What documents are needed to open a medical center. What furniture and equipment will be needed

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 engaged in opening a clinic. It is not uncommon for medical clinics to also open insurance companies to reduce insurance policy costs.

Before starting the project, you should study the market analysis in your region in order 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 not hurt to conduct a study of the market for paid medical services and the insurance market, since private clinic services are often associated with these areas. It helps a lot to collect information about competitors - their range of services and prices.

It is also necessary to determine the type of services provided:

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

room

The location of the future clinic greatly affects the success of the project. Ideally, the institution should be located on a busy street or near a metro station, preferably in the city center or at the same distance from the sleeping 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 sq. meters with an office of at least 14 sq. meters - these are the requirements of sanitary rules and regulations (SanPin) for one dental unit. It will also be necessary to find a place for a sterilization room (at least 6 square meters) and a hall for visitors with an administrator's desk.

The room must have special ventilation, lighting according to Sanepidnadzor standards, and repair requirements can be found in the document "SanPiN 2.1.3.1375-03 Hygienic requirements for the placement, arrangement, equipment and operation of hospitals, maternity hospitals and other medical hospitals."

Equipment

The most expensive part of investing in a medical clinic is the purchase of equipment. All medical devices and devices are expensive - the same apparatus for ultrasound diagnostics costs at least 160,000 USD, and equipment for analysis - 10-70 thousand USD. Now customers 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 for a long time and reliably.

Permits and licenses

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

If you plan to issue sick leave, then you 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 plus for candidates will be internships abroad, work experience abroad and knowledge. Work experience is also required - usually in such institutions they take 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.

Finding good specialists is not easy, so many poach 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 finding staff.

Attachments

Experts estimate the minimum investment in the opening of 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.

Aspiring entrepreneurs often start this way - with the opening of a small private clinic with used equipment. On 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 referrals 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 fully loaded (about 50 visits per day), and at prices of 45-50 USD. for one visit to the doctor can receive about 60 thousand USD.

Initial Costs

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

1. The rent of the premises and, if necessary, repairs in it - from 3000 USD.
2. Equipment (for one type of activity) - from 15,000 USD
3. Medical instruments and consumables - from 2000 c.u.
4. Licensing costs for one type of activity - from 200 c.u.
5. Total: from 20200 c.u.

• Dental Services
• Services in the field of gynecology
• Services in the field of urology
• Services of a sexologist
• 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, I graduated from the Moscow University of Medicine and Dentistry and residency at the military hospital. Vishnevsky. I just came to private medicine. In 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 catastrophically no time. Helping them find the right doctor, I realized that even after leaving the state structure, I would be provided with a clientele.

I am still invited to assist, but I dismissed 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 going to create their own medical business study at the Department of Health Organization at some university. Personally, I have no regrets.

After completing my residency, I decided to understand the business from the inside and found a job as an assistant director of a private clinic. I brought trusted doctors with me, we organized several free health days. In the first three months, the flow of customers 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 leader than as a doctor. You give a task, and everyone works. But in order for the system to work, you need to constantly control everything, to delve into the process yourself.

1. About three years ago, I accidentally got to a marketing conference with a friend. For the first time I heard about the formation of demand, customer confidence, planning, marketing. I started going to training. For the clinic to be successful, it is necessary to constantly introduce new positions, monitor new equipment, methods, 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 at least seven - a gynecologist, urologist, cardiologist, therapist, neuropathologist, ENT, ophthalmologist and surgeon.

2. If you are young, it will not be easy to put yourself in work 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. It takes a lot of tact.

3. I developed an approach in determining the right doctor for the clinic - everyone should have something of their own. For example, our cosmetologist has his own apparatus for skin treatment, and the 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, I am ready to answer all e-mails. But if a person did 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 right away, but often we use leasing. A lot of problems are delivered by the supply of equipment. 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 have been waiting for an X-ray machine from Denmark for half a year. Installation is also not a quick matter: in order to bring the tomograph into the building, we had to dig a foundation pit and break through the wall of the clinic.

5. Not only good doctors are needed. In the beginning, we did not have a full-time technician. We come to work, and our ultrasound scanner is broken. The service center will fix it in a few days. I realized that you need to understand very well how each device is used, how to approach it. If you are not opening one clinic, but are 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 is right for you, and debugging takes from three months to six months. As a result, we delivered the program, spent a year on mastering it, and realized that it did not suit us. I had to change.

7. A separate topic is customer acquisition. I myself have long thought that in private medicine, many are engaged in pumping 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 is more difficult. According to the results of the first month after the start of the sale of coupons, we were in the red. But they immediately decided not to refuse, and it turned out that after three or four months the same patients come again.

In general, I realized that the process of organizing and healing are very different things. It happens that even now I accept patients. Sometimes I conduct difficult cases, we collect consultations. For many friends, I myself write down the diagnosis and treatment, and send them for consultations. But at the moment I'm more of a manager than a practicing doctor.

Recorded by Anastasia Zhokhova

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.

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, personnel 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.

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.

How to open a medical center, where to start and how to properly build its work - let's try to understand this material.

The quality of medical services within the framework of budget financing is far from satisfactory for everyone, so many seek medical help in paid clinics. Thus, in 2015, according to a survey by the Romir research holding, 38% of respondents among urban residents used commercial services. At the same time, the most popular areas were dentistry, therapy, gynecology, urology, ophthalmology, gastroenterology. The direction of diagnostics (ultrasound, ECG, X-ray, MRI) and laboratory research is gaining momentum.

Given the statistics in your region, you can decide exactly which private clinic to open and predict the demand for its services. This is the starting point for realizing your vision.

What can a private medical center offer?

• Consultations and treatment by narrow specialists;
• Diagnostics;
• Collection of biomaterial and laboratory tests;
• Carrying out operations;
• Perinatal services and obstetrics;
• First aid (injury center);
• stay in a hospital;
• Physiotherapy;
• Massage;
• Calling a doctor at home;
• Ambulance, etc.

When choosing the direction of a new clinic, many focus on a narrow specialization - this 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 versatile services have big profits. Another popular option is a consultation center, where appointments are conducted by sought-after and highly qualified doctors, and there is a minimum set of diagnostic services.

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

What do you need to get started?

To open your clinic, you need to choose the form of activity (IP, 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 at the same time you must have a specialized medical education. There is no such requirement for the founders of an LLC.

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

• have a suitable area and dimensions. The regulations indicate how many squares should fall on a particular room, bed or medical installation, what height of rooms 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.;
• the requirements for the placement of equipment must be observed. For example, an X-ray unit cannot be used in residential buildings, but only in an extension to them or in a basement with a separate entrance;
• the requirements for finishing the premises, lighting, microclimate, sewerage, water supply, etc. must be met.

For more information on how to open a medical center in compliance with the rules, you can learn from 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 initial stage (along with investments in the building). The choice of equipment depends on the specialization of your clinic. But even here you can optimize costs. For example, if you plan to offer laboratory research, this does not mean that you should have your own laboratory. You can enter into partnership agreements with specialized and already equipped laboratories and only take biomaterial sampling on the territory of the clinic.

It is impossible to open a medical center from scratch without experienced and qualified personnel. Firstly, this is required by the licensing conditions, and secondly, customers will not go to dubious specialists who do not inspire confidence. It is advisable to involve 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. These documents are issued 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 gone through these procedures, to obtain a license, you need to provide a package of documents:

• Copies of constituent documents certified by a notary;
• Copies of the lease or acquisition agreement for the premises;
• Copies of documents for equipment and employees (certificates for equipment, diplomas, labor 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 time. Many medical business owners claim that it took them at least a year to obtain all the permits and licenses to open a private clinic.

How to organize an effective work of the clinic?

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

Specialized software makes it possible to establish effective interaction between all structural divisions, fully control the business and actively work with clients. The company "First BIT" is actively developing the direction for the integrated 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:

• Registrar/administrator

  Quick appointment appointment in accordance with the work schedule of doctors. If you have a network of branches, registration is carried out in any of them. All information about the services, their cost and time of appointments is always in front of the administrator's eyes, so he quickly orients himself and gives the client the necessary information. Also, the registrar fills out a personal medical card in electronic form, a standard contract for the provision of services according to a given model, and makes settlements with clients.

• medical appointment

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

• Warehouse accounting

  Automation of warehouse accounting simplifies the control of medicines and consumables. You always know how much has been spent, for what services, what is the balance and when the expiration dates for drugs expire. You can set spending rates for each service. Automated accounting simplifies inventory and allows you to plan purchases.

• Financial Accounting

  Programs for automating medicine allow you to control and analyze the financial performance of your center. It reflects income and expenses, the movement of money in 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

  In order to increase customer loyalty, medical centers develop a club system, hold promotions, offer favorable conditions for comprehensive care or return visits, etc. With the help of medical automation solutions, these programs are conveniently formed and taken into account. In addition, it is possible to set up newsletters and alerts to e-mail or mobile phone according to the 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 exactly your tasks and the characteristics of your institution. This offer is also 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 for several workplaces will suit you. There are also standard and design options.

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

Automation of work will be the starting point in the development of your medical center, in building efficient 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 a rather high price for quality medical care in other private medical institutions.

Today, the opening of 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 meets the costs of patients.

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

The main stages of opening a medical center:

1. Choice of direction.
2. Legalization of business.
3. Analysis of costs and income.
4. Center expansion.

The main types of medical institutions

Medical institutions are divided into several areas:

1. Therapeutic. The contingent of service in therapeutic centers is patients from 15 years old. The work of such a center is aimed at the preventive and symptomatic treatment of various diseases. These types of institutions are hospitals and clinics.

As a rule, polyclinics are organized at hospitals. These medical institutions usually include departments such as internal medicine, gynecology, neurology, surgery and oncology. The presence of a registry and a sanitary inspection room is a prerequisite for the organization of 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 the place of residence. Here are services in all directions.

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

The practice of opening medical centers shows that at the beginning of a business, it is better to open a center with a small number of referrals. At the same time, financial costs will not be as significant as in a multi-profile 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 are the costs for the purchase of equipment, rent or purchase of premises, payroll, repairs, etc.

Medical center space

The choice of premises significantly affects 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 bus stops and metro stations. However, rent in the center will be much more expensive than in the periphery.

The size of the room depends on the scope of services provided..

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

There are two options for choosing premises: rent or own space. The second option is more costly. 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 room must have a bathroom, a plumbing and ventilation system, as well as electricity.

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

Guideline for monetary costs for choosing a room:

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

Center equipment

One of the most expensive items in terms of costs is the purchase of equipment, since the cost of medical equipment is always very high. For example, an ultrasound device for diagnostics will cost 160 thousand dollars, and a device for examining analyzes - 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 the medical center:

• instrument-analyzers;
• scales;
• magnetic hanger;
• thermostat;
• centrifuge;
• bath on a water basis;
• drying cabinet;
• tiles with a 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 it is tentatively worth starting from the amount of 3-4 million rubles. and higher.

Medical clinic staff

The main criterion for the selection of personnel is the presence of a profile diploma and a record of medical categories. It is welcomed if applicants have experience of working abroad and knowledge of a foreign language.

The length of service of qualified personnel should be at least three years.

A small center 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 highly valued as often people go to the clinic not because of high-precision expensive equipment, but because of an excellent doctor.

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

When choosing staff, it will be necessary to draw up a suitable work schedule, since the influx of patients is very different at different times of the day.

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

To keep professionals in the clinic, you need to pay a decent salary, because the high qualification of an employee implies relevant

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

Obtaining a license

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

• have a room 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 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 in the staffing table.

State registration of a private medical center

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

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

State registration of the medical center according to the registration.

List of documents for state registration

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

To obtain a license, it will be necessary to fill out an application at the licensing authority, which refers to the health department of the subject of the Russian Federation.

According to data for 2015, the amount of 50 thousand rubles was spent on obtaining a license to open a medical center.

Medical center services

The medical center can have a wide range of services:

• urology and sexopathology;
• dentistry;
• ophthalmology;
• cosmetology and surgical plastics;
• gynecology;
• various specialized clinics.

Financial investments

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

This option is suitable for a beginner entrepreneur.

Starting small can achieve results and open up 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 USD. e. Regarding income, then for a month of visits with the calculation of 50 people. per day and cost per visit 45–50 USD. e., it can reach up to 60 thousand. e.

Medical center advertisement

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

The 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. Costs:

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

2. Estimated income - 600 thousand rubles monthly.

3. Payback of business - from one to three years.

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