* 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 the case of your own business, the options for development are practically 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).

Another option is to rent a separate office (preferably one that matches your specialty) in a medical facility - more convenient, and in some cases much more profitable. In this case, you will have much less problems with various inspection bodies. In addition, you will have to spend less on advertising, because your potential customers will come to you themselves. Especially this option is convenient for dental offices. But experts advise pediatricians to look for a separate room. Many parents come to the children's polyclinic solely to obtain the necessary certificates and do not want to visit it again because of fears that the child may become infected there from other children.

To rent an office in a medical institution, it is necessary to conclude a lease agreement with the DIZO of the city administration. This will take about four to five weeks. When drawing up documents, it is recommended to indicate the exact schedule of your work: days and times, otherwise you will pay rent for 24 hours a day, and this may result in a round sum.

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 an economic activity code (OKVED), you will need to select "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 practice, the simplified taxation system is suitable, which is a special type of tax regime for small businesses with a simpler accounting system. Article 346.20 of the Tax Code of the Russian Federation establishes the following tax rates for a 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.

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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. The exact list of required documents for obtaining a license can be found in 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 bound 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 the Unified Register of State Legal Entities,

a copy of the certificate of state registration of the license applicant 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, vehicles, 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.

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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 Expenditure Accounting Book”, “Strict Accounting Forms Accounting Book”, the strict reporting forms themselves, the “Campular Audit Book”, keep various journals, 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 clients are ready to go to the other end of the city to a good, trustworthy specialist. 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.

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.

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What is the article about?

Each of the entrepreneurs can open their own private clinic without even having a special education, and this can become quite promising for their future business.

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This requires desire, financial resources and perseverance.

Experts say that such a business is better done not by a practicing doctor, but by a specialist with organizational or entrepreneurial skills.

How to start opening a private medical clinic

Often there are cases when private clinics open insurance companies. Thanks to this, they reduce the cost of first aid on their own insurance policies.

But entrepreneurs mainly open medical centers of narrow specialization.

Thus, it is possible to reduce investments at the initial stage, and this project will pay off quite quickly, but you may not risk opening a medical clinic, but start with a pharmacy selling medicines.

The most popular and profitable in the field of medicine are such areas as dentistry, gynecology, urology and cosmetology.

If you are familiar with any of these areas, develop it.

For example, you can open a specialized solarium if your town does not yet have one. Such a business is considered profitable and promising.

How to choose a room for a private clinic

In almost any business, the location of your institution plays an important role.. The same applies to private clinics. It is best if it is located closer to the city center, a busy highway or near one of the metro stations.

As for the area of ​​​​the premises, it depends on what range of services you are going to provide. So for a dental office, 30 sq. meters. 15 of which will be needed to equip the doctor's office.

The rest of the space will be needed for the administrator and the hall for visitors. For a room for sterilization work, 5 square meters will be enough. meters. All these dimensions comply with established norms and rules.

Also, do not forget that, according to the requirements of the sanitary and epidemiological station and the fire service, the room must have special ventilation, lighting, and be repaired.

And for the operation of medical hospitals and hospitals, special hygienic requirements are imposed on equipment, placement and arrangement.

What equipment to choose for a private clinic

The main cost part of opening a medical institution is the purchase of specialized medical equipment. Modern devices are quite expensive.

For example, an ultrasound machine will cost you 160,000 dollars, and in order to create a diagnostic laboratory, you will need from 10 to 70 thousand dollars.

In the initial stages, businessmen can save some money by purchasing used medical equipment.

If qualified doctors work for you, then the quality of medical services will not suffer from not quite new equipment.

But if you are going to open a modern clinic according to Western standards and at high prices, then the equipment must be appropriate.

Do I need permission to open a medical clinic?

It doesn’t matter what type of activity your medical clinic is, in any case it is subject to licensing.

In order to issue such a license, there must already be a room, staff and a certain list of the same certified equipment.

Once you apply for a license, it can be reviewed within two months.

According to unofficial data, in order to form all the necessary package of documents, the licensing process can take up to a year.

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Also, a license can be valid only for a predetermined address of the clinic, and in addition, each type of medical service must have its own separate license..

In order for your clinic to have the right to issue sick leaves, there is also a separate license or a specialist with a separate certificate must be in your state.

Before you plan the budget for creating a clinic, you need to take into account the simple clinic when processing documents and licensing.

What staff to select for a medical clinic

As for the selection of service personnel, you must treat this procedure with all importance..

If necessary, seek the advice of a specialist.

All employees of your clinic must have a diploma of medical education, higher medical categories and academic degrees.

They must also have valid certificates and preferably an internship or work experience abroad, sometimes even a foreign language is required.

The average monthly salary of doctors in private institutions today ranges from 800 to 2000 dollars, but for nurses about 300 dollars. It all depends on the region, profession, work experience and other factors.

Very often in the field of private medicine there is a poaching of doctors from one institution to another. Everyone wants to have a qualified specialist who would be an advertisement for customers. Therefore, it will not be so easy to find the appropriate staff.

How much money do you need to open a private medical clinic

So let's get to the most important question. How much money is needed to create your own medical institution? If this is a small rented room, and a narrow profile clinic, then such a business will cost you from 30 to 50 thousand dollars.

To open a clinic of a narrow specialization, you will need:

1. purchase or rental of premises, as well as its cosmetic repairs - from 4 thousand dollars;
2. medical instruments and consumables - about 2 thousand;
3. equipment for one of the activities - 20 - 25 thousand dollars;
4. license for one type of activity - from $ 200;

The amount received for one type of activity comes out in the region of 30 thousand dollars.

For one type of service, such as dentistry or a solarium, this will be enough.

In order to open an institution with diagnostic equipment, where different areas will be presented, about 100 thousand dollars will be needed.

Often, entrepreneurs in this area start with a small, narrowly specialized clinic. And after their business gets better and starts to make a profit, they expand both the area of ​​\u200b\u200bthe premises and the types of services.

Then a small office turns into a serious medical center. For an average clinic, you will need several specialized doctors and nurses. This staff will work in shifts. We also need a clinic administrator and an accountant..

How much can you earn on the services of a private medical clinic

Under the condition of full workload - about 50 visitors per day, the monthly income of such a clinic will be 2 million rubles. Taking into account the fact that the average cost of one visit will be around 1500 rubles.

Popular medical services

Among the most popular medical services, the first place is occupied by such a direction as dentistry.. Next comes gynecology. The third place is occupied by urology. After her come sexopathology, plastic surgery, medical cosmetology.

And then ophthalmology and vision correction. And in seventh place are various multidisciplinary clinics. But you can also try to create a clinic that is not available in your city. Then you will certainly get regular customers, even despite the high pricing policy.

This business idea is very promising and, with the right approach, can bring just a lot of money.

How much can you earn

Despite the rather high initial investment that is needed to open a private medical institution, a business in this industry is considered to pay off quickly and has a high profitability. By opening a small private clinic and investing about 3-4 million rubles in starting a business, you can count on an average payback time of one year. According to experts, the maximum monthly income of a private clinic at the first stages of business implementation can reach 3 million rubles, excluding taxes and other monthly expenses. At the same time, your clinic should have about 50 visitors every day with an average cost of one visit of 2000 rubles. You can earn money by conducting diagnostics, taking tests and compiling medical consultations.

What OKVED must be indicated for a private medical clinic

To register a medical clinic with the tax service, you must specify the relevant OKVED codes from the section: “ ACTIVITIES IN THE FIELD OF HEALTH AND SOCIAL SERVICES". The most appropriate code for this business would be 86.10: ACTIVITIES OF HOSPITAL ORGANIZATIONS.

What documents are needed to open

First of all, a novice businessman needs to register his activity in the organizational and legal field. To do this, you should become registered with the pension fund and submit documents for registering an individual entrepreneur or LLC. For registration of IP, the list of documents is as follows:

• Passport.
• A copy of the tax code.
• Receipt of payment of state duty.
• A notarized application for registration of an individual entrepreneur indicating all relevant OKVED codes.

Since it is necessary to carry out licensing for the operation of a medical clinic, the relevant documents should also be prepared. At the same time, honey the center must have suitable premises, qualified personnel, equipment and appropriate certificates for it. In addition, you need to obtain separate permission for the provision of medical services and the issuance of sick leave.

Which taxation system to choose for a private medical clinic

For a private clinic, the simplified taxation system (STS) is more suitable, which is 6% of revenue or 15% of the total profit of the company.

business technology

To open a small medical center, you will need to hire a small staff. Among them should be:

• Two doctors (for shift work).
• Two nurses.
• Accountant.
• Administrator. You can play the role yourself.

In the early stages, it is better to provide narrow-profile services, for example, in the field of dentistry or ophthalmology. In the future, it is recommended to expand the clinic, staff and services provided. It is imperative to monitor the microclimate in the room, maintain a comfortable temperature and humidity. Before opening, you should also think about the successful location of the medical clinic. It is better if it is located in a densely populated area of ​​the city or near the metro.

New to opening a private medical clinic

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The medical business is one of the most responsible and complex types of business. We must always remember that health is the most valuable thing a person has! If you still decide to move in this business, do it very carefully, with deep knowledge of the matter and a margin of safety. Lenar Salakhutdinov told the BIBOSS portal about how to open a medical clinic.

Where to start?

The hero of our article, who has 17 years of entrepreneurial experience, of which more than 10 years in the multidisciplinary clinic "MEDEL", founded in 2005, is sure that in any field, including medicine, successful entrepreneurs are united by one feature - "disease your business." You need to become a "fanatic" of your idea, and then you will be able to overcome the initial period of business development much easier, in which many give up. This "burning" with your idea will allow you, despite the psychological and physical difficulties, to create a sustainable business and attract high-level specialists. You need to be confident in the successful development, and then you can lead a high-level staff and build a system of quality service.

Many entrepreneurs, when thinking about how to start a business, often try to copy someone else's successful business model, but often copying leads to failure. Experts consider it ineffective to take someone else's business as a model, it is more efficient to create your own standards and bring them to a new level, without limitation.

Lenar Salakhutdinov

director of the multidisciplinary clinic "MEDEL"

Starting a medical business, it is more efficient to choose the main goal not to maximize profits, but to help the patient recover in the shortest possible time, with minimal time and money. The idea of ​​making money, which many entrepreneurs keep in mind, is short-sighted, patients quickly realize that they want to make money on them, and do not return. High ideas about serving people, proven in practice, give the business "immortality". I am convinced that any business in modern society should be built on the idea of ​​goodness and service to people.

An entrepreneur who decides to go into the medical business does not need to have a specialized education. Our hero knows many entrepreneurs who do not have a specialized education, but have a great interest in their activities and entrepreneurial acumen, which also leads to success.

Lenar Salakhutdinov

director of the multidisciplinary clinic "MEDEL"

I personally have been very interested in this area since childhood. All my family members were doctors. And although I myself have an economic education, a deep interest in medicine led me and my relatives to decide to organize a medical clinic.

How to find your niche?

You can study the statistics: what diseases most often affect residents of the city, region; Which doctors' services are in high demand? The medical services market is such that uniqueness is not the most important thing here. You can take the standard clinic model and try to improve it with better service, etc. Today the market is saturated, especially in large cities, the competition is much higher than even 10 years ago. Every year the market develops and is saturated with services of a higher level of technology and service.

You can move in the same direction of business with competitors, but provide services at a higher level.

In medicine, it is important to consider the psychology of the patient. As a rule, the patient comes to the doctor with great hope, he expects empathy and deep attention from the doctor. He hopes to find in the face of a doctor a person who will understand his problem and confidently offer a solution to it.

Who is the main target audience of the clinic?

This can be analyzed using elementary marketing. It is necessary to decide on the profile of the clinic - it can be a diagnostic clinic or a clinic for outpatient or inpatient admission. A diagnostic clinic implies the installation of “heavy equipment” (MRI, CT, X-ray) or / and the creation of a laboratory with a wide range of studies. The clinic allows you to consult a doctor and pass many tests. Inpatient clinics use treatments, including surgery, that require a 24-hour or day hospital stay.

It is necessary to proceed not only from the demand for services in the market, but also from whether the entrepreneur will be able to organize activities in this direction.

Because for any service, except for financial investments, highly professional doctors are needed. You need to be especially strict about the selection of doctors when it comes to surgical interventions, since in this case your responsibility increases to the maximum. For example, it is necessary to have an anesthesiologist-resuscitator on duty who will support the person’s condition at the right time. In Russia today, there are quite a few private round-the-clock hospitals, and, including due to the reduction in the number of beds in budgetary medical institutions, there is an increase in demand in this direction.

Of course, at the initial stage, entrepreneurs take those areas where there are fewer risks and responsibilities. The hero of our article first opened a consulting and diagnostic clinic, and over time, an operating room with a day hospital appeared in the clinic.

Investment size

There is a universal rule here - the larger the amount of investment, the more competitive the business can be. But it also increases the risk of returning capital. Therefore, the more funds you invest, the more accurate the calculation (business plan) should be. But it is not always possible to calculate everything mathematically, you need to have practice and deeply understand the market.

Lenar Salakhutdinov

director of the multidisciplinary clinic "MEDEL"

Of course, if an entrepreneur is a beginner, he has more risks, in this case it is more reasonable to start with minimal investments, but you need to understand that with minimal investments, competitiveness can be much lower. Every year it becomes more difficult to move around the market, the target audience becomes more capricious, spoiled by more favorable conditions. If we compare the exactingness of patients today and when we opened (in 2005), we will see a noticeable difference. The development of any market gives the consumer greater freedom of choice, but at the same time leads to greater complexity of doing business. Everything becomes important: how the administrator looked at you, what he said, how he accompanied you, what level the doctor and equipment were, how quickly he got the result after treatment, how much time and money was spent, etc.

Where will the investments go?

The first is rent or purchase of space. The second is the salary of medical specialists, middle and junior medical staff, and administrators. Third - equipment, tools, raw materials, inventory. Based on this, you will need from 5 million rubles in the most economical scenario. Every year, in conditions of tougher competition, when it becomes more and more difficult to surprise a patient, more and more investments are required.

Renting, of course, will require less costs than buying a room, but there are risks that the conditions may change and become uninteresting, unprofitable, and you don’t want to lose a warm place.

One of the most basic devices - ultrasound - costs from 1.5 million rubles, and an expert-level ultrasound device will cost 5-7 million rubles. It should also be taken into account that doctors of high-level ultrasound diagnostics are quite demanding on equipment, they want to work on a device of a higher level. For the purchase of equipment, you can use leasing and various credit programs.

The list of necessary basic equipment and inventory for obtaining a medical license is specified in the regulatory documents.

Lenar Salakhutdinov

director of the multidisciplinary clinic "MEDEL"

Where to look for funds? It is necessary to monitor the market for credit products of various banks and state support. For example, for several years, medicine was included in the list of support for the Tatarstan Leasing Grant program, but in 2016, the direction of medicine was excluded from all lists of business support in the Republic of Tatarstan. In a crisis, only manufacturing enterprises are supported, and medical institutions, even with high-tech services, do not find support from the state.

Step-by-step instruction

In your activities, you will need to conclude contracts with suppliers of medical raw materials and instruments. The more raw materials you purchase, the lower the cost you can expect. When a clinic develops trusting relationships with suppliers, they can provide raw materials without prepayment. At the first stage, 100% prepayment is required. Russian raw materials may be cheaper, but they are not always of the proper quality. Imported raw materials are of higher quality, but also more expensive. It all depends on what level of paying capacity of patients we focus on.

You will also have to deal with specialists and companies that carry out maintenance of equipment, certification of workplaces. It is also necessary to take care of the disposal of medical waste, as required by SanPiN. Sanitization of ventilation systems in the clinic is regularly required, etc.

How to recruit staff for the clinic? Ten years ago it was possible to start with two different specialists, now the spectrum should be wider.

Lenar Salakhutdinov

director of the multidisciplinary clinic "MEDEL"

There are many applicants. But there are few good specialists who will not be ashamed of in front of the patient. We are looking for doctors based on recommendations, based on the current image in the medical field, you can’t just take them “off the street”. The clinic "MEDEL" has developed a standard, certain requirements for applicants. So, in addition to professional skills, they must have such qualities as kindness, patience with people and ease of character. According to such criteria, the whole team is formed. Also important is the desire to learn and learn new things. When inviting mature luminaries with well-formed admission tactics, you may encounter difficulties - they have less flexibility and can dictate their conditions, although there are some advantages in working with such doctors, we give preference to talented young and middle-aged specialists.

How do we attract employees?Starting with working conditions and ending with social guarantees, the possibility of career growth, additional training.

If you are just opening a polyclinic facility focused on daily routine patient intake, then it should be easily accessible. If your clinic is aimed at solving serious problems, performing operations, then the patient is ready to overcome any distance for this, even to come from another city.

The requirements for the premises of medical institutions are prescribed in SanPiN, which indicates what minimum areas should have offices for the provision of a particular service and what they should be equipped with. You will not be able to obtain a license without meeting these requirements, without having all the necessary inventory and equipment that is required for this line of business. For example, in medical institutions, it is necessary to ensure the availability of hot water, sinks in offices, sewerage, supply and exhaust ventilation, etc.

In the clinic, according to the requirements of SanPiN, special repairs are required. Walls, floors and ceilings should be easy to clean and disinfect. Therefore, the range of finishing materials is narrowing - it is impossible to paste over the walls with paper wallpaper. In some offices, the walls and floors must have ceramic tiles.

You also need to meet strict fire safety requirements. A medical institution is a place of congestion of people, it is necessary to comply with all necessary fire regulations with the presence of a fire alarm, an evacuation scheme, evacuation exits and fire extinguishing equipment.

Documentation

All medical services, with the exception of a number of near-medical services, are licensed. There is a list of services that are subject to mandatory licensing, which can be found in the regulatory documentation. Previously, a license to conduct medical activities was issued for five years, now it is issued indefinitely. But this still implies systematic checks by the bodies of Rospotrebnadzor, Roszdravnadzor, the Ministry of Health, which are obliged to control the level of medical services provided in accordance with the existing license.

A package of documents for obtaining a license must be submitted to the Federal Service for Surveillance in Healthcare. It will take about two months to obtain a license, but the process can take up to a year, and during this time even a ready-made clinic will not be able to work. This must be taken into account in business planning. To obtain a license, the clinic must have the appropriate premises, the necessary medical equipment and specialists with valid certificates. Moreover, a license must be obtained for each type of medical services. And if the clinic plans to issue sick leave, you need to obtain the appropriate license allowing this activity, and have a specialist with the appropriate certificate on staff.

Lenar Salakhutdinov

director of the multidisciplinary clinic "MEDEL"

It is better to open an LLC - patients have more confidence in legal entities and organizations. An individual entrepreneur is also licensed, but the question of personnel policy arises - an individual entrepreneur has more restrictions on the number of personnel and accounting. As a rule, most private medical institutions exist as LLCs and operate under a simplified taxation system. It is also important that for each location address, a medical institution must obtain a separate license and register as a separate legal entity.

Opening checklist

Lenar Salakhutdinov

director of the multidisciplinary clinic "MEDEL"

It so happened that the clinics "MEDEL" did not open by holding holidays. All attention and funds were directed to quality. There are pluses in the grand opening of the institution, but a real holiday should be with a lottery, memorable gifts, games, valuable information for guests. It is better to hold such events when you have already been working for some time. I have noticed that often start-up entrepreneurs have a pompous holiday, and then everything is curtailed or the work is carried out very modestly.

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

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

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 a 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 staff 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 labor contracts with the chief physician 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's 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.

How to start your own medical business? Even 10-20 years ago, people were distrustful of private property. Today, having weighed the pros and cons, patients are increasingly turning to the services of "private traders". And since there is a "demand", then why not make a "supply". Let's take a step-by-step look at the entire process of opening a private practice from the birth of an idea to the admission of patients.

First step: Choice of direction of work

Choose in which area of ​​medicine you can work, taking into account your specialized education. Also calculate how much financial costs will require the opening of your office.

Second step: Registration of a doctor as an individual entrepreneur or creation of a legal entity

First you need to decide in which your business will exist. When registering an FLP, a doctor has the right to hire other doctors only if he has the highest qualification category and only in his specialty. To register a FLP, the registrar at the place of residence must submit:

• a completed registration card for the state registration of FLP;
• a copy of the identification code;

If all documents are filled out correctly, within 2 days you will be registered as an individual entrepreneur, you will be issued an Extract from the Unified State Register.

To register a legal entity, you must submit:

• a completed registration card for state registration of a legal entity;
• a sample decision of the founders on the creation of a legal entity;
• two samples of the constituent document of a legal entity;
• a copy of the receipt of payment of the registration fee.

Registration of a legal entity takes 3 working days from the date of submission of documents.

Step three: Finding the right room

The requirements for the premises are determined by the State Building Regulations. When looking for a space, there are many factors to consider. In particular, hospitals, ambulance substations, bacteriological laboratories and pharmacy warehouses cannot be placed in residential and public buildings. However, it is allowed to place antenatal clinics, dental clinics, offices of general practitioners in residential and public buildings.

Step four: Recruitment

It is equally important to find qualified specialists. Persons who have a medical education and meet qualification requirements can engage in medical activities.

Step five: Purchase of equipment, medicines

It is impossible to carry out the practice of treatment without the material and technical base. The office, center or hospital must be equipped with medical devices according to the equipment tables.

Step six: Obtaining the conclusion of the sanitary and epidemiological service

The conclusion that the premises meet the sanitary standards for the implementation of medical practice is issued at the place of provision of services.

Step seven: Obtaining a license to practice medicine

The most troublesome stage, but the most important. You can only practice medicine if you have a license. To obtain a license to the Ministry of Health, the applicant must submit:

• an application for a license;
• a description of the documents that are attached to the application;
• information about the material and technical base of the business entity.
• information on the availability of regulatory legal acts, including on standardization issues
• personnel information;