business plan for medical services

Medical Clinic Business Plan Template & PDF Example

• July 22, 2024
• Business Plan

Creating a comprehensive business plan is crucial for launching and running a successful medical clinic. This plan serves as your roadmap, detailing your vision, operational strategies, and financial plan. It helps establish your medical clinic’s identity, navigate the competitive market, and secure funding for growth.

This article not only breaks down the critical components of a medical clinic business plan but also provides an example of a business plan to help you craft your own.

Whether you’re an experienced entrepreneur or new to the healthcare industry, this guide, complete with a business plan example, lays the groundwork for turning your medical clinic concept into reality. Let’s dive in!

Our medical clinic business plan is carefully designed to cover all the important parts needed for a good strategy. It explains how the clinic will run, how we’ll take care of patients, how we’ll tell people about our services, what the healthcare situation is like, who our competitors are, who’s in charge, and how much money we expect to make.

• Executive Summary : Provides an overview of the Medical Clinic’s business concept, healthcare market analysis , management structure, and financial strategy.
• Facility & Location: Describes the clinic’s physical setup, including its architectural design, medical equipment, patient amenities, and the strategic choice of its location to maximize accessibility for its target patient base.
• Treatments & Pricing: Enumerates the healthcare services the clinic will provide, from general medical consultations to specialized treatments, alongside a transparent pricing model .
• Key Stats: Shares industry size , growth trends, and relevant statistics for the healthcare market.
• Key Trends : Highlights recent trends affecting the healthcare sector, such as technological advancements, patient care innovations, and regulatory changes.
• Key Competitors : Analyzes the main competitors in the vicinity and differentiates the clinic based on services, patient care quality, and operational efficiency.
• SWOT : Strengths, weaknesses, opportunities, and threats analysis tailored to the healthcare context.
• Marketing Plan : Strategies for attracting and retaining patients, including digital marketing, community health programs, and patient service excellence.
• Timeline : Key milestones and objectives from the clinic’s establishment through the first year of operation, including licensing, staff recruitment, and service launch.
• Management: Information on the healthcare professionals managing the medical clinic and their roles, emphasizing their medical expertise and healthcare management experience.
• Financial Plan: Projects the clinic’s 5-year financial performance, including revenue from medical services, operational costs, profits, and expected expenses, ensuring a sustainable and profitable healthcare service model.

Medical Clinic Business Plan

Fully editable 30+ slides Powerpoint presentation business plan template.

Download an expert-built 30+ slides Powerpoint business plan template

Executive Summary

The Executive Summary introduces our medical clinic’s business plan, offering a concise overview of the clinic and its healthcare services. It details our market positioning, the comprehensive medical services we provide, its location, size, and an outline of our day-to-day operations. 

This section will also delve into how our clinic will integrate into the local healthcare market, including an assessment of the direct competitors in the area, identifying who they are, and highlighting our clinic’s unique selling points that set us apart. 

Additionally, it includes information about our management and co-founding team, outlining their roles and contributions to the clinic’s success. A summary of our financial projections, including expected revenue and profits over the next five years, will also be presented to offer a clear view of our clinic’s financial outlook.

Medical Clinic Business Plan Executive Summary Example

Business Overview

In the  business overview , you should clearly define your gym’s characteristics. This includes its name, location, facility details, membership plans, and the variety of classes offered. This part of the summary is critical for showcasing what makes your gym stand out in a competitive fitness industry.

Example: For instance, “FitFusion Gym,” situated in the city center, offers a 15,000 sq. ft. space with an open-plan design and state-of-the-art equipment. Its unique selling points include a comprehensive range of fitness classes, from HIIT to Yoga, and premium amenities like a wellness center. These features position FitFusion as a versatile and appealing fitness destination.

Market Overview

In this section, you should analyze the gym market, including its size, growth trends, and  key competitors . This gives context to where your gym fits within the industry and highlights how it can capitalize on current fitness trends.

Example: FitFusion Gym enters a robust U.S. market valued at $30.8 billion. It sets itself apart from the five main competitors in its vicinity by offering a blend of holistic wellness and cutting-edge fitness technology, tapping into the growing demand for integrated health and fitness experiences.

Management Team

Detailing the experience and roles of your management team is vital. This section should highlight their qualifications in gym and wellness management, underscoring their ability to drive the gym’s success.

Example: The CEO of FitFusion brings extensive experience in fitness management, guiding the gym’s strategic direction and operations. The CFO & Marketing Director, with a strong background in finance and marketing, plays a crucial role in managing the gym’s finances and developing effective  marketing strategies  to enhance customer engagement and retention.

Financial Plan

A clear presentation of financial goals and projections is key in this section. It should include targets for revenue and profit margins, offering insight into the gym’s financial health and growth prospects.

Example: With a target of $2.0 million in yearly revenue and a 22% profit margin by 2027, FitFusion Gym is positioned for significant growth. Its financial strategy is supported by an ambitious marketing approach and a focus on delivering exceptional customer experiences, aligning the gym for success in the competitive fitness market.

For a medical clinic, the Business Overview section can be concisely structured into 2 main components:

Facility & Location

Briefly describe the clinic’s facilities, highlighting the state-of-the-art medical equipment, patient-centric design, and a welcoming atmosphere that ensures comfort and privacy.

Mention the clinic’s strategic location, emphasizing its accessibility and conveniences such as proximity to main transit routes and ample parking. Explain how this location was selected to serve the clinic’s target patient demographics effectively.

Treatments & Pricing

Detail the comprehensive range of medical services provided, from routine health check-ups to specialized treatments in areas like cardiology, pediatrics, or orthopedics.

Describe your pricing model, ensuring it mirrors the high standard of care offered and is competitive within the healthcare market. Highlight any health plans, membership options, or loyalty programs designed to offer added value to patients, fostering long-term relationships and patient loyalty.

Industry size & growth

Start your medical clinic business plan by looking at how big the healthcare world is, especially for the services you provide like general health, special treatments (skincare, children’s health), or quick care. Think about how this area is growing and where you might find new chances to grow.

Key market trends

Then, talk about what’s new in healthcare, like how people want care that’s just for them, using tech to help patients (like video doctor visits or digital health records), and focusing on keeping people healthy before they get sick. Point out that people are looking for services that meet their specific health needs and that there’s a growing interest in clinics that care for the whole person.

Competitive Landscape

A  competitive analysis  is not just a tool for gauging the position of your medical clinic in the market; it’s also a fundamental component of your business plan.

This analysis helps in identifying your medical clinic’s unique selling points, essential for differentiating your business in a  competitive  market.

In addition, competitive analysis is integral in laying a solid foundation for your business plan. By examining various operational aspects of your competitors, you gain valuable information that ensures your business plan is robust, informed, and tailored to succeed in the current market environment.

Identifying Competitors in the Healthcare Sector

Begin by mapping out direct and indirect competitors in the healthcare industry. Direct competitors might include other medical clinics, specialized treatment centers, or hospitals offering similar services within your local area. 

Additionally, consider indirect competitors such as urgent care facilities, telemedicine services, or alternative medicine practitioners that might attract your target patients.

Utilize online tools and directories, such as Google Maps and healthcare-specific platforms like Healthgrades or Zocdoc, to gain insights into the distribution and offerings of competitors.

Patient reviews and ratings on these platforms offer valuable information about competitors’  strengths and weaknesses . For instance, glowing reviews highlighting short waiting times and personalized care at a rival clinic indicate a competitive advantage worth noting.

Medical Clinic’s Competitors’ Strategies

Analyzing competitors’ strategies involves evaluating several facets:

• Services Offered:  Assess the range of medical services and specialties offered by competitors. For instance, if a neighboring clinic specializes in integrative medicine or offers holistic approaches, it may attract a different patient demographic than a clinic focusing solely on traditional treatments.
• Treatment Approaches:  Consider the medical philosophies and approaches adopted by rival clinics. A clinic known for evidence-based treatments may appeal to a different patient base than one embracing alternative therapies or holistic healing methods.
• Pricing and Payment Models:  Compare pricing structures and payment models offered by competitors. Determine if your clinic’s pricing aligns with those of budget-friendly clinics or premium healthcare service providers in your area.
• Marketing and Patient Outreach:  Analyze competitors’  marketing strategies . Do they heavily invest in digital marketing, have a strong online presence, or engage in community health programs and events?
• Patient Experience:  Evaluate the patient experience at rival clinics. For instance, a competitor might be recognized for its friendly staff, minimal waiting times, or advanced appointment scheduling systems, contributing to an enhanced patient experience.
• Operational Efficiency and Technology Integration:  Observe if competitors leverage technology to streamline patient management and appointment scheduling or offer telemedicine services for remote consultations.

What’s Your Clinic’s Value Proposition?

Reflect on your clinic’s  unique value proposition . This could include specialized treatments, cutting-edge medical technology, a focus on personalized patient care, or convenient access to healthcare services.

Identify gaps in the market through patient feedback and healthcare trends. For example, if there’s an increasing demand for preventive care or a specific medical service in your area that competitors aren’t adequately addressing, this presents an opportunity for your clinic.

Consider your clinic’s location and community demographics. Tailor your services to meet the needs of the local population-urban clinics might emphasize convenience and efficiency, while clinics in residential areas could focus on building stronger patient relationships and community engagement.

First, conduct a SWOT analysis for the medical clinic , identifying Strengths such as a team of expert medical professionals and a comprehensive suite of healthcare services. Weaknesses might include factors like high operational costs and the complexity of insurance processes. Opportunities can arise from the growing emphasis on health and wellness and the potential for telemedicine services. Threats could stem from increased competition and the impact of economic downturns on discretionary healthcare spending.

Marketing Plan

Next, develop a marketing strategy aimed at attracting and retaining patients. This strategy should focus on targeted advertising to reach specific demographics, offering promotional incentives for referrals, maintaining an active and engaging presence on social media, and fostering community ties through health education and events.

Marketing Channels

Deploy a diverse array of marketing channels to effectively reach potential patients and cultivate lasting relationships.

Digital Marketing

• Website and SEO:  Develop a comprehensive website housing detailed information about your services, healthcare professionals, patient testimonials, and educational resources. Optimize it for local SEO to enhance visibility and attract local patient traffic.
• Social Media:  Utilize various social media platforms – LinkedIn for professional networking and educational content, Facebook for community engagement and healthcare updates, and Instagram for visual storytelling and patient education.
• Content Marketing:  Regularly publish informative blog posts, articles, and videos addressing prevalent health concerns, treatment options, preventive care measures, and breakthroughs in the medical field. This content serves to establish your clinic’s expertise and attract patients seeking credible information.

Local Advertising

• Community Engagement:  Sponsor or participate in local health fairs, wellness events, or educational seminars aimed at fostering health awareness within the community. These events offer a platform to educate the public about prevalent health issues and position your clinic as a reliable source of healthcare information.
• Collaborations:  Forge partnerships with local gyms, wellness centers, corporate offices, or community organizations to offer healthcare screenings, educational workshops, or health campaigns. Collaborative efforts broaden your reach and establish your clinic as an integral part of the community’s well-being.

Promotional Activities

Engage potential patients through compelling offers and initiatives:

• Free Consultations:  Introduce a promotional campaign offering free initial consultations for new patients. This initiative provides an opportunity for patients to experience your clinic’s services and expertise firsthand.
• Referral Programs:  Create a structured referral program incentivizing existing patients to refer others to your clinic. Offer discounts, loyalty points, or small rewards for successful referrals, fostering a sense of community and trust.
• Seasonal Health Campaigns:  Launch health-related campaigns aligned with seasonal health concerns (e.g., flu vaccination drives and summer wellness check-ups) to draw attention to your clinic’s services and encourage visits during these periods.

Sales Channels

Efficient  sales channels  are vital for patient engagement and service delivery optimization.

Appointment Optimization

• Online Booking:  Implement a user-friendly online appointment scheduling system accessible through your website and social media channels. Simplifying the booking process enhances patient convenience and accessibility to your services.
• Telemedicine Services:  Introduce telemedicine services for non-emergency cases, providing patients with remote access to healthcare consultations and follow-ups. Telehealth services cater to the evolving needs of patients seeking convenient healthcare solutions.

Patient Retention Strategies

• Patient Experience Enhancement:  Focus on providing exceptional patient care, personalized attention, and consistent follow-up communication. Creating a positive patient experience fosters patient loyalty and encourages referrals, augmenting your clinic’s reputation.
• Membership Programs:  Develop membership plans offering regular check-ups, discounts on services, or additional perks for loyal patients. Membership programs instill a sense of exclusivity and reward patient loyalty, leading to increased patient retention rates.

Strategy Timeline

Finally, create a detailed timeline that marks essential milestones for the clinic. This includes the initial setup and opening phase, followed by the launch of marketing initiatives, efforts to expand the patient base, and strategies for broader service offerings, all designed to ensure the clinic progresses with a clear and defined purpose.

The management section focuses on the medical clinic’s management and their direct roles in daily operations and strategic direction. This part is crucial for understanding who is responsible for making key decisions and driving the medical clinic toward its financial and operational goals.

For your medical clinic business plan, list the core team members, their specific responsibilities, and how their expertise supports the medical clinic’s mission.

The Financial Plan section is a comprehensive analysis of the medical clinic’s financial strategy, including projections for revenue, expenses, and profitability. It lays out the clinic’s approach to securing funding, managing cash flow, and achieving breakeven.

This section typically includes detailed forecasts for the first 5 years of operation, highlighting expected revenue, operating costs and capital expenditures.

For your medical clinic business plan, provide a snapshot of your financial statement (profit and loss, balance sheet, cash flow statement), as well as your main assumptions (e.g. prices, customers, expenses, etc.).

Make sure to cover here _ Profit and Loss _ Cash Flow Statement _ Balance Sheet _ Use of Funds

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Did you find what you are looking for.

Whether you plan to start a professional medical practice or a veterinary clinic, you need a clear roadmap to drive it to success.

Need help writing a business plan for your healthcare business?

This library of healthcare and medical business plan examples here can inspire and guide you as you begin to plan your business. So, don’t worry; we got you covered on that part.

Let’s learn more about these sample health and medicine business plans, starting with their benefits.

Benefits of using an industry-specific business plan example

Believe it or not, using an industry-specific business plan example is the best and probably the quickest way of writing a business plan.

Doubt it? Hold, this may change your perception; an extended list of the benefits of using an industry-specific business plan template.

• Inspiration : Reading a business-specific template can be incredibly helpful in getting content inspiration. Furthermore, it helps you gain insights into how to present your business idea, products, vision, and mission.
• Risk-free method : You are taking a reference from a real-life, let’s say, health coaching business plan—so you know this plan has worked in the past or uses a method subscribed by experts.
• Deep market understanding : Analyzing and reading such examples can provide clarity and develop a deeper market understanding of complex industry trends and issues you may not know but relate directly to the realities of your business landscape.
• Increased credibility : A business plan developed using an example follows a standard business plan format, wisely presents your business, and provides invaluable insights into your business. There’s no question it establishes you as a credible business owner, demonstrating your deep business and market understanding.
• Realistic financial projections : Financial forecasting being a critical aspect of your plan, this real-life example can help you better understand how they project their financials—ultimately helping you set realistic projections for your business.

These were the benefits; let’s briefly discuss choosing an medical business plan template that best suits your business niche.

Choosing a Medical and Health Care Business Plan

This category itself has 30+ business plan templates for various healthcare businesses. With many similar business types and templates, you may not find the most suitable one through manual scrolling.

Here are the steps to consider while choosing the most suitable business plan template.

Identify your business type

Are you going to be a rehabilitation providing nature therapy? Or a medical lab? Or planning on starting an urgent care center?

Asking yourself these questions will help you identify your business type, which will help in choosing a niche-specific business plan template.

Once you identify your business type, you can choose between templates for different business segments.

Search for the template

We have an in-built search feature, so you can easily search for a business-specific template using your business name as a key term. Once you have the search results, choose the most suitable one. Simple as that.

Review the example

Look closely at the content of the sample business plan you are considering. Analyze its sections and components to identify relevant as well as unnecessary areas.

Since all the Upmetrics templates are tailored to specific business needs, there won’t be many fundamental customizations. However, a hybrid business model targeting multiple customer segments may require adjustments.

For instance, if you plan to start a medical practice that also provides urgent care services—you may need to make necessary adjustments in some of your business plan sections based on your service offerings.

No big deal—you can view and copy sections from other business plan examples or write using AI while customizing a template.

That’s how you find and select the most suitable medical business plan template. Still haven’t found the perfect business plan example? Here’s the next step for you.

Explore 400+ business plan examples

Discover Upmetrics’ library of 400+ business plan examples to help you write your business plan. Upmetrics is a modern and intuitive business plan app that streamlines business planning with its free templates and AI-powered features. So what are you waiting for? Download your example and draft a perfect business plan.

From simple template to full finished business plan

7 steps to writing a business plan for your healthcare business

Creating a strong business plan is the key to a successful private healthcare business.

When it comes to building your private healthcare business, writing a strong business plan and implementing it properly is perhaps the most effective strategy to propel your business to success. Whether you are just starting out, or are already an established healthcare practice, it is never too late to write your business plan and put it in place.

We’ve put together seven steps to help you write a healthcare business plan and then implement it. You can also find a sample private practice business plan PDF here to get you started!

Download our free Business Plan template here!

1. Identify your end goal

Perhaps the most important step of writing a business plan is identifying what it is you are trying to achieve. Identifying clear business goals will enable you to build a step-by-step plan to ultimately achieve these aims. 

Dr Gero Baiarda, Clinical Director at GPDQ, states the importance of knowing your practice’s aims in our ‘Launching a Private Practice’ ebook. He states that identifying your purpose, vision, and mission, will help keep you consistent and accountable to your goals. Knowing exactly what you are seeking to achieve in your business will mean that your business plan is tailored to achieving that goal at every step.

2. Get to know your business in numbers

To write a business plan that will enable you to reach your goals, you need to understand how your business is currently performing . Obtaining a complete and in-depth overview of the health of your business will help you to make concrete and achievable goals based on accurate data. 

Tracking data is also essential as you progress further with your business. You can’t make a successful business plan without knowing your business inside and out, and you won’t be able to understand how you are performing against your business plan without measuring data as you go.

Make sure you have access to business management tools that allow you to track the key data, such as revenue, patient numbers, cash flow, and other financial and patient demographics which will be useful for your growth goals.

Find out more about Semble’s business management tools here.

3. Break it into smaller steps

With a business goal in mind, the best way to create a business plan is to break it down into smaller, achievable steps. By doing this you will be able to map out a clear trajectory for your business over the next months or years and it will be easier to track your progress against your aims and expectations. 

Work backwards from the end goal to create smaller steps, each with a clear, quantifiable goal, such as reaching a revenue goal in a certain month or number of patients reached. If you work well with visuals, experiment with creating a visual diagram or board that you can keep close at hand to check and measure up against as you grow your healthcare business.

4. Identify key successes and failures

A business plan is about improving and growing your business, and to do this it is important to understand your strengths and weaknesses. Consider what has worked well for your business and what has not. 

For example, how is your staff management? Does your team work well together, understand their individual roles, and achieve tasks efficiently ? 

By identifying main strengths, you can work them into your plan to help you improve business performance. Identifying any weaknesses will enable you to know areas that need some attention and a greater input of time and resources to help you build an all-around stronger business. 

5. Get to know your target market

An understanding of your patient’s needs is essential to performing well in the market. Your patient population will depend to an extent on the healthcare services you are offering, but conducting key market research into the specific needs of your patients will help you to create a unique and tailored service that will perform better in the market.

Oliver Capel, Managing Director at Medico Digital, explains that market research and patient demographics such as age, gender, religion, income level, and more, can help you to cultivate a more targeted and effective marketing strategy because it provides insight into what sort of marketing materials will be best received by patients. For example, a young mother will respond differently to marketing than a 60-year old male retiree.

Explore how to use patient market research to improve your business performance in Chapter 2 of the ‘Launching a Private Practice’ ebook . 

6. Schedule regular time for business management

You can’t expect to see results in business growth if you don’t invest the time and energy into nurturing it. Whether that be investing in your own development with business management learning time, or setting aside a weekly hour for growth strategy and progress reviewing, it is essential that you carve out time to work on your business.

There are many online courses, books, and guides for basic business management which could help you learn invaluable skills for managing and growing your healthcare business.  Start by identifying areas where you have less knowledge and schedule in an hour a week for learning, planning, and strategy. 

Even as little as one hour a week will have a profound effect on your business skills and management, and the results will soon be evident!

7. Get your team on board

There is little point in setting goals if your team is unaware of what they are. Sharing business goals with your team and employees means that everyone can do their part to reach certain milestones and improve the business. It also helps to create a stronger network that you can rely on to carry out delegated tasks and ease the burden of both business management and the day-to-day running of your private healthcare practice.

Whether it be improving customer service with better bedside manner, or making changes to workflows to improve efficiency, making your team aware of the end goal will help them understand why change is needed and thus more likely to get on board.

Get started writing your business plan with this free private healthcare practice business plan PDF!

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How to Write a Business Plan for Medical Practice

Last updated: 04 / 08 / 22

You learn a lot in medical school, but business planning isn’t a focus. However, many health care practitioners go on to run their own businesses where developing a business plan becomes essential.

If you’re planning to start your own practice, or you’re taking over someone else’s medical business and want to run it effectively, it’s a good idea to spend some time working out the details and putting together a formalised plan first. You may also want to get professional advice on your business planning, and any other aspects of running your medical practice you’re not sure about. In the meantime here are a few business planning basics to get you started.

Why have a business plan for your medical practice?

While it can be tempting to just dive right in and start setting up your new medical practice, a business plan can help you get prepared and make sure you stay on the right track as your practice grows.

A solid business plan is the foundation of any successful medical practice. With a business plan you can identify potential issues upfront and devise a strategy to avoid them. You can also set realistic goals for your business to help you keep moving in the right direction. If you’re looking for funding at any stage, you’ll also need to have a business plan. Most medical practices will struggle to get a business loan without a solid business plan in place.

What to include in your medical practice business plan

Your business plan should include the following:

• A summary of your business, including the medical services you provide, your location, and the history of the business.
• Financial information including projected cash flow, outgoings like medical equipment, marketing and practice management software costs and projected turnover.
• Operational factors like trading hours, fees, staffing and potential suppliers
• Risk identification and management – details of how you will manage the biggest potential risks, e.g. malpractice insurance, other insurances, data security and your credentialing process.
• Marketing – how you will get new patients and retain the existing ones.

As well as all the information about your medical practice and strategy, it’s also important to set goals and targets for your new venture. These should be in your business plan so you can keep track of them and make sure you’re working towards them consistently.

Making sure you have a solid business plan

So how do you make sure your medical practice business plan is solid? It’s very easy to have your plan in your head, but if you don’t get it out, it’s going to be hard for anyone else, especially the other providers and support staff in your practice to implement it. So the first step is to put it down on paper, or in a word document.

Once you’ve got a detailed plan on paper, don’t just put it in a drawer and leave it. Business planning should be a regular task for you and your business partners. Once you have your business plan in place, make sure you review it at least once a year, preferably more and update it as your business priorities change.

Writing a business plan for your medical practice might seem like a time consuming task, but it’s well worth the effort. With a strong business plan, you can grow your practice, achieve your goals and avoid many of the pitfalls that can trip up practice owners who haven’t taken the time to plan ahead.

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How to create a business plan for a medical practice

Starting a medical practice is no small feat. You may consider it lucrative and the right step for your career but have you considered all that it takes to start and run a medical practice? This is what a business plan is for. 

A business plan is a strategic planning document that lays out in detail the objectives and goals of a company and also how the company plans to achieve its goals. A business plan can be considered a road map for any business that details a business’ profile, products and services, marketing, financials, operations and organizational structure.

Developing a business plan requires strategic planning to identify the mission and vision, target audience, operations and financials of your medical practice. This is a crucial step when starting your medical practice. In this article we will share about how to write a business plan for a new medical practice.

Why you need a business plan for a medical practice

Just like any other business, a business plan is very important before starting a medical practice. In a recent Sermo poll, 52% of respondents indicated it is important to get a business plan for your medical practice and we will share reasons why. 

• A business plan helps to define the core essence of your medical practice. With a medical practice business plan, you can properly define your practice’s vision, mission, goals and target audience.
• With a medical practice business plan, one can properly estimate the financial cost of starting up as well make financial projections for a time period. 
• A medical business plan can help define marketing for your practice and set SMART marketing goals.
• A medical business plan helps to strategically identify and define all the stakeholders relevant to your practice and their role in the success of your practice. 
• A SWOT analysis is a core part of any business plan. This will help the medical practice understand its strengths, its competitors, opportunities and the environment where it plans to operate in. 

Types of business plans for a medical practice

There are different types of business plans for different business types. For a medical practice, these two types of business plans are most common: traditional business plan and lean business plan. 

A traditional business plan is a more robust type of business plan that covers a wide range of topics regarding business planning. A traditional business plan usually covers areas such as products and services, financing, marketing and organizational structure. It is often used as a guide for business operations and an effective tool for communicating the medical office business plan to investors and business partners. 

A lean business plan on the other hand is a more succinct version of a traditional business plan. A lean plan is faster and easier to write. It focuses mainly on strategy, financials, important dates, milestones and activities. Think of a lean business plan as being more straight to the point. Some people use this business plan when trying to grow their business and achieve certain goals at specific timelines. 

How to create a medical practice business plan

There are different medical practice business plan templates but most cover four major key areas which are company profile, sales and marketing, operations and financials. 

Let’s take a look at what an ideal business plan template for medical practice should look like. 

1. Executive Summary 

The executive summary is usually the first section in a business plan. It should briefly describe the medical practice, products and service offerings, target audience, the organizational structure and financials. 

Executive summaries should be kept short and are usually no longer than a page. However, it should have as much important information as possible. The executive summary is usually the page of interest when your business plan is being reviewed by investors and business partners. 

2. Company description 

This section of the business plan allows you to define your medical practice in full detail. It should include the practice’s vision and mission statements, its goals and objectives and products and offerings. 

This section should detail the type of medical services your medical practice will be offering. If there are other medical experts who will be supporting your offerings, this is a good section to define that. This section should also describe your target patients. 

 By creating an ideal patient profile, medical practices can better describe their target patients. The ideal patient profile should describe patients best suited for the types of services you offer and who can afford to pay for your services. 

3. Market Analysis

Your medical practice is most likely not the only medical practice in your location and there may be alternative options where your patients may go for treatment or medical services. The market analysis section in a medical business plan should describe the current market for your services and present competitors. 

The market analysis section may require conducting a market research to understand the patient demographic and your competitors. 

4. Marketing and Sales

The importance of marketing in a business cannot be overemphasized. In a Sermo poll, 64% of physicians indicated attracting and retaining patients as the biggest factor in the success of a new practice. The marketing and sales section of a medical business plan should describe how the medical practice intends to attract and retain its target patients. It should describe the marketing plan, marketing activities and the marketing goals of the medical practice. 

When describing this section, keep in mind the 7Ps of marketing. This includes the product, people, price, promotion, place, packaging and positioning. Each of these must be considered when developing a successful marketing strategy. 

The marketing and sales section is also a good place to include a SWOT analysis. A SWOT analysis is a critical analysis of the Strength, Weakness, Opportunities and Threats of the medical practice. 

5. Operations

The Operations section is a very important part of the business plan. It describes how the medical practice will work. Things to cover include, working hours, staff strength, location, technology, outsourcing and logistics. 

The operations of a medical practice is very sensitive and it would help if a lot of things are defined before starting the business. For instance, the location and layout of your medical practice should be well captured and defined in the medical business plan. You should also consider outsourcing. Are you handling medical billing in-house or will it be outsourced? Will you be handling recruitment or it will be outsourced to a staffing agency? 

Also supplies and logistics of medical materials should be considered and defined. If your medical practice will have a pharmacy, how will the drugs be sourced? These are some of the important questions that should be answered in this section. 

6. Milestones and Timelines

This section involves setting and defining achievable milestones and corresponding deadlines. This way it is clear what needs to be done and by when it needs to be completed. 

For setting up a medical practice, milestones can include major events like renting a place, purchase of medical equipment, recruitment of staff and set up of medical devices. 

7. Organizational structure

A business plan is not complete without defining the organizational structure and/or team that will carry out business operations. In this section, define the management team and their required qualifications. It is also important to define roles of the management team and projected salaries. 

At this point, one can also add in the hiring plan for other members of the organization. Define the other roles, how they will be recruited, skill set of interest and how much they will earn.

8. Financial plan

A solid financial plan must be included in every business plan. For a start up medical practice, the financial plan should include start up costs. The financial plan should also include a cash flow forecast that shows projections of cash inflow and outflow over a time period. This is usually broken down on a monthly basis. 

A good financial plan should tell a story of how the business will grow income-wise. If your medical practice has already been established, other financial statements like income statements, balance sheets and cash flow statements will help give a better picture of the financial stability of your medical practice. 

9. Appendix

This is a section reserved for miscellaneous topics. Other supporting documents such as pictures, charts, reference letters that may be of interest can be added in this section.

Building a successful medical practice starts with writing a good medical business plan. Start by strategically thinking about your medical practice. Using the guide above of a private practice business plan template, you can think through all the important aspects of starting your medical practice and write an effective business plan that will help the process. 

Don’t do it alone, get help from other physicians

For more useful tips that will help you start up your medical practice, sign up on Sermo today. Engaging with more than 1 million physicians across 90 specialties and 150 countries, Sermo offers a unique physician-first online community that allows clinicians to communicate about issues that are important to them and their patients.

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Here is a free business plan sample for a medical clinic.

If you're passionate about healthcare and envision opening your own medical clinic but are unsure of the first steps, you've come to the right place.

In the content that follows, we will guide you through a comprehensive business plan tailored for a medical clinic.

As you may already be aware, a meticulously developed business plan is crucial for any aspiring entrepreneur. It serves as a roadmap, outlining your vision, objectives, and strategies for your healthcare venture.

To streamline the creation of a robust plan, you can utilize our medical clinic business plan template. Our team of experts is also on standby to provide a complimentary review and refinement of your plan.

How to draft a great business plan for your medical clinic?

A good business plan for a medical clinic must be tailored to the unique aspects of healthcare services.

To start, a comprehensive market overview is crucial. This should include current healthcare statistics and emerging trends in the medical industry, as illustrated in our medical clinic business plan template .

Your business plan should articulate your clinic's vision clearly. Define your target market (such as families, elderly patients, or specific communities), and establish your clinic's unique value proposition (like specialized services, extended hours, or innovative care models).

Market analysis is a key component. This requires a thorough understanding of the local healthcare landscape, potential referral sources, competitor services, and patient demographics.

For a medical clinic, it's imperative to outline the range of services you intend to offer. Describe your primary care services, specialty treatments, or ancillary services such as lab work or imaging, and how these will meet the health needs of your patient population.

The operational plan should detail the clinic's location, facility layout, medical equipment needs, supply chain for pharmaceuticals and medical supplies, and patient flow processes.

Quality of care, patient safety, and compliance with healthcare regulations are paramount. Your plan should highlight how you will uphold these standards.

Discuss your marketing and patient acquisition strategies. How will you build a patient base and foster loyalty? Consider outreach efforts, community partnerships, and patient engagement tactics.

Incorporating digital strategies, such as an online appointment system, patient portal, or telemedicine services, is increasingly important in the healthcare sector.

The financial section is critical. It should encompass the startup costs, projected revenue, operating expenses, and the point at which the clinic will become profitable.

Medical clinics often deal with complex billing and insurance reimbursement processes, so a thorough understanding of these financial operations is essential. For assistance, refer to our financial forecast for a medical clinic .

Compared to other businesses, a medical clinic's business plan must address specific healthcare industry challenges such as regulatory compliance, medical malpractice insurance, and the integration of electronic health records.

A well-crafted business plan will not only help you clarify your operational and financial strategies but also attract investors or secure loans.

Lenders and investors are looking for detailed market research, realistic financial projections, and a solid plan for patient care and clinic management.

By presenting a comprehensive and substantiated business plan, you demonstrate your commitment to providing quality healthcare and the viability of your clinic.

To streamline the planning process and ensure you cover all necessary elements, consider using our medical clinic business plan template .

A free example of business plan for a medical clinic

Here, we will provide a concise and illustrative example of a business plan for a specific project.

This example aims to provide an overview of the essential components of a business plan. It is important to note that this version is only a summary. As it stands, this business plan is not sufficiently developed to support a profitability strategy or convince a bank to provide financing.

To be effective, the business plan should be significantly more detailed, including up-to-date market data, more persuasive arguments, a thorough market study, a three-year action plan, as well as detailed financial tables such as a projected income statement, projected balance sheet, cash flow budget, and break-even analysis.

All these elements have been thoroughly included by our experts in the business plan template they have designed for a medical clinic .

Here, we will follow the same structure as in our business plan template.

Market Opportunity

Market data and figures.

The healthcare industry, particularly the medical clinic sector, is a critical component of the global economy.

Recent estimates value the global healthcare market at several trillion dollars, with a forecast for steady growth driven by an aging population, increasing life expectancy, and a rise in chronic diseases.

In the United States alone, there are over 33,000 primary care clinics, contributing significantly to the nation's healthcare provision and representing a substantial portion of the healthcare system's revenue.

These statistics underscore the vital role medical clinics play in delivering healthcare services and their substantial economic impact.

The healthcare industry is experiencing a transformation, with trends pointing towards more patient-centered and technologically advanced care.

Telemedicine is rapidly expanding, offering patients remote consultations and follow-ups, which is particularly beneficial for those in rural areas or with mobility issues.

Personalized medicine is gaining traction, with treatments and preventive care being tailored to individual genetic profiles.

There is also a growing emphasis on preventive care and wellness programs to reduce the incidence and impact of chronic diseases.

Healthcare providers are increasingly adopting electronic health records (EHRs) and data analytics to improve patient outcomes and operational efficiency.

Moreover, patients are becoming more informed and involved in their healthcare decisions, prompting clinics to focus on patient education and engagement.

These trends indicate a shift towards a more accessible, personalized, and data-driven healthcare system.

Success Factors

The success of a medical clinic hinges on several critical factors.

Quality of care is paramount; clinics that provide excellent medical services with positive patient outcomes will naturally build a strong reputation.

Adoption of cutting-edge medical technology can enhance diagnostic accuracy and treatment effectiveness, setting a clinic apart from competitors.

The location of the clinic is also important, as accessibility can influence a patient's choice of healthcare provider.

Exceptional patient service, including minimal wait times, friendly staff, and a comfortable environment, is essential for patient satisfaction and retention.

Lastly, efficient operations management, adherence to healthcare regulations, and the ability to adapt to the evolving healthcare landscape, such as integrating telehealth services, are crucial for the sustained success of a medical clinic.

The Project

Project presentation.

Our medical clinic project is designed to address the essential healthcare needs of the community by providing comprehensive medical services with a focus on patient-centered care. Strategically located in an area with a growing population or near residential neighborhoods, this clinic will offer a variety of healthcare services, including general practice, preventive care, chronic disease management, and specialized treatments for conditions such as diabetes and hypertension.

The clinic will prioritize accessibility, convenience, and high-quality care, ensuring that patients receive personalized attention and treatment plans tailored to their individual needs.

With a commitment to improving community health outcomes, our medical clinic aims to become a trusted healthcare provider, offering a holistic approach to medicine and fostering long-term relationships with patients.

Value Proposition

The value proposition of our medical clinic project is centered on delivering compassionate, high-quality healthcare services that cater to the diverse needs of the community. Our dedication to patient well-being, combined with the use of modern medical technology and evidence-based practices, ensures an exceptional healthcare experience.

We are committed to creating a welcoming environment where patients feel heard and respected, and we strive to empower them with the knowledge and resources necessary to make informed decisions about their health.

Our clinic aspires to be a cornerstone of the community, providing accessible and reliable medical care that enhances the overall health and quality of life of our patients.

Project Owner

The project owner is a seasoned healthcare professional with a profound commitment to patient care and community wellness.

With a background in healthcare management and a strong track record in establishing successful medical practices, the owner is dedicated to building a medical clinic that stands out for its patient-first philosophy, quality of care, and innovative approach to healthcare delivery.

Driven by a mission to serve and a vision to lead in community health advancement, the owner is determined to offer a range of medical services that not only treat illnesses but also promote healthy living and disease prevention.

With a passion for medicine and a heart for service, the project owner is the visionary leader of this endeavor, aiming to make a positive and lasting impact on the health of the community.

The Market Study

Market segments.

The market segments for this medical clinic are divided into several categories.

First, there are individuals with chronic conditions who require ongoing medical management and monitoring, such as diabetes, hypertension, or heart disease.

Next, there are patients seeking acute care for illnesses, injuries, or other immediate health concerns that do not require emergency room visits.

The market also includes health-conscious individuals looking for preventive care, wellness check-ups, and health screenings to maintain their well-being.

Finally, other healthcare providers such as specialists or hospitals can be a key segment by referring patients who need primary care services or follow-up after specialized treatment.

SWOT Analysis

A SWOT analysis of this medical clinic project reveals several aspects.

Strengths include a team of experienced healthcare professionals, state-of-the-art medical equipment, and a focus on patient-centered care.

Weaknesses could include the initial costs of setting up the clinic with advanced medical technology and the challenge of building a patient base in a competitive healthcare market.

Opportunities lie in the growing demand for accessible primary care services and the potential to partner with local businesses for occupational health services.

Finally, threats could include changes in healthcare regulations, insurance reimbursement challenges, and competition from other clinics and urgent care centers.

Competitor Analysis

Competitor analysis in the healthcare sector reveals a diverse range of providers.

Among direct competitors are other primary care clinics, urgent care centers, and large healthcare systems with outpatient services.

These entities compete to attract patients by offering convenient locations, shorter wait times, and a broad range of services.

Potential competitive advantages include personalized care, flexible scheduling, comprehensive services under one roof, and a strong reputation in the community.

A thorough understanding of competitors' strengths and weaknesses is essential for developing effective patient acquisition and retention strategies.

Competitive Advantages

Our medical clinic's commitment to patient health and satisfaction is at the core of our competitive advantage.

We offer a comprehensive range of medical services, from preventive care and wellness check-ups to chronic disease management and acute illness treatment, all delivered with compassion and professionalism.

Furthermore, our clinic's emphasis on patient education and empowerment helps to foster a proactive approach to health, which is highly valued by our patients.

We take pride in our efficient use of technology for patient records and communication, which enhances the overall patient experience and streamlines clinic operations.

You can also read our articles about: - how to open a medical clinic: a complete guide - the customer segments of a medical clinic - the competition study for a medical clinic

The Strategy

Development plan.

Our three-year development plan for the medical clinic is designed to establish a strong foundation and expand our healthcare services.

In the first year, we will concentrate on building a robust patient base by providing exceptional care and patient experience. We will also invest in state-of-the-art medical equipment and technology.

The second year will focus on expanding our medical team with specialists and introducing new health services to meet diverse patient needs.

In the third year, we aim to establish partnerships with local businesses and health insurance companies to increase accessibility to our services. Additionally, we will explore telemedicine to extend our reach to patients beyond our immediate geographic area.

Throughout this period, we will prioritize patient safety, quality healthcare, and continuous improvement in our services to adapt to the evolving healthcare landscape.

Business Model Canvas

The Business Model Canvas for our medical clinic targets individuals seeking quality healthcare services, including preventive care, diagnostics, and treatment.

Our value proposition is centered on providing personalized and comprehensive healthcare services with a focus on patient satisfaction and well-being.

We deliver our services through our clinic facilities, complemented by online appointment booking and telemedicine options, utilizing our key resources such as medical professionals, modern equipment, and healthcare technology.

Key activities include patient care, medical procedures, and health education.

Our revenue streams arise from patient fees, insurance billing, and partnerships with healthcare providers, while our costs are associated with medical supplies, staff salaries, and facility maintenance.

Find a complete and editable real Business Model Canvas in our business plan template .

Marketing Strategy

Our marketing strategy is centered on building trust and establishing a reputation for excellence in healthcare.

We plan to educate our target audience about our services and the importance of preventive healthcare through community seminars, health blogs, and patient testimonials.

We will collaborate with local organizations and businesses to offer health screenings and wellness programs.

Additionally, we will leverage social media and professional referrals to increase our visibility and attract new patients while upholding our commitment to healthcare excellence and patient satisfaction.

Risk Policy

The risk policy for our medical clinic is focused on mitigating risks associated with healthcare delivery, patient privacy, and regulatory compliance.

We adhere to strict healthcare regulations and privacy laws, ensuring that patient data is secure and confidential. We implement best practices in patient care and maintain rigorous hygiene and safety protocols.

Regular training for our staff ensures high standards of care, and we manage costs effectively to maintain financial stability.

We also carry comprehensive liability insurance to protect against potential healthcare-related claims. Our priority is to provide safe, high-quality medical services while safeguarding the well-being of our patients and staff.

Why Our Project is Viable

We are committed to launching a medical clinic that addresses the growing demand for accessible and high-quality healthcare services.

With our dedication to patient care, innovative healthcare solutions, and a strategic approach to growth, we are poised for success in the healthcare sector.

We are enthusiastic about making a positive impact on community health and are prepared to adapt to the changing healthcare needs of our patients.

We are optimistic about the future of our medical clinic and its potential to become a leading healthcare provider in our community.

You can also read our articles about: - the Business Model Canvas of a medical clinic - the marketing strategy for a medical clinic

The Financial Plan

Of course, the text presented below is far from sufficient to serve as a solid and credible financial analysis for a bank or potential investor. They expect specific numbers, financial statements, and charts demonstrating the profitability of your project.

All these elements are available in our business plan template for a medical clinic and our financial plan for a medical clinic .

Initial expenses for our medical clinic include the cost of leasing or purchasing a suitable facility, renovating the space to meet healthcare regulations, acquiring medical equipment and technology, procuring necessary medical supplies, hiring qualified medical and administrative staff, and investing in health information systems. Additionally, expenses will cover brand development and targeted marketing strategies to attract patients and establish partnerships with health insurance providers.

Our revenue assumptions are based on a thorough analysis of the local healthcare market, taking into account the population's medical needs, insurance coverage patterns, and the competitive landscape of healthcare providers.

We anticipate a steady increase in patient visits, starting conservatively and growing as our clinic's reputation for quality care and patient satisfaction strengthens.

The projected income statement outlines expected revenues from patient services, consultation fees, and potential ancillary services, balanced against direct costs (medical supplies, staff salaries, utilities) and operating expenses (facility lease, marketing, administrative costs, etc.).

This results in a forecasted net profit that is essential for assessing the long-term viability of our medical clinic.

The projected balance sheet will display assets such as medical equipment, office furniture, and technology systems, along with liabilities including loans and accounts payable.

It will provide a snapshot of the clinic's financial standing at the end of each fiscal period.

Our projected cash flow statement will detail the inflows from patient payments and outflows for expenses, enabling us to predict our financial needs. This is crucial for maintaining a healthy cash balance to support clinic operations.

The projected financing plan will identify the mix of equity, loans, and other financing methods we intend to utilize to fund our startup costs and initial operations.

The working capital requirement for our medical clinic will be carefully managed to ensure we have sufficient funds to cover day-to-day expenses such as staff salaries, medical supply purchases, and other operational costs.

The break-even analysis will calculate the volume of patient services required to cover all operating costs, signaling when the clinic will start generating a profit.

Key performance indicators we will monitor include the average revenue per patient, the patient satisfaction score, the clinic's occupancy rate, and the return on investment to gauge the efficiency of our capital expenditures.

These metrics will assist us in measuring the financial performance and overall success of our medical clinic.

If you want to know more about the financial analysis of this type of activity, please read our article about the financial plan for a medical clinic .

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Sample Medical Practice Business Plan

Writing a business plan is a crucial step in starting a medical practice business. Not only does it provide structure and guidance for the future, but it also helps to create funding opportunities and attract potential investors. For aspiring medical practice business owners, having access to a sample medical practice business plan can be especially helpful in providing direction and gaining insight into how to draft their own medical practice business plan.

Download our Ultimate Medical Practice Business Plan Template

Having a thorough business plan in place is critical for any successful medical practice venture. It will serve as the foundation for your operations, setting out the goals and objectives that will help guide your decisions and actions. A well-written business plan can give you clarity on realistic financial projections and help you secure financing from lenders or investors. A medical practice business plan example can be a great resource to draw upon when creating your own plan, making sure that all the key components are included in your document.

The medical practice business plan sample below will give you an idea of what one should look like. It is not as comprehensive and successful in raising capital for your medical practice as Growthink’s Ultimate Medical Practice Business Plan Template , but it can help you write a medical practice business plan of your own.

Medical Practice Business Plan Example – MediTrust Clinic

Table of contents, executive summary, company overview, industry analysis, customer analysis, competitive analysis, marketing plan, operations plan, management team, financial plan.

MediTrust Clinic, located in the heart of Omaha, Nebraska, is a groundbreaking healthcare facility dedicated to providing comprehensive medical services with a focus on preventive care and wellness. Our mission is to offer accessible, high-quality healthcare services to our community, emphasizing the importance of preventive measures to maintain and improve health. By integrating cutting-edge technology and evidence-based medical practices, we aim to deliver personalized care that meets the unique needs of each patient. As a new entrant in the healthcare industry, we are committed to building a trusted and efficient healthcare environment that supports the well-being of our patients and the community at large.

Our clinic’s success is driven by several key factors that set us apart in the healthcare industry. Firstly, our commitment to incorporating the latest medical technologies and evidence-based practices ensures our patients receive the most advanced care available. Additionally, our focus on preventive healthcare and wellness has positioned us as a leader in promoting health and preventing disease, distinguishing us from traditional healthcare providers. To date, we have accomplished significant milestones, including the development of a comprehensive service offering that meets a wide range of healthcare needs and the establishment of a skilled and dedicated team. These achievements have laid a solid foundation for our future growth and success in the healthcare sector.

The healthcare industry is undergoing significant transformation, driven by technological advancements, changing patient expectations, and evolving healthcare needs. The demand for accessible and high-quality healthcare services is increasing, particularly in urban areas like Omaha, Nebraska, where diverse populations seek comprehensive healthcare solutions. In response to these trends, the industry is witnessing a shift towards preventive care and wellness, with an emphasis on personalized healthcare services. Additionally, the integration of technology in healthcare delivery is becoming increasingly important, offering opportunities for innovation in patient care and operational efficiency. MediTrust Clinic is well-positioned to capitalize on these trends, offering a modern approach to healthcare that addresses the current and future needs of our community.

MediTrust Clinic primarily serves the residents of Omaha, Nebraska, catering to a diverse demographic that includes young professionals, families, and the elderly. Our target customers are individuals seeking not just immediate medical attention but also preventive care and wellness services to maintain and improve their health over time. We recognize the importance of personalized care and the role of technology in enhancing the healthcare experience. Therefore, our services are designed to meet the varied needs of our community, ensuring accessibility, convenience, and high-quality care for everyone.

• Nebraska Medicine Immediate Care Clinic – Midtown: Offers a range of urgent care services with competitive pricing, benefiting from its central location and extended hours.
• South Side Convenient Care: Provides urgent and primary care in a community-focused setting, with transparent pricing appealing to local families.
• Fred & Pamela Buffett Cancer Center: Specializes in oncology, offering advanced cancer treatment and research with a comprehensive approach.

MediTrust Clinic’s competitive advantage lies in our holistic approach to healthcare, focusing on preventive care and wellness, alongside the integration of technology for personalized patient care. This distinguishes us from competitors who may focus on specific healthcare needs or traditional care models.

Our marketing plan emphasizes the unique aspects of our healthcare services, focusing on preventive care, wellness, and the use of cutting-edge technology. We offer a wide range of medical services at competitive pricing, catering to the diverse needs of Omaha’s residents. Our promotions plan includes digital marketing strategies, community engagement initiatives, and partnerships with local organizations. By highlighting our clinic’s distinct approach to healthcare, we aim to attract patients seeking comprehensive, personalized medical services. Our promotional efforts will also emphasize the accessibility and affordability of our services, ensuring that quality healthcare is within reach for our community.

MediTrust Clinic’s operational strategy is meticulously designed to ensure the successful launch and growth of our medical practice in Omaha, NE. Key operational processes include securing a suitable location, obtaining necessary licenses, equipping the clinic with state-of-the-art medical technology, and hiring a qualified team. We have outlined several milestones, such as launching a comprehensive marketing campaign, implementing an Electronic Health Records (EHR) system, and achieving $15,000/month in revenue. These steps are critical for establishing a solid foundation, optimizing clinic efficiency, and ensuring high-quality patient care. Our commitment to continuous improvement and patient satisfaction will guide our operational decisions and adjustments.

Our management team consists of experienced healthcare professionals and business leaders with a shared vision for transforming healthcare delivery. With expertise in medical practice management, healthcare technology, and patient care, our team is uniquely qualified to lead MediTrust Clinic towards achieving its goals. We are united in our commitment to providing exceptional healthcare services and fostering a culture of innovation, excellence, and compassion within our clinic.

Welcome to MediTrust Clinic, a new medical practice dedicated to serving the community in Omaha, NE. As a local medical practice, we’re acutely aware of the lack of high-quality local medical services available in the area. Our mission is to fill this gap by providing top-notch medical care that our community deserves and needs. We’re here to make a difference in the lives of our patients, offering a comprehensive range of medical services tailored to meet their health needs.

At MediTrust Clinic, we offer a wide array of medical services designed to cater to the diverse healthcare needs of our community. Our offerings include Primary Care Services, where we serve as the first point of contact for patients seeking healthcare, addressing a wide range of health issues and ensuring continuous care. We also provide Specialized Medical Services, catering to patients with specific healthcare needs. Our Diagnostic Testing and Imaging services are equipped with state-of-the-art technology to aid in accurate diagnosis. For patients managing chronic diseases, our Chronic Disease Management program offers personalized care plans to help manage their conditions effectively. Furthermore, recognizing the growing need for accessible healthcare, we offer Telehealth and Virtual Consultations, allowing patients to consult with our healthcare professionals from the comfort of their homes.

Based in Omaha, NE, MediTrust Clinic is strategically located to serve the local community effectively. Our presence in Omaha enables us to reach out to and assist a wide range of patients, ensuring they have access to quality medical care close to home.

MediTrust Clinic is uniquely positioned for success for several reasons. Our founder brings invaluable experience from previously running a successful medical practice, ensuring that we’re built on a foundation of proven success. Moreover, our commitment to offering quality primary care and medical services sets us apart from the competition, making us the preferred choice for healthcare in Omaha, NE.

Since our founding on January 6, 2024, as a Sole Proprietorship, we’ve made significant strides in establishing our presence in the healthcare industry. Our accomplishments to date include the creation of our distinctive logo, the development of our unique company name, and securing a prime location for our clinic. These achievements mark the beginning of our journey towards becoming a leading healthcare provider in Omaha, NE.

The Medical Practice industry in the United States is a significant and growing market, with an estimated size of over $200 billion. This industry encompasses a wide range of healthcare providers, including physician offices, outpatient clinics, and urgent care centers, all of which play a crucial role in delivering medical services to patients across the country.

Market research projects a steady growth in the Medical Practice industry in the coming years, with an expected annual growth rate of around 5%. This growth can be attributed to factors such as an aging population, increasing prevalence of chronic diseases, and advances in medical technology, all of which are driving demand for healthcare services and creating opportunities for new providers like MediTrust Clinic.

Recent trends in the Medical Practice industry, such as the shift towards value-based care and the increasing use of telemedicine, are particularly favorable for new entrants like MediTrust Clinic. These trends emphasize the importance of providing high-quality, cost-effective care to patients, which aligns with MediTrust Clinic’s commitment to delivering personalized and accessible healthcare services to the residents of Omaha, NE.

Below is a description of our target customers and their core needs.

Target Customers

MediTrust Clinic will target a diverse range of local residents, encompassing individuals and families seeking primary healthcare services. This broad customer segment is characterized by a need for reliable, accessible healthcare solutions close to home. The clinic will tailor its services to meet the varied healthcare needs of this demographic, ensuring a comprehensive approach to wellness and preventive care.

Additionally, MediTrust Clinic will also focus on serving the elderly population within the community. This segment is in need of specialized care and frequent medical attention. By offering geriatric care and chronic disease management, the clinic will address the specific health concerns prevalent among senior citizens, thus establishing itself as a preferred healthcare provider in the area.

MediTrust Clinic will also cater to the needs of young professionals who often prioritize convenience and efficiency. By incorporating telehealth services and offering flexible appointment schedules, the clinic will attract this busy demographic. This approach is essential for accommodating the healthcare needs of working professionals who might otherwise neglect their health due to tight schedules.

Customer Needs

MediTrust Clinic fulfills a crucial need for high-quality primary care and medical services that residents in the area deeply desire. Patients can expect a comprehensive approach to their health, ensuring that both their immediate and long-term care needs are meticulously addressed. This focus on quality care not only meets but exceeds the expectations of those seeking reliable and thorough medical attention.

In addition to primary care, MediTrust Clinic recognizes the importance of accessibility and convenience for its patients. The clinic provides flexible scheduling options, including the availability of appointments outside of traditional working hours, to accommodate the busy lives of its patients. This commitment to accessibility ensures that individuals can receive the care they need when they need it, without having to compromise their daily responsibilities.

Furthermore, MediTrust Clinic places a strong emphasis on patient education and preventative care, empowering individuals to take an active role in their health management. Patients have access to resources and guidance that help them understand their health conditions and the steps they can take to maintain or improve their well-being. By fostering a partnership between the healthcare provider and the patient, MediTrust Clinic ensures that its patients are equipped with the knowledge and support necessary to achieve optimal health outcomes.

MediTrust Clinic’s competitors include the following companies:

Nebraska Medicine Immediate Care Clinic – Midtown offers a wide range of urgent care services, including treatment for illnesses, minor injuries, and preventative care. Their price points are competitive within the market, aiming to provide affordable care options for individuals without insurance or with high deductibles. The clinic generates substantial revenue by serving a broad customer base, including residents of Omaha and surrounding areas. Key strengths of Nebraska Medicine Immediate Care Clinic – Midtown include its central location, extended hours of operation, and the backing of the Nebraska Medicine network, which ensures access to a wide range of medical specialties. However, a potential weakness is the clinic’s dependency on the larger Nebraska Medicine infrastructure, which could impact flexibility in services and pricing.

South Side Convenient Care caters to urgent and primary care needs, offering services from routine check-ups to treatment for minor emergencies. Their pricing strategy is designed to be transparent and accessible, appealing to families and individuals seeking cost-effective healthcare solutions. The clinic enjoys a steady stream of revenue through a mix of insurance reimbursements and out-of-pocket payments from patients. Located in a residential area of Omaha, South Side Convenient Care primarily serves the local community, providing a convenient healthcare option for those living in the southern part of the city. A key strength is its community-focused approach, which includes personalized care and patient education. However, a limitation is its single location, which may restrict access for patients living further away or in neighboring cities.

Fred & Pamela Buffett Cancer Center specializes in oncology services, offering cutting-edge cancer treatment, research, and support services. Their pricing reflects the specialized nature of their services, with treatments potentially running high due to the use of advanced technologies and therapies. The center generates significant revenue, supported by its reputation as a leading cancer treatment and research facility in the region. It serves a wide geographic area, attracting patients from across Nebraska and neighboring states seeking specialized cancer care. The center’s strengths include its comprehensive approach to cancer treatment, access to the latest research, and a multidisciplinary team of experts. However, the high cost of services and the focus on cancer care exclusively could be seen as limitations for individuals seeking more generalized healthcare services.

Competitive Advantages

At MediTrust Clinic, we pride ourselves on offering quality primary care and medical services that surpass those of our competition. Our commitment to excellence ensures that each patient receives personalized and comprehensive healthcare tailored to their specific needs. By integrating the latest medical technologies and employing highly skilled healthcare professionals, we can diagnose and treat a wide range of conditions more effectively and efficiently. This emphasis on quality and innovation not only enhances the overall patient experience but also significantly improves health outcomes, setting us apart in the competitive healthcare landscape.

Furthermore, our strategic location and flexible scheduling options provide unparalleled convenience to our patients. We understand the importance of accessibility in healthcare, which is why we have made it easier for patients to receive care without the hassle of long wait times or restrictive appointment schedules. Additionally, our holistic approach to healthcare, which combines preventative care, education, and lifestyle support, empowers our patients to take an active role in their health journey. These competitive advantages, coupled with our unwavering dedication to patient satisfaction, position MediTrust Clinic as a leader in the Omaha healthcare market.

Our marketing plan, included below, details our products/services, pricing and promotions plan.

Products and Services

MediTrust Clinic offers a comprehensive range of healthcare services designed to cater to the diverse needs of its clientele. Among the key offerings are Primary Care Services, which form the foundation of the clinic’s healthcare provision. Patients can expect to receive general health check-ups, treatment for acute illnesses, and preventive care. The average cost for a visit under Primary Care Services is around $150, depending on the nature and complexity of the patient’s needs.

In addition to primary care, MediTrust Clinic specializes in offering Specialized Medical Services. These services cater to patients requiring attention in specific medical fields such as cardiology, dermatology, and endocrinology, among others. The cost for these specialized consultations typically starts at $250, varying by specialty and the required level of care.

Understanding the importance of accurate diagnosis, the clinic is equipped with state-of-the-art Diagnostic Testing and Imaging facilities. Services range from routine blood tests to more complex imaging procedures like MRIs and CT scans. Prices for diagnostic tests start at $100, while imaging services begin at $500, reflecting the clinic’s commitment to providing accessible, high-quality diagnostic care.

Chronic Disease Management is another pivotal service offered by MediTrust Clinic. This program is designed for patients with long-term conditions such as diabetes, hypertension, and heart disease. The clinic provides personalized care plans, regular monitoring, and adjustments to treatment as necessary. Patients enrolled in this program can expect to pay an average of $200 per month, which includes ongoing consultations and management plans.

Recognizing the growing need for flexible healthcare delivery, MediTrust Clinic also provides Telehealth and Virtual Consultations. This service allows patients to consult with healthcare professionals via video conferencing, ensuring timely medical advice without the need to visit the clinic physically. The average price for a virtual consultation is set at $100, making it a convenient and cost-effective option for patients seeking quick and professional medical advice.

Overall, MediTrust Clinic is committed to offering a wide range of high-quality medical services at competitive prices, ensuring that patients in Omaha, NE, have access to the care they need when they need it.

Promotions Plan

To attract customers, MediTrust Clinic employs a comprehensive promotional strategy, emphasizing online marketing while incorporating additional effective methods. Online marketing stands as a crucial pillar, with a strong focus on social media platforms such as Facebook, Instagram, and LinkedIn. Through these channels, MediTrust Clinic engages with potential patients by sharing health tips, clinic updates, and patient testimonials. This approach not only builds a community but also establishes trust and credibility among the target audience.

Furthermore, MediTrust Clinic utilizes search engine optimization (SEO) techniques to enhance its visibility in search engine results. This ensures that when potential patients search for medical practices in Omaha, NE, MediTrust Clinic appears among the top results, significantly increasing the likelihood of attracting new patients. Email marketing campaigns also play a vital role in the clinic’s promotional efforts. By sending out regular newsletters that include health advice, service updates, and promotional offers, the clinic maintains ongoing communication with its audience, fostering a strong and loyal patient base.

In addition to online marketing, MediTrust Clinic invests in community engagement initiatives. Participating in local health fairs and sponsoring community events allow the clinic to establish a presence within the community, directly engaging with potential patients in a meaningful way. Networking with other healthcare professionals and local businesses also provides referral opportunities, further expanding the clinic’s reach.

Traditional advertising methods, such as local newspaper ads and radio spots, complement the clinic’s digital marketing efforts. These mediums target a broader audience, ensuring that information about MediTrust Clinic reaches individuals who may not be active online. Moreover, offering an excellent patient experience remains at the core of MediTrust Clinic’s promotional strategy. Word-of-mouth referrals from satisfied patients are invaluable, serving as a testament to the clinic’s quality of care and customer service.

Overall, MediTrust Clinic employs a multifaceted promotional strategy that combines the strengths of online marketing with community engagement and traditional advertising. This approach ensures a broad and effective reach, attracting a diverse patient base to the clinic.

Our Operations Plan details:

• The key day-to-day processes that our business performs to serve our customers
• The key business milestones that our company expects to accomplish as we grow

Key Operational Processes

To ensure the success of MediTrust Clinic, there are several key day-to-day operational processes that we will perform.

• Appointment Scheduling: Efficiently manage patient appointments through an online booking system to ensure patients can easily schedule, reschedule, or cancel appointments.
• Patient Check-In and Registration: Streamline the check-in process with digital forms and ensure all new patients complete their registration paperwork, including medical history and insurance information.
• Insurance Verification: Verify insurance coverage and benefits for each patient before their appointment to streamline billing and minimize claim denials.
• Medical Record Management: Maintain accurate and up-to-date electronic health records (EHR) for all patients, ensuring privacy and compliance with HIPAA regulations.
• Inventory Management: Regularly monitor and restock medical supplies and medications to ensure availability for patient care without overstocking or wastage.
• Financial Management: Manage daily billing operations, including processing patient payments, submitting insurance claims, and following up on unpaid claims.
• Patient Communication: Provide clear and timely communication with patients regarding their appointments, treatment plans, and any necessary follow-up care.
• Quality Control: Implement regular checks and audits to ensure that all clinic operations meet health and safety standards, as well as regulatory compliance.
• Staff Scheduling: Efficiently schedule medical and administrative staff to meet patient demand while optimizing workload and minimizing overtime costs.
• Professional Development: Encourage continuous learning and professional development for all staff to keep up with the latest medical practices and technologies.
• Feedback Collection: Collect and analyze patient feedback to identify areas for improvement and enhance patient satisfaction.
• Cleanliness and Maintenance: Ensure the clinic environment is clean, safe, and well-maintained to provide a comfortable and welcoming atmosphere for patients and staff.

MediTrust Clinic expects to complete the following milestones in the coming months in order to ensure its success:

• Secure a Suitable Location : Identify and acquire a clinic location that is accessible and visible to the target population in Omaha, NE. This location should also comply with zoning laws for medical practices.
• Obtain Necessary Licenses and Permits : Ensure compliance with local, state, and federal regulations by obtaining all necessary licenses and permits required to legally operate a medical practice in Omaha, NE.
• Build Out and Equip the Clinic : Complete the build-out of the clinic space to include patient examination rooms, a waiting area, and office space. Purchase and set up essential medical equipment and technology systems for patient care and records management.
• Hire Qualified Staff : Recruit and hire a team of qualified healthcare professionals (doctors, nurses) and support staff (receptionist, administrative assistants) who share the vision of MediTrust Clinic for providing high-quality patient care.
• Implement an Electronic Health Records (EHR) System : Deploy an EHR system to efficiently manage patient records, appointments, and billing. This system will improve operational efficiency and patient care management.
• Launch Marketing Campaign : Initiate a comprehensive marketing campaign to build awareness of MediTrust Clinic in the Omaha, NE area. This should include digital marketing, community engagement, and partnerships with local organizations.
• Launch Our Medical Practice : Officially open MediTrust Clinic to the public, welcoming patients and beginning to provide medical services.
• Monitor and Adjust Operational Processes : Continuously monitor operational processes and patient feedback to identify areas for improvement. Adjust processes as necessary to improve patient care and clinic efficiency.
• Achieve $15,000/Month in Revenue : Implement strategies to grow the patient base and increase services offered to reach the financial milestone of $15,000 in monthly revenue. This may involve expanding clinic hours, adding new specialties, or enhancing marketing efforts.
• Establish a Patient Retention Program : Develop and implement a patient retention program to encourage repeat visits and long-term relationships with patients. This could include patient education, follow-up care programs, and loyalty incentives. These milestones are designed to systematically address the critical areas of location, legal compliance, clinic setup, staffing, technology implementation, marketing, operational efficiency, revenue growth, and patient retention. Achieving these milestones will significantly mitigate risks and pave the way for the success of MediTrust Clinic in Omaha, NE.

MediTrust Clinic management team, which includes the following members, has the experience and expertise to successfully execute on our business plan:

Owen Evans, CEO

Owen Evans brings a wealth of experience and a proven track record of success to his role as CEO of MediTrust Clinic. His background in running a medical practice stands as testament to his deep understanding of the healthcare industry, its challenges, and opportunities. Owen’s leadership skills, combined with his experience in healthcare management, equip him to steer MediTrust Clinic towards achieving its objectives. His ability to navigate the complex landscape of medical services, while ensuring operational excellence and patient satisfaction, makes him an invaluable asset to the clinic. Owen’s vision for the clinic is not only to provide exceptional care but also to innovate and set new standards in the healthcare field, ensuring the clinic’s lasting success.

MediTrust Clinic requires significant funding to achieve our growth goals and establish ourselves as a leading healthcare provider in Omaha, NE. This funding will be allocated towards clinic setup, technology implementation, staffing, marketing, and operational expenses. Our financial strategy is designed to ensure sustainability and profitability, enabling us to reinvest in our services and continue to meet the evolving healthcare needs of our community.

Financial Statements

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18 Health Care Business Ideas for Passionate Entrepreneurs

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The health care sector is an amazing place for aspiring entrepreneurs to open up shop. Exploring health care business ideas is smart for lots of reasons.

There’s an opportunity to do a world of good by serving an aging American population and helping those struggling with the national drug crisis. There are lots of new medical and technological advances, and widespread interest in health and wellness, too. And those are all great incentives for passionate entrepreneurs.

Plus, these factors combined mean there's a thriving market for health-related businesses. Aspiring new business owners can turn one of many health care business ideas into a viable way to make a living, including those entrepreneurs who want to work remotely.

This list of health care business ideas should get you started — and maybe inspire you to explore starting a business.

Why businesses in health care are worth exploring

Nationwide spending on health is projected to grow at an average rate of 5.5% annually through 2026. That’s one percentage point faster than the national GDP is projected to grow during that same time. And by 2026, health care is projected to account for nearly 20% of the GDP.

Employment in health care-related occupations is projected to grow 18% from 2016 to 2026, much faster than the average for all occupations, according to the U.S. Bureau of Labor Statistics. Nearly half of the 20 occupations projected to have the highest percentage increase in employment by 2026 are in the health care industry.

What that spells is a lot of opportunity.

One big reason for the surge in health care spending: By 2030, the Census Bureau projects, approximately one-fifth of the population will be 65 and older. This will be the first time in history that the number of Americans over age 65 will surpass the number of Americans under 18.

Keep those numbers in mind as you look through this list of health care business ideas.

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Once we uncover your personalized matches, our team will consult you on the process moving forward.

18 health care business ideas to consider

1. medical transcription services.

Medical transcriptionists transcribe doctors’, nurses’ and other health care practitioners’ voice recordings into written documents for patients’ records. Speech recognition technology has definitely improved the efficiency of medical transcription, sure. But it certainly hasn’t yet replaced the need for human transcriptionists to review and correct the transcriptions to make sure they’re accurate.

This is a great business to run from home because you can make your own hours, and all of the work can be done digitally. Plus, if you’re digitally savvy and can create an efficient (and secure) way to share files, you can really one-up the competition.

2. Medical records management

Start a service that manages medical records for hospitals, clinics and doctors’ offices. You can work with clients to identify the best records management systems, implement them and provide their staff with training on how to use the systems.

Another approach? You can offer full-service medical records management, and clients can outsource the work to you. This can be helpful for boutique practices and sole practitioners who need the organization but can’t afford the in-house staff.

3. Physical/occupational therapy center

Physical therapists help patients recover from injuries to regain their full range of motion and reduce pain. Occupational therapists provide more specific therapy to help patients perform tasks of daily living, such as dressing themselves or feeding themselves. You can specialize in one or the other, or put both under one roof. Note that this does require certification.

4. Develop a health care app

Both health care providers and individuals alike are increasingly turning to mobile apps to track, record and manage medical conditions. The world is your oyster if you’re skilled in app development, so you might want to consider developing your own health care app targeting these markets. Do some field research to find out where your skills can fit a need.

5. Diabetic care center

According to the CDC, 9.4% of all Americans either have diabetes or are prediabetic . Opening a diabetic care center can help diabetic patients improve their quality of life by providing nutrition counseling, dialysis and other medical services. You can also provide preventive help such as teaching healthy eating habits or providing support groups for diabetics.

6. Home health care service

A home health care business provides in-home medical care for recently discharged hospital patients, patients with chronic health conditions, seniors and others who need assistance managing their health.

In states with rapidly aging populations, like Florida and California, not only could this be a benefit to the community — but also a strong business prospect for you.

7. Medical foot care

A growing population of seniors and diabetics means more need for foot care services. Something as simple as trimming toenails can be impossible for seniors and overweight patients who can’t reach their feet. You can either open a foot care clinic or save patients a trip to the podiatrist by providing mobile foot care services in their homes or in a van. You’ll need to train as a podiatrist or hire one.

8. Drug treatment/rehabilitation center

As drug use has escalated to become a national crisis in the United States, legitimate places for people to seek treatment for their addictions and rebuild their lives are needed more than ever. Every day, more than 115 Americans die after overdosing on opioids, according to the National Institute on Drug Abuse .

Open a drug treatment and rehabilitation center to help clients with drug addiction. You can specialize in different types of patients, such as juveniles or more senior patients.

9. Childbirth services

Today's expectant parents want to control every aspect of childbirth, and that often includes having a midwife or doula present at the birth. The use of midwives is increasing , according to the American College of Nurse-Midwives.

Midwives are trained health care providers who assist women during childbirth, while a doula is more like a pregnancy coach who helps couples arrange all aspects of the birth and caring for the newborn. You can either become certified yourself or open a business that employs contractors under your umbrella.

10. Medical billing service

Medical billing requires performing complex coding when submitting insurance claims. Keep in mind, certification is required in this field to ensure that doctors and other health care practitioners get paid.

Although big hospitals and health care organizations often have in-house staff, small medical practices that don’t have time to manage billing and coding themselves are an ideal market for medical billing services. Acquire and learn medical billing software, get trained in proper coding and target these smaller medical practices to take medical billing hassles off their hands. And you can even earn your certification online.

11. Nutritionist/dietitian

If you want to help people improve their nutritional intake and habits, you can build a business as a nutritionist or dietitian. Only nutritionists who get a license with the Commission on Dietetic Registration, or CDR, can advertise themselves as dietitians. Some states regulate nutritionists and others don’t.

You can specialize in different types of clients, such as sports nutrition, nutrition for weight loss or holistic nutrition.

12. Alternative health care

Acupuncture and massage therapy are two alternative health care business ideas that are becoming more popular. Many are using these services to supplement their traditional medical treatment — or as a primary treatment unto itself.

Check with your state to see what the requirements are to practice; they vary across the country. Even when health insurance plans don’t provide coverage, Americans are more willing to pay out-of-pocket for these types of care than they used to be.

13. Health information website

If you have health care expertise — or access to people who do — consider starting a website to provide health care information and advice. You can create all kinds of content, such as podcasts, YouTube videos and even online classes, in addition to blog posts.

You might even be able to get health care experts to contribute content for free in exchange for the publicity your site offers. There are a lot of options; just make certain that you do some market research to figure out the white space to fill, and find viable revenue streams to make your business highly sustainable, too.

14. Medical supply sales

Seniors, people with disabilities and those with chronic illnesses have an ongoing need for medical supplies and equipment. This can include walkers, braces, bedpans and more.

Although you can open a physical store, keep in mind that your target customers will often have difficulty getting to your location, so an online store is likely a better bet. Again, research here will be key so you can make sure that you’re stocking the right products and marketing in the right places.

15. Stylish uniforms for medical professionals

Medical professionals who wear scrubs to work are always looking for affordable and durable uniforms. They’re also looking for stylish options — and those aren’t as easy to find. Start a store selling scrubs, comfortable shoes, lab coats and other gear for health care professionals. You can design the goods yourself or source them from multiple places, and encourage your customers with word-of-mouth incentives to drive sales.

16. Hearing aid dispensary

Because hearing aids generally aren’t covered by health insurance, this can be a lucrative health care business idea if you find the right customer base. You might want to open a location to provide hearing tests, recommendations and hearing aid fittings and care. You could even outfit a mobile van to come to customers' homes to clean and repair their hearing aids as an extra service.

17. Respite care service for caregivers

Whether they’re parents caring for severely disabled children or adult children caring for aging parents, caregivers have a stressful job. Provide a much-needed break for caregivers by starting a respite care business. Your caregivers can come in for a few hours or a few days, giving family caregivers a chance to rest.

18. Medical marijuana dispensary

As a growing number of states legalize medical marijuana, this $8 billion industry is projected to continue its growth, according to IBISWorld . Opening a medical marijuana dispensary can be a profitable business in the right location; however, changing state and federal regulations could affect your startup. (Marijuana is still illegal under federal law.)

Looking for financing for your health care business? Check out our roundup of the best medical practice loans .

Frequently asked questions

How do i start a health care business.

When you start a health care business, it can be helpful to begin by writing a business plan, registering your business and hiring employees. While all businesses need to obtain any necessary licenses, permits and forms of insurance, health care businesses may require earning professional designations or taking out extra forms of insurance. Research what you need to run your business safely and legally before you launch.

How do I start a home health care business?

Starting a home health care business requires a high level of professionalism, even if you’re running a business where the bulk of the work will occur in your clients’ homes. For example, you may still need office space to train your employees. Like starting any business, it is important to write a business plan, register your business and create proper business procedures. You should also obtain any necessary licenses, permits and insurance for running a business in your area, as well as for working within the health care industry.

How do I write a business plan in health care?

In general, a business plan is an organizational tool that business owners can follow when they need guidance. This document can also tell outside parties, such as investors, about your business and its value. A good business plan should include thorough research about your industry, market and competitors, as well as dive into your financials, products and services and your marketing plan. When writing a business plan in health care, it will be important to do heavy research on the industry, as well as outline clearly what medical services or products you will be offering and why you or your staff are qualified to run a health care business safely.

LLC Formation

The bottom line

There are a lot of potential great health care business ideas for entrepreneurs interested in the health care sector — and many opportunities for health care business ideas to become real, sustainable businesses.

Be sure to check regulations, licensing, professional training or degrees needed for these businesses before you get started, and do lots of market research. Don’t forget that “care” part, of course.

On a similar note...

How to Create a Profitable Healthcare Business Plan for Your Medical Practice

Marketing is crucial for any industry, and healthcare industry is no exception. Whether you are a big hospital or private practice, creating and implementing an effective marketing plan will help to attract new patients, retain the existing ones and maintain relationships with your staff and patients. An effective marketing strategy will play an integral role in increasing revenue, building patient trust, improving online reputation and expanding your reach.

A healthcare business plan can help you define and identify the target audience and key prospects. It can also assist in evaluating and comparing your practice data against your industry. Clearly, a business plan is necessary, so does your practice have one? Here are some more benefits of creating a strategic plan for your medical practice:

• Physician business plan provides clear direction to your marketing initiatives, preventing random activities that may work against each other.
• The process of developing a strategic plan offers an opportunity for everybody involved to collaborate in shaping the future of the practice. Active participation of all the stakeholders ensures the success of projects and priorities.
• A strategic healthcare business plan helps the physician set marketing goals and priorities for the medical practice.
• Clarity of aims and objectives can improve the quality of patient care.

Strategic business planning offers great long-term value. After the initial planning is done, a practice can use it as the benchmark for measuring progress and monitoring areas of improvement.

The process for preparing a strategic business plan is not clear-cut, but it is one of the most important things you should do for the strategic growth of your practice. A well-defined marketing plan will outline how you will retain existing patients and attract new patients, retain staff and communicate your message in the most efficient manner.

You do not need to hire expensive consultants to create a marketing plan for your healthcare practice. All that you need is the willingness to put in time and effort. An ideal healthcare marketing plan should address every aspect related to promoting your practice, and to effectively plan, you must do some research.

Identify your target audience

The first step in any business plan is to figure out who is going to seek your service. If you have a specialty practice, you probably know the answer. According to industry experts, your marketing efforts will be effective only if they are targeted. So to identify your potential patients, start by defining the common characteristics of your current patients. Always remember, your marketing plan is all about reaching your target audience and adjusting your approach to fit their preferences. Beyond demographics, try to learn the reasons why your potential patients will come to your practice, know your competition and understand your competitors’ approach in reaching the target audience. Examine how your competitors market their practice and then compare their approach, services and marketing strategies with yours. You must also determine your unique selling proposition and understand what makes you different from your competition.

Marketing is all about keeping up-to-date. So make sure while doing your research, you stay updated on current affairs. The idea is to keep up-to-date with financial, political and marketing trends that influence the medical community so you can create an effective business plan that responds to changing market conditions.

Time for some brainstorming sessions

After you have identified your potential market and patients, you will need to categorize and address critical operational questions about your medical practice. You may need to set up brainstorming sessions with people you trust, including family, friends, team members or other professionals. During these sessions, try to find answers to these basic but critical questions:

Question: Which marketing platforms will make be most suitable for promoting your services?

Pro tip: You will need to think regarding how to present or sell your services. For instance, consider offering packages that are generic in nature and offer value for money.

Question: What is the best time and frequency of marketing your service?

Pro tip: Too much promotion can create a negative brand image in the minds of potential patients. Too much advertising tends to make patients suspicious. So depending on your target audience, determine the best time for promoting your practice.

Question: What are you trying to achieve from your business plan? How do you plan to measure these goals?

Pro tip: According to experts, your marketing plan should include basic tasks that have short-term goals so that you do not end up compromising on the patient experience. You can consider using big data to evaluate and measure results and their impact on ROI.

Penning the business plan

Now that you have completed the groundwork, it is time to put all your facts and figures into words. Here are some basic steps for creating a business plan for your medical practice:

• Define your mission and vision: This is where you need to determine your goals. You have to understand where you want your practice to be in five to seven years. You will need to prepare a list of all the marketing techniques and tactics and determine what options will work best for your practice. Some of the effective marketing tactics are networking, direct marketing, print advertising, training sessions, media, open houses, social media, blogs, third-party websites and much more.
• Identify your team: In order to build support and generate enthusiasm, you should determine the outgoing personalities in your organization. Find people who will help support your marketing efforts by hosting open houses, patient training sessions, interviews and other public relations initiatives.
• Market segmentation: Consider potential patients think outside the box. Look within your organization first – you may find some of your best customers and marketers there. You must understand where your patients come from and dive deeper into your business model. Is your practice mainly run by physician referrals, or do patients refer directly? You need to create an extensive list of potential patients and categorize them.
• Create patient personas: Patient personas are representations of your ideal patients. You must create patient personas based on your research and reflect on their needs and issues. For instance, if one of your buyer personas is a diabetic, his or her needs will be different from a flu patient.
• SWOT analysis: SWOT matrix is another important component of the business plan. You can use this analysis to assess your practice’s strengths, weaknesses, opportunities and threats. This study will help you understand your market situation better and discover growth opportunities. For a successful SWOT analysis , you must be specific, realistic, compare different situations and keep your business plans and goals updated.
• Prepare a budget: Now that you have all the market information you need and have established the best way to reach your potential patients, focus on your budget to support your marketing campaign. To begin with, it is advisable to stick with the 80/20 rule. According to this rule, 80 percent of your business volume will often come from 20 percent of your patients.
• Share your vision: The first step is to make sure the plan is received and understood by your organization’s leadership. Next, make sure your plan becomes a part of the organizational culture. You must encourage employees to come up with ideas that will support your idea. Always share your plans with physicians, volunteers, employees, board members and top leadership.
• Plan the rollout: To begin with, introduce your campaign internally. Your organization’s leadership and staff are often your best support. If they get the message, your marketing efforts will be successful.
• Measure and evaluate: You should regularly track new patients, physician referrals, leads, website hits and procedure volumes in order to assess the success of your business plan.

Don’t forget the 7Ps

Even the most insightful services, supported by the best business plan, will not survive on the market if they are unable to reach potential patients. That is why practices need to invest in strategies that will bridge the gap between them and the target audience. For your marketing initiatives to be successful, you must address the 7Ps in order to evaluate and measure your business activities. These seven Ps are product, price, promotion, place, packaging, positioning and people. These 7Ps will help you review and define key issues that impact your marketing activities.

• Product: When was the last time you took an unbiased look at your products, service, facility or value proposition? Do your products meet the needs of the patients? Do your products and services deliver value? Is your medical practice properly presented? The ‘product’ for your healthcare practice is the happiness and satisfaction of your patients, which is intangible and cannot be quantified. The only way is to know that customers receive value and comfort by way of your medical practice.
• People: Healthcare is all about people – your current patients, potential patients, staff and management – everyone delivers or receives a service plays a significant part in the product category. Your patients will evaluate the service and satisfaction based on assumptions and interactions. Usually, patients do not have much insight to your medical skills, but they will know if they are pleased based on how you deal with them. Your reputation and your image are not yours alone – it is teamwork.
• Price: It is the amount people pay in exchange for the product received. Therefore, the price must be competitive, enough to generate profit, but may vary when bundled with promotional offers. Sometimes, price is the biggest factor. Therefore, as a practice owner, you must take a serious look at those areas where there is flexibility and be open to adjusting and reducing prices to meet your patients’ needs.
• Promotion: This refers to all the direct and indirect ways of communicating about your product to your people or potential patients. This may include personal and mass interaction. In all instances, promotion should always be carried out in a professional manner. The objective of promoting your practice is to examine how, when, what and where you can offer your service to your target audience.
• Place: This points to presenting your products or services to your target audience in the right place and at the right time. Needless to say, the ‘place’ will be your office where the product will meet the user. However, in healthcare, a change in location can impact the user’s decision to buy.
• Packaging: Take an unbiased look at the appearance of your office, front office, waiting area, brochures and website and the appearance of your medical staff. You might be surprised to see what patients are observing when they walk through your front door.
• Positioning: This refers to the way your brand, products or service are perceived by your target customers. If you could get the opportunity to create the ideal impression in the minds of your patients, what would you want it to be?

For successfully growing their practice and attracting new patients, many practices are working with medical marketing agencies. As a medical marketing agency , Practice Builders knows what is suitable for different medical specialties. We can introduce you to the best marketing tactics that will draw new patients to your practice. Moreover, we know how to develop effective business plans that will lead to significant growth in your medical practice. To find out more, contact us today.

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Sharon Mason Parker

Sharon has spent 25 years building teams and developing people to work together to help improve the client experience in the markets we serve. This ultimately benefits both customers and staff equally. Sharing best practices and ideas helps clients and team members envision new alternatives, which is quite fulfilling when positive change results. Sharon enjoys working closely with clients to understand the true drivers that are affecting their business environment. By engaging clients in meaningful exploration of their goals and challenges, she often discovers that an issue they asked for help in solving is merely a symptom of something else or something greater. Solving the real issue through truly listening and not just addressing the symptoms helps create true partnerships with clients.

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Medical Business Plan

You cannot start and run a successful medical business without writing and implementing a comprehensive business plan.   A business plan gives you a complete framework for researching and analyzing the market, identifying possible opportunities, financing the project, and scaling it all together. Here are some of the best examples of medical business plans worth having a look.

Medical Practice Business Plan Template

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Best Medical Business Plan Examples & Templates

 medical business plan example.

Size: 8.86 MB

If writing a medical business plan were easy, every business aspirant would do it with ease. To be clear, a comprehensive business plan for a new healthcare facility takes time to put together. But, what if you are green in this in the first place? The best thing to do is to look at a sample plan to get a clear picture of what a comprehensive strategy for a health facility looks like. This PDF file is a unique sample of a well-written business strategy for a healthcare facility. The plan covers everything you need to know about establishing a healthcare center, from business objectives and guiding principles to demographic analysis and their access to care.

Printable Medical Business Plan

Size: 780 KB

It doesn’t make sense to start a medical business without a strategy in place. You need to identify your audience, sturdy the market, conduct a SWOT analysis , and develop a marketing technique. This calls for a comprehensive business plan and here is an example that you can download and use as a guide to writing your own strategy. This sample will help you to understand a few things. First, you’ll learn how to write a clear summary of the proposed medical business. Second, you will see what a detailed business description looks like. Third, you will dive deep into learning and understanding the competition. Then, you will learn about financial strategy, which is important for starting and running a healthcare business at scale.

Free Medical Business Plan Example

Size: 88 KB

It is important to understand that a business plan does not have to be complicated. It doesn’t have to be dozens or hundreds of pages either. In fact, you can set up and run a successful medical business with a very simple business plan . This PDF document is an example of a very simple business strategy, which a clear indication that even lean business plans can help you take a step in the right direction. This plan covers a number of sections, including an executive summary for the proposed business, proposed services, market evaluation, and marketing approach. Click the link above to download the PDF file.

Medical Practice Business Plan Example

Size: 237 KB

This PDF document is one of the most comprehensive medical business plans that you can read to understand what a professionally written business strategy looks likes. The 37-page file features a unique outline, which makes the entire document easy to scan. This file has a lot of information. From the executive summary and market sturdy to SWOT and market analysis , there is quite a lot to learn. The author uses a simple language throughout the document. So, whether you are green to writing a business proposal or you just need a simple example for reference, this is a good template to download.

Medical Startup Business Plan Example

Size: 219 KB

You cannot start and run a successful business without a plan. In fact, many businesses that begin to operate without a strategy often close within the first six months. This happens across various industries, even in medical business. Now that you have made up your mind to start a medical business, you first need to write a business plan. If you have never written one before, don’t worry. You can just download this PDF file, read the entire strategy example, and then use the same knowledge that you pick from it to write a comprehensive business plan of your own. Click the link above to download this template.

 Medical Business Plan Example for Clinic

Size: 262 KB

Ask every serious entrepreneur what it takes to start and run a successful business and they’ll tell you that the first thing you need is a business plan. This tells you that a successful business depends on a comprehensive strategy . Now that you have made up your mind that it is time for you and your stakeholders to start a clinic in your locale, it’s important to write a business plan before investing money in the project. The plan will enable you to determine whether the business is feasible to pursue. By finding, connecting with, and studying the target market, it becomes easy to understand your business even before starting it. Download this medical plan for the clinic to learn more.

 Private Hospital Business Plan Example

Size: 2.15 MB

Even if you have enough funding to start a private hospital, you’ll need to do in-depth research and then come up with a solid business plan that will help you set up the enterprise. At the end of the day, your goal is to run a successful business . This is something you can’t do if you start with a proper strategy. Remember, the success of your private medical startup will depend on the structure of the plan. The success of the upcoming business will depend on the structure of the plan. In other words, a business plan is a must-have.

 Simple Medical Business Plan Example

Size: 141 KB

You already know that it is difficult to run a successful business without a plan. So, if you want to set up a new medical facility in your area, first start by writing a business plan for the foreseen startup. The PDF file above is a unique example of a business plan that you can use for reference. This guide is important because it focuses on the most important elements that make up a comprehensive business plan.

 Comprehensive Business Plan for Medical Facility

You can use this sample template to write a comprehensive business plan for a medical facility. Some of the highlights include identifying challenges and determining their respective opportunities. This gives you a clear understanding of the market that you would like to target so that you can align your medical services to their needs once you start operation.

 Short Medical Business Plan Example

Size: 264 KB

If you are the kind of a medical business enthusiast who prefers to write a short business plan, this example is suitable for you. The content of the file includes an executive summary, market analysis, business growth, marketing strategy, and financial projection.

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How to Start a Medical Business: A Step-by-Step Guide

Starting a medical business is rewarding, but it also requires careful planning and organization. Whether you’re opening a private practice, a solo medical practice, or a healthcare consultancy, the key to success lies in efficient management and streamlined processes.

To streamline this process, we have curated all the steps required to start your medical business successfully. So, if you are curious about how to start a medical business, keep reading.

Table of Contents

How To Start Your Own Medical Practice?

If you have a clear understanding of all the steps required, you will be ready to start a medical practice. Here are some points to start a medical business successfully:

1. Create a Medical Business Plan

Start by determining your area of expertise, target market, and all the details essential to format a business plan. Before diving into the medical field, conduct thorough market research.

Now that you have all these details, create a comprehensive medical business plan outlining your mission, services, target market, and financial projections. You will need to create a realistic financial forecast for starting a medical practice.

2. Acquire Funding

You have a medical business plan ready, but without a hefty fund at your disposal, starting a medical practice is not possible. Thus, you need to determine the funding needed to launch and sustain your medical business.

Ensure that you have a healthy cash flow to start and keep your business afloat before the profits start hitting your bank.

3. Apply for Insurance

Trouble can knock at your door anytime, so it is wise to be ready. Prepare to deter these potential liability claims and secure yourself and your own medical practice by applying for all the required insurances. Make sure to conduct thorough research and choose an insurance that will fit right or the size and dangers that can occur in your business.

Buying medical-related issues, you might also need insurance for other areas of your business if you are opening a medical practice.

Here are some of the most important types of insurance for opening a medical business:

• Malpractice Insurance : Protects against claims of negligence or malpractice.
• General Liability Insurance : Covers bodily injury, property damage, or personal injury claims.
• Property Insurance : Protects assets like office space and equipment.
• Workers’ Compensation Insurance : Covers work-related injuries or illnesses for employees.
• Business Owner’s Policy (BOP) : Combines property, liability, and business interruption coverage.

4. Set up Your Office

As a medical practice, you need to be precisely in the right location to be visited by your patients quickly. Choose a strategic location for your opening of a medical practice.

Set up a functional and welcoming space for your healthcare facility. Make sure to calculate the expenses related to office setup, equipment, and utilities well in advance and choose your office setup accordingly.

5. Obtain Necessary Licenses and Permits

While opening a medical practice can be intimidating, you can be assured that you have the proper licenses and permits required to operate smoothly. Ensure compliance with local healthcare regulations.

Also, don’t forget to obtain the necessary licenses and certifications for your medical business.

Keep track of important legal documents and renewal dates, avoiding any compliance issues down the road.

The most essential licenses and permits required for opening a medical practice in the USA include:

• Medical License: Issued by the state medical board.
• DEA Registration: Drug Enforcement Administration registration for prescribing and handling controlled substances.
• National Provider Identifier (NPI): A unique identification number for healthcare providers used in billing and insurance processes.
• State Business License: Required to operate any business within a specific state.
• Health Insurance Portability and Accountability Act (HIPAA) Compliance: Ensures adherence to patient privacy and data security regulations.
• State-Specific Health Department Permits: Varied permits related to specific medical services and facilities.

6. Purchase Equipment and Tools

To operate any business, all sorts of tools and equipment are required. And your medical business is no different.

Alongside all the medical equipment, you also need computers, practice management software, Medical transcription software, etc. Make sure all these tools are registered and insured as per the requirements of your state laws.

Beyond all the obvious medical equipment, you will need some equipment and tools to operate a medical facility.

Here are some of them:

• Computers and Electronic Health Records (EHR) Systems
• POS system and credit card charger
• Diagnostics Laboratory Equipment
• Medical Waste Management System

7. Hire Medical Professionals

The next and most crucial part of a successful business is developing a capable and active team. Recruit qualified healthcare professionals and administrative staff.

Take your time to look for the best candidates and sort through resumes to find candidates that will suit your requirements. These initial struggles will benefit you in the long run because businesses can only run successfully with qualified healthcare providers.

8. Market Your Business

So, now you have decided and are all set to start your business. Without proper marketing in this business economy, you will not run any business successfully, and a medical business is no different.

Look for a marketing team to do the job for you, or look into every marketing strategy to find the best-suited ones for your requirements. Each business is different and can require a different set of marketing solutions to grow to its full potential.

As digital marketing is on the boom, make sure to make a strong presence on the internet. You can use different platforms to showcase your services, treatments, schedules, patient reviews, testimonials, and a lot more.

9. Implement Efficient Practice Management Systems

It is essential to monitor your practice’s performance, and this job is best done through the automatic practice management system. With this, you can make informed decisions without any hassle. There are a lot of metrics that can be monitored for your company, like finances, employee satisfaction, patient billing and satisfaction, cash flow, and more.

You can also implement electronic health record (EHR) systems. If you are a beginner business, tools like Moon Invoice’s project and client details can help you keep tabs on patient interactions and associated expenses.

10. Get Invoicing Software to Make Medical Bills

As your business takes off and finances start rolling, you will need an efficient way to manage your business bank account and streamline the finances. Without keeping track of your bills and invoices, you are likely to fail very soon. Make sure to use an efficient invoicing software like Moon Invoice to simplify the billing process.

You can use Moon Invoice to create and send professional invoices to patients and insurance companies, keeping your billing process organized and transparent. You can also provide medical invoice templates to ensure professional and organized transactions with clients.

Experience Seamless Invoicing to Upgrade Your Medical Practice Today!

Streamline your billing processes and enhance financial efficiency with Moon Invoice software.

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11. Stay Compliant with Regulatory Requirements

Starting a private medical practice is a unique business due to the significant stakes and regulatory responsibilities. To succeed, consider long-term goals and stay updated on emerging healthcare trends since starting a medical practice.

You will always need to keep your medical malpractice insurance and practices compliant with the latest regulatory requirements. This will help ensure your practice remains relevant and effective in the ever-evolving healthcare landscape.

12. Invest in Staff Training and Development

Your staff is your biggest strength to grow your business. Thus, encourage steady growth by providing ongoing training opportunities for your staff. Also, encourage professional development and skill enhancement among your team members.

These can include continuous medical education (CME) for healthcare professionals, training on the latest medical technologies, and programs focused on communication and patient engagement. By fostering a culture of learning and improvement, medical practice can also contribute to employee satisfaction and retention.

13. Collaborate with Your Community

Building strong ties with the local community is a strategic move that benefits both your medical practice and your patients.

Collaboration with other medical businesses and local businesses so that you can create a supportive network. Participation in community events, health fairs, and outreach programs not only raises awareness about the medical practice but also establishes it as an integral part of the community.

This collaborative approach can boost trust, enhance the practice’s reputation, and lead to a broader patient base.

Here are some tips to help you collaborate with your community:

• Establish connections with Local Healthcare Providers
• Offer educational workshops
• Support local charities and causes
• Provide free or discounted services for the needy

14. Develop a Financial Management System

A robust financial management system is the backbone of successful medical practices. It involves accounting practices, budgeting, and financial planning. Tracking income, managing expenses , and regularly reviewing financial reports are essential components for your medical business like any other.

Implementing the best financial management practices not only ensures the financial health of the practice but also provides the necessary data for strategic decision-making.

15. Embrace Technology

In this fast-evolving landscape of healthcare, embracing technology is no longer optional. It’s a necessity.

Staying informed with emerging technologies allows medical practices to deliver improved patient care, optimize operational processes, and remain competitive in the healthcare business. Regularly updating software, investing in cybersecurity measures, and providing medical practitioners and other medical professionals training on technology use are integral components of this approach. You can also use technology in other aspects of your business, like accounting and invoicing.

Moon Invoice’s cloud-based software ensures secure access to your financial data from anywhere, promoting flexibility and efficiency in your medical business. Using its medical invoice template, a lot of financial tasks are also reduced.

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16. Plan for the Future

Effective strategic planning is essential for the sustained success of a medical business.

This involves staying informed about technological advancements and being prepared for changes in healthcare policies. Planning for the future also includes exploring expansion opportunities and adapting to the evolving needs of the patient population.

You should also regularly reassess the business plan, financial goals, and operational strategies to ensure that the medical practice remains relevant and profitable.

How Much Does It Cost to Open a Medical Practice?

To open a medical practice, you will need a significant amount of funds at your disposal. If you are wondering how to start a medical business or how to open a clinic, you need to conduct thorough research.

Some costs can vary significantly based on location. Most ongoing operational expenses, such as salaries, utilities, insurance, and medical supplies, should also be considered separately from the initial setup costs.

According to a study from Wolter Kluwer , you will need approximately $70,000 to more than $100,000 to open your medical business.

Some of the primary figures to look at are:

• Office space, furniture, necessary medical equipment, and accessories for medical usage
• Licenses and permits
• Initial marketing and technology implementation

Beyond this, you also need expenses for:

• Specialized and new medical practice equipment
• Renovation of specialized facilities and training of your medical providers
• Specialized technology for services
• Marketing to a particular group of individuals

Final Words

Launching and managing a medical business requires dedication, strategic planning, and constant adaptability. If you want to understand how to start a medical business or how to open a clinic fully, following the steps above might help you.

You can increase your chances of building a successful and sustainable medical practice.

Take help from tools like Moon Invoice while you are starting to keep track of all the financial aspects of your business and grow exponentially.

Ready to Revolutionize Your Medical Billing?

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Starting a medical business involves various factors that influence the initial investment. The investment required can vary based on the type of medical business, location, size of the practice, and services offered. Costs may also include and differ because of leasing or purchasing a suitable space, acquiring medical equipment, obtaining necessary licenses, hiring staff, and implementing technology. Approximately $70,000 to $100,000 is said to be the initial cost of starting a medical business.

Is the healthcare business profitable?

The profitability of a healthcare business depends on several factors, including effective management, strategic planning, and market demand.

The healthcare industry is generally considered recession-resistant and can be profitable depending on factors such as the effectiveness, services offered, and the ability to attract and retain patients. Proper financial management, adherence to regulatory requirements, and staying informed about the industry are also essential.

Is it profitable to open a medical shop?

The profitability of opening a medical shop, such as a pharmacy or retail healthcare store, can vary. You might earn differently based on your location, competition, and product offerings.

Thus, conducting your market research and developing a business plan can help assess the potential profitability of starting a medical practice or shop.

How to open a clinic?

Opening a clinic might be a challenging feat, but if you follow the required steps, it becomes easy. Start by making a medical business plan and obtaining the required licenses and permits required. You can acquire all the necessary items like client facility building, staff, equipment, etc.

Jayanti Katariya is the founder & CEO of Moon Invoice, with over a decade of experience in developing SaaS products and the fintech industry. He holds a degree in engineering. Since 2011, Jayanti's expertise has helped thousands of businesses, from small startups to large enterprises, streamline invoicing, estimation, and accounting operations. His vision is to deliver top-tier financial solutions globally, ensuring efficient financial management for all business owners.

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Healthcare Business Plan Consulting

Our healthcare business plan consultants have hands-on experience founding, funding, and scaling ventures. we’re much more than an ordinary business plan writing service. think of us as your co-founder for the duration of our project..

Home » Industry Experience » Healthcare, Biotech & Medical Device

Are you looking for a skilled healthcare, biotech or medical device business plan consultant ? Our experience in the industry includes:

Biotechnology

• Cosmeceuticals
• Durable Medical Equipment (DME)
• Disposables
• Electronic Health Records
• FDA / Regulatory Affairs
• Gene Therapy & Gene Editing

Genomics & Proteomics

• Healthcare Administration
• Healthcare Financing / Reimbursement
• Healthcare Services
• Healthcare Software
• Implantables
• Instrumentation
• Laboratory / Clinical Services
• Medical Devices
• Medical Diagnostic Instruments
• Nutrition & Nutraceuticals
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Physician Practice Management

• Prosthetics
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The materials that Cayenne created for us enabled us to ultimately close several large rounds of financing and reach where we are today. — Dr. Marvin Slepian, Co-Founder and Chairman , SynCardia Systems (Artificial Heart Systems), Tucson, AZ

Want to look inside a sample Medical Device Business Plan?

One of our clients has allowed us to share this real-world example of their medical device business plan on our website. Get a sense of how our healthcare business planning expertise can best serve you:

Medical Device, Biotech & Healthcare Industry Experience

Diagnostic equipment.

Developed and executed the business plan for two startup companies to bring new biotech diagnostic tools from concept to production that included the sales and marketing plans and strategies, financial analyses, technical roadmaps, and outside agency certifications to bring the products to market.

Artificial Heart Systems

Developed the business plan, financial forecast, and website for SynCardia Systems, a Tucson-based medical device company that develops, manufactures, and markets the CardioWest Total Artificial Heart systems for use as a bridge to transplant in patients with end-stage heart failure.

Biotechnology Reagents

Prepared the business plan and financial model for a division of a billion-dollar public biotechnology company. The business makes instruments, consumables, and software for scientists engaged in medical research, drug discovery, agricultural research, biosecurity, and quality and safety testing.

Heart Transplant Monitoring

Prepared the business plan, financial forecast, and pitch deck for a firm that has developed an innovative system for monitoring tissue rejection among heart transplant recipients. This system overcomes deficiencies presented by existing technologies.

Prepared the business plan and investor presentation for Florence Medical, a medical device company. Florence develops advanced systems based on computational flow dynamics for diagnosing and treating cardiovascular disease.

Rehabilitation Services

Developed the business plan and financial forecast for Safe Harbor Retreat, the first upscale substance abuse rehabilitation center on the East Coast. The company has forged alliances with several leading experts in addiction treatment.

Brain Cancer Drug Delivery

Prepared the business plan, financial forecast, and investor presentation for CytoDome, a medical device company. CytoDome is developing a local drug delivery device that aims at regulating drug uptake by ailing brain tissue.

Interventional Radiology

Prepared the business plan, financial forecast, and investor presentation for UltraGuide, a medical device company. The company develops advanced guidance systems for interventional radiology.

Remote Patient Monitoring

Prepared the business plan, financial forecast, and pitch deck for a firm that developed an implantable device and monitoring system that eliminates the need for endomyocardial biopsies in heart transplant patients.

Biodegradable Stent for BPH

Prepared the business plan, financial forecast, and website for a firm that is developing cutting-edge, biodegradable polymer-based, local drug delivery stenting technologies for treating Benign Prostatic Hyperplasia (BPH).

Neurological Pharmaceuticals

Prepared a market assessment for a pharmaceutical company seeking to understand the business potential for a promising early-stage pharmaceutical used in the treatment of neurological disorders.

Medical Device for Wound Management

Prepared the business plan, financial forecast, and investor presentation for a medical device company that develops and markets a unique line of RF-based wound care technologies.

Medical Diagnostic Software

Prepared the business plan and financial forecast for a developmental stage enterprise conceived to provide a convenient, confidential, and affordable way for consumers to access diagnostic laboratory results and manage their own health.

Laser Surgery Equipment

Served as the CTO of a startup that developed laser-based equipment for cataract surgery. Directed early-stage research and development. Developed supporting materials for business plans, financial forecasts, and investor presentations.

Drug Delivery Device

Revised business plan, prepared pitch deck, and successfully raised capital for a later-stage company that designed a retractable syringe delivery system in response to concerns related to the potential for healthcare givers contracting infectious diseases.

Prepared the business plan for High Throughput Genomics. HTG develops and markets advanced technologies for analyzing the transcriptome – the RNA that transcribes DNA into proteins – providing pharmaceutical companies with a tool that can revolutionize the drug discovery market.

Hospice Services

Developed a business plan for a leading hospice provider in Idaho and Eastern Oregon. As one of the only large-scale hospice providers in the region, the company is actively acquiring independently-owned hospices as well as launching services in underserved localities.

SaaS-Based EMR

Developed proprietary software architecture, business plan, and investor pitch for a new concept in patient-oriented Electronic Medical Records. The system was designed to overcome some of the impediments to widespread adoption of EMRs inherent in existing systems.

Healthcare Strategy Consulting Practice

Managed consultant teams, market research, and day-to-day client relationships. Projects included working out a novel risk-sharing arrangement with the major regional insurance company for a 300-bed hospital and creating a managed care strategy for a rural tertiary care hospital and its affiliated physician groups.

Evaluated operational projects up to $2 million and acquisitions up to $20 million for an oncology physician practice management company as the company expanded from two to thirteen states over a period of two years. Led inter-departmental due diligence and integration teams for new physician group affiliations.

Medical Records Management

Created a business plan for team of radiologists who created a HIPAA-compliant software solution that allowed the transmission and storage of radiological images by separating the image from the identifier during transmission and storage. The image and the identifier would only come together in a secure, password protected environment.

Personal Emergency Response Systems

Developed a marketing plan, PPM draft, business plan, executive summary, pitch deck, and cash flow analysis for Innovate, Inc., developer of personal emergency response systems.

Online Support Community

Prepared the business plan, financial plan, marketing strategy, and investor pitch for an innovative psychiatric support service which integrates online social networking tools with traditional therapy techniques.

Cancer Recovery Products

Developed an extended executive summary for a company that provides prosthetics and clothing, as well as grooming, styling, and therapeutic treatment products for male and female cancer survivors.

Stem Cell Bank

Consulted on a business plan and pitch deck for a startup stem cell bank working with leading researchers.

Children’s Hospital

Developed an extended executive summary for a proposed children’s hospital to be developed in Nigeria.

Pharmaceuticals Distribution

Led the restructuring and privatization of Kazakhstan’s national pharmaceutical distribution monopoly.

Healthcare Consulting

Developed financial plans for a group of consulting organizations in the fields of hospital strategic planning and administration. Their activities included one of the first Electronic Medical Record systems.

Medical Supplies

Provided advisory services on capital raising and investor communications to PolyMedica Corp. The company markets and delivers medical supplies, such as diabetic products, direct to consumers’ homes.

Drug Test Diagnostic Services

Prepared the investor pitch deck, coached management, and raised capital (as a company officer) for a drug testing laboratory that was subsequently acquired by Kroll, Inc., an industry leader.

Advised a new management team and raised capital for a biotechnology company that engages in the development, manufacture, and marketing of various medical diagnostic test kits and components worldwide. These products aid in the diagnosis of certain autoimmune and infectious diseases.

SaaS Clinical Informatics

Developed proprietary software architecture and design of a new approach to person-centric clinical informatics. Collaborating with other team members, further developed the business plan, financial models and investor pitch. The company is in process of closing its first large outside funding round.

Reverse Engineering Metabolic Pathways

Prepared the IP portfolio and licensing plan for technology to reverse engineer metabolic pathways from mRNA expression data. The original goal was to sub-license the technology to pharmaceutical companies. At the end, the company assigned all rights to a single entity in a major deal.

Molecular Imaging

Prepared a business plan and pitch deck for a molecular imaging company with global sales and distribution to finance its next generation technology. This technology is 50% smaller and cheaper than existing devices, and has better imaging accuracy to reduce unnecessary surgical procedures.

Pharmaceutical Pricing and Reimbursement

Researched pricing in several international markets for a global pharmaceutical company’s new pharma product. Primary research included interviews of key stakeholders and decision makers involved with pricing in each market.

Medical Equipment & Software

Prepared a detailed business plan, pitch deck, and advised management on raising capital for Kinetic Muscles, Inc. The company develops and markets equipment and software used in physical and occupational therapy programs to treat and rehabilitate stroke victims.

Note: Some items reflect experience gained prior to joining Cayenne Consulting. Cayenne does not offer services that require licensing or registration with the NASD or other authorities.

Read testimonials from our medical device, biotech, and healthcare clients .

Why Choose Cayenne? Nine Great Reasons!

Avoid Costly Mistakes

We know what works, and, more importantly, what doesn’t. A single mistake can render your plan unfundable. We wrote the original and often-cited article on Why Business Plans Don’t Get Funded .

No Salespeople

Deal directly with a senior business plan consultant from Day One – not a commissioned salesperson who will hand you off to a junior writer. Personal relationships matter, and you need to know exactly who you’re dealing with.

Save Money - Really!

We’re not cheap, but about half of our clients came to us after a business plan prepared by a less qualified business plan consultant did not work out. Why not get it right the first time and save money?

Get Investors To Notice

Most entrepreneurs can’t get investors to return their calls. A majority of our clients secure meetings with potential funders. Our team’s efforts have contributed to over $4.3 billion in financing!

Fully Customized

Some business plan writers charge extremely low fees because they have a cookie-cutter, assembly-line approach. You get what you pay for. We work from scratch to represent your unique vision, not somebody else’s.

Develop a Winning Strategy

Most so-called “business plan consultants” take whatever you tell them and type it into software. We go much deeper and help develop a viable strategy for success, which we then express in a compelling business plan.

Get it Right the First Time

Funding is a binary event: either you succeed or you fail . If you fail, most investors won’t give you a second chance. Learn about the pros and cons of various approaches to developing business plans .

Work With True Experts

We’ve walked in your shoes and we understand what you’re going through. Many of us have advanced degrees from institutions like Harvard , Wharton , Berkeley , Cornell , Columbia , Stanford , Yale , Dartmouth , and Chicago .

Ongoing Support

We don’t stop when the business plan is complete. We have a talented team ready to help you implement it as well, either on a retained basis as interim members of your founding team or on a project basis, as needed.

Medical Device, Biotech & Healthcare Business Plan Consultants

Roger Anderson, Ph.D.

Tom Dykstra, MBA, CFPIM

Jenifer Grant, MBA

Shyam Jha, MBA

David Kaplan, JD

Lee Muhl, JD

Julia Perederiy, PhD

I'd like to speak with a biotech or medical device business plan consultant.

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Medical Billing Business Plan Template

Written by Dave Lavinsky

Medical Billing Business Plan

You’ve come to the right place to create your Medical Billing business plan.

We have helped over 1,000 entrepreneurs and business owners create business plans and many have used them to start or grow their Medical Billing businesses.

Below is a template to help you create each section of your Medical Billing business plan.

Executive Summary

Business overview.

TriMountain Medical Billing is a startup business located in Denver, Colorado. The company is founded by two friends, Nancy Linninger and Lacy Patton, both of whom have over 10 years of experience in the medical billing industry. They were team members in a large medical billing firm that was part of a national chain business and each has garnered a reputation for accuracy, excellent customer service, and offering the extra effort sometimes needed to assist in complex billing circumstances. Both Nancy and Lacy have been award recipients by associations for outstanding service to physician groups and individual physicians within their sphere of service and both partners have been awarded for their consistent care and devotion to “getting the job done correctly.”

With their outstanding reputations to carry their new business forward, the partners are talking with former customers about joining their new business and they are also gathering information to join industry events and citywide associations that will help spread the word of their new business.

Product Offering

The following are the services that TriMountain Medical Billing will provide:

• End-to-end revenue cycle management services
• Patient data entry
• Insurance verification
• Claim submission
• Denial management
• Payment posting
• Day to day client management

Customer Focus

TriMountain Medical Billing will primarily target the offices of physicians and various other healthcare providers. Secondarily, they will target the specialty and often unique billing needs of offices of cardiology, orthopedics, dermatology, and radiology.

Management Team

TriMountain Medical Billing is a startup company formed as a legal partnership. The partners, Nancy Linninger and Lacy Patton, carry an extensive background portfolio of accomplishments and awards within the medical billing industry. They are each known for stellar performance in complex medical billing issues and for their outstanding customer service in each medical billing case received. The partners have over 10 years of billing experience combined and have already determined from former clients that they will move to the new company as soon as it is open for business.

Nancy Linninger holds a bachelor of arts degree in Accounting, which she acquired from the University of Colorado. Her medical billing experience began before she attended the university, having started working at a small medical billing office while she was in high school.

Lacy Patton holds a bachelor of arts degree in Business, which she acquired from the College of the Redwoods. Her medical billing experience consisted of six years at her former employment, where as a Medical Billing Clerk III, she learned all aspects of medical billing, along with customer service and management of the newest software available for use in medical billing.

Success Factors

TriMountain Medical Billing will be able to achieve success by offering the following competitive advantages:

• Friendly, knowledgeable, and highly-qualified team of TriMountain Medical Billing.
• Exceptional customer service is the highest priority for the team at TriMountain Medical Billing and the staff will be trained to meet or exceed this service level.
• All billing is open to communication and discussion, with mediation set for any disputes that may arise. The phrase, “The customer is always right,” is one that TriMountain Medical Billing takes seriously.
• Comprehensive menu of services and an accurate and complete record and descriptions for the records that are delivered to the [physician groups every month.
• TriMountain Medical Billing offers the best pricing in the city. Their pricing structure is the most cost-effective when compared to the competition.

Financial Highlights

TriMountain Medical Billing is seeking $200,000 in debt financing to launch its TriMountain Medical Billing offices. The funding will be dedicated toward securing the office space and purchasing office equipment and supplies. Funding will also be dedicated toward three months of overhead costs to include payroll of the staff, rent, and marketing costs for the print ads and marketing costs. The breakout of the funding is below:

• Office space build-out: $20,000
• Office equipment, supplies, and materials: $10,000
• Three months of overhead expenses (payroll, rent, utilities): $150,000
• Marketing costs: $10,000
• Working capital: $10,000

The following graph outlines the financial projections for TriMountain Medical Billing.

Company Overview

Who is trimountain medical billing.

TriMountain Medical Billing is a newly established, full-service medical billing business in Denver, Colorado. TriMountain Medical Billing will be the most reliable, cost-effective, and efficient choice for healthcare providers in Denver and the surrounding communities. TriMountain Medical Billing will provide a comprehensive menu of medical billing services for any physicians group or clinic to utilize. Their full-service approach includes a comprehensive array of services and the latest software to support them.

  TriMountain Medical Billing will be able to manage every client with speed and accuracy. The team of professionals are highly qualified and experienced in medical billing and, more importantly, in customer service that is superior to all others. TriMountain Medical Billing removes all the headaches and issues of medical billing and ensures a reliable, fast and efficient medical billing system will support every client’s customer service needs.

TriMountain Medical Billing History

Since incorporation, TriMountain Medical Billing has achieved the following milestones:

• Registered TriMountain Medical Billing, LLC to transact business in the state of Colorado.
• Has a contract in place for a 10,000 square foot office at one of the midtown buildings
• Reached out to numerous contacts to include TriMountain Medical Billing as new partners in billing.
• Began recruiting a staff of two and three office personnel to work at TriMountain Medical Billing.

TriMountain Medical Billing Services

The following will be the services TriMountain Medical Billing will provide:

Industry Analysis

The medical billing industry is expected to surge in growth over the next five years to over $24 billion. The fast rate of growth will be driven by the increasing demand to outsource billing from healthcare providers to medical billing companies who specialize in services and accuracy. This allows practitioners to focus on patients rather than on billing. Additionally, the growth in the industry will be exponentially fast as a result of governmental programs and policies that are currently in motion to change. More services by medical billing companies, especially with the use of AI, will be required.

Costs will likely be reduced as AI is integrated into medical billing systems and input becomes less timely, which will lower costs. Additionally, costs will be reduced as software and other formats and systems continue to evolve to make time-consuming tasks easier and more efficient for medical billing processes and their requirements.

Customer Analysis

Demographic profile of target market.

TriMountain Medical Billing will target the offices of physicians and various other healthcare providers. Secondarily, they will target the specialty and often unique billing needs of offices of cardiology, orthopedics, dermatology, and radiology.

Customer Segmentation

TriMountain Medical Billing will primarily target the following customer profiles:

• Physician offices
• Medical groups that service physicians
• Specialty medical groups, such as cardiology, orthopedics, dermatology and radiology, each of which has unique medical billing requirements

Competitive Analysis

Direct and indirect competitors.

TriMountain Medical Billing will face competition from other companies with similar business profiles. A description of each competitor company is below.

MedBill of Colorado

MedBill of Colorado is owned by a physician’s group located in Provo, Utah. The focus of the medical billing company is on medical coding and the documentation that must accurately accompany coding. MedBill of Colorado offers physician groups an assurance that medical records are coded accurately and in compliance with coding guidelines, which is crucial for accurate billing and reimbursement.

The physician’s group that owns MedBill of Colorado is currently seeking a sizable loan in order to obtain software and AI-assisted programs that will speed the billing process for certain physician groups and individual clients. The cutting-edge technology, when placed into use, will reduce the time and effort spent in accurately coding.

Colorado Medical Claim Services

The Colorado Medical Claim Services group has a primary focus on claims submission, tracking, and follow-up. They work to speed the processing of claims, which ensure physician groups receive timely payments. They also work to accurately reduce claim denials, which removes the time-consuming tasks from the physician’s group. Colorado Medical Claim Services also works to maximize reimbursements for healthcare providers by cross-checking and verifying expenditures and allowable reimbursements.

Colorado Medical Claim Services was started in 2019 by a physician, Neil Baker, who saw the opportunity to garner profit in a fast-rising area of medical billing. The coding portion of the service is just the beginning for the Colorado Medical Claim Services business.

Denver Doctors Collection Group

Denver Doctors Collection Group has a primary concentration on accurate patient billing and the collection due to doctors as a result of those billings. The six employees within the company handle patient statements, payment plans, and collections to ensure that patients pay their bills promptly. If patients are unable to pay, the Denver Doctors Collection Group sets up efficient and effective repayment programs that ensure doctors are able to maintain a reasonable cash flow even as repayment plans often take a longer period of time to collect. The owner of the company, Dan Dorsee, started the company in 1999 and has maintained the company through sustained growth within this segment of medical billing.

Competitive Advantage

TriMountain Medical Billing will be able to offer the following advantages over their competition:

Marketing Plan

Brand & value proposition.

TriMountain Medical Billing will offer the unique value proposition to its clientele:

• Highly-qualified team of skilled employees who believe customer service is the highest priority for the team at TriMountain Medical Billing.
• The staff of TriMountain Medical Billing are fully trained to meet and exceed the requirements of each physician group in accuracy and reliability of their work.
• Billing questions are always open to communication and discussion, with mediation set for any disputes that may arise. The phrase, “The customer is always right,” is one that TriMountain Medical Billing takes seriously.
• Compared to other medical billing companies in the area, TriMountain Medical Billing offers comprehensive services at lower rates than other providers.

Promotions Strategy

The promotions strategy for TriMountain Medical Billing is as follows:

Word of Mouth/Referrals

Nancy Linninger and Tracy Patton have built up an extensive list of contacts over the years by providing exceptional service and expertise to former medical billing clients. The contacts and clients will follow them to their new company and help spread the word of TriMountain Medical Billing.

Professional Associations and Networking

National trade shows and regional networking events will be attended and the new company will be offered in sales and business development efforts. Physician conferences and medical coding conferences will be attended, as well, with similar goals.

Print Advertising

Printed brochures will be offered to all physician groups and clinics within the Denver region. Discounted pricing for one-year contracts will be offered during the first month of business. From time to time, additional messaging will be sent to physician groups to consider the services of TriMountain Medical Billing.

Website/SEO Marketing

TriMountain Medical Billing will fully utilize their website. The website will be well organized, informative, and list all the services that TriMountain Medical Billing provides. The website will also list their contact information. The website will engage in SEO marketing tactics so that anytime someone types in the Google or Bing search engine “medical billing company” or “medical billing near me,” TriMountain Medical Billing will be listed at the top of the search results.

The pricing of TriMountain Medical Billing will be moderate and on par with competitors so customers feel they receive excellent value when purchasing their services.

Operations Plan

The following will be the operations plan for TriMountain Medical Billing. Operation Functions:

• Nancy Linninger will be the owner and president of the company. She will oversee all business development and manage the accounting needs of the company.
• Nancy Linninger will seek investor funding to fully develop two additional locations of the company within outlying regions of Denver in areas of fastest population growth.
• Tracy Patton will direct programs and oversee client relations with resolution or conflict negotiation needs. She will also manage non-payment issues and repayment plans.
• Tracy Patton will be the owner and vice president of the company. She will assume the role of administrative director, overseeing all staff and operations within the company. She will also direct the software programs and other innovations within the company.
• Daniel Peterson will be the senior manager of billing processes. He will work directly with staff to train, conduct checks, supervise accuracy and oversee client relations.

Milestones:

TriMountain Medical Billing will have the following milestones completed in the next six months.

• 5/1/202X – Finalize contract to lease office space
• 5/15/202X – Finalize personnel and staff employment contracts for the TriMountain Medical Billing
• 6/1/202X – Finalize contracts for TriMountain Medical Billing clients
• 6/15/202X – Begin networking at industry events
• 6/22/202X – Begin moving into the TriMountain Medical Billing office
• 7/1/202X – TriMountain Medical Billing opens its doors for business

Daniel Peterson has been recruited as the senior manager of billing processes. He will work directly with staff to train, conduct checks, supervise accuracy and oversee client relations.

Financial Plan

Key revenue & costs.

The revenue drivers for TriMountain Medical Billing are the fees they will charge to physicians and specialty medical groups for their services. .

The cost drivers will be the overhead costs required in order to staff at TriMountain Medical Billing. The expenses will be the payroll cost, rent, utilities, office supplies, and marketing materials.

Funding Requirements and Use of Funds

Key assumptions.

The following outlines the key assumptions required in order to achieve the revenue and cost numbers in the financials and in order to pay off the startup business loan.

• Number of clients per Month: 100
• Average revenue per Month: $150,500
• Office Lease per Year: $100,000

Financial Projections

Income statement.

Balance Sheet

Cash Flow Statement

Medical Billing Business Plan FAQs

What is a medical billing business plan.

A medical billing business plan is a plan to start and/or grow your medical billing business. Among other things, it outlines your business concept, identifies your target customers, presents your marketing plan and details your financial projections.

You can easily complete your Medical Billing business plan using our Medical Billing Business Plan Template here .

What are the Main Types of Medical Billing Businesses? 

There are a number of different kinds of medical billing businesses , some examples include: Light, Full Service, and Boutique.

How Do You Get Funding for Your Medical Billing Business Plan?

Medical Billing businesses are often funded through small business loans. Personal savings, credit card financing and angel investors are also popular forms of funding.

What are the Steps To Start a Medical Billing Business?

Starting a medical billing business can be an exciting endeavor. Having a clear roadmap of the steps to start a business will help you stay focused on your goals and get started faster.

• Develop A Medical Billing Business Plan - The first step in starting a business is to create a detailed medical billing business plan that outlines all aspects of the venture. This should include potential market size and target customers, the services or products you will offer, pricing strategies and a detailed financial forecast.  
• Choose Your Legal Structure - It's important to select an appropriate legal entity for your medical billing business. This could be a limited liability company (LLC), corporation, partnership, or sole proprietorship. Each type has its own benefits and drawbacks so it’s important to do research and choose wisely so that your medical billing business is in compliance with local laws.
• Register Your Medical Billing Business - Once you have chosen a legal structure, the next step is to register your medical billing business with the government or state where you’re operating from. This includes obtaining licenses and permits as required by federal, state, and local laws. 
• Identify Financing Options - It’s likely that you’ll need some capital to start your medical billing business, so take some time to identify what financing options are available such as bank loans, investor funding, grants, or crowdfunding platforms. 
• Choose a Location - Whether you plan on operating out of a physical location or not, you should always have an idea of where you’ll be based should it become necessary in the future as well as what kind of space would be suitable for your operations. 
• Hire Employees - There are several ways to find qualified employees including job boards like LinkedIn or Indeed as well as hiring agencies if needed – depending on what type of employees you need it might also be more effective to reach out directly through networking events. 
• Acquire Necessary Medical Billing Equipment & Supplies - In order to start your medical billing business, you'll need to purchase all of the necessary equipment and supplies to run a successful operation. 
• Market & Promote Your Business - Once you have all the necessary pieces in place, it’s time to start promoting and marketing your medical billing business. This includes creating a website, utilizing social media platforms like Facebook or Twitter, and having an effective Search Engine Optimization (SEO) strategy. You should also consider traditional marketing techniques such as radio or print advertising. 

Learn more about how to start a successful medical billing business:

• How to Start a Medical Billing Company

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Medical Billing Business Plan

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Physicians 1st Billing and Claims

Executive summary executive summary is a brief introduction to your business plan. it describes your business, the problem that it solves, your target market, and financial highlights.">.

Billing services currently exist to manage medical practices. These services relieve medical professionals of tedious detail work, but rarely do they offer a means to substantially maximize the practice’s bottom line. Physicians 1st Billing and Claims will not only free office staff for more crucial tasks, but will also maximize return from insurance carriers.

National statistics show only about 70 percent of insurance claims, initially submitted on paper, are ever paid by insurance carriers. With electronic submission Physicians 1st Billing and Claims can increase the percentage of claims paid to around 98 percent.

Additional statistics indicate that it currently costs a medical practice between $8.00-$10.00 per claim to process insurance for their patients. Physicians 1st Billing and Claims can reduce these costs by 50 percent or more.

Statistics show turnaround on paper insurance claims to be 30, 60, even 90 days or longer, creating serious outstanding receivables for the practice. By submitting claims electronically, Physicians 1st Billing and Claims can generally have money in the physician’s hand within 14-18 days. Of course, this reduces outstanding receivables proportionately and tremendously improves cash flow.

Statistics also show a 30 percent suspension/rejection rate for paper insurance claims. This doesn’t mean that the claims are never paid. What it does mean is medical staff must hassle with insurance carriers over payment. With the extensive editing performed on electronic claims prior to their transmission to carriers, this percentage is reduced to 2-3 percent. Claims are submitted with a 98 percent accuracy rate.

For many years physicians graduated from medical school under the premise that they were going to run a “practice.” “Businesses” were for other professionals. Many simple administrative procedures were neglected, such as:

• Keeping current with insurance specifications and regulations, so that claims were paid on a timely basis,
• Concentrating on collecting receivables and co-payments,
• Ensuring that fees were kept at the maximum allowable insurance carriers were paying, or
• Procedure codes were current so that claims weren’t suspended or rejected.

For many offices, outstanding receivables grew tremendously and annual bad-debt write-offs became routine. But adequate profit margins allowed medical practices to ignore sound business procedures. Medical practice complacency toward industry change is in the past. Physicians’ heads raised and they began taking note of public opinions toward health care reform issues four years ago. With the onslaught of managed care organizations into the industry, physicians are finding profit margins shrinking. They are now alert to the fact that in order to remain in business into the 21st century, they will have to adopt more efficient business practices. Physicians 1st Billing and Claims is prepared to assist local health care providers move through the last of the 20th century and into the 21st century with sound practices that will guarantee business success and, in turn, guarantee quality health care for our families and our country.

Physicians 1st Billing and Claims is contributing over $9,000 to this business. We are requesting to borrow another $5,000. Please give this detailed business plan your attention. The use of these funds is explained in the Start up Summary section.

1.1 Objectives

• To acquire one account by the end of month two.
• To process 1,500 claims a month by month 15.
• To become recognized as a local industry expert in the field of medical reimbursement.
• Code optimization.
• Managed care contract analysis.
• Full practice management.
• Customized reporting.
• Medical transcription.
• Fee analysis.
• Medicare financial impact analysis.

1.2 Mission

Physicians 1st Billing and Claims is a medical reimbursement consulting firm dedicated to helping medical practices become more efficient and save money by allowing them to out-source their insurance processing and medical billing to an expert reimbursement service. We intend to have complete one-stop-shopping for all medical practice administrative functions by the end of 1998. We intend to make enough profit to repay our business-start-up loan and finance continued growth and development with our quality service.

1.3 Keys to Success

Since 1985, the Federal Government has been urging the health care industry to submit insurance claims electronically. Statistics prove that electronic submission can save millions of dollars annually for the industry. Presently, 95 percent of all pharmaceutical claims and 70 percent of hospital claims are submitted electronically. Physicians and dentists trail far behind, with only 25-30 percent.

The Federal Government is not happy with this situation so in 1990, Congress mandated that physicians are required to file claims on behalf of all their Medicare patients. Many doctors were not prepared for this deluge of paperwork. Eight years later doctors are still climbing out from under the paperwork. In 1996 the motions calling for electronic submission of all Medicare claims were being echoed throughout the halls of congress. No mandate was passed but the paperwork continues to mount up and as baby boomers near retirement age the paper problem will only get worse and those echoes will turn into screams. This year in the U.S. over 1 trillion dollars worth of medical charges will be issued. This amounts to 9 billion medical claims. Medical practices will be forced to meet the mandates, and growing mountains of paper and most are not currently equipped to handle the transition. The sensible solution is to out-source the process to experts that are prepared to save the practices money, produce a much faster return from insurance carriers, and handle the claims with a high degree of accuracy. There aren’t many businesses that can say the Federal Government is behind them all the way.

A second key to our success will be flexibility. Physicians 1st Billing and Claims understands that each medical practice is unique. Even practices of the same specialty will have different staff and offer different services. Physicians 1st Billing and Claims will evaluate the needs of each practice and offer solutions to help the practice become more efficient. Some may want all the services we offer and some may select only a few. Our billing will be customized to each office’s needs.

A third key is our diversified services. Physicians 1st Billing and Claims offers a one-stop-shopping experience for medical administrative services.

Company Summary company overview ) is an overview of the most important points about your company—your history, management team, location, mission statement and legal structure.">

We are currently organized as a partnership, being formed in October, 1998.

Physicians 1st Billing and Claims and the logo shown on the cover of this plan are trade marked through the U.S. Department of Commerce Patent and Trade Mark Office. The trademark covers Medical Practice Management and Reimbursement Consulting.

2.1 Company Ownership

The two individuals forming this partnership are John and Mary Biller, a husband and wife team.

John’s experience consists of three years of teaching experience, 13 years managerial experience in the Building Materials industry, and 12 years as a father. As a manager, John gained experience in marketing, back-office operations, sales, and managing people. John will use this experience in managing the Marketing and Sales departments.

2.2 Start-up Summary

Physicians 1st Billing and Claims start up will focus on John and Mary working full-time in the business.

John’s main duties will center on marketing/sales, purchasing, and data entry. Mary’s main duties will center on data entry, clerical administration, and training. John and Mary will jointly assume the accounting responsibilities. The children, Erika and Matthew, will work when needed in data entry and housekeeping. The entire Biller family is dedicated to ensuring the success of Physicians 1st Billing and Claims.

John and Mary have decided to purchase a business opportunity package offered by Claim Systems Inc. The price of this package includes: state of the art medical billing and accounting software, unlimited training for the first six months, two years of 24-hour technical support, emergency support service, and a full-featured marketing package. The price of the package is $5,000.00 plus $45.00 for shipping and handling. Optional dental billing software can be purchased for $900.00 plus shipping. This software will be added at a later date. An additional deposit of $400.00 will be included at time of purchase of the package to secure the rights to become a franchise once Claim Systems receives licensing from the State of Indiana. At such time as Claim Systems receives this approval, Physicians 1st Billing and Claims will pay an additional $1,595.00 for ownership of franchise rights from Claim Systems. The benefits of this will allow us to advertise nationally and establish name recognition.

John owns a Pentium II Gateway computer with ink-jet printer and a scanner that will be utilized for the business. The following additional office equipment will be purchased: a Pentium computer, an ink-jet printer, a fax machine, assorted phone and communications equipment, a chair, a copy machine, accounting software and misc. office supplies.

John and Mary are investing $9,640 of their own capital in the business, and are looking for a four-year loan for an additional $16,000 which they feel will be necessary to successfully start Physicians 1st Billing and Claims.

2.3 Company Locations and Facilities

John and Mary will be utilizing 518 sq. ft. (an extra large bedroom in the upstairs) of their home. John’s office area will be utilized for marketing and accounting operations. Mary’s office area will be utilized for data entry and clerical operations, etc.

Our position in the market will be a full-service medical reimbursement business with individual pricing. As stated previously, our goal is one-stop shopping for medical practices when it comes to administrative functions. Physicians 1st Billing and Claims Electronic Claims Service’s policy is to customize our charges based on the work we do, and the needs of each office. We find that each practice is unique and, therefore, we do not quote a “standard charge” for services.

Initially, Physicians 1st Billing and Claims will offer electronic billing of medical insurance claims. This is a badly needed service for most medical practices, and is even more critical since the Federal Government will mandate electronic submission of Medicare claims in the near future.

A detailed description of the electronic submission process follows. The data necessary to submit claims will be downloaded from the medical office and input into specialized computer software. The software performs certain generic edits on the data and stores the information. When a batch of claims is complete for an office, it is time to transmit to the national clearinghouse. The data travels via modems and telephone lines to the clearinghouse where the data is edited a second time. This second series of edits incorporates “insurance company specific edits.” Cooperating insurance carriers notify the clearinghouse of certain edits they feel are necessary to allow payment of their claims. These edits are performed on each claim before they are transmitted on to the carrier, thus guaranteeing accuracy and payment in most cases. Upon receiving the insurance claim from the clearinghouse, the carriers process the claim and send payment directly to the medical practice. With electronic transmission to the clearinghouse and on to the carrier, computerized data verification, and elimination of most of the human element, the process of claims payment is greatly simplified and accelerated. Physicians will no longer wait 30, 60 or 90 days for payment, but will have money in their hands usually within 14-18 days.

As practices begin experiencing the benefits of electronic submission, many will see the advantage of out-sourcing other administrative functions. Physicians 1st Billing and Claims’ full-featured practice management software will allow us to meet those needs. Patients can be billed for co-payments or amounts which their insurance company did not cover. Secondary and supplementary insurance can be tracked and payments and balances applied accurately. The software utilizes state-of-the-art, open-item accounting, where most other systems use balance-forward systems. Outstanding receivables can be tracked with insurance aging reports, in several different sequences for ease of use. A complete practice analysis will increase office efficiency by showing where money is coming from. For each procedure, the charges and percentage of total charges they represent are calculated and printed for immediate reference. Transaction Journals and Detail Ledgers provide an accurate overall picture of the practice.

With managed care sweeping the country, it is imperative for medical practices to evaluate the benefits they receive from affiliation with different organizations. Our managed care contract service tracks payments and analyzes the information to produce customized reports showing profitability, or lack of profitability, with each managed care facility. These reports are critical when decisions need to be made on renewing and negotiating contracts.

Claim Systems’ state-of-the-art software will allow the physician to do complete dictation transcription. This allows the physician to meet the needs of the new strict HCFA mandate on clarity of all Medicare claims.

3.1 Service Description

Physicians 1st Billing and Claims’ number one goal is to provide outstanding service.

We show our dedication to service by providing the physician one-stop shopping for all his or her billing and claims needs. The services we provide are as follows:

• Complete patient record setup.
• Electronic and manual medical claims filing.
• Patient billing.
• Claims posting and patient record updating.
• Collection services.
• Complete practice analysis.
• Assistance in negotiating health care contracts.
• Automated transcription service.
• Volume discounting.

Initially we will focus on just claims filing. In the near future we will diligently pursue our goal of providing one-stop shopping for physicians’ medical office management.

3.2 Competitive Comparison

An evaluation is performed on each medical practice during the marketing phase. This will allow us to determine the needs of the practice and how to charge for services rendered.

During the evaluation certain facts are gathered, such as:

• The time it will take to key patient and claims information into the software.
• The approximate number of claims a practice will submit monthly.
• The approximate “total dollars” a practice submits monthly to insurance carriers.
• How accurate is the information obtained from the office (is it complete and easy to enter or does it require extensive editing and follow-up?).
• How often will the information need to be gathered (based on claims volume).
• What method is best to collect the information (personally, mail, FAX, Federal Express, downloading via modems).
• What other services may interest the practice.

3.3 Sales Literature

Included in the appendix to this plan are copies of Physicians 1st Billing and Claims’ sales brochure and tips brochure. These brochures were developed with the expertise of a national marketing company specializing in medical reimbursement issues. The sales brochure will be used in conjunction with sales calls. Physicians 1st Billing and Claims’ Tips brochure will be utilized as a direct mail piece. Also included are copies of business cards and stationery.

3.4 Technology

The computer software that is the crux of Physicians 1st Billing and Claims’ medical reimbursement business is state of the art. Physicians 1st Billing and Claims is running in Windows 95. The software was specifically developed as a tool for medical reimbursement consultants. This is important because some software being sold is written to manage a doctor’s office and does not necessarily incorporate all functions that are needed for consultants. The software also includes the latest features needed for managed care organization management, including tables for the numerous fee schedules which may be required, and customized reports to evaluate contacts.

The ET&T clearinghouse, which verifies the claims data, is highly respected in the industry. They are members of and have been certified by AFECHT, a national policing organization. They utilize the American National Standards formats recognized by Medicare and most commercial insurance carriers. They guarantee claims are 98 percent accurate before being sent on to carriers.

3.5 Future Services

As stated earlier in 3.1, Mary and John plan to initially process claims manually and electronically. As they gain experience, they will offer full medical office consulting services as follows:

Market Analysis Summary how to do a market analysis for your business plan.">

Physicians 1st Billing and Claims’ target market consists of any medical practice or health care delivery unit that utilizes the HCFA-1500 format (a national standard utilized by Medicare) for submission of claims. This includes family practice, internal medicine, surgeons, psychologists, chiropractors, physical therapists, podiatrists, specialists, ambulance services, medical laboratories, etc. Physicians 1st Billing and Claims can also process claims for dentists with the use of special ADA software.

New practices are particularly appealing as Physicians 1st Billing and Claims can assist the new physician and his or her staff in billing and claims training. By equipping the physicians with a a well trained staff in claims handling and putting an efficient billing program into place, Physicians 1st Billing and Claims can reduce the stress of start up and ensure greater likelihood of a practice’s success due in part to increased cash flow.

4.1 Market Segmentation

The following is a chart showing the number of physicians in (omitted) for each speciality mentioned.

Number and Specialty

5 Allergy-Immunology 47 Anesthesiologist 3 Cardiovascular 12 Cardiovascular Surgery 84 Chiropractors 1 Clinical Genetics 2 Child Psychiatry 1 Clinical Immunology 5 Colon Rectal Surgery 10 Critical Care Medicine 179 Dental 11 Dermatology 1 Diabetes 35 Diagnostic Radiology 1 Education 21 Emergency Medicine 16 Ear, Nose and Throat 114 Family Practice 30 Family Practice Residents 1 Family Practice Sports Med. 12 Gastroenterology 10 Geriatrics 22 General Surgery 1 General Surgery Burns 7 Gynecology 7 Hematology 4 Infectious Diseases 40 Internal Medicine 10 Neurology 12 Nephrology 4 Neonatal-Prenatal Medicine 3 Nuclear Radiology 9 Neurological Surgery 26 Obstetrics 1 Obstetrics & Gynecology Resident 1 Occupational Medicine 3 Oncology 22 Ophthalmology 35 Orthopedic Surgery 7 Orthopedic Surgery Resident 14 Optometry 24 Pediatrics 14 Psychiatry 49 Psychologists 1 Pediatrics Pulmonary 6 Physical Med. & Rehab. 15 Physical therapy 1 Pediatric Nephrology 9 Plastic Surgery 21 Pathology 11 Pulmonary 3 Rheumatology 6 Therapeutic Radiology 13 Thoracic Surgery 14 Urology 12 Vascular Surgery

Physicians 1st Billing and Claims’ initial plan is to sign a single doctor practice. An ideal target would be a family practice physician.

4.2 Service Business Analysis

The Federal Government’s influence is quite positive. In May, 1992, the Health Care Financing Administration, the governing body for Medicare, established what they call “payment floors” for Medicare claims. Carriers contracted to pay Medicare claims were told to hold paper claims’ payments until “at least the 27th day after receipt.” Electronic claims were to be held until the 14th day, but had to be paid by the 19th day. If “clean claims” (claims that are error free) were not paid by the 19th day after receipt, the Federal Government would have to pay interest on the claim amount. No payment penalties were placed on paper claims. Program Memorandum AB-92-5 described above, was beneficial for the electronic medical claims industry.

Several states have passed mandates of their own since 1992, but until now there has been no real action by the Federal Government on this issue. As stated earlier, it is expected that Congress will mandate electronic submission of Medicare claims in the near future and the cut-off date for paper claims will follow soon after. After the cut-off date, paper Medicare claims will not be accepted.

If history is any indication and current trends continue, commercial insurance carriers will follow suit within a short period of time. It is in their best interest as well. Statistics show that it currently costs a commercial carrier between $2.60 to $20.00 to process a claim. The same claim can be processed electronically for approximately $1.10. The conversion costs of moving from paper to electronic processing can be extensive, but in the long run these savings will be substantial.

4.2.1 Main Competitors

Our main competition is Bi-State Medical Consulting. They provide full service medical claims management.

Their strengths are:

• Experience.
• Large client base.

Their weaknesses are:

• One-way claims communication and software.
• Limited advertising ability.

The strengths and weaknesses, however, seem of little consequence as the local market by all accounts is untouched, and no other company in this area can offer the software features or the dedicated service that Physicians 1st Billing and Claims is able to offer.

The bottom line of our ability to compete lies in our ability to provide any and every physician with free practice management software, two-way computer communications which allow for next day patient records updating, and substantially improved cash flow for the physician.

4.2.2 Business Participants

If Congress does mandate electronic submission of insurance claims during 1998, 600 physicians will be scrambling to meet the mandates. Since October, 1990, physicians treating Medicare and Medicaid patients have been required by law to file the necessary claims for these individuals. If practices are unable to meet the mandates, they will lose a good portion of their patient base.

During the past few years, medical practice’s interest in Total Quality Control (TQC) has intensified. Part of this is attributed to the Federal Government and the American public’s interest in health care reform. Physicians fear that if they do not voluntarily comply, more Federal regulations will be imposed.

The managed care movement across America is also influencing medical practices. In the past, doctors personally decided what they would charge for services rendered. For many physicians this fee-for-service payment method is a thing of the past. With managed care, physicians sign contracts and affiliate with different health maintenance organizations (HMOs) or preferred provider organizations (PPOs). Most decide to affiliate for one of two reasons:

• Their peers are doing it and they do not want to be left out, or
• They feel it will increase their patient base.

Strategy and Implementation Summary

Studies show that the No. 1 issue with consumers today is “personal service.” They are tired of robotic salespeople, hollow sales promises, and mediocre support from unresponsive technical staff. They want to know that someone really cares about their concerns and wants to resolve their problems. They want thoroughly thought out solutions that reap benefits. And they want it when they want it. Physicians 1st Billing and Claims understands this because we have been in their position.

Physicians 1st Billing and Claims also understands that they want a reasonable price for services. That is why Physicians 1st Billing and Claims takes the time to evaluate the needs of each medical office and then we customize our service and our charges, based on needs. We need to make sure we are not overcharging or undercharging. If we’re overcharging, then the client will not be happy. If we’re undercharging, then we won’t be happy and we probably won’t do a good job. What we’re looking for is win-win, long-term relationships with our clients. Zig Ziglar, noted sales trainer, asks the question, “Would you buy from you? Are you the type of business that you would like to do business with?” Physicians 1st Billing and Claims feels we are the type of company that anyone would be happy to do business with.

5.1 Competitive Edge

Physicians 1st Billing and Claims can provide the following benefits:

• Free State-Of-The-Art Practice Software.
• Two-way Computer Communications.
• Next Day Patient Record Updating.
• Complete Practice Analysis.
• Full Service Medical Claims Management.
• Superior Service.

No one else in the local market can offer this service package.

5.2 Marketing Strategy

There is a marked increase in results when multiple items are used in concert to attain your goal, a contract for services between you and a health care practice.

The basic plan is divided into five segments:

• Contacting the medical practice for the first time.
• Identifying the gatekeeper and making contact with them.
• Mailing or dropping off information
• Three-panel brochure.
• Self mailer.
• Promotional letter.
• Scheduling an appointment for a presentation.
• The presentation.

Contacts to implement this marketing strategy will be from a prior developed database of physicians who currently do not file medical claims electronically. This information is obtained from public records.

5.2.1 Promotion Strategy

We believe it is much smarter for a medical practice to out-source the detail work of insurance processing to an expert medical reimbursement service instead of trying to make the transition to in-house processing themselves. For years medical practices have been relying on the expert advice of accounting services for tax issues and financial planning. These areas have become very complicated and expertise is needed to ensure judicious decisions. Insurance processing has become very complicated as well, and physicians need to begin relying on expert services to maximize their reimbursement from insurance carriers.

Most medical offices are computerized to the degree that they own a computer and software with capabilities to set appointments, bill patients, and print paper insurance claims. Most do not have capabilities to transmit claims electronically or scientifically evaluate managed care contracts, and the transition is expensive.

Their current software and system have been very stable, and for years may not have even required a software update. Electronic claims submission is a very volatile and different industry requiring frequent software modifications to stay abreast of industry changes. Expertise and time is required over and above what the normal medical office can afford.

For most offices the transition would begin with buying new hardware (or updating the old), claims software, modems, communications software, etc. Very likely the current medical staff will not have the expertise to handle upgrades, install programs, test modems, understand baud rates, conduct initial testing, and other essential skills. This means the office has to hire someone with these skills or retain an expensive support service. With the high turnover of personnel that most medical offices currently experience, retaining another type of employee adds a completely new dimension.

The logical solution to meeting Federal mandates and to process all claims electronically, is to contract with an expert electronic medical billing and reimbursement service. This allows current office staff to resume the tasks they were trained to do, such as assist patients and doctors.

5.2.2 Marketing Programs

With a service-oriented business such as this, clients must be brought on one at a time. The full practice analysis will be conducted with each need being identified. Charges will be negotiated based on these needs. When we have successfully met the needs of each practice, the practice will be more inclined to promote our business to other medical practices that would benefit from our service. Studies have shown that the most common way to expand a medical reimbursement business is through referrals from current clients.

In addition to the on-going program discussed above, Physicians 1st Billing and Claims will incorporate numerous other strategies simultaneously.

In general they are:

• A listing in the local Yellow Pages. We realize the importance of stability and professionalism; anyone who has been in business any length of time can be located in the Yellow Pages. We will only be utilizing a one-line listing for we feel this will not be the main source of clients contacting us, but will provide the professional appearance we need.
• Networking as members of the Chamber of Commerce, local civic organizations, county medical associations.
• Attending and volunteering services for medical fundraisers and health fairs, maintaining an information booth at local medical trade shows.
• Attending Medicare, Medicaid, Blue Shield and Worker’s Compensation activities.
• Networking with other professionals, such as medical and professional consultants, attorneys, and accountants whose clientele is predominately medical, pharmaceutical representatives, and medical equipment salespeople.
• Affiliation with local and national peer organizations, including those available on the Internet.
• Advertising in local/hospital newsletters.
• Membership in the Better Business Bureau.
• Accepting an invitation to appear on a local radio talk show.
• Submitting several press releases annually to local newspapers.
• Writing articles for several health publications in the area.

5.2.3 Pricing Strategy

Physicians 1st Billing and Claims’s pricing strategy is a two part program:

Part 1: The first question that must be asked in the negotiation process is, “Does this practice want complete claims management?” If the answer is yes, Physicians 1st Billing and Claims will negotiate services based on a percentage. Usually the percentage will be from 6 to 10 percent based on the size of the practice.

Part 2: If the practice simply wants claims filing, the pay-for-services rendered will be based on a sliding scale with ranges between $3.50 and $5.00. This scale is divided as follows:

A one time setup charge between $150.00 and $500.00 based on patient load will be assessed and will be due at contract signing.

5.3 Sales Strategy

The following graph and chart reflect the realistic goals we have set.

5.4 Strategic Alliances

Physicians 1st Billing and Claims is a franchise affiliated with the nationally known Medical billing franchise. This affiliation allows us to take advantage of the prestige and experience associated with the national company. Included with affiliation is:

• Full-accounting, state-of-the-art medical billing software (Windows based) that includes patient billing, specialized reports, superbill generation, electronic claims, open-item accounting, patient recall, mailing labels, patient scheduling, and graphics capabilities.
• One year, toll-free telephone support for software, claims processing and marketing strategies.
• One year software updates, rewrites, and new manuals.
• A library of current medical insurance carriers.
• A library of current CPT (procedure) codes.
• A library of current ICD-9-CM (diagnosis) codes.
• Flash Code for Windows (software that handles extensive validity checking on procedure and diagnosis codes).
• Clearinghouse registration for claims processing centers and first medical practices.
• Dental electronic claims software.
• Marketing manuals, audio tapes, and supplemental marketing materials.
• Computer software to help in designing innovative marketing brochures.
• Personalized help in designing marketing materials.
• Updates to keep us informed concerning changes in the health care industry.
• Computer software to calculate what it currently costs a medical practice to provide insurance processing for patients and to help calculate customized charges for medical practices.
• Invoicing software.
• Contact management software.

5.5 Milestones

See Milestone table.

Management Summary management summary will include information about who's on your team and why they're the right people for the job, as well as your future hiring plans.">

As stated earlier in the section on Company Ownership, the primary management of the company will be handled by John Biller. As President of Physicians 1st Billing and Claims, John brings 16 years of management experience to his position. John holds a Bachelor of Science degree from Ball State University in Education. John’s education and experience in the medical field come from his extensive training in Physiology and Anatomy as a major part of a Health Science degree. John managed Big Timber Building Materials from 1982 to 1995. Having been responsible for sales in excess of $12 million, John is more than capable of leading Physicians 1st Billing and Claims to the Number 1 billing and claims processing firm in the local area. John will handle all marketing and sales functions. John will oversee the data processing, training, accounting, and computer departments.

Mary will serve as the Chief Operating Officer of administration and clerical. Mary brings 18 years of valuable experience to her administrative post. Mary holds a Bachelor of Science degree from Ball State University in Education. Mary has successfully organized and headed many community endeavors that without her foresight would never have achieved their intended goals. Mary will mainly be responsible for initial tele-marketing, data entry, customer service, and disseminating of company information. Mary has 13 years in medical claims filing and three years in secretarial training; both lend themselves well to the departments she will head up. Physicians 1st Billing and Claims and its customers are in good hands with Mary’s leadership.

6.1 Personnel Plan

John and Mary will assume full-time management of and employment at Physicians 1st Billing and Claims.

Two other part-time employees who are equally as valuable for the roles they will play in the operations of Physicians 1st Billing and Claims are Erika and Matthew Biller. Erika will assume some data entry duties and facility maintenance duties. Matthew will assume facility maintenance duties to start and will later participate in data entry. Erika and Matthew will both be responsible for manual clerical duties which are vital to the operations of Physicians 1st Billing and Claims.

Financial Plan investor-ready personnel plan .">

The business will be financed mainly through cash flow. With a service oriented business our main investment is for initial software and computer equipment. During subsequent years, other than normal overhead, we will be looking at:

• Advertising fees of $50.00 monthly to Claim Systems advertising pool.
• Renewal of memberships to local and national organizations.
• Updates of reference manuals and books.
• Office supplies and utilities.
• Payroll and benefits.

7.1 Important Assumptions

This financial plan depends on important assumptions, most of which are shown in the following table.

7.2 Key Financial Indicators

The following shows critical profit variables.

7.3 Projected Profit and Loss

Physicians 1st Billing and Claims will show a loss for the first few months of business operation, but profits will increase with sales volume.

7.4 Break-even Analysis

The break-even analysis shows that Physicians 1st Billing and Claims has a good balance of fixed costs and sufficient sales strength to remain healthy. As with any business, the first few months will show negative financial numbers.

7.5 Projected Cash Flow

Initially, cash flow will be supported by the personal savings accounts of the head officers of this company, and a four-year loan of $16,000, backed by the owners’ assets.

7.6 Projected Balance Sheet

The following is the Projected Balance Sheet for the next three years.

7.7 Business Ratios

Business ratios for the years of this plan are shown below. Industry profile ratios based on the Standard Industrial Classification (SIC) code 6411, Insurance Agents, Brokers, and Service, are shown for comparison.

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The University of Chicago The Law School

Innovation clinic—significant achievements for 2023-24.

The Innovation Clinic continued its track record of success during the 2023-2024 school year, facing unprecedented demand for our pro bono services as our reputation for providing high caliber transactional and regulatory representation spread. The overwhelming number of assistance requests we received from the University of Chicago, City of Chicago, and even national startup and venture capital communities enabled our students to cherry-pick the most interesting, pedagogically valuable assignments offered to them. Our focus on serving startups, rather than all small- to medium-sized businesses, and our specialization in the needs and considerations that these companies have, which differ substantially from the needs of more traditional small businesses, has proven to be a strong differentiator for the program both in terms of business development and prospective and current student interest, as has our further focus on tackling idiosyncratic, complex regulatory challenges for first-of-their kind startups. We are also beginning to enjoy more long-term relationships with clients who repeatedly engage us for multiple projects over the course of a year or more as their legal needs develop.

This year’s twelve students completed over twenty projects and represented clients in a very broad range of industries: mental health and wellbeing, content creation, medical education, biotech and drug discovery, chemistry, food and beverage, art, personal finance, renewable energy, fintech, consumer products and services, artificial intelligence (“AI”), and others. The matters that the students handled gave them an unparalleled view into the emerging companies and venture capital space, at a level of complexity and agency that most junior lawyers will not experience until several years into their careers.

Representative Engagements

While the Innovation Clinic’s engagements are highly confidential and cannot be described in detail, a high-level description of a representative sample of projects undertaken by the Innovation Clinic this year includes:

Transactional/Commercial Work

• A previous client developing a symptom-tracking wellness app for chronic disease sufferers engaged the Innovation Clinic again, this time to restructure its cap table by moving one founder’s interest in the company to a foreign holding company and subjecting the holding company to appropriate protections in favor of the startup.
• Another client with whom the Innovation Clinic had already worked several times engaged us for several new projects, including (1) restructuring their cap table and issuing equity to an additional, new founder, (2) drafting several different forms of license agreements that the company could use when generating content for the platform, covering situations in which the company would license existing content from other providers, jointly develop new content together with contractors or specialists that would then be jointly owned by all creators, or commission contractors to make content solely owned by the company, (3) drafting simple agreements for future equity (“Safes”) for the company to use in its seed stage fundraising round, and (4) drafting terms of service and a privacy policy for the platform.
• Yet another repeat client, an internet platform that supports independent artists by creating short films featuring the artists to promote their work and facilitates sales of the artists’ art through its platform, retained us this year to draft a form of independent contractor agreement that could be used when the company hires artists to be featured in content that the company’s Fortune 500 brand partners commission from the company, and to create capsule art collections that could be sold by these Fortune 500 brand partners in conjunction with the content promotion.
• We worked with a platform using AI to accelerate the Investigational New Drug (IND) approval and application process to draft a form of license agreement for use with its customers and an NDA for prospective investors.
• A novel personal finance platform for young, high-earning individuals engaged the Innovation Clinic to form an entity for the platform, including helping the founders to negotiate a deal among them with respect to roles and equity, terms that the equity would be subject to, and other post-incorporation matters, as well as to draft terms of service and a privacy policy for the platform.
• Students also formed an entity for a biotech therapeutics company founded by University of Chicago faculty members and an AI-powered legal billing management platform founded by University of Chicago students.
• A founder the Innovation Clinic had represented in connection with one venture engaged us on behalf of his other venture team to draft an equity incentive plan for the company as well as other required implementing documentation. His venture with which we previously worked also engaged us this year to draft Safes to be used with over twenty investors in a seed financing round.

More information regarding other types of transactional projects that we typically take on can be found here .

Regulatory Research and Advice

• A team of Innovation Clinic students invested a substantial portion of our regulatory time this year performing highly detailed and complicated research into public utilities laws of several states to advise a groundbreaking renewable energy technology company as to how its product might be regulated in these states and its clearest path to market. This project involved a review of not only the relevant state statutes but also an analysis of the interplay between state and federal statutes as it relates to public utilities law, the administrative codes of the relevant state executive branch agencies, and binding and non-binding administrative orders, decisions and guidance from such agencies in other contexts that could shed light on how such states would regulate this never-before-seen product that their laws clearly never contemplated could exist. The highly varied approach to utilities regulation in all states examined led to a nuanced set of analysis and recommendations for the client.
• In another significant research project, a separate team of Innovation Clinic students undertook a comprehensive review of all settlement orders and court decisions related to actions brought by the Consumer Financial Protection Bureau for violations of the prohibition on unfair, deceptive, or abusive acts and practices under the Consumer Financial Protection Act, as well as selected relevant settlement orders, court decisions, and other formal and informal guidance documents related to actions brought by the Federal Trade Commission for violations of the prohibition on unfair or deceptive acts or practices under Section 5 of the Federal Trade Commission Act, to assemble a playbook for a fintech company regarding compliance. This playbook, which distilled very complicated, voluminous legal decisions and concepts into a series of bullet points with clear, easy-to-follow rules and best practices, designed to be distributed to non-lawyers in many different facets of this business, covered all aspects of operations that could subject a company like this one to liability under the laws examined, including with respect to asset purchase transactions, marketing and consumer onboarding, usage of certain terms of art in advertising, disclosure requirements, fee structures, communications with customers, legal documentation requirements, customer service and support, debt collection practices, arrangements with third parties who act on the company’s behalf, and more.

Miscellaneous

• Last year’s students built upon the Innovation Clinic’s progress in shaping the rules promulgated by the Financial Crimes Enforcement Network (“FinCEN”) pursuant to the Corporate Transparency Act to create a client alert summarizing the final rule, its impact on startups, and what startups need to know in order to comply. When FinCEN issued additional guidance with respect to that final rule and changed portions of the final rule including timelines for compliance, this year’s students updated the alert, then distributed it to current and former clients to notify them of the need to comply. The final bulletin is available here .
• In furtherance of that work, additional Innovation Clinic students this year analyzed the impact of the final rule not just on the Innovation Clinic’s clients but also its impact on the Innovation Clinic, and how the Innovation Clinic should change its practices to ensure compliance and minimize risk to the Innovation Clinic. This also involved putting together a comprehensive filing guide for companies that are ready to file their certificates of incorporation to show them procedurally how to do so and explain the choices they must make during the filing process, so that the Innovation Clinic would not be involved in directing or controlling the filings and thus would not be considered a “company applicant” on any client’s Corporate Transparency Act filings with FinCEN.
• The Innovation Clinic also began producing thought leadership pieces regarding AI, leveraging our distinct and uniquely University of Chicago expertise in structuring early-stage companies and analyzing complex regulatory issues with a law and economics lens to add our voice to those speaking on this important topic. One student wrote about whether non-profits are really the most desirable form of entity for mitigating risks associated with AI development, and another team of students prepared an analysis of the EU’s AI Act, comparing it to the Executive Order on AI from President Biden, and recommended a path forward for an AI regulatory environment in the United States. Both pieces can be found here , with more to come!

Innovation Trek

Thanks to another generous gift from Douglas Clark, ’89, and managing partner of Wilson, Sonsini, Goodrich & Rosati, we were able to operationalize the second Innovation Trek over Spring Break 2024. The Innovation Trek provides University of Chicago Law School students with a rare opportunity to explore the innovation and venture capital ecosystem in its epicenter, Silicon Valley. The program enables participating students to learn from business and legal experts in a variety of different industries and roles within the ecosystem to see how the law and economics principles that students learn about in the classroom play out in the real world, and facilitates meaningful connections between alumni, students, and other speakers who are leaders in their fields. This year, we took twenty-three students (as opposed to twelve during the first Trek) and expanded the offering to include not just Innovation Clinic students but also interested students from our JD/MBA Program and Doctoroff Business Leadership Program. We also enjoyed four jam-packed days in Silicon Valley, expanding the trip from the two and a half days that we spent in the Bay Area during our 2022 Trek.

The substantive sessions of the Trek were varied and impactful, and enabled in no small part thanks to substantial contributions from numerous alumni of the Law School. Students were fortunate to visit Coinbase’s Mountain View headquarters to learn from legal leaders at the company on all things Coinbase, crypto, and in-house, Plug & Play Tech Center’s Sunnyvale location to learn more about its investment thesis and accelerator programming, and Google’s Moonshot Factory, X, where we heard from lawyers at a number of different Alphabet companies about their lives as in-house counsel and the varied roles that in-house lawyers can have. We were also hosted by Wilson, Sonsini, Goodrich & Rosati and Fenwick & West LLP where we held sessions featuring lawyers from those firms, alumni from within and outside of those firms, and non-lawyer industry experts on topics such as artificial intelligence, climate tech and renewables, intellectual property, biotech, investing in Silicon Valley, and growth stage companies, and general advice on career trajectories and strategies. We further held a young alumni roundtable, where our students got to speak with alumni who graduated in the past five years for intimate, candid discussions about life as junior associates. In total, our students heard from more than forty speakers, including over twenty University of Chicago alumni from various divisions.

The Trek didn’t stop with education, though. Throughout the week students also had the opportunity to network with speakers to learn more from them outside the confines of panel presentations and to grow their networks. We had a networking dinner with Kirkland & Ellis, a closing dinner with all Trek participants, and for the first time hosted an event for admitted students, Trek participants, and alumni to come together to share experiences and recruit the next generation of Law School students. Several speakers and students stayed in touch following the Trek, and this resulted not just in meaningful relationships but also in employment for some students who attended.

More information on the purposes of the Trek is available here , the full itinerary is available here , and one student participant’s story describing her reflections on and descriptions of her experience on the Trek is available here .

The Innovation Clinic is grateful to all of its clients for continuing to provide its students with challenging, high-quality legal work, and to the many alumni who engage with us for providing an irreplaceable client pipeline and for sharing their time and energy with our students. Our clients are breaking the mold and bringing innovations to market that will improve the lives of people around the world in numerous ways. We are glad to aid in their success in any way that we can. We look forward to another productive year in 2024-2025!