advertisement for the center will be an attractive informative sign.

The main features of a marketing campaign and common mistakes are in the video:

Registration of a medical center

Any organization specializing in the provision of medical services must have the status of a legal entity. In most cases, clinics and treatment centers work on the basis of an LLC. This format requires the preliminary preparation of a number of constituent documents, including the charter, the decision on the appointment of the head, the minutes of the meeting of the founders, and others.

A prerequisite for the creation of an LLC is the provision of complete information about all founders, full name of the company and its legal address. All these data are provided when submitting a registration application by filling out a special form. According to the requirements of the tax service, the founder is obliged to guarantee the solvency of the new enterprise, having previously contributed the authorized capital of at least 10 thousand rubles. The payment of the state duty will also be obligatory, the amount of which for legal entities- 4 thousand rubles.

When submitting an application, you must have a medical license, which entitles the person to engage in the chosen type of activity. You need to apply for its registration to the department of Roszdravnadzor, having previously familiarized yourself with the law "On the basics of health protection of citizens of the Russian Federation", as well as a special decree "On the organization of licensing certain types activities ".

The licensing issue for various types of organizations is discussed in detail in Federal law about licensing:

Obtaining a medical license is paid - the fee is 7,500 rubles. It is better to deal with this issue in advance - the term for issuing this document is up to 45 working days.

After all the documents and the license are ready, you can submit an application to the Federal Tax Service, and if all the requirements, certificate and others are met constituent documents on granting the new LLC the right to engage in entrepreneurial activity.

Stages of opening a medical center

Finding a room will be one of the main stages of opening a private clinic of any nature. The territorial location in this respect will not be a determining factor, since potential clients are ready to go even to a remote area for high-quality medical services. True, a convenient location will be a big plus in that period, while the company has not yet had time to gain positive fame in the market.

Several main factors will influence the choice of premises:

• - patency - the more people see the medical center, the faster its client base will increase;
• - the density of the population living in the selected area and the level of their income. It is better to open a private clinic in a prestigious area where a large number of solvent citizens live;
• - lack of nearby competitive companies.

The ideal option would be busy central streets or a secure sleeping area. It is important that there are no successful private clinics nearby, which may be difficult for the new company to compete with. Since in this case you will have to pay more attention to advertising and think over profitable marketing moves.

More important will be the compliance of the building sanitary requirements applied to medical facilities. The size of the premises should have an area of ​​250 sq.m. or more, especially if there are plans to create your own laboratory and treatment rooms. A bathroom and a telephone connection are required. When choosing a room, you should pay attention to whether free access to each office will be possible and whether there is enough space to accommodate all the necessary objects.

When choosing a room for a clinic, it is desirable that it previously performed the same functions. In this case, you can get by with cosmetic repairs and significantly reduce the cost of equipping the premises and bringing it in line with the requirements of the law. If you have to do everything from scratch, according to preliminary estimates, repairs and preparation for work of each meter (architectural design, carrying out the necessary communications, finishing the premises and purchasing equipment and furniture) will cost 1,000 dollars.

After the registration of the enterprise and the preparation of the premises for the opening, the search for specialists of the future center will be ahead. When opening any clinic from scratch the most important factor qualified personnel will be successful. It is necessary to select professional personnel both among specialized medical specialists and in the management sector. The latter specialists must understand the rules of business existence, marketing and financial specifics.

Regulatory aspects are very important when starting a private medical center. So, the size of the staff will depend on the work schedule and workload of the center. At the same time, it is important to take into account the existing design standards developed for medical and diagnostic organizations. Thus, the standard admission rate for one doctor is 4 patients per hour. The permissible number of positions of doctors in outpatient clinical institutions is determined by special formulas, taking into account the workload norms established by law for specialists of various qualifications. The working hours of the staff of any clinic operating on the basis of a medical license can be summarized in the table:

Approximate calculations show that for each staffing unit of a doctor there should be 0.5 of the nurse's rate. It is these parameters that must be taken into account when recruiting personnel. The total amount staff units doctors, nurses, staff and administrators will depend on the projected number of visitors and the opening hours of the center.

The main steps of opening a medical institution from scratch are in the video:

Technical equipment. Equipment purchase

One of the stages of opening a private clinic is purchasing minimum set equipment. For clinics planning to open their own laboratory and treatment rooms, an approximate set will be as follows:

1. - analytical instruments;
2. - instruments for measuring basic physical parameters;
3. - laboratory furniture, fume hoods;
4. - weighing equipment;
5. - gas analyzers and other devices for similar purposes;
6. - furniture for receiving patients.

If the center has its own laboratory, a standard set of equipment is required, including a distiller, centrifuge, thermostat, sterilizer, microscopes, heating mantles, autoclaves, hot plates, etc.

The quality and technical characteristics of the equipment will play a very important role in the operation of the center. Therefore, its purchase should be carried out only through dealers of trusted manufacturers, and after a certain period of time it will need to be replaced or repaired.

For a center that provides full-fledged therapeutic and diagnostic services, the following list of specialized equipment will be relevant:

1. - magnetic resonance imaging machine, designed for the study of internal organs and tissues;
2. - X-ray system for angiographic studies of the heart and blood vessels;
3. - X-ray apparatus, which allows for layer-by-layer imaging without changing the position of the body, which is especially important for examining patients with injuries;
4. - apparatus for ultrasound examination. It is an indispensable device that explores all internal organs human body and providing information in three dimensions.
5. - digital mammography, designed for contrast diagnostics of mammary glands in order to identify their pathologies, including oncology;
6. - electroencephalograph - an apparatus used to study the state of the cerebral cortex and identify possible pathologies. The presence of a modern encephalograph allows you to accurately determine all kinds of lesions of the cerebral cortex in order to subsequently carry out therapeutic measures in a timely manner;
7. - an endoscope that allows you to display color images of organs on digital media for various pathologies in order to further analyze the effectiveness of treatment;
8. - artificial ventilation apparatus. It is intended for the treatment and maintenance of vital functions of patients with impaired lung function. Modern devices control the amount of oxygen entering the lungs so as not to cause an overdose. The medical center will need equipment that supplies, in addition to oxygen, medicines in the form of finely dispersed medicines;
9. - Holter monitor - designed to track the control of the heart, blood pressure and other indicators. The monitor shows all possible violations of the heart rhythm, allowing an accurate diagnosis;
10. - dialysis machines;
11. - electrocardiograph. It is better to choose a modern three-channel apparatus that allows you to record three lines at once, thereby making it possible to make a more accurate diagnosis;
12. - defibrillator.

Depending on the specifics of the medical center, it may be necessary to purchase a wheelchair with a height change function, a gynecological table with built-in electric patient position controls, medical chairs and dropper stands. If a private clinic specializes in surgery, an operating table with improved technical characteristics... It is immediately necessary to purchase specialized medical cabinets for instruments and drugs, surgical lamps and other auxiliary equipment and accessories.

A medical center providing a more limited range of services, especially in the absence of its own laboratory, requires much less attention to the selection and purchase of equipment.

In any case, the availability of medical equipment provides for regular monitoring of its condition and maintaining it in good condition. It is imperative to provide in the activity plan for the maintenance of equipment. These include monitoring the technical condition, Maintenance during operation and repair in case of malfunctions. Periodic unscheduled monitoring of medical equipment is mandatory.

Financial plan

The general cost plan for registration, opening and primary development of a medical center requires up-front investments of up to 25 million rubles. This is how much the project developed in this regard will cost. If the founder of the business does not have his own funds in the required amount, you can raise funds from an investor or contact creditors. In any case, in order to receive the required amount, you must provide detailed business plan with a description of all upcoming costs and forecasts for future income.

In the process of financial planning, as well as before each new season of work, it is necessary to draw up an estimate. Essentially, it is master plan all forthcoming expenses in the production and economic category for a certain period of time. The Ministry of Finance has established one specific form for the estimate, which must be adhered to by all enterprises of the medical and preventive direction.

As a rule, the main source of campaign financing will be a loan, it is worth considering that its amount should be between 24.6 - 24.7 million rubles for a period of 24 months. The interest rate will be 24%. With preliminary calculations, the medical center should reach the break-even point by the second settlement month. To achieve this goal, the monthly income of the clinic must reach a stable level.

To determine the cost of the center, you can calculate the cost of equipping and maintaining the work of one office.

The list of costs will be as follows:

Taking into account these and some additional costs, the cost of one doctor's office will cost from 840 thousand rubles.

Summing up the total expenditure side of the project, you can compile one summary table of all the costs of opening and developing a clinic:

Expenditure item	Cost per month	Costs per year
Purchase (rent) of premises		8 million (600 thousand)
Architectural design		640 thousand
Connection of communications (water, sewerage, electricity)		340 thousand
Payment of utility services	73 thousand	876 thousand
Premises decoration, renovation, design		6.5 million
Purchase of furniture		680.9 thous.
Purchase of equipment	25, 6 thousand	3.08 million
Registration of licenses and permits		1.2 million
Purchase of fixed assets	63.5 thousand	763 thousand
Purchase of consumables	12.1 thousand	From 145 thousand
Computer hardware costs		200 thousand
Website development, payment for hosting	1500	300 thousand
Payment for online advertising	80 thousand	960 thousand
Payment of wages	Up to 1.3 million	Over 15 million
Payment of taxes	389.5K	4.67 million
Additional, unexpected costs		2.115 million
Total	1.55 million	41.3 million

The financial plan necessarily includes the development of a pricing policy for all types of services. The average indicators in the capital, depending on the specialization of the doctor, will be as follows:

• - initial consultation with a doctor of basic profiles - 3 thousand rubles;
• - repeated consultation with a specialist - 2 thousand;
• - initial consultation with the head of the department - 4 thousand;
• - repeated examination by the head of the department - 3.5 thousand.
• Individual consultation or inspection may incur higher fees. The cost is also influenced by the level of the clinic, its reputation and brand promotion, territorial location and some other factors. In general, the following main aspects affect the cost of services:
• - cost of rendering services;
• - price indicators from competitors;
• - uniqueness of services;
• - demand and demand among the potential audience.

Tax payments that are relevant for a medical center of any size will be standard:

1. - income tax payable based on the results of the past month - 20%;
2. - monthly value added tax (VAT) - 18%;
3. - property tax - 2.2%. Paid in accordance with the established payment schedule;
4. - 13% income tax - monthly;
5. - standard social benefits - paid at the end of the month in the amount of 30 percent.

The most important point of a business plan is the structure of future income. The calculation presented in the table is carried out taking into account a time interval of 12 months:

Taking into account such data and subject to the active development of the private medical services market, and also taking into account that the increase in consumption in this sector will be 5%, it can be concluded that the company can achieve sales volumes of over 94 billion rubles in a year.

The payback period if all points of the business plan are accurately fulfilled and provided a successful marketing campaign is 2 years.

The most important aspects medical business- in the video:

Additional features and risks

Risk assessment is one of the main points financial plan enterprises. To prevent these factors from becoming an obstacle to the development of the medical center, it is necessary to initially include them in the business plan and take into account at all stages of activity.

The following risks are relevant for a medical center:

• - lack of premises for opening a medical center;
• - high cost of the technological base and investments in the industry as a whole;
• — high level competition;
• - lack of specialists, especially junior medical staff;
• - lack of trust of the population and doctors in private medicine.

All these risks can be minimized by taking them into account when creating a business plan and developing a marketing campaign.

One of the most profitable and least risky options for organizing a medical center is buying a franchise. By opening a company under a name already known on the market, the founder can count on a certain clientele already at the start-up stage. The franchisor provides a full-fledged development program for a new enterprise, assists in personnel training and financial planning... In this case, the franchisee must fulfill certain obligations that are prescribed in the contract. In list mandatory conditions- a certain list of offered services, styling and, in most cases, pricing policy. Such requirements can significantly limit the founder of the medical center in terms of implementation and development, however, they will give some support and guarantee.

Opening a medical center can be a daunting and time-consuming process. But having carefully planned all the stages of its creation, financial features and an advertising campaign, during the first year of operation, you can bring this type of business to the level of self-sufficiency and subsequently increase capital, expanding the area of ​​activity.

Now more and more people trust only private medical institutions, since the state is no longer always able to provide proper service and good medical care.

Absolutely every person who decides to engage in entrepreneurial activity has the opportunity to open a medical center from scratch. It is not at all necessary to have a medical education for this, although if you have one, you will have a very small advantage over other entrepreneurs, since 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.

Free download of the business plan of the medical center

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 facilities if they are satisfied with the quality of service, prices and doctors' qualifications. Therefore, if your city is oversaturated with private clinics of different profiles, it can be very difficult to squeeze into this market and win the sympathy of a large number of clients. After researching your competitors, you will be able to design your go-to-market strategy that is best suited to your needs.

Licensing procedure

If many other types of business, for example, or, do not require a license to operate, then it is impossible to conduct medical activities without a licensing procedure. An application for a license can be submitted after the premises are brought into the desired state in accordance with the norms, will be available 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 issuing authority can take a long time, up to one year. Consider this easy in organizing your business.

After obtaining a license, you will not be able to move your clinic to another premises, since the license will be valid only at a specific address. If you plan to provide different types medical services, then for each type you need to submit a separate application for licensing.

Choosing a location

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 to the city center as possible.

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 will not have to look for it for a long time, which will also only play into your hands.

Choosing the size of the room

The size of the premises directly depends on the number of services that you intend 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 different specializations will be receiving appointments, you should look for a room of 80 square meters or more.

Cost of equipment

Medical equipment is an expensive purchase, and you should understand that the largest part of the investment will go to the equipment. The equipment of foreign manufacturers with the latest technology 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 the doctors.

For example, an ultrasound diagnostic apparatus will cost you no less than $ 170,000, and a laboratory research apparatus will cost you about $ 60,000.

You can also consider the option of buying used equipment. If it is in excellent condition and perfectly performs all its functions, then your patients will definitely not suffer from this, and you can save a significant amount of money at the initial stage of the business.

Staff

You can select personnel for work in the medical center as you like, the main thing is to follow the selection rules: having a diploma of higher medical education, successfully completing medical practice, sufficient work experience. An internship in foreign clinics and participation in international medical conferences will be a significant advantage.

There will always be people who will have a significant increase in confidence in the clinic if certificates of professional success and achievements hang in the doctor's office who accepts them.

Such a phenomenon as poaching good specialists from other companies to their own, has always been and will be present in various areas of business. If we are talking about medicine, then this phenomenon is practiced very often. If you have sufficient arguments to convince a good doctor to go to work at your medical center, then be sure to try it. Maybe in relation to the clinic in which this doctor already works, this is dishonest, but these are the harsh laws of business: everyone tries to take his place under the sun and does it by any means available to him.

The most profitable areas of medicine

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 should take into account that the costs of opening and developing such a clinic will be much higher, and marketing activities to increase popularity will also be more complex and extensive.

If you are thinking about opening a clinic that specializes in one area, please note that the most popular areas in private medicine today are:

• Dentistry;
• Gynecology;
• Urology;
• Cosmetology;
• Laboratory research.

Often, entrepreneurs who are interested in the medical field of business open up a small, highly specialized clinic first. Such a business requires less investment, less equipment and is much easier to manage. Over time, when the entrepreneur has already earned enough money at a small clinic and gained experience in business management, he opens a large multidisciplinary clinic. Such a strategy is very reasonable and justified, but, of course, only you yourself can assess your capabilities.