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Medical services business plan for people with limited mobility. Medical center business plan: calculations and important points. Stages of opening a private clinic

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, squeeze into this market and win sympathy a large number customers may be very difficult. 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. Equipment foreign manufacturers"state of the art" technology strong factor 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 perfectly performs all its functions, then your patients will definitely not suffer from this, and you can save a significant amount of money on the first initial stage business.

Staff

You can choose personnel to work in a medical center as you like, the main thing is to follow the selection rules: a diploma of higher medical education, successful completion of 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 luring good specialists from other companies to your own has always been and will be present in various business areas. 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 the medical field of business open a small, highly specialized clinic first. 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.

Today, paid medical services are chosen by more than half of Russians. Private clinics enjoy in great demand and bring good income to their founders. Present to your attention ready business plan medical center free for a small city with a population of 130 thousand inhabitants.

How much money do you need to start

Cash investments in the organization and development of the medical center will amount to about $140,000.

Approximately 70% of the amount will be spent on the purchase of medical equipment for the clinic. The remaining 20% will go to renovation. And, the remaining 10% will go to additional petty expenses.

To minimize all possible risks, it was decided to open a medical center for. This will give special advantages at the initial stage of business development:

Legal, accounting and advertising support at all stages of the project.
Ready medical license.
Connecting the office cabinet to the main help desk.
Training.
Regular trainings.
The initial contribution to the franchise is $10,000.

First of all, you need to choose. Since the founder will be a legal entity, the form of organization of the medical center is formalized as an LLC. The necessary documents for opening a medical clinic are submitted to government bodies or to municipal centers public services(MFC). It will be mandatory to immediately open a personal bank account.

Which OKVED to indicate when registering a business

Upon registration, medical businesses are provided with the following types of OKVED:

OKVED 2 86 - Activities in the field of health.
OKVED 2 86.9 - Other services in the field of medicine.
OKVED 2 86.90 - Other activities in the field of medicine.

Permission to open an honest clinic

In order for a (laboratory) from scratch to acquire a permit to carry out medical work.

Submit the following documents:

Constituent papers, notarized;
State duty payment receipt;
Papers proving the ownership of the property, or a lease agreement for the received special equipment and space.
Documents confirming the practice and work experience of the hired medical staff, and in addition, legal labor agreements business owner with employees.

The decision to issue a license is taken within 2 months. In addition to the license, an act of inspection of sanitary and epidemiological supervision and the fire service is required. This affects the performance of work in the purchased or rented premises.

Taxation system

The form of organization of the medical center will be LLC. System for society with limited liability- STS, 15% of the company's income.

The medical center is ready to provide patients with a range of services:

Diagnosis of blood, urine and stool tests.
Semen analysis.
Diagnosis of genetic diseases.
Study of blood biochemistry.
Instrumental methods for diagnosing internal organs.
CT scan.
Mammography.
Oncology and blood diseases.
Urological research.

The average price of one study will be 8 dollars. The planned flow of clients in the first month is 20 people. For 4 weeks of work of the medical clinic, cash flow will be 3520 dollars.

* Calculations use average data for Russia

500 000 ₽

Minimum starting capital

Up to 2 years

Payback

20%

Profitability

Many doctors who work in public institutions sooner or later think about the possibility of opening their own private office. Private medical practice is a relatively new phenomenon in our country. Although the opportunity to open their own offices has appeared not so long ago, more and more doctors are entering private practice.

What do you need to open a medical office?

If earlier obtaining various permits was associated with various problems (mainly of a bureaucratic nature), now the procedure for issuing them has been significantly simplified. However, to open a private medical office, considerable investments are required, and not all doctors who want to work for themselves are ready for this.

This type of business has another, very significant drawback: with relatively large investments, the payback period for a private office is at least two years. Not all doctors have the opportunity to wait that long. However, the increase in the number of private offices suggests that such a medical practice can still be a profitable venture, especially in the long term. Sooner or later, any specialist working in a foreign company reaches the "ceiling". In case of own business development options are virtually unlimited.

So, let's consider in more detail the procedure for opening a private medical office. First of all, you need to choose a suitable room for its location. Well, if such a room will be in your property. Someone even uses their house or apartment (or a separate part of it) for an office. However, in order to open an office in an apartment, it must be transferred to a non-residential fund. It goes without saying that this apartment should be located on the ground floor of an apartment building. To transfer it to a non-residential fund, you will need to obtain the consent of all the residents of your house. In principle, the process of collecting signatures is not difficult. But, firstly, it takes too much time (you will have to go around the apartments more than once to find all the owners of the house), and, secondly, it is likely that some tenants simply will not agree to put their signatures (especially those whose apartments adjacent to yours).

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How to register a medical office

To run your own private practice, you need to register as an individual entrepreneur. This can be done independently or you can turn to the services of numerous intermediary firms. as code economic activity(OKVED) you will need to choose "medical practice" (85.1). It will take no more than a week to complete the documents. As a result, the regional Federal Tax Service will issue you a certificate of registration. Choose the tax regime that suits you in advance.

The fact is that if you do not apply for the choice of tax regime, then by default you will work according to the general regime, which is completely unprofitable. You can go broke on taxes and paying for an accountant. For medical activities, a simplified taxation system is suitable, which is special kind tax regime for small businesses with a simpler system of maintenance accounting. Article 346.20 of the Tax Code of the Russian Federation establishes the following tax rates single tax:
6% if income is taxed;

15% if the object of taxation is income minus expenses. From January 1, 2009, differentiated tax rates ranging from 5 to 15% depending on the categories of taxpayers may be established in individual constituent entities of the Russian Federation.

The second option is less convenient, since in this case it is necessary to keep a complex record of all expenses. Unfortunately, not all expenses can be documented - with the help of checks and receipts. Please note: an application for the simplified tax system must be submitted simultaneously with the registration of an individual entrepreneur. After receiving the certificate, you will also need to register with the Pension Fund as an entrepreneur and register with the Regional Statistics Committee.

What permits are needed to open a medical office

You will need a special license to practice medicine. You can deal with its design as soon as you have a lease agreement in your hands. exact list the necessary documents for obtaining a license can be obtained from the licensing department of the regional Ministry of Health.

It may include the following documents:

an application for a prescribed form of license,

copies of certified and stitched constituent documents with the seals of the license applicant (for a legal entity),

a copy of the certificate of making an entry about legal entities in Single register state legal entities,

copy of certificate of state registration applicant for a license as an individual entrepreneur,

a copy of the certificate of registration of the license applicant for tax registration with the tax authorities,

a copy of the conclusion of Sanepidnadzor on the compliance of the work performed and the services provided with sanitary rules,

copies of all documents that confirm the qualifications of an individual entrepreneur or employees of a legal entity,

receipts for the payment of license fees for consideration by the licensing authorities of an application for a license,

power of attorney for the right to represent the interests of the license applicant (with the participation of intermediaries).

In addition, you will need to submit documents for the premises (document of ownership or lease agreement), documents that confirm the existence of organizational and technical conditions, as well as logistical equipment (equipment, tools, transport, etc.), documents confirming the availability and maintenance of fire protection equipment (fire extinguishing and fire alarm), documents confirming the presence of employees with at least five years of experience in your staff (for legal entities), documents confirming the presence of a secondary or higher medical education and at least two years of work experience in the licensed activity (for individual entrepreneurs), documents that confirm the fact of advanced training at least once every five years for employees of legal entities and individual entrepreneurs operating in the field of medicine.

The exact list of required documents depends on many factors, including the availability of special equipment, the specifics of your activity, etc.

In practice, the most difficult thing from this list is to get the conclusion of Sanepidnadzor. Getting this conclusion on your own takes a lot of time and effort. Therefore, experts advise to turn to the services of intermediary firms. In this case, the conclusion will cost more, but the difference in price is compensated by the saved time and nerves. The services of intermediary firms will cost from 7 thousand rubles (checking all documents submitted for obtaining a license) and from 35 thousand rubles for issuing the license itself. The license will have to be obtained every five years.

Ready-made ideas for your business

In addition to the license itself, the execution of which takes the most time, you will need to purchase and register with the tax “Income and Expenses Accounting Book”, “Form Accounting Book strict accountability”, the actual forms of strict reporting, the“ Book of desk audits ”, start various magazines, including a fire safety magazine, etc.

When you start working, you will have to regularly make mandatory contributions to the Pension Fund of the Russian Federation and the Medical Insurance Fund (the amount of payments depends on the size of the minimum wage). Keep in mind that if you plan to hire employees, then you will also have to pay contributions to the Pension Fund, Health Insurance Fund, Social Insurance Fund

How to choose a place for a medical office

So, the main issues that you will have to solve when opening your own medical office are choosing its location, obtaining the necessary documents and licenses, and promoting your services. When choosing a place, experts advise to carefully analyze the situation with competitors.

Moreover, since people usually approach the choice of a doctor very responsibly, when analyzing the level of competition, it is not necessary to take into account only the area where you plan to open an office. Of course, you should not open a third dental office on the same street, but to good specialist, trustworthy, customers are ready to travel to the other end of the city. On the other hand, experienced entrepreneurs recommend renting office space in a residential area with new buildings and cottages. The more expensive and “luxurious” housing in the area, the better.

You can study competitors not only “live”, but also according to reviews of certain doctors on the Internet in local forums. By the way, you can also offer your services and advertise there. It is highly desirable to monitor reviews about your work on the Internet, because the number of your customers directly depends on this. Do not forget about traditional methods of promotion - distribution of leaflets, placement of advertisements in print media, placement of outdoor advertising.

Ready-made ideas for your business

If you are renting space outside of a municipal health facility and are self-employed without hired employees, then consider whether it is worth spending money on making a large sign. Most likely, you will not sit all the time in the office, and your potential customers, attracted by the sign, may not find you in place, which will not best impression. You can limit yourself to a sign on the door with a reception schedule and a phone number for an appointment.

Among other things, you will also have to deal with accounting and management, reception of visitors and promotion. It will not be easy to deal with all this alone. It is desirable that you have at least one assistant from the very beginning, albeit without a medical education, but with good organizational and entrepreneurial skills, who will deal with administrative problems.

The opening of a private medical office will require from 500 thousand rubles. The exact amount depends on your specialty, the need to purchase (and cost) of special equipment, the number of employees and other factors. The payback period of such a business is from two years.

1157 people are studying this business today.

For 30 days, this business was interested in 75331 times.

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Description of services
Production plan
financial calculation
Permissions to open
- - - Similar business ideas:

Sample business plan for opening a medical center in small town with a population of 150,000 inhabitants.

How much money do you need to open a medical center

In order to reduce risks, it was decided to open a medical center under the well-known franchise of the Invitro company. This is one of the largest commercial laboratories in the Russian Federation, which includes a network of more than 700 medical offices in Russia.

What are the benefits of opening a successful company under the brand:

Legal, accounting and marketing support at all stages of project implementation
Ready medical license
Connecting the office to a central help desk
Training of personnel on the basis federal center Invitro
Regular conferences for doctors
The initial fee for the purchase of a franchise is 100,000 rubles.
Purchase of equipment, furniture, renovation of the premises - 1,500,000 rubles.
Business registration and other expenses - 200,000 rubles.

Total - 1.8 million rubles.

Description of services

The main services that the medical center plans to provide are:

Hematological studies (clinical blood test)
Immunohematological studies
Biochemical research
Sperm study
Examination of feces
Urinalysis
Diagnosis of infectious diseases
Histological studies
Genetic Predispositions
Hereditary monogenic diseases and conditions
Computed tomography (CT)
Mammography
Urological research

Average cost of one analysis or service ( average check) will be 800 rubles. The expected flow of customers will be 20 people per day. In 22 working days, the company's turnover will amount to 352,000 rubles.

Production plan

The selection of premises for the placement of a medical center should be based on the following principles (including the requirements of the SES):

The minimum area is 60 sq. m.
The presence of a separate entrance to the room
Floor made of washable materials (linoleum or tile)
Availability of natural light
Availability of a bathroom or the possibility of installing one
Availability of a telephone line
Convenient access roads and parking.

For this purpose, a room was selected in a densely populated area of the city, on the first line of houses. The room is non-residential and is located on the first floor of an apartment building. The amount of the rent will be 42,000 rubles. per month. The premises will be divided into the following rooms:

Hall for waiting and receiving visitors, dressing room - 12 sq. m.
Consultant doctor's office - 18 sq. m.
Office for taking biological material ( nurse) - 12 sq. m.
Rest room for staff - 10 sq. m.
San. knot - 6 sq. m.

At the stage of arranging the premises, according to the plan, a search for the personnel of the medical center will be carried out. The variety of services provided will require the hiring and appropriate number of qualified professionals. Among which:

Ultrasound doctor - salary 18,000 rubles.
Obstetrician-gynecologist - salary 18,000 rubles.
Nurse in the treatment room (2 people) - salary 16,000 rubles.
Administrator, customer service specialist - salary 16,000 rubles.
Cleaning lady - salary 10,000 rubles.

The payroll fund will amount to 94,000 rubles. per month. Our organization will make monthly contributions to off-budget funds (PFR and FSS) in the amount of 28,200 rubles.

Which taxation system to choose for a medical center

The organizational form of the medical center will be a limited liability company. Taxation system - USN, 15% of the organization's profits.

Step-by-step plan for opening a small medical center

The sequence of steps to open a business:

Search for sources of project financing (30 days)
Search for premises to accommodate the center (15 days)
Registration of a legal entity (14 days)
Acquisition of a franchise, conclusion of the necessary contracts (7 days)
Conclusion of a lease agreement for premises (1 day)
Repair (20 days)
Acquisition laboratory equipment and Supplies(part provided by the franchisor) (7 days)
Staff employment
Advertising services (ongoing)
Opening of a medical center

In total, the opening of the medical center will take about three months.

financial calculation

Fixed monthly expenses of the organization:

Rent - 42,000 rubles.
Salary - 94,000 rubles.
Deductions to the PFR and the FSS - 28,200 rubles.
Utilities - 10,000 rubles.
Consumables - 15,000 rubles.
Transportation costs - 15,000 rubles.
Other costs - 10,000 rubles.

Total - 214,200 rubles.

How much can you earn on the services of a medical center

The company's profit before tax will be equal to: 352,000 (revenue) - 214,200 (expenses) = 137,800 rubles. Net of taxes (STS), net profit will be: 137,800 - 15% = 117,130 rubles. The profitability of the medical center according to the plan is 54%. With such calculations, the return on investment will come after 15 months of work.

This is a complete finished project which you will not find in the public domain. The content of the business plan: 1. Confidentiality 2. Summary 3. Stages of the project implementation 4. Characteristics of the object 5. Marketing plan 6. Technical and economic data of the equipment 7. Financial plan 8. Risk assessment 9. Financial and economic justification of investments 10. Conclusions

What equipment to choose for the laboratory

The laboratory will require the following equipment:

Biochemical analyzer - 650,000 rubles, an analyzer with a limited level of tests can be purchased for 150,000 rubles;

2. Hematological analyzer, cost from 200,000 to 600,000 rubles; 3. PCM amplifier, cost 100,000 rubles; 4. Allergist's office, an average of 200,000 rubles; 5. Equipment for ELISA - 100,000 rubles;

Water distiller - 50,000 rubles;

7. Glucose analyzer - 100,000 rubles; 8. Thermostat - 50,000 rubles; 9. Centrifuge - 20,000 rubles.

Which OKVED to indicate when registering a business

Upon registration, medical businesses are provided with the following types of OKVED: OKVED 2 86 - Activities in the field of healthcare. OKVED 2 86.9 - Other activities in the field of medicine. OKVED 2 86.90 - Other activities in the field of medicine.

What documents are needed to open

It is necessary to register a business entity: as this entity, then you need to form a limited liability company. Prepared documents are submitted to public authorities or to multifunctional public service centers (MFCs). Since the business entity is a legal entity, you must immediately open a bank account.

Permissions to open

To open a medical center (laboratory) you need to obtain a license to conduct medical activities. Submit the following documents:

constituent documents, notarized;

2. Receipt of payment of the state duty; 3. Documents confirming the right of ownership, or lease agreements for the purchased equipment and premises. 4. Documents confirming the experience and seniority of employees medical workers, as well as issued by the owner of the business employment contracts with workers. The decision to issue a license is made within two months. In addition to obtaining a license, you must obtain permission from the sanitary and epidemiological supervision and fire service. This applies to work in the purchased or rented premises.

Technology for laboratory research

The algorithm for doing such a business can be represented as follows:

The administrator meets the patient, specifies what kind of research he would like to do, which doctor to visit.

2. Starts a patient card, fills in all the necessary data on the computer. 3. Gives the ticket to the patient and takes him to the office. 4. In the office, the doctor talks to the patient, clarifies the symptoms of the disease and offers types of laboratory examinations. 5. The patient pays the cost of the service according to the price list and takes tests. 6. After that, the patient is invited to come up for the result at such and such a time. If it is convenient for the patient, he is offered to call back and report the results of the research. Also, an extract with the results of the analysis can be sent by e-mail at the request of the client.

Russian "free" medicine is getting worse every year - this is an indisputable fact. That is why there is an acute shortage of quality medical services at an adequate price on the market. The apparent insufficiency of medical centers is visible to the naked eye even in metropolitan areas, not to mention ordinary medium-sized cities. Therefore, opening your own medical office is great idea, which is guaranteed to bring you a good profit. In this article, you will learn how to start opening a medical center, what is needed for this and how much you can earn from providing services to the population.

Studying the market

First of all, you should study the market and find out how in demand your services will be. It should be understood that increased requirements are put forward for medical centers both from the regulatory authorities and from potential customers.

The medical center can bring you good profit and fame

We recommend that you first create a clinic not of a general profile, but of a narrowly focused one. You need to choose the most suitable profile of work, find staff, select equipment. Then, in the course of work, you will understand what services are popular in your city/district, and you will be able to develop further.

To study the market, you will need to analyze several factors:

Are there medical centers in your city that provide paid services. How many such centers operate in your area, what services they provide, what level of prices they offer to the population.
What services are popular in your city. This information can be obtained at the nearest clinic, simply by looking at the queues and talking to the reception staff.
How effectively the medical center will be able to cure the existing disease.
What is the average cost of the services you plan to provide.

Based on such an analysis, you will be able to draw up a high-quality business plan and determine the feasibility of opening your own center. Also on the basis of these studies will be built marketing plan, equipment procurement plan, recruitment plan, etc., so never ignore the market research process.

Premises and opening options

Where is the best place to open a private medical clinic in order to get the maximum flow of clients? Optimal choice- city center, elite microdistrict, microdistrict with new buildings. You should not focus on the old sleeping areas - they are home to many retirees and young people who are not your target audience.

To open a clinic, you will need enough large room. It will need to accommodate several treatment rooms, a staff room, a treatment room, a staff room, several bathrooms, offices for administrative staff, etc. The room must have plumbing, heating, sewage, electricity (some devices require 380 volts). It will be necessary to make high-quality repairs in the premises and purchase appropriate equipment.

Note: the purchase of equipment is the largest item of expenditure. To choose it correctly, you need to determine the class of the medical institution and the scope of its activities.