What documents are needed to open a medical center. What furniture and equipment will you need?

In order to open a private medical center, it is not necessary to be a practicing doctor or have a medical education. Many experts believe that it is better if a person with organizational and entrepreneurial qualities is involved in opening a clinic. Often, medical clinics also open insurance companies to reduce insurance policy costs.

Before starting a project, you should study a market analysis in your region to get an idea of ​​the population’s need for certain medical services and purchasing power. You can collect data yourself or use statistical data. It would also not hurt to conduct research on the market for paid medical services and the insurance market, since the services of a private clinic are often related to these areas. Collecting information about competitors – their range of services and prices – is very helpful.

You also need to decide on the type of services provided:

• Will the clinic be multidisciplinary or specialized?
• Will the center be diagnostic only or will it also have a clinic?
• What blocks will be included in the center - emergency room, hospital, operating room, intensive care, dentistry, gynecology, etc.
• It’s worth saying right away that medical centers with a narrow focus are more profitable for entrepreneurs, especially at first. In addition, they require less investment. As for the direction of the clinic, dentistry, cosmetology, gynecology and urology are considered the most profitable at the moment.

Room

The location of the future clinic greatly influences the success of the project. Ideally, the establishment should be located on a busy street or near a metro station, preferably in the city center or at the same distance from the residential areas of the city.

Also, the choice of premises depends on the number of services provided: for a small one, a room of 25-30 square meters will be enough. meters with an office of at least 14 sq. meters are the requirements of sanitary rules and regulations (SanPin) for one dental unit. You will also need to find a place for a sterilization room (at least 6 square meters) and a hall for visitors with an administrator desk.

The room must have special ventilation and lighting in accordance with Sanitary and Epidemiological Supervision standards, and the requirements for repairs can be found in the document “SanPiN 2.1.3.1375-03 Hygienic requirements for the placement, design, equipment and operation of hospitals, maternity hospitals and other medical hospitals.”

Equipment

The most expensive part of investing in a medical clinic is purchasing equipment. All medical devices and devices are expensive - the same device for ultrasound diagnostics costs at least 160,000 USD, and equipment for carrying out tests costs 10-70 thousand USD. Nowadays clients want to pay for quality services, so the equipment must be of the highest quality. To save money, you can purchase used equipment at first, because in most cases, imported used equipment serves a long time and reliably.

Permits and licenses

The activities of medical institutions are subject to licensing. To obtain such permission, the medical center must have premises that meet the requirements, personnel and the necessary list of equipment with all certificates. Applications for a license are reviewed within two months, but the entire procedure for preparing documents and obtaining permits can take a year, since each type of medical service requires its own license. In addition, permits are issued with strict reference to the address, and if the clinic moves, then everything must start over.

If you plan to issue sick leave certificates, you will also need to obtain a separate permit or hire a specialist with the appropriate certificate.

Staff

When selecting personnel for a private medical center, it is necessary to focus primarily on the availability of a specialized diploma and relevant certificates, as well as academic degrees and medical categories. A big advantage for candidates will be internships abroad, work experience abroad and knowledge. Work experience is also required - usually such institutions hire specialists with at least three years of work experience.

As for the salary, for nurses it will be about 300 USD, and for doctors from 800 USD. per month.

It’s not easy to find good specialists, so many people lure doctors from other clinics or government agencies. Often clients come to the clinic not for new equipment or a friendly administrator, but for a good doctor. By the way, now it is equally difficult to find both a good dentist, for example, and a nurse, so you should use all methods of personnel search.

Attachments

Experts estimate the minimum investment in opening a private medical center in the region of 30-50 thousand USD. This amount is relevant for opening a highly specialized medical center that provides one type of service, for example, ultrasound diagnostics or dentistry.

Beginning entrepreneurs often start this way - by opening a small private clinic with used equipment. From such a project you can earn money to open a large medical center.
For a small clinic you will need a few staff:

• 2 doctors (can work in shifts)
• 2 nurses
• Accountant
• Administrator

If you are planning to open a medium-sized clinic with several areas and a diagnostic department, then the amount of initial investment will be up to 100 thousand USD.
As for income, for a month the clinic is at full capacity (this is about 50 visits per day), and at prices of 45-50 USD. for one visit to a doctor you can receive about 60 thousand USD.

Initial costs

The costs of opening a private medical clinic may consist of the following items:

1. Rent of the premises and, if necessary, repairs therein - from 3000 USD.
2. Equipment (for one type of activity) – from 15,000 USD
3. Medical instruments and consumables – from 2000 USD
4. Costs for licensing one type of activity – from 200 USD.
5. Total: from 20200 USD

• Dental services
• Services in the field of gynecology
• Services in the field of urology
• Sex therapist services
• Cosmetology and plastic surgery
• Ophthalmology and vision correction
• Multidisciplinary clinics

The given data on the demand for certain medical services may vary depending on the region where the clinic is located.

I am a hereditary doctor, graduated from the Moscow Medical and Dental University and residency at the military hospital named after. Vishnevsky. I came to private medicine simply. At the hospital I met many patients who were willing to pay for additional services. They had a desire to take care of their health, but there was sorely no time. Helping them find the right doctor, I realized that even after leaving the government agency, I would be provided with a clientele.

I am still invited to assist, but I rejected the work of a specialist in the clinic for myself: I liked the organizational one more. At the same time, I would recommend that people who are planning to create their own medical business study at the department of healthcare organization at some university. Personally, I have no regrets.

After finishing my residency, I decided to understand the business from the inside and found a job as deputy director of a private clinic. I brought trusted doctors with me, and we organized several free health days. In the first three months, the flow of clients tripled. Two years later, the owner of the clinic invited me to become his partner. I borrowed money from friends and bought part of the company, and a year later I bought the clinic completely.

At first I thought that it was easier to work as a manager than as a doctor. You give a task, and everyone works. But for the system to work, you need to constantly monitor everything and delve into the process yourself.

1. About three years ago, I accidentally attended a marketing conference with a friend. For the first time I heard about demand formation, buyer trust, planning, marketing. I started going to trainings. For a clinic to be successful, it is necessary to constantly introduce new positions, monitor new equipment and techniques, and develop marketing concepts. Otherwise, you will get stuck at the level of two or three offices. Ten years ago it was possible to start with two specialists on staff, now there are at least seven - a gynecologist, urologist, cardiologist, therapist, neurologist, ENT specialist, ophthalmologist and surgeon.

2. If you are young, it will not be easy to position yourself in working with subordinates. Experienced doctors are respected people, with experience and understanding of life. For example, some of our doctors treated me with distrust at first. At the same time, some who came from government agencies had to be taught how to properly communicate with patients. This requires a lot of tact.

3. I have developed an approach to determining the right doctor for the clinic - everyone should have something different. For example, our cosmetologist has his own device for treating skin, and a vascular surgeon has gold-plated scissors. If a person invests in himself, then he will be able to properly build relationships with the patient. In the first month of working in my clinic, the doctor can call me with any questions, come in without knocking, and I am ready to answer all emails. But if a person does not use his right in the first month, it “burns out.”

4. It is impossible to fully develop without new equipment. Sometimes we can afford to buy this or that device outright, but often we use leasing. The supply of equipment causes a lot of problems. First, you need to see how the device you have chosen works in other clinics. Deliveries of large equipment take a very long time: we waited six months for an X-ray machine from Denmark. Installation is also not a quick task: in order to bring the tomograph into the building, we had to dig a pit and break through the wall of the clinic.

5. Not only good doctors are needed. At the beginning we did not have a full-time technician. We come to work and our ultrasound scanner is broken. The service center will take several days to fix it. I realized that I myself need to understand very well how each device is used and how to approach it. If you are not opening one clinic, but building a network, then it is better to have your own licensing specialists. There are a lot of subtleties regarding standard cabinet sizes, lighting, etc.

6. Any clinic needs an information system. It turned out that it is very difficult to understand in advance which system will suit you, and debugging takes from three to six months. As a result, we installed the program, spent a year mastering it, and realized that it was not suitable for us. I had to change it.

7. A separate topic is attracting clients. I myself thought for a long time that in private medicine many people are engaged in pumping out money. Now I understand that this is a myth, at least in part. A good way to attract customers is free health days. They directly increase the flow of people. But with coupon services it’s more complicated. Based on the results of the first month after the start of coupon sales, we found ourselves in the red. But they immediately decided not to refuse, and it turned out that after three or four months the same patients came again.

In general, I realized that the organizational process and the healing process are very different things. It happens that I still see patients now. Sometimes I handle difficult cases and hold consultations. For many friends, I personally describe diagnostics and treatment, and refer them for consultations. But at the moment I am more of a manager than a practicing doctor.

Recorded by Anastasia Zhokhova

Each entrepreneur can open his own private clinic, even without special education, and this can become quite promising for his future business.

This requires desire, financial resources and perseverance.

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

Where to start opening a private medical clinic

There are often cases when private clinics are opened by insurance companies. Thanks to this, they reduce the cost of providing first aid under their own insurance policies.

But entrepreneurs mostly open medical centers with a narrow specialization.

Thus, you can reduce investments at the initial stage, and this project will pay off quite quickly, but you don’t have to risk opening a medical clinic, but start with a pharmacy, selling medicines.

The most popular and profitable areas in the medical field are considered to be 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 doesn’t already 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 establishment plays an important role.. The same applies to private clinics. It is best if it is located closer to the city center, a busy transport route, 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 square meters will be quite enough. meters. 15 of which will be needed to set up a doctor’s office.

The remaining 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 sizes 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 premises must have special ventilation, lighting, and repairs.

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

What equipment to choose for a private clinic

The main costly 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, and in order to create a diagnostic laboratory you will need from 10 to 70 thousand dollars.

In the initial stages, businessmen can save a little by purchasing used medical equipment.

If you employ qualified doctors, the quality of medical services will not suffer from not entirely 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 operates, in any case it is subject to licensing.

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

Once you submit your license application, it may take up to two months to be reviewed.

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

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

In order for your clinic to have the right to issue sick leave certificates, there is also a separate license or your staff must have a specialist with a separate certificate.

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

What personnel to choose for a medical clinic

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

If necessary, consult a specialized 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 they even need to speak a foreign language.

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

Very often in the field of private medicine, doctors are lured from one institution to another. Everyone wants to have a qualified specialist who would be an advertisement for clients. Therefore, selecting the appropriate personnel will not be so easy.

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 space and a narrow-profile clinic, then such a business will cost you from 30 to 50 thousand dollars.

To open a highly specialized clinic 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 type of activity - 20 - 25 thousand dollars;
4. license for one type of activity – from $200;

The resulting amount for one type of activity is around 30 thousand dollars.

For one type of service, for example dentistry or a solarium, this will be quite enough.

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

Often entrepreneurs in this field start with a small, highly specialized clinic. And after their business improves and begins to make a profit, they expand both the area of ​​​​the 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. These personnel will work in shifts. A clinic administrator and accountant are also required.

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

Under the condition of full occupancy - about 50 visitors per day, the monthly income of such a clinic will be 2 million rubles. Considering that the average cost of one visit will be around 1,500 rubles.

Popular medical services

Among the most popular medical services, the first place is occupied by dentistry.. Next comes gynecology. The third place is occupied by urology. After it come sexopathology, plastic surgery, and 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 does not have services 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 in huge amounts of money.

How much can you earn

Despite the fairly high initial investments required to open a private medical institution, business in this industry is considered to quickly pay for itself and is highly profitable. 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 in the first stages of business implementation can reach 3 million rubles, without deducting 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 preparing medical consultations.

Which OKVED code must be indicated for a private medical clinic?

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

What documents are needed to open

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

• Passport.
• A copy of the taxpayer code.
• Receipt for payment of state duty.
• A notarized application for registration of individual entrepreneurs indicating all suitable OKVED codes.

Since licensing is required to operate 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 to provide medical services and issue sick leave.

Which tax system to choose for a private medical clinic

For a private clinic, the simplified tax system (STS) is more suitable, amounting to 6% of revenue or 15% of the company’s total profit.

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 act as it yourself.

At the first 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 necessary 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 a metro station.

What kind of medical center to open, where to start and how to organize its work correctly - let’s try to understand this material.

Not everyone is satisfied with the quality of medical services within the framework of budget financing, so many turn to paid clinics for medical care. Thus, in 2015, according to a survey by the Romir research holding, 38% of respondents among city residents used commercial services. The most popular areas were dentistry, therapy, gynecology, urology, ophthalmology, and gastroenterology. The area of ​​diagnostics (ultrasound, ECG, X-ray, MRI) and laboratory research is gaining momentum.

Taking into account statistics in your region, you can accurately determine which private clinic to open and predict the demand for its services. This is the starting point in realizing your plan.

What can a private medical center offer?

• Consultations and treatment from specialists;
• Diagnostics;
• Collection of biomaterial and laboratory tests;
• Conducting operations;
• Perinatal services and obstetrics;
• First aid (emergency room);
• Hospital stay;
• Physiotherapy;
• Massage;
• Calling a doctor to your home;
• Ambulance, etc.

When choosing the direction of a new clinic, many choose a narrow specialization - it is less expensive in terms of selecting and paying for premises, hiring staff and purchasing equipment. But multidisciplinary clinics with a network of branches that provide diverse services have greater profits. Another popular option is a consultation center, where consultations are conducted by sought-after and highly qualified doctors, and there is a minimum range of diagnostic services.

You also need to decide on the age category of your future patients: will it be a clinic for adults, for children or a mixed type.

What do you need to get started?

To open your own clinic, you need to select a form of activity (individual entrepreneur, LLC) and register with the tax authority. At the same time, you indicate OKVED codes and determine the tax regime. Opening an individual entrepreneur is easier and faster, but you must have a specialized medical education. There is no such requirement for LLC founders.

A private medical clinic should be located in the right place, with the least concentration of competitors and maximum traffic. But most importantly, the premises must comply with the requirements of SanPiNov:

• have a suitable area and dimensions. The standards indicate how many square meters a specific room, bed or medical installation must have, and what height of the premises is allowed. For example, for an operating room - 36 sq.m., for a doctor’s office with equipment - 18 sq.m., for an individual delivery room - 24-30 sq.m. etc.;
• Equipment placement requirements must be met. For example, an X-ray machine cannot be used in residential buildings, but only in an extension to them or in a basement with a separate entrance;
• Requirements for room decoration, lighting, microclimate, sewerage, water supply, etc. must be met.

More detailed information on how to open a medical center in compliance with regulations can be found in these documents:

• SanPiN 2.1.3.2630-10;
• SanPiN 2956a-83;
• SanPiN 2.6.1.1192-03.

Purchase of equipment. This is the most expensive part at the starting stage (along with investments in the building). The choice of equipment depends on the specialization of your clinic. But here too you can optimize costs. For example, if you plan to offer laboratory testing, this does not mean that you must have your own laboratory. You can enter into partnership agreements with specialized and already equipped laboratories and only collect biomaterial on the clinic premises.

It is impossible to open a medical center from scratch without experienced and qualified personnel. Firstly, this is required by licensing conditions, and secondly, clients will not go to dubious specialists who do not inspire confidence. It is advisable to attract doctors of the highest categories, with academic degrees, serious experience and an impeccable reputation.

You can open a medical center and start accepting patients only after obtaining a license. A separate license is issued for each type of medical activity. The issuance of these documents is carried out by Roszdravnadzor and its regional divisions. But applying to the licensing authority is preceded by obtaining a fire safety permit and a sanitary and epidemiological conclusion.

If you have already completed these procedures, you will need to provide a package of documents to obtain a license:

• Copies of constituent documents certified by a notary;
• Copies of the lease or purchase agreement for the premises;
• Copies of documents for equipment and employees (certificates for equipment, diplomas, work and medical records of personnel);
• Sanitary and epidemiological conclusion of Rospotrebnadzor;
• List of documents;
• Receipt for payment of state duty.

In fact, the administrative part takes a long period. Many medical business owners claim that to open a private clinic, it took them at least a year to obtain all permits and licenses.

How to organize effective work of the clinic?

Opening a medical center is just the initial stage. You need to stay afloat in a highly competitive environment, which is commercial medicine. This cannot be achieved without well-established work in all areas of the clinic, talented and experienced doctors, modern technologies and constant development.

Specialized software allows you to establish effective interaction between all structural divisions, fully control the business and actively work with clients. The First BIT company is actively developing the direction for complex automation of medicine on the 1C platform and offers products for multidisciplinary centers, specialized clinics and medical offices. The BIT.Medical Center Management program allows you to automate the main areas of work in the clinic:

• Registration/Administrator

  Quickly make an appointment in accordance with the doctors’ work schedule. If you have a network of branches, registration is carried out at any of them. All information about services, their costs and appointment times is always before the administrator’s eyes, so he quickly navigates and provides the client with the necessary information. The registrar also fills out a personal medical record in electronic form, a standard contract for the provision of services according to a given sample, and makes payments to clients.

• Medical appointment

  The doctor conducts an appointment without filling out paperwork - all information is entered into an electronic card using a ready-made template, which is customized to the needs of a specific medical institution. Standardization greatly simplifies the doctor’s work and systematizes the presentation of information. At the same time, the non-therapeutic part of the appointment is reduced, the specialist studies the patient and his problem more carefully. Electronic document management eliminates the loss of valuable information and makes it possible to collect it in one card - all diagnostic data, laboratory tests, procedures, etc. flow here.

• Warehouse accounting

  Automation of warehouse accounting simplifies control over medicines and consumables. You always know how much was spent, on what services, what is left and when the expiration dates of the drugs expire. You can set consumption standards for each service. Automated accounting simplifies inventory and allows you to plan purchases.

• Financial Accounting

  Medicine automation programs allow you to monitor and analyze the financial performance of your center. It reflects income and expenses, the movement of money around the clinic, settlements with employees and insurance companies. This data is always up-to-date and allows you to see the dynamics of development, generate reports for the required period, evaluate the profitability of services and the efficiency of employees.

• Customer loyalty

  To increase customer loyalty, medical centers are developing a club system, holding promotions, offering favorable conditions for comprehensive services or repeat visits, etc. With the help of medical automation solutions, these programs can be conveniently created and taken into account. In addition, it is possible to set up newsletters and alerts by e-mail or mobile phone for your client base.

Medical information systems from First BIT take into account the real needs of business and the organization of internal processes. At the same time, it is possible to develop unique turnkey projects that will fully meet your specific objectives and the characteristics of your institution. This offer is valid for highly specialized private clinics and centers with branches of various profiles.

If you are planning to open a medical clinic and implement automation in a short time, an express program with installation on several workstations is suitable for you. There are also standard and design options.

The starting stage of a business requires large financial costs, but you have the opportunity to reduce costs to get acquainted with information systems and use cloud versions of First BIT products.

Automation of work will be the starting point in the development of your medical center, in building effective work and a comprehensive analysis of business processes.

State medicine in Russia is not yet at the highest level, and patient care in clinics and hospitals leaves much to be desired. Therefore, many Russians are willing to pay quite a high price for quality medical care in other private medical institutions.

Today, opening a private medical center is a promising and profitable business in the field of medical services. So, how to open a medical center from scratch?

The main task of such a center will be high quality medical care that matches patient costs.

In order to open a medical center, you will need to weigh all the positive and negative aspects, analyze costs and profits, and, of course, decide on the direction of the center’s activities.

Main stages of opening a medical center:

1. Choosing a direction.
2. Legalization of business.
3. Cost and income analysis.
4. Promotion of the center.

Main types of medical institutions

Medical institutions are divided into several areas:

1. Therapeutic. The contingent of services in therapeutic centers is patients from 15 years of age. The work of such a center is aimed at the preventive and symptomatic treatment of various diseases. This type of institution includes hospitals and clinics.

As a rule, hospitals organize clinics. These medical institutions usually include departments such as internal medicine, gynecology, neurology, surgery and oncology. The presence of a registry and a sanitary inspection station is a prerequisite for organizing such a medical institution.

2. Pediatric. Very similar to therapeutic, except for the age of the patients. This institution serves children from birth to 15 years of age.

3. Preventive. The service is aimed at all age groups without reference to place of residence. Services in all areas are presented here.

4. Special. Patient care is based on alternative medicine. Today there is a large choice in this direction, but first it is advisable to stop at one, and then try to develop in other areas of alternative medicine.

Practice in opening medical centers shows that at the beginning of a business, it is better to open a center with a small number of directions. At the same time, financial expenses will not be as significant as in a multidisciplinary direction.

Today's realities are such that dentistry, urology, gynecology and cosmetology are the best areas.

Medical center business plan

Any entrepreneur knows what is one of the keys to a successful business. It is necessary to understand what expenses will be incurred for the purchase of equipment, rent or purchase of premises, wages, repairs, etc.

Premises for a medical center

The choice of premises significantly influences the successful promotion of a business. When choosing a location for a clinic, preference should be given to central areas, a street with a good flow of people and proximity to stops and metro stations. However, rent in the center will be much more expensive than in the periphery.

The size of the premises depends on the volume of services provided.

So to open a dental office you will need 25–30 sq. m., with 14 sq. m. will occupy an office, 6 sq. m. is a sterilization room, the rest is a place for visitors. The size of the room is regulated by sanitary standards.

There are two options for choosing premises: rent or your own space. The second option is more expensive. Here you may need an amount from ten to hundreds of mils. rub.

The optimal area for a medical center ranges from 150 to 200 square meters. m. The premises must have a bathroom, plumbing and ventilation systems, as well as electricity.

The room must be reception hall, as well as free access to all offices.

Guideline for monetary costs for choosing premises:

• rented premises – 150 thousand rubles. monthly;
• construction and renovation of a new building – 50 mil. rub.;
• office rent of 30–40 sq. m. per month - from 20,000 rubles;
• repair of 1 m of area - 30,000 rub. and more.

Equipment for the center

One of the most expensive items is the purchase of equipment, since the cost of medical equipment is always very high. For example, an ultrasound diagnostic device will cost 160 thousand dollars, and a device for analyzing tests will cost 10–70 thousand dollars.

And this is natural, since high-quality equipment costs a lot of money, and the patient pays money and expects appropriate high-quality diagnostics.

At first, you can buy good used foreign equipment that will last for many years.

Indicative list of equipment for a medical center:

• analyzer devices;
• scales;
• magnetic hanger;
• thermostat;
• centrifuge;
• water-based bath;
• drying cabinet;
• tile with heating surface;
• shakers;
• microscopes;
• instruments for measuring physical parameters;
• mixing devices;
• muffle furnace, etc.

It is difficult to determine the exact figure for the purchase of equipment, but approximately it is worth starting from the amount of 3-4 million rubles. and higher.

Medical clinic staff

The main criterion when selecting personnel is availability of a specialized diploma and records of medical categories. It is welcome if applicants have experience working abroad and speak a foreign language.

The work experience of qualified personnel must be minimum three years.

For a small center you will need two family doctors and two nurses, an accountant and an administrator. At the same time, the monthly salary for a doctor will be from 40 thousand rubles, and for a nurse – from 15 thousand rubles.

A good doctor and a professional nurse are very highly valued, as people often go to the clinic not because of high-precision expensive equipment, but because of an excellent doctor.

After all, the prestige of a medical center grows not from the availability of equipment, but from the quality work of professional employees. Finding the right team can take time from a couple of weeks to several months.

When selecting staff, it will be necessary to create a suitable work schedule, since the volume of patients varies greatly at different times of the day.

For the center administrator it starts from 15 thousand rubles, - from 30 thousand rubles.

To retain professionals in the clinic, you need to pay a decent salary, because the high qualifications of the employee presuppose appropriate

The amount required for the fund will be from 200 thousand rubles.

Obtaining a license

Opening a medical center will not be possible without obtaining a state license for the type of activity. Obtaining a license requires compliance with certain conditions:

• have a premises that meets sanitary requirements and standards;
• availability of personnel of the appropriate profile;
• purchased necessary medical equipment and certificates for it.

Please note that each medical service requires a separate license and it is valid only for the medical center located at a specific address.

To issue sick leave, you need a separate license or the presence of a specialist with the required certificate on the staff.

State registration of a private medical center

According to its organizational and legal form, a private medical center is related to (limited liability company).

State registration of a private medical center is within the competence of the Federal Tax Inspectorate of the Russian Federation and occurs within 3 to 5 working days.

State registration of a medical center according to registration.

List of documents for state registration

• (submitted to the Federal Tax Service);
• check for
• memorandum of association;
• and a list of company participants;
• minutes from the founding meeting.

To obtain a license, you will need to fill out an application at the licensing authority, which belongs to the health department of the constituent entity of the Russian Federation.

According to data for 2015, obtaining a license to open a medical center cost from 50 thousand rubles.

Medical center services

A medical center may have a wide range of services:

• urology and sexopathology;
• dentistry;
• ophthalmology;
• cosmetology and surgical plastic surgery;
• gynecology;
• different specialized clinics.

Financial investments

To open a medical center with a narrow focus, for example, dental, you will need about 30–50 thousand. e.

This option is suitable for a novice entrepreneur.

Starting small, you can achieve results and discover over time multidisciplinary medical center.

If you decide to open a multifaceted center with a diagnostic department, then the amount of costs will have to be increased to 100 thousand. e. Regarding income, then per month of visits with the calculation of 50 people. per day and cost per visit is 45–50 USD. That is, it can reach up to 60 thousand. e.

Advertising of a medical center

• development of a unique corporate identity for the future medical center;
• thoughtful advertising concept;
• creation and launch of broadcast of advertising videos;
• creation of a multifunctional high-quality website;
• organization of outdoor advertising and in public transport.

Nuances of the medical business

Opening a medical center comes with some challenges.

Calculation of all costs and projected profits for opening a medical center

1. Expenses:

• building rental per month – starting from 150,000 rubles;
• preparation of documentation for obtaining a license – 50,000 rub. and higher;
• per month - starting With RUB 200,000;
• repair for 1 sq. m. area – starts from 30,000 rub. and depends on the location of the center;
• equipment purchase – starting from 3 mil. R.;
• organizing an advertising campaign – from 700,000 rub.

2. Estimated income – 600 thousand rubles. monthly.

3. Business payback – from one to three years.

How to open a medical center? Watch the following video instructions: