How to open a medical center - from choosing a concept to calculating profits

The need for medical services is growing every year. According to the forecast, the market volume will grow to 2.865 billion rubles by 2021. from the current almost 2.5 billion rubles. According to the results of a study by MAR Consult conducted in 2020, more and more Russians are willing to pay for quality medical services: both for simple tests and for seeing specialized specialists.

In these conditions, opening a private medical clinic has great prospects even in conditions of high competition. The implementation of such a project will require fairly large investments on the part of the entrepreneur, taking into account the important features of this area of business.

In this business plan for a medical center, we will describe a brief organizational plan and touch on the points necessary for the success of the business. At the end of the article, an example of calculating payback is offered for your reference.

1. Directions in the work of the medical center 2. Opening a medical center: step-by-step instructions 3. What is needed to open a business 4. Documents 5. Premises 6. Personnel 7. Equipment 8. Common services 9. Financial plan: profitability and payback of the medical center 10. Risks and cons of business

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 appointments with specialized doctors;
preventive examinations;
traumatology;
laboratory research;
X-ray examinations;
ultrasound diagnostics;
MRI (magnetic resonance imaging);
tomography;
colonoscopy;
FGDS, etc.

From highly specialized areas:

children's;
cardiological;
ophthalmological;
surgical (including plastic surgery), etc.;

Plastic surgery is now one of the most profitable areas of business.

The more profiles a medical clinic includes, the more investment and highly qualified personnel will be required.

Selection of premises

A building for a private clinic is selected to accommodate the following premises:

Hall and reception – 12 m2.
Wardrobe – 6 m2.
Bathroom – 8 m2.
Waiting area – 10–12 m2.
Examination room – 16–18 m2.
Ultrasound room – 20–22 m2.
Treatment room – 16–18 m2.
Premises for employees – 14–16 m2.
Sterilization room – 6 m2.
Technical room – 3 m2.
Manager's office – 10 m2.
The head doctor's office is 10 m2.

The total area of the medical facility premises is 150 m2. At the initial stage of the project, premises are rented, then purchased into ownership.

The facility must have a 380 kW power connection for an ultrasound machine and normal natural lighting. To ensure the operation of X-ray machines (MRI), additional equipment of the premises is made in accordance with established requirements. Environmentally friendly and fireproof materials certified for these purposes are used as finishing materials. After completing the work on equipping the premises, contracts are concluded for their deratization and disinfection, which are presented upon receipt of a sanitary and epidemiological certificate.

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 analysis, making a decision to open a business and finding investment capital, the entrepreneur begins real action.

Selects the organizational and legal form of activity and starts the licensing process.
Finds and prepares premises for the object.
Searches for experienced personnel.
Purchases and installs equipment.
Coordinates the mechanism of operation of the establishment and the interaction of all staff.
Organizes a large-scale advertising campaign for the new medical clinic.

A private medical institution can begin work after completing stage 5 of the plan.

Recruitment of employees for the future medical center

The most important stage is the selection of employees. Your task is to find those who will be highly qualified (which must be confirmed by relevant documents) and at the same time will be pleasant to communicate with. At a minimum, you will have to assemble the following staff:

Administrator. His responsibility will be to organize the work of the medical center, keep records of patients, and pay them. Salary amount – 20,000 rubles.
Chief physician. He must have the highest category. It will monitor technical issues and the work of other doctors. He will have to pay at least 40,000 rubles.
The doctors. You will need at least 6 doctors who will receive patients and prescribe treatment. The salary of such a specialist should be approximately 35,000 rubles.
Junior medical staff. You will need an operating room nurse with a salary of 22,000 rubles, as well as 3 employees who will carry out various manipulations. Their earnings are 18,000 rubles.
Nurse. She will regularly clean the premises and disinfect them. You will have to hire two people and pay them 15,000 rubles.
Technical staff. Hire a specialist who will monitor whether the wiring and other communications are working properly. His responsibility will also be cleaning the center area. Give him a salary of 18,000 rubles.
Accountant. It can be outsourced. Such a specialist should be paid approximately 17,000 rubles.

In total, you will need to form a staff for your clinic of at least 14 employees and take into account that the cost of their salaries will cost 411,000 rubles monthly.

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What you need to open a business

The largest initial cost item is the purchase of equipment. Of course, when buying equipment you need to look for the best price offer, but you shouldn’t skimp on it. The quality and, ultimately, the success of a private health/rehabilitation center depends on the equipment.

Table 1. Initial costs for opening a medical center.

Expense item	Cost, rub.
Registration, licensing	150 thousand
Room rental (350 sq. m)	600 thousand
Equipment, inventory, consumables	RUB 3.350 million
Salary, 16 people.	390 thousand
Additional expenses	450 thousand
Total	4.940 million

The work is expected in a city with a population of 1.5-2 million people. Additional expenses include costs for utility bills, promotion, preparation of premises, etc. The amount of tax deductions is not taken into account in the calculation.

What is needed to open a medical center: equipment and supplies

The equipment must work and pay for itself.
The next most important expense item after renting space is the purchase of equipment needed to open a clinic. When choosing hardware and diagnostic systems and medical devices, pay attention to product quality, warranty availability and service conditions. Never buy too much. Remember that the equipment must work and pay for itself.

Here is a sample list of what is needed to open a clinic:

analytical instruments;
weighing equipment;
devices for assessing physical parameters;
furniture for arranging a reception area, hospital;
laboratory furniture.

If you plan to carry out laboratory diagnostics, you will additionally need: a centrifuge, a microscope, thermostats, shakers, drying cabinets, etc.

The total cost of equipment is 1.2–4 million rubles. Considering that clinics with high-quality equipment find their clients, you will return your investment with interest.

Documentation

Initially, the entrepreneur will have to choose a legal form of activity: individual entrepreneur or LLC.

When registering, indicate OKVED 2 codes from group 86 “Activities in the field of health care”:

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.

To work, you will need to obtain licenses. Before submitting an application for licensing, you need to take into account all the requirements, prepare premises, purchase equipment (with certificates), employ personnel, etc. The licensing itself will take a lot of time - at least about six months.

How to promote a medical center on the Internet

Promoting a medical business on the Internet is a very responsible matter and requires considerable investment. Well-known clinics have firmly established themselves on the first lines of search results and share them with great reluctance. Nevertheless, it is possible to promote a medical center website in such conditions. Moreover, it is not necessary to spend a lot of money and time on this.

What activities are carried out as part of the promotion of the medical center:

Website optimization. Before you start accepting patients, optimize your Internet resource and bring it into the desired form.
Website promotion in search engines based on the list of key queries/services of the medical center. Work on a comprehensive increase in the link potential of the resource, which will help raise its position in search engine results.
Regular improvement of the site. How effective the promotion of your resource will be depends on the level of its development. Update it regularly. Publishing new thematic materials is the key to attracting additional customers, improving behavioral factors and consolidating the site’s position in the ranking.
Reputation management: working with forums and reviews.
Promotion and personal PR of your clinic’s specialists, accompanying them on thematic platforms.
Local promotion of a medical center based on its location.
Promotion of a medical center by its unique name.

Promoting the resources of private clinics on the Internet is very difficult. Firstly, you cannot limit yourself to just promoting the site itself. This way you will waste your time and money. Secondly, SMM and reputation management are of great importance, since a person usually makes the decision to make an appointment with a specialist at a particular medical center after analyzing the information available on the Internet (on forums, review sites, social media, etc.). Therefore, the promotion of the medical center must be comprehensive. Only in this case you will get results within 1-2 months.

Promoting medical centers on social media is probably the most difficult thing. If you look at the communities of private clinics, you will notice that only 10% of them do not have bots. Basically, the activity of such groups is close to zero, and visitors are not interested in them. And it’s not just about SMM specialists who sell bots for advertisers’ money, but about users who don’t really want to join communities of medical centers.

Before you start recruiting new users to the group, invite existing patients to join. Retargeting (advertising based on a patient database) or an offline attraction method will help you with this, when all printed products of the clinic indicate not only its website, but also its community on the social network. It really works, the main thing is to format it correctly.

When promoting a medical center, you may encounter the following difficulties:

Social media users are reluctant to discuss their health problems - the reaction to this is negative. Few alcoholics admit this fact. This is also true for other people with health problems.
Almost no one is interested in reading posts about health. Many users openly consider discussing health from a medical point of view to be boring, especially on social networks. Here are cats or easy ways to lose weight - that’s it.
Determining the target audience of an advertising campaign is a rather complicated matter. Anyone can have problems with well-being, although almost all users are convinced that they are healthy.
Those who have any diseases, as a rule, are already clients of another medical center, and in order to lure them away, strong arguments are needed.

Therefore, when developing an advertising campaign, try to make it so that it does not cause a negative reaction or memories of back pain. Your task is to direct it to those who are currently concerned about their health, keep them in the community, despite the boring topic, and also convince them to come to see your specialists. This is quite a difficult task.

Ways to solve these problems:

You will not achieve results if you call the community “Medical Center named after. so-and-so." Why would users join it if they not only have not visited your clinic, but have never heard anything about it until now? By creating the community “Everything you wanted to know about medicine, but were afraid to ask” with the support of your center, you will receive a tool with which you can advertise your services. Users will be interested in publications from such a thematic group.
Think carefully about what you will publish. No one is interested in reading articles about a healthy lifestyle that have been redone once again.

What might be really interesting to users:

“Consultations from specialists in the community” - a person asks a question, you forward it to the doctor or call and find out everything you need. You need to answer not in the style of “Make an appointment with a specialist, and he will advise you in detail,” but something like this: “Here is everything that can be recommended without an examination; to make a diagnosis and prescribe treatment, you need to make an appointment.” This way you can increase your level of expertise and gain the trust of users. This is a “must have” for all medical communities.
“Interesting cases from medical practice” - every physician has in his arsenal stories that cause genuine surprise and admiration. Publish them, such content is really interesting to the audience. Information for posts can also be found on the Internet.
“Details related to work” - the name, purpose of various medical instruments, what are the subtleties when performing abdominal operations, how heart operations are performed, what painkillers are used in dentistry. There are many nuances in the work of doctors that patients are also interested in learning about.
Well, of course, you need to publish selling posts, photos of the medical center itself, the work process, etc.

Targeted advertising is carried out with a full understanding of the characteristics of your target audience.

1. People are closely involved in their health if they experience symptoms of any diseases (in most cases) or if they are supporters of a healthy lifestyle, practice yoga, and adhere to proper nutrition.

You need to divide your target audience into 3 segments. Each will need its own advertising campaign. The first group is people over 35 years old and their families; the second is adherents of a healthy diet and healthy lifestyle, that is, those for whom health care is a priority. The third group includes users who are members of competing communities.

Negative publications will not allow you to achieve good results. Yes, you won’t be able to guess what exactly is bothering a person. Ads must be positive. Here's an example:

“You will forget forever what it’s like to be sick.”
“How wonderful it is to have good health!”
“You will be free from pain forever.”
“We guarantee that we will take care of your health.”

2. Often people worry more about the health of their loved ones than about their own. Consider this detail and focus on it when developing advertising campaigns related to medicine:

“Give your parents good health!”
“How to show you care?”
“Do you care about your parents?”
“Do you want your children to be healthy?”

3. Another important nuance in an advertising campaign is the value of what a person will receive by clicking on the link.

That is, your task is to come up with bait. These can be various promotions, lucrative offers for subscribers.

An ideal and effective option is to offer to make an initial appointment with a specialist for free.

The cost of the first consultation in most private medical centers is approximately 1000 rubles. The patient does not want to shell out such a sum for the initial visit, especially if he plans to undergo treatment at your center, which will cost him much more. Anyone will be dissatisfied if, after paying 1,000 rubles for a consultation, they hear that dental treatment will cost them 60,000 rubles. That is, a person spent a thousand to hear that he should invest 60.

However, other options are also possible: “Only until the end of the month – free blood test!”, “Only in September – free ECG!”

The person who comes for the free procedure has health problems (at least he thinks so), and your task will be to upsell him the rest of the services.

Such advertisements will attract both those who are not patients of other medical centers and users served by other clinics, since they will be interested in comparing where the treatment is better, or finding out whether they were prescribed the correct drugs and procedures.

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Room

When choosing a complex of premises, you need to take into account several factors: transport accessibility, human flow, rental cost.

It is best to rent a room at a place where traffic flows intersect and people are present: the new medical center will be noticed faster, and the influx of new clients will be higher. We are not necessarily talking about the central part of the city (where rents are always high). It is advisable to open near government medical institutions.

It is imperative to prepare the premises and make repairs: a lot depends on the appearance of the medical clinic. The more prestige and comfort customers feel, the higher the trust in the establishment.

When selecting and preparing premises for a 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.

Location of the medical center and selection of suitable premises

The location of the medical center does not play a special role; patients will travel to their doctor and to the outskirts.
To open a medical center, you will need premises. You can order the construction of a suitable building or rent the space. The first option is inferior to the second, as it requires serious capital investments - from 50 million rubles and above. A long-term lease agreement will save a significant amount of money.

When choosing a room, count on an optimal area of 150–200 square meters. meters. The building must have a bathroom, running water, proper ventilation, and electrical wiring.

When planning the interior space, you will need to distribute functional zones:

treatment and treatment rooms;
resident and nursing;
bathrooms for staff and patients;
X-ray room;
sterilization;
hall with reception and cloakroom;
administration office.

Assess the condition of the premises and the approximate cost of repairs, taking into account the communications required by Rospotrebnadzor requirements.

If you open a medical center from scratch, developing one area (dentistry, gynecology, etc.), the space requirements will be different. To accommodate several chairs, a separate reception area and sterilization room, 30–40 sq.m. will be enough. meters.

The location of the center does not play a special role if the advertising campaign is well developed. Clients will be willing to travel even to the outskirts of the city to see their doctor.

Some numbers:

Renting the premises will cost from 150 thousand rubles per month.
Construction and renovation of a new building - from 50 million rubles.
Rent of an office for 30-40 square meters - from 60 thousand rubles.
Repair of premises - from 30 thousand rubles per square meter.

Staff

It is necessary to carefully select health center workers - this is very important. Qualified workers will help solve the problem that causes clients to contact the company. This will lead to satisfaction of needs and increase the image of the clinic.

For experienced doctors, the likelihood of making a mistake when making a diagnosis and determining treatment is much lower than for workers with insufficient experience.

Employees are required to interact with customers respectfully.

The list of employees depends on the profile of the clinic. First 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), accountant and cleaners (orderlies) will be required. Total staff – 16 people.

What medical center services are most popular?

After analyzing the statistical data, you can understand that the following medical services are most popular in Russia:

Obtaining sick leave and other documents. Even those who have strong immunity and good health sometimes still need the help of a doctor. Obtaining a sick leave certificate and recommendations to observe bed rest for a certain time in most settlements is possible only by contacting a municipal health care institution, which causes a lot of inconvenience. And a person who makes good money and values his time will most likely want to open a sick leave certificate at a private medical center, where he does not have to stand in a huge line. He will turn to it in other situations, for example, to obtain documents necessary for children’s leisure time or to obtain a driver’s license.
Consultation. This is an important nuance when working with patients. Many people want specialists to help them choose a drug. Before starting treatment, an initial consultation is required, during which the patient is given the recommendations and directions necessary to make a diagnosis. This category of services also includes routine examinations by specialists.
Dentistry. It is very difficult to find people who have never had their teeth treated. Dental services are one of the most in demand, since human teeth are very prone to disease and damage.
Examination. Fluorography, ultrasound, ECG, tomography, various tests are part of patient monitoring by most specialists. It happens that a person constantly turns to a doctor whom he trusts. At the same time, he does not have the equipment necessary for diagnostics, because purchasing it requires a lot of money. Therefore, owners of private offices often send their patients to large medical centers for examination.
Gastroenterology. The cause of diseases of the gastrointestinal tract is often poor nutrition. They most often develop in residents of large cities. Many people don’t have breakfast so as not to waste time on it and have time to get to work, they save on lunch by buying fast food, and try to follow the rules recommended by numerous “experts” on the Internet.
Gynecology. Children will always be born, even in the most difficult times. Many women prefer to manage their pregnancy in a private medical center. In addition, it is recommended to regularly visit a gynecologist from the age of 14.
Pediatrics. For the above reason, the demand for treatment and diagnosis of diseases in children is quite high.
Cosmetology and treatment of skin diseases. Poor environmental conditions and poor nutrition can have a negative impact on health. Everyone wants to look good, but skin problems do not contribute to this at all.

Equipment

Clients are received 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 equipment that will give accurate analysis and diagnostic results. The success of the entire business depends on the quality of the selected equipment, so saving on this expense item is not worth it.

Approximate list of equipment:

comprehensive equipment for cardiological, gynecological, pediatric and therapeutic rooms (RUB 1.20 million);
equipping a dentist’s office (RUB 700 thousand)
ultrasound machine (650 thousand rubles);
lamps for quartz treatment (50 thousand rubles);
laboratory equipment (thousand rubles);
purchase of additional tools, consumables, refrigerators (350 thousand rubles).

Total – 3.350 million rubles.

Select the appropriate option

Standard	Advanced with financial calculations with Excel financial model	Expanded with adjustments
Standard business plan	Extended business plan for a medical center with a complete business analysis and financial plan for 5 years	Extended business plan for a medical center with a complete business analysis and financial plan for 5 years
Detailed financial model of a medical center	Detailed financial model of a medical center
Analysis of profit and profitability by individual business areas and products Analysis of risks and business safety margin by sales volume, cost and credit load Sales forecast quarterly for 5 years Quarterly cost forecast for 5 years Calculation of conditions for obtaining and repaying a loan Break-even point calculation Quarterly Cash Flow Report for 5 years Analysis of financial and investment indicators	Analysis of profit and profitability by individual business areas and products Analysis of risks and business safety margin by sales volume, cost and credit load Sales forecast quarterly for 5 years Quarterly cost forecast for 5 years Calculation of conditions for obtaining and repaying a loan Break-even point calculation Quarterly Cash Flow Report for 5 years Analysis of financial and investment indicators
Adjustment of the business plan to your numbers by our analysts within 5 working days
Business plan volume: 30 pages.	Business plan volume: 80 pages.	Business plan volume: 80 pages.
10,000 rub.	20,000 rub.	39,000 rub.
RUB 1,390	RUB 2,950	RUB 24,990
Buy	Buy	Buy

This kit is ideal for those who need a business plan to obtain a loan or attract investment.

Description

The extended business plan includes a financial model of the medical center in Excel format.

The business plan was developed taking into account the practice of evaluating projects in Russian banks, as well as taking into account the requirements of investors and funds for supporting entrepreneurship in the Russian Federation. It will allow you to justify management decisions on investing in the creation and development of a medical center, predict its financial results and assess risks.

A full description of the business plan can be downloaded from the link:

Description of the medical center business plan.pdf
Contents
To familiarize yourself with the contents, download the file:

Description of the medical center business plan.pdf
Tables and graphs
To view the list of tables, graphs and diagrams, look at the file:

Description of the medical center business plan.pdf
Payment and delivery
You can pay in the following ways:

Bank cards (Russia)
Electronic money
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Money transfers
Bank cards (International)

Sending a business plan and financial model:
Sending is carried out within 24 hours after payment to your email address.

Business organization

Health is an area of life on which it is not customary to save. When faced with any medical problem, a person looks for an opportunity to solve it as quickly and efficiently as possible, and increasingly his choice falls on private medical centers. Opening such an institution is not the most difficult task, but there are still many nuances that you need to pay close attention to. To make starting a business easy, work out a business plan for a medical center.

What does it take to start a business?

Study the market carefully.
Develop your concept.
Attract resources for the launch.
Choose a room for.
Make repairs, purchase and arrange furniture, equipment, order a sign, etc.
Attract highly qualified personnel.
Develop and launch a massive advertising campaign.
Open the center.

The most important success factor is the qualifications of medical personnel. If you manage to attract doctors with experience, a positive reputation and fame to work in the center, then this in itself will be an excellent step in terms of advertising and a guarantee that clients will return to you again and again.

Market analysis and description of the medical center project

Currently, the share of private medicine services is about 10%, but the demand for private institutions is increasing every year. Statistics show that people trust private medicine more, believing that the level of service and quality of medical care there is higher. It is noteworthy that more than ¾ of the clients of such institutions are urban residents. A detailed market analysis is given in the business plan of the medical center (clinic).

Produced goods/services

Medical services: advisory, diagnostic, therapeutic assistance.

Potential clients

Individuals and legal entities.

Calculations for organizing a multidisciplinary medical center are presented below in a sample business plan.

Financial part of the medical center business plan

Investments:

Attachments	Time frame, in months	Amount, thousand rubles
Registration of an organization, paperwork	2	xxx
Design work	1	xxx
Rent of premises (first 3 months)	3	xxx
Providing communications (electricity, water supply, etc.)	1	xxx
Carrying out finishing	2	xxx
Equipment purchase	1	xxx
Purchasing furniture	1	xxx
Purchase of signs, banners, etc.	1	xxx
Organization of an advertising campaign	2	xxx
Other costs	—	xxx
Total	xxx

An example of a business plan for a medical center assumes that investments in the business will amount to about 20 million rubles.

Income:

Source of income	Approximate price (average), rub.	Sales volume, per year (average)	Amount of revenue, thousand rubles per year
Specialist consultations	xxx	xxx	xxx
Carrying out diagnostic procedures (ultrasound, ECG, collection of tests, etc.)	xxx	xxx	xxx
Carrying out therapeutic and preventive procedures (physiotherapy, massage, etc.)	xxx	xxx	xxx
Other income	xxx
Total	xxx

Annual revenue will be about 30 - 40 million rubles.

Expenses:

Expenses	Amount per year, thousand rubles
Communal expenses	xxx
Costs for the acquisition of working capital	xxx
Remuneration of personnel, social services. contributions	xxx
Advertising costs	xxx
Loan servicing (interest)	xxx
Taxes	xxx
Rent	xxx
Total	xxx

Annual expenses average 20 - 27 million rubles.

Profit, payback and profitability of the business:

Index	Meaning
Profit, thousand rubles	10600
Profitability	31%
Payback period	2 years

The payback period is about 2 years, the profit is on average 8 - 15 million rubles annually, and the profitability is 31%.

Conclusions:

Against the backdrop of problems in the public health care industry, private centers are becoming increasingly common. The profitability of such institutions is at a consistently high level, and competition is also growing. If you don't know how to open a medical center that will operate efficiently, be sure to study a professional business plan.

Common services

When compiling the list, research data from MAR Consult was used.

In first place are dental services. Clients are willing to pay for better quality treatment, more expensive drugs and advanced equipment for dental treatment.

Secondly, it is taking tests (blood, feces, urine, etc.). Private medical clinics use more modern and sensitive laboratory equipment compared to government institutions.

Thirdly, this 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.

Fourthly, massage. The popularity of this trend has grown literally over the last 7-8 years. In clinics, people are looking for massage therapists.

Download the business plan template and financial model template and you can:

Calculate planned performance indicators, estimate the volume of required investments, the expected payback period and the amount of discounted cash income.
Save more than 150 thousand rubles on document development.
Carry out calculations on your own based on a convenient and functional financial model template.
Involve highly qualified specialists in the work, familiarizing them with the document and outlining development prospects.
Obtain the required financing from banks or investment companies.

Providing quality medical services is a worthy option for a highly profitable business. By doing everything correctly when launching it, you will provide yourself with a large flow of clients and be able to reach the planned payback period of the project.

Financial plan: profitability and payback of the medical center

The amount of initial costs is 4.940 million rubles.

Prices depend on the doctor’s qualifications, specialization, order of consultation, etc. To calculate revenue, let's look at the cost of 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 – 1,700 rubles, 270 times a month, total 459 thousand rubles.
Ultrasound examination – 1300 rub. (average), 150 times a month, total 195 thousand rubles.
initial consultation, dental treatment – 2500 rubles. (average), 200 times a month, total 500 thousand rubles.
initial consultation with 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. It is possible to develop an establishment 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 in a lot of money.

The total monthly costs are RUB 1,340 million. Net profit (in developed state) – 759 thousand rubles. Under such conditions, the medical center will pay for itself in 6.5 months, plus a year for development. The clinic will break even in 18.5 months.

Table 2. Economic justification for the business idea.

Basic indicators	Meaning
Initial investment amount	RUB 4.940 million
Monthly expenses	RUB 1,340 million
Average cost of medical center services	200-4500 rub.
Monthly income	RUB 2.099 million
Net profit per month	759 thousand rubles.
Payback period	18.5 months

How much does it cost to open a private clinic?

The minimum investment threshold is 2.4–4 million rubles. This amount will be required to open a private medical office specializing in the provision of one type of service (ultrasound diagnostics, dentistry).

Starting small, you will return the money invested in the project and will be able to further expand the range of services provided and settle in a larger premises. If you have investors who are ready to take financial part in the launch of the enterprise, be prepared to spend from 8 million rubles on a full-fledged clinic.

The average monthly income of an establishment (with attendance of 50 people per day and prices of 3,500–4,000 rubles per visit) will be 4.8 million rubles.

How much does it cost to invest in a project at the initial stage:

cost of rent and repairs - 240 thousand rubles;
purchase of equipment - 1.2 million rubles. (per one type of activity);
medical instruments and consumables - 160 thousand rubles;
licensing, registration - 50 thousand rubles;
advertising and marketing - 700 thousand rubles;
monthly wage fund - 200 thousand rubles;

In total, the minimum amount for the creation of a highly specialized institution will be 2.5 million rubles. The payback period for the project is 1–3 years.

Risks and disadvantages of business

Working in the medical field has 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 conditions of the economic crisis and falling levels of real income, 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. This partly leads to potential customer churn. At the same time, more modern private medical clinics are opening - that is, direct competitors who can “intercept” clients.
Unprofessional staff. An incorrect diagnosis and prescription of incorrect treatment may not only fail to give the client the desired result, but also worsen his condition. This threatens, at a minimum, with negative consequences for the center’s image, and even legal proceedings or even deprivation of its license.

Opening a medical center in the current conditions of popularization of paid medicine is very profitable. After breaking even, the business will bring good income to the owner. But an entrepreneur needs to prepare: to achieve the goal, many risks will have to be taken into account; Only with a thoughtful approach can you really achieve success in this business.

Risks

In the question of whether it is profitable to open a medical center, the risks associated with this enterprise play a significant role. You need to think through everything in advance to be able to avoid them.

Domestic

Preparatory stage

Strict monitoring of the compliance of the premises, equipment and employees with all standards and requirements is required. It will take a lot of time to find suitable options.

Employee negligence

In the field of medical care, the main role is played by the responsible approach of employees to their duties, because the patient’s life depends on it. Negligent attitude to safety precautions can lead to infection not only of patients, but also of doctors. You should monitor the availability of disposable consumables and constantly instruct nurses and orderlies in this regard. It is also worth keeping a special journal where these events will be recorded.

Competence of doctors

You should carefully select employees according to their qualifications. You need to pay attention to all components: application form, recommendations, educational documents, work experience. There is no need to put the clinic’s reputation at risk because of the unprofessionalism of its employees.

External

Obtaining a license

Licensing may be delayed indefinitely due to non-compliance of premises or equipment with standards or low qualifications of employees. You should try to resolve such issues in a short time.

Price policy

A balanced policy regarding prices and discounts should be present in the clinic. The interests of clients and employees must be taken into account.

Reputation

The reputation of the clinic depends on the set of measures taken and is sensitive to even minor changes. To protect your establishment from the risk of loss of reputation you need to:

Require staff to treat customers politely and courteously
Ensure non-disclosure of confidential information about the clinic
Improve the professionalism of doctors and nurses

Organizational plan

When planning to open your own medical center, it is important to work out organizational aspects in advance. Particular attention is paid to registering an institution, choosing the direction of service provision, purchasing equipment and a number of other points.

Registration of a medical center, taxation

It is most profitable to register a medical center in Russia as a limited liability company (LLC). Especially when it comes to two or more co-founders with common capital.

To register an LLC, the following documents are required:

a copy of the passport certified by a notary;
a copy of the identification code;
relevant statement;
statement on the choice of one or another taxation system;
LLC charter documents;
receipt of payment of state duty (4 thousand rubles).

A suitable form of taxation for such business activities would be the simplified taxation system (STS). It involves payment of 6% of the amount of income or 15% of the net profit of the enterprise.

Drawing up a list of services

The specific list of services of the medical center will directly depend on the chosen specialization of the institution. This can only be the diagnosis or treatment of identified health problems. In multidisciplinary clinics, both directions are carried out simultaneously.

Diagnostic centers carry out:

blood, stool and urine tests;
detection of infectious diseases;
determination of genetic predisposition to various ailments;
performing computed tomography;
various biochemical and other studies.

In highly specialized offices, the client is provided with a range of services in the field of pediatrics, gynecology, dentistry, cosmetology, and surgery. If problems arise while compiling a list of services provided by the center, it would be useful to familiarize yourself with the assistance provided by competing companies. In this case, focusing on those services that are not on the lists of other companies can be the key to business success.

You can also start by focusing on a small list of services. In the future, as the center develops, this list may be expanded.

Search for premises and repairs

The choice of premises for organizing a medical institution should be approached especially carefully. It must meet legal requirements for area and ceiling height. It is advisable to choose a place in the city center. Moreover, if the clinic is organized near government medical institutions, this will attract more clients.

According to the law, such enterprises cannot be located near large industrial facilities. There are also restrictions on distance from public utilities and agricultural enterprises.

It is worth noting that the best option would be to build the required premises from scratch. In this case, the initial investment will increase significantly, but in the future you will not have to worry about the condition of the building, and you can also save significantly on rent. If there is no such space, it will have to be rented.

The acquired building requires mandatory repairs. What a clinic looks like directly determines its prestige and the trust of its clients. In addition, you should pay attention in advance to the presence of basic communications and their condition. For the operation of modern medical equipment, serviceable and reliable electrical, gas and water supply lines are required.

Purchase of equipment and inventory

Spending on medical equipment takes up the lion's share of the total investment in a medical center. The specific list of necessary equipment and the size of the investment depend on the focus of the clinic. A new ultrasound machine will cost at least a million rubles. You can equip a modern office for a dentist for at least 800 thousand rubles. The cost of purchasing equipment for a gynecological center with a full list of services will range from 2.5 to 3.5 million rubles.

It is mandatory to purchase the necessary equipment to work with patients. When opening, as well as monthly, you will have to purchase consumables.

When purchasing expensive imported equipment for a medical center, you must first make sure that its use is permitted by the current legislation of the Russian Federation. It provides clear guidance in this direction. In addition, all purchased equipment must be registered in the country and must be accompanied by technical documents.

Clinic staff

The qualifications and professionalism of the center’s staff are no less important for the new clinic than high-quality equipment. Therefore, their selection must also be approached responsibly.

The specific list of personnel will depend on the specialization of the institution. For medical institutions, the list includes the following employees:

doctor (at least 3 specialists are needed to start);
nurse (3-4 people are also needed);
accountant;
cleaner.

If the center also deals with diagnostics, a couple of laboratory assistants should also be included on the staff. Several administrators are required who will be responsible for contacts with clients.

What equipment to choose for the laboratory

The laboratory will require the following equipment:

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

2. Hematology analyzer, cost from 200,000 to 600,000 rubles; 3. PCM amplifier, cost 100,000 rubles; 4. Allergist’s office, on average 200,000 rubles; 5. Equipment for ELISA – 100,000 rubles;

Water distiller – 50,000 rubles;

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