The need for medical services is growing every year. According to the forecast, by 2021 the market volume will grow to 2.865 billion rubles. from the current almost 2.5 billion rubles. According to a study by MAR Consult conducted in 2017, more and more Russians are willing to pay for quality medical services: both for simple tests and for the appointment of specialized specialists.
Under these conditions, the opening of a private medical clinic has great prospects even in a highly competitive environment. The implementation of such a project will require quite large investments from the entrepreneur, taking into account the important features of this business area.
In this medical center business plan, we will describe a brief organizational plan, touch on the points necessary for the success of the business. At the end of the article, for familiarization, an example of calculating the payback is proposed.
Directions in the work of the medical center
The range of services offered in medical centers depends on their profile and the scale of the clinic.
Sample list of services:
- primary and secondary reception of specialized doctors;
- preventive examinations;
- traumatology;
- laboratory research;
- x-ray studies;
- ultrasound diagnostics;
- MRI (magnetic resonance imaging);
- tomography;
- colonoscopy;
- FGDS, etc.
From highly specialized areas:
- children's;
- cardiological;
- ophthalmic;
- surgical (including plastic surgery), etc.;
Plastic surgery is now one of the most profitable business areas.
The more profiles a medical clinic includes, the more investments and highly qualified personnel will be required.
Opening a medical center: step by step instructions
Here is a brief organizational plan for opening a medical center.
The first step is to conduct a SWAT analysis, assess all the opportunities, risks, strengths and weaknesses of the business. Development should be based on a clear document (business plan), which will describe the entire sequence of actions and development prospects.
After analyzing, making a decision to open a business and finding investment capital, the entrepreneur proceeds to real actions.
- Selects the organizational and legal form of activity, launches the licensing process.
- Finds and prepares a room for the object.
- Looking for experienced staff.
- Procures and installs equipment.
- Coordinates the mechanism of the institution, the interaction of all staff.
- Organizes a large-scale advertising campaign for a new medical clinic.
A private medical institution can start work after working out the 5th stage of the plan.
What do you need to start a business
The largest initial cost item is the purchase of equipment. Of course, when buying equipment, you need to look for the best offer in terms of price, but you should not save on it. The quality and, ultimately, the success of the work of a private health / rehabilitation center depends on the equipment.
Table 1. The amount of initial costs for opening a medical center.
The work is supposed to be in a city with a population of 1.5-2 million people. The additional costs include the costs of utility bills, promotion, preparation of the premises, etc. The amount of tax deductions is not taken into account in the calculation.
The documents
Initially, the entrepreneur will have to choose the organizational and legal form of activity: individual entrepreneur or LLC.
When registering, OKVED codes 2 from group 86 “Health activities” are indicated:
- 86.21 "General medical practice";
- 86.22 "Special medical practice";
- 86.23 "Dental practice";
- 86.90 "Other activities in the field of medicine."
When providing inpatient medical services, the documents indicate 86.10 "Activities of hospital organizations", in the presence of massage services - 86.90.3 "Activities of massage parlors".
Licenses are required to operate. Before applying for a license, you need to take into account all the requirements, prepare the premises, purchase equipment (with certificates), employ staff, etc. Licensing itself will take a lot of time - at least about six months.
room
When choosing a complex of premises, several factors must be taken into account: transport accessibility, human flow, rental cost.
It is best to rent a room at the intersection of traffic flows, the presence of people: a new medical center will be noticed faster, the influx of new customers will be higher. We are not necessarily talking about the central part of the city (where the rent is always high). It is advisable to open near government medical facilities.
It is imperative to prepare the premises, make repairs: a lot depends on the appearance of the medical clinic. The more prestige and comfort customers will feel, the higher the credibility of the institution will be.
During the selection and preparation of premises for the medical center, the requirements of SanPiN 2.1.3.2630-10 "Sanitary and epidemiological requirements for organizations engaged in medical activities" are taken into account.
Staff
It is necessary to carefully select the employees of the health center - this is very important. Qualified employees will help in solving the problem, because of which customers contact the company. This will lead to satisfaction of the need and increase the image of the clinic.
Experienced physicians are much less likely to make errors in diagnosis and treatment than inexperienced workers.
Employees are required to communicate with customers in a respectful manner.
The list of employees depends on the profile of the clinic. To get started, you need to have the following specialists:
- gynecologist, 1 specialist;
- cardiologist, 1 specialist;
- pediatrician, 1 specialist;
- Ultrasound room specialist, 1 specialist;
- dentist, 1 specialist;
- therapist, 2 specialists
Administrators, nurses and laboratory assistants (if analysis and diagnostic services are available), accountants and cleaners (orderlies) will be required. Staff in total - 16 people.
Equipment
Reception of clients is carried out in several separate rooms, where specialists will work and the required equipment will be installed. The purchase of the latter will take most of the initial capital.
You need to buy high-quality samples of equipment that will give accurate results of analysis and diagnostics. The success of the entire business depends on the quality of the selected equipment, therefore it is not worth saving on this item of expenditure.
Approximate list of equipment:
- complex equipment of cardiological, gynecological, pediatric and therapeutic rooms (1.20 million rubles);
- equipping the dentist's office (700 thousand rubles)
- ultrasound machine (650 thousand rubles);
- lamps for quartzing (50 thousand rubles);
- laboratory equipment (thousand rubles);
- purchase of additional tools, consumables, refrigerators (350 thousand rubles).
Total - 3.350 million rubles.
Common Services
When compiling the list, data from a study by MAR Consult were used.
In the first place - dental services. Clients are willing to pay for better treatment, more expensive drugs and advanced dental equipment.
Secondly, it is the delivery of tests (blood, feces, urine, etc.). Private medical clinics use more modern and sensitive laboratory equipment than public institutions.
Thirdly, it is the reception and consultation of specialized specialists. Often qualified doctors work in private medical centers - this allows them to receive more money for their work.
Fourth, massage. The popularity of this direction has grown literally over the past 7-8 years. In clinics, people are looking for massage therapists.
Financial plan: profitability and payback of the medical center
The amount of initial costs - 4.940 million rubles.
Prices depend on the qualifications, specialization of the doctor, order of consultation, etc. To calculate the revenue, let's turn to the cost of the services offered by the center:
- initial consultation with a gynecologist - 1500 rubles, 150 times a month, total 225 thousand rubles.
- initial consultation with a cardiologist - 1600 rubles, 180 times a month, total 288 thousand rubles.
- initial consultation with a pediatrician - 1700 rubles, 270 times a month, total 459 thousand rubles.
- ultrasound examination - 1300 rubles. (average), 150 times a month, total 195 thousand rubles.
- initial consultation, dental treatment - 2500 rubles. (average), 200 times a month, total 500 thousand rubles.
- primary consultation of a therapist - 1200 rubles, 360 times a month, total 432 thousand rubles.
Total for the month - 2.099 million rubles.
You can earn so much if the clinic is developed and known to people. You can develop an institution in about 1 year, subject to an active advertising campaign. The calculation takes into account only the prices for initial consultations, subsequent appointments also bring a lot of money.
The total amount of monthly costs is 1.340 million rubles.
Net profit (in the developed state) - 759 thousand rubles.
Under such conditions, the medical center will pay off in 6.5 months, plus a year for development. The clinic will go to zero in 18.5 months.
Table 2. Economic justification for a business idea.
Business risks and cons
Working in the medical field comes with certain risks.
- Decrease in the well-being of citizens. People with a higher income level, that is, a narrower target audience, turn to private medical centers. In the context of the economic crisis and falling real incomes, the flow of customers to the establishment may decrease.
- High competition. For the most part, people prefer to go to free public clinics and hospitals. In part, this leads to an outflow of potential customers. At the same time, more modern private medical clinics are opening - that is, direct competitors capable of "intercepting" customers.
- Unprofessional staff. An incorrect diagnosis and the appointment of incorrect treatment can not only not give the desired result to the client, but also worsen his condition. This threatens at least negative consequences for the image of the center, and even litigation or even deprivation of the license.
The opening of a medical center in the current conditions of popularization of paid medicine is very beneficial. After going to zero, the business will bring a good income to the owner. But the entrepreneur needs to prepare: to achieve the goal, many risks will have to be taken into account; Only with a thoughtful approach is it really possible to succeed in this business.
Attention! The free business plan provided for download below is an example. The business plan that best suits the conditions of your business must be created with the help of specialists.
The times when all medical services were provided free of charge in specialized medical institutions are long gone. Now more and more citizens of our country prefer to go to private medical centers, since the cost of services in commercial ones is not much higher than in public ones, and the high level of service is a weighting factor in favor of private clinics.
Therefore, medical centers are currently a very profitable business, the demand for which should not be doubted. Our website provides a sample business plan for a medical center, with the help of which everyone who wants to make money on the provision of medical services will be able to determine for themselves priority tasks and ways to solve them.
People who decide to open their own clinic or diagnostic center should understand that very high requirements are set for the subjects of the medical services market by both the state and potential clients, therefore, in order to start a successful and productive activity, it is necessary to take into account many factors, familiarize yourself with the legislation, analyze the market, etc.
Here you can download an approximate business plan for a medical center, which analyzes the most significant factors affecting the profitability and payback period of private clinics.
Before submitting documents for registration of your own clinic, first of all, you need to choose a profile of activity that will bring the greatest profit. For this purpose, an analytical section is included in the business plan of the medical center, which reflects the following factors:
- — saturation of the paid honey market. services in the city/region of interest;
- — the demand for various types of therapeutic services;
- — performance of several types of medical and diagnostic centers;
- — the cost of medical services in demand.
The task of a detailed market analysis is to identify the most promising line of business for the future medical center and, based on this, determine the location of the clinic, calculate costs and expected profit.
Also, the business plan of the medical center, an example of which is on our website, should contain data on real competitors and potential clients of a new private clinic, since the desired market position is determined based on this information.
The location of the medical center is a factor that has a significant impact on the amount of future profit, since most people prefer to go to clinics that are close to home.
Therefore, the center located near new business and elite class buildings, where wealthy people live, will bring the greatest income. And vice versa, a clinic that provides paid medical services, located on the outskirts of the city in a residential area built 50-60 years ago, is unlikely to pay for itself.
In order for those who decide to open their own clinic to be able to calculate the estimated costs of bringing this idea to life, we offer an approximate business plan for a medical center for free. It outlines mandatory expenses and gives a methodology for calculating the payback period of fixed and working capital.
The amount of expenses and the amount of profit largely depend on the specifics of the activities of the medical center and the city (region) in which the clinic will be located.
In order to open a clinic, it is imperative to calculate the exact amount needed for the following purposes:
- - construction or rental of premises;
- – purchase and maintenance of medical equipment, furniture;
- - purchase of consumables - medicines, medical supplies;
- - contributions to the insurance fund;
- — contributions to the pension fund and salaries to specialists;
- - payment for communications, utilities, security, etc.;
- — the cost of a license to provide medical services;
- — material and technical maintenance of the premises;
- - advertising;
- - depreciation.
The profit of the owner of a private medical center consists of proceeds from one-time consultations with doctors and from proceeds from single or complex procedures (if such services are provided in the clinic).
Some businessmen who own their own clinics enter into contracts with large business structures, according to which the management of these enterprises will pay for the treatment of their employees at the medical center.
Such contracts, of course, are the key to having a permanent clientele and good profits.
Good to know!
We respect your choice, but we want to remind you that the least risky, relatively easy and comfortable start of a business can be organized under the wing of a successful company on a franchise basis. We invite you to get to know "Catalog of profitable franchises".
Why it is easier and more convenient to start a business with a franchise can be found in the selection of articles published in the section: "Articles about franchising"
You can also open a medical center where children's doctors will work, because all parents care about the health of their children and are ready to spend any money so that the child does not have health problems.
By and large, the business plan of a children's medical center does not have significant differences from the business plan of a private clinic or an adult diagnostic center.
As for the payback of the medical center, it is necessary to find the combination of costs and expected income, in which the center will fully pay for itself within 5 years.
The license for the provision of medical services is valid for 5 years (then it must be renewed), so it is better to get back the money invested in the business in that time in order to make a profit in the following years.
Watch the video: "Business Secrets: Anna Znamenskaya"
In recent years, private medical centers have been opened more often in the Russian Federation, which, unlike state structures, are able to offer people a wider range of specialized services. Despite the fact that large initial investments are needed to launch such a project, some business entities decide to develop this direction. To begin with, they need to draw up a competent business plan for the medical center, which will determine the amount of costs for its opening and subsequent maintenance.
Before opening a medical center, each business entity must realistically assess its financial capabilities, since this will require very large investments. Some businessmen who do not have enough money attract third-party investments for the implementation of projects. In this case, we are talking about credit funds, as well as investments made by private investors who plan to receive a percentage of the profits of medical centers in the future.
For each private medical institution, a competent strategy should be developed that will minimize risks and avoid financial losses. It is mandatory for business entities to conduct marketing research that will help answer the following questions:
- How relevant and cost-effective is the chosen business direction?
- What kind of competition exists in a particular region?
- What medical services are very popular among the local population?
- What are the current prices?
- What equipment is installed by competitors?
- The financial solvency of the target audience, which focuses on the medical center.
Business entities can use publicly available statistical data to conduct analytical activities, and can also independently collect the necessary information. After that, it will be possible to decide on the profile of a medical institution:
- diagnostic center;
- multidisciplinary clinic;
- specialized medical institution, etc.
For start-up entrepreneurs, it is worth considering the option of opening a medical institution that will have a narrow focus. This is primarily due to the fact that it does not require too much start-up capital to open it. In this case, we are talking about the following areas:
- cosmetology;
- dentistry;
- urology;
- gynecology.
Stages of organization
Before opening a medical center, a business entity must draw up a business plan for it. This document should include the following sections:
- marketing research and analysis;
- confidentiality;
- organizational stages;
- technical part;
- financial calculations;
- project profitability;
- possible risks;
- investments;
- conclusions.
If the entrepreneur manages to develop a competent strategy and find the necessary funds for the implementation of his project, then the opening of a medical institution may occur in a few months. He needs to act in a certain sequence:
Each business entity that plans to open such a center from scratch should have at least a basic understanding of this area. If he does not understand medicine at all, then for work he needs to invite a highly qualified specialist who will solve all organizational issues in the clinic.
Search for clients, advertising
Before the doors of a medical institution open to clients, a business entity needs to draw people's attention to this solemn event. To do this, he will have to conduct a large-scale advertising campaign, which can be organized using the following tools:
The entrepreneur needs to determine the target audience, which will be the main focus. When forming a portrait of a potential client, it is recommended to consider the following criteria:
- age;
- floor;
- social status;
- marital status;
- lifestyle, etc.
A private medical center should focus on the following target audience:
- people living not only in the locality where the institution operates, but also in nearby areas;
- Small children;
- pensioners;
- employees of public and private enterprises, who must undergo regular preventive examinations;
- pregnant women;
- military personnel, etc.
Currently, it is quite easy for business entities to promote this business topic, as many people decide in favor of receiving paid medical services. They do not want to visit state medical institutions, as they are dissatisfied with the quality of service, as well as the lack of professionalism of doctors. This can be explained as follows. Due to low wages in state structures, many first-class specialists were forced to go to work in private centers and clinics, which offered them a decent level of pay and various social guarantees.
To communicate with clients over the phone, an entrepreneur should hire several people who will be savvy in medicine, able to interest potential clients as much as possible and force them to make an appointment for the first appointment. For this position, you need to hire people who have the following characteristics:
- sociability;
- grammatically correct speech;
- politeness;
- knowledge of medical terminology, etc.
Immediately after opening, the medical center should begin to form its own customer base. For each visitor, an electronic dossier is created, in which information about each visit will be accumulated. To attract customers, an entrepreneur is recommended to develop a program of bonuses and discounts that will help them save money on paying for expensive medical services.
Necessary equipment, material selection
To open a private medical institution, a business entity needs to find a good place. In this matter, the following nuances should be taken into account:
- there should be public transport stops in the immediate vicinity of the center;
- there should be a convenient transport interchange so that customers can get there by road;
- near the center there should be an area that should be equipped for parking the cars of staff and customers;
- to place a medical center, you should choose sleeping areas in which the rent is much lower than in the central part of the city;
- if it is planned to equip an x-ray room, then the medical institution should be located in a separate building.
After signing the lease agreement, the business entity must proceed with the repair and creation of the interior. The center should be equipped with the following facilities:
- offices in which narrow-profile specialists will be receiving;
- manipulation;
- staff quarters;
- reception (a design sample can be viewed from competitors);
- waiting hall;
- toilet room;
- cabinets for hardware diagnostics.
The entrepreneur must purchase equipment for his center:
When forming the staff of employees, the entrepreneur must invite doctors to vacant positions who have a high level of qualification and relevant certificates. He also needs to hire two administrators, an accountant, a cleaner and a few people who will answer the phone. The total payroll for the month will be approximately 650,000 rubles. Tax deductions will amount to at least 30,000 rubles per month.
Costs and profits
Each business plan should contain a financial section with calculations, which reflects all the start-up and monthly expenses of the center.
The monthly expenses for the maintenance of the medical center will be.
Even 10 years ago, few people believed that private medical centers would not only be in demand, but would also bring good profits to their creators. However, the reality is that every year more and more people make a choice in favor of paid clinics. This means that this direction is not only profitable at the current time, but also has great prospects for income growth in the future.
The attractiveness of this type of business has led to high competition in the paid medical services market. Nevertheless, there are free niches in this market, and they can be successfully mastered. Naturally, people far from the field of medicine have doubts:
Is it worth it to enter this market without special education?
Initial investment amount to 8,089,038 rubles.
Break even achieved in 5 months.
Payback period ranges from 18 months.
2. Description of the business, product or service
Service list
An approximate list of services of the center of gynecology and women's health:
- scheduled preventive examination;
- treatment of diseases of the pelvic organs;
- treatment of infections and sexually transmitted diseases;
- planning and preparation for pregnancy;
- pregnancy management;
- colposcopy;
- all types of ultrasound;
- pill abortion;
- post-abortion follow-up.
Demand factors
Service and maintenance
When building the reputation of a medical center, the main task is to create trust among the client. The quality of service plays a special role in this. A good medical center is distinguished by the competence and courtesy of each of the employees, from the center administrator to the head physician. A person should already understand from the first call to the center that he is talking to professionals in their field.
Regardless of which area of medicine you choose as your main specialization, the cycle of services for the client should be closed. This means that in your center the patient can undergo all the necessary procedures from the initial visit to the diagnosis and subsequent treatment. At the same time, he does not need to turn to third-party medical organizations for additional services. Therefore, your center should offer not only specialist consultations, but also sampling, diagnostics and other procedures necessary for a complete examination of the patient.
Center opening hours
Working hours of the medical center: Monday - Friday from 08:00 to 20:00; Saturday - from 10:00 to 17:00; Sunday - by appointment only.
3. Description of the market
Potential client portrait
When forming a portrait of a potential client, the following criteria are taken into account: gender, age category, employment, lifestyle, marital status, presence of children. For a gynecology center, CA is described as follows: an active woman aged 23 to 45, working, having children, or planning to have them.
For multidisciplinary medical centers, the structure of the target audience is more complex. In any case, all potential clients of medical centers have one common factor that encourages them to opt for a paid medical institution: this is the reluctance to visit public clinics.
This factor can be explained by various reasons:
- Lack of free time due to high employment;
- Unprofessionalism of employees of public clinics;
- Low quality of service in public medical institutions;
- Inability to get an appointment with a specialist without a referral;
- A long queue when making an appointment, the inability to make an appointment by phone / Internet;
- Lengthy examination process;
- Other reasons.
A customer survey and further analysis of the main reasons for contacting customers will be useful for the formation of a company's work policy and main competitive advantages.
The policy of working with clients depends on the needs and expectations of your target audience.
Expectations of clients after applying to a paid medical institution:
- One hundred percent professionalism of the team of doctors - making the correct diagnosis;
- High level of service: high-quality and polite service from the stage of the first appointment to the discharge of the client;
- Speed of work: organization of all activities of a comprehensive examination in the shortest possible time;
- Convenience of the location of the center: availability of parking and public transport stops;
- Optimal cost of services, competitive prices.
Thanks to a clear list of client needs, you can determine the optimal appointment hours for specialists to better reach the target audience. It will be most convenient for your patients to visit the center after work, on weekends, or at lunchtime. Exceptions are highly qualified specialists with a full record for several days/weeks in advance. The hours of their reception depend on the individual schedule of the specialist.
Based on these findings, it is possible to form an approximate grid of appointments for gynecologists in your medical center, provided that the center is open from 08:00 to 20:00
Management of pregnancy | Procedural |
analyzes |
|||
Monday | From 08-00 to 20:00 | From 08-00 to 20:00 |
|||
From 9-00 to 11-00 | day off | day off | From 08-00 to 20:00 | From 08-00 to 20:00 |
|
day off | From 15:00 to 17:00 | From 12-00 to 14-00 | From 08-00 to 20:00 | From 08-00 to 20:00 |
|
From 13:00 to 17:00 | day off | day off | From 08-00 to 20:00 | From 08-00 to 20:00 |
|
From 11:00 to 14:00 | From 17:00 to 19:00 | From 17:00 to 20:00 | From 08-00 to 20:00 | From 08-00 to 20:00 |
|
day off | From 15:00 to 17:00 | From 10-00 to 12-00 | From 10-00 to 17-00 | From 10-00 to 17-00 |
This diagram is an example. In any case, your center should have an on-call doctor to manage appointments even if there are no appointments.
In order for your medical center to stand out against the background of a highly competitive environment, it is necessary to take into account all the motivating factors of your target audience. Excellent service, a conscientious attitude to your work and a clear fulfillment of your obligations will allow you to increase the number of regular patients.
Medical center SWOT analysis
Strengths of the project | Weaknesses of projects |
|
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Project Opportunities | Project Threats |
|
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4. Sales and Marketing
Stimulating sales, increasing the loyalty of regular customers and other marketing moves will help your center not only recoup costs, but also bring profit to its owner.
Service sales
5. Production plan
First of all, you need to decide what the list of services of your center will consist of, and this is possible only after choosing the specialization of your center.
You can choose a specialization according to the following criteria:
- location (the center will be located next to a polyclinic in which this specialist is absent or there are many complaints about him);
- personnel policy (you can hire a doctor with good professional experience, many years of practice, as well as your own client base);
- personal experience (as a patient, you know and understand that this particular niche in your city is free or will be in constant demand).
The bulk of patients will come to doctors of a certain specialization chosen by you as the main direction, the rest of the specialists should competently supplement the list of services of your center. For example, in order to provide a full range of services under the Pregnancy Management program, you will need to introduce the services of a mammologist, endocrinologist, etc.
The second step after determining the specialization of your center for you will be the selection of premises.
When choosing a room, you can be guided by SanPin 2.1.3.2630-10, which describes in detail the requirements for the size of the room, layout and decoration.
For example, for a medical center that specializes in gynecology and women's health, you need to focus on the following area of \u200b\u200bthe room:
- hall and reception area -12 sq.m,
- wardrobe - 6 sq.m,
- bathroom - 8 sq.m,
- reception waiting area - 10-12 sq.m,
- examination room - 16-18 sq.m,
- ultrasonic research room - 20-22 sq.m,
- treatment room - 16-18 sq.m,
- staff room - 14-16 sq.m,
- sterilization room - 6 sq.m,
- storage room for cleaning equipment - 3 sq.m,
- director's office - 10 sq.m,
- chief doctor's office - 10 sq.m.
Summing up all the numbers, we get about 150 sq.m.
At the same time, you need to pay attention not only to the area and location, but also to the following criteria: the voltage of the electrical network (380 kW for the ultrasound machine), the presence of natural light. It is desirable that the premises be located in a non-residential building. If, nevertheless, the center will be located in a residential building, take this factor into account when purchasing equipment (for example, you will not be allowed to install X-ray or MRI in a residential building). Renting a room will cost you about 120,000 rubles per month.
The decoration of the premises should be carried out with environmentally friendly, fireproof and washable materials. For all materials used in the repair and decoration of the center, keep fire safety certificates. To obtain a license, you will need to obtain a sanitary and epidemiological conclusion for the premises, so take care to conclude an agreement with the laundry for washing the staff's overalls, as well as an agreement on deratting and disinfection of the center's premises. To issue a sanitary-epidemiological conclusion, you must contact the appropriate institution with an application for an inspection. At least 300,000 rubles must be allocated for the repair and decoration of the premises.
The premises have been selected, now it is necessary to determine the legal entity and the taxation system. For a medical center, it is better to choose the following organizational and legal form: LLC (limited liability company). OKVED code - 85.11.1 (Activities of general and specialized hospitals). In order to save time for the company registration procedure, it is better to use the services of a lawyer with experience and experience in the field of medicine. The preferred taxation regime is STS 15% "income minus expenses". However, when choosing a taxation system, pay attention to the expenditure side of your budget. If you own the health center premises, your costs may be relatively small. Therefore, you are better off paying the government 6% of the organization's gross income.
The next step is to recruit medical staff. You will have to conclude employment contracts with the chief doctor of the clinic and the chief accountant in advance, since their copies must be attached to the package of documents for obtaining a license. In addition, the chief physician of your center must decide on the equipment that must be available.
Next, you need to decide on the equipment and medical furniture. If you decide to purchase used equipment, keep the following in mind: you will need to present certificates and passports for each device when obtaining a license. It is better to purchase new equipment, because in this case your company will have a good discount on the purchase of consumables and medical instruments. Investment in equipment is the main part of the investment, which is approximately equal to 6 500 000 rubles.
When the above steps are completed, you need to move on to the most important thing - obtaining a license.
For this you will need the following documents:
- LLC Charter
- Order addressed to the General Director
- Order addressed to the chief accountant
- OGRN, GRN, TIN, statistics codes
- Extract from the Unified State Register of Legal Entities
- Payment order for the payment of state duty (2600 rubles)
- Sanitary and epidemiological conclusion
- Documents on the education of the chief physician and other specialists (diplomas, certificates, etc.)
- Employment contract concluded in the name of the head physician
- Rental agreement for premises or certificate of ownership
- List of material and technical equipment (list of equipment, maintenance contract, commissioning certificate)
- List of medical instruments
- List of medical furniture
- Inventory book in shape
- Certificates and registration certificates for equipment (autoclave, sterilizer, bactericidal lamp, tonometer).
After obtaining a license, you can open a center to receive the first patients.
6. Organizational structure
The organizational structure of the medical center can be represented in the form of this table. Next, we will look at each category in more detail.
Director
Responsible for the smooth operation of the center. Including responsibility for the risks associated with the work of the center in general and doctors in particular. Select this employee with all due diligence, because it is he who will be indicated in the license to carry out activities to provide medical services.
Working hours from Monday to Friday from 08:00 to 17:00. Saturday - from 10:00 to 14:00.
Salary - 50 000 rubles per month.
Deputy Director for Finance (Chief Accountant)
Controls the work of accounting, conducts inventories, carries out financial analytics of the enterprise.
Salary - 30 000 rubles per month.
Deputy Director for Technical Issues (Chief Physician)
It is desirable that this position be filled by the most qualified specialist in your clinic. With its impeccable reputation, it will create the status of your medical center. That is why continuous professional development, academic degree, as well as the organizational skills of the head physician are your competitive advantages. This specialist should also have a certain immunity when dealing with pharmaceutical companies, be able to lobby for the interests of patients. Thanks to the communication skills of the chief physician, your medical center can have maximum discounts on the latest drugs.
Working hours: on weekdays from 08:00 to 17:00.
Medical staff (doctors)
All specialists of your center must have a diploma of medical education, work experience of at least 3 years, excellent reviews from clients. For effective work, the doctors of your center need to constantly improve their skills, and you must provide them with all the necessary conditions in this matter: financial incentives, specialized literature.
Working hours: individual.
Salary - 40,000 rubles.
Paramedical personnel (nurses)
Since it is the nurse who interacts with the client the most, she must be competent, polite and tolerant towards each patient. Work experience and positive references from a previous job are mandatory conditions before concluding an employment contract. The number of paramedical personnel is determined on the basis of 1:2, where the first figure is the number of doctors in the center.
Schedule: 2 working days after 2 days off, working hours: from 08:00 to 20:00.
Salary - 25,000 rubles per month.
Junior medical staff (nurse)
Ensures cleanliness and order in all areas of the center.
Schedule: 2 working days after 2 days off. Opening hours - from 08:00 to 20:00.
Deputy Director for Technical Issues (Chief Engineer)
Equipment, lighting and other technical matters should be under the jurisdiction of one person. Of course, maintenance of specific medical equipment should be carried out by hired specialists. However, the control over the health of the equipment, the search for workers and the management of the troubleshooting process should be carried out by the chief engineer. In addition, minor malfunctions that do not require the intervention of specialists are solved by this employee independently.
The engineer's work schedule is on weekdays from 08:00 to 17:00.
Salary - 25,000 rubles.
Registry (administrators)
At the initial stage of opening the center, these employees have many responsibilities: taking calls, recording patients, informing doctors about appointments, meeting patients. Therefore, it is necessary to carefully monitor their workload: if at the initial stage of work administrators can even replace the cashier, then when the center reaches its full capacity, all these duties should be shared by three employees: administrator, cashier, receptionist.
Administrator work schedule: 2 days off after 2 working days, working hours - from 08:00 to 20:00.
Salary - 18,000 rubles.
Cashier (cashier)
Acceptance of funds from patients on the basis of documents, accounting of funds and collection. Schedule: 2 working days after 2 days off. Opening hours - from 08:00 to 20:00.
Salary - 20,000 rubles.
Keep in mind that absolutely all employees of the medical center must have personal medical books. This condition is mandatory when obtaining the conclusion of the SES (sanitary and epidemiological station).
| fixed costs | Salary | The number of employees | Sum |
| Director | 50 000 | 1 | 50 000 |
| head physician | 40 000 | 1 | 40 000 |
| chief accountant | 30 000 | 1 | 30 000 |
| Deputy director for tech. issues | 25 000 | 1 | 25 000 |
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