Calculation of how to open an ultrasound diagnostic center. Equipping an ultrasound office: some useful tips on how to open an ultrasound office. Choosing a room for work

The role of ultrasound in modern diagnostics is so high that practically no examination of internal organs is complete without it. The advantage of this technique is that it allows a specialist to obtain the most complete and comprehensive information about the state of internal organs and tissues. In addition, ultrasound is the safest and most painless diagnostic procedure.

However, in many municipal clinics, patients often have to wait in line to get an ultrasound scan. Often you have to wait 1-2 weeks. There is nothing surprising in the growing popularity of private ultrasound rooms. As statistics show, for a long time the majority of patients give them preference, because you can always get there quickly enough.

It is very profitable to have your own private ultrasound office. To open a private ultrasound office, you need to draw up a special business plan and consider each stage of planning.

Where should you start first?

First, probe the soil, find out prices and find out the specifics of the work of potential competitors. So it will be easier for you to start a business on your own, you will roughly navigate in this area, you will know what to start from.

Location. Decide on the room. It would be ideal if the private ultrasound office would be located in a room close to the entrance area, so that patients can easily get to it without traffic jams and additional transport. Most often, private ultrasound rooms are located on the ground floor of buildings. Pay attention to the degree of lighting in the office, to the temperature, to the presence of a toilet and a sink.

When choosing equipment, it is best to opt for new ultrasound machines, since new equipment provides a guarantee and provides an opportunity to return.

You should also decide how and where the ultrasound machine will be used. The type of its model will depend on this: portable (assuming the ability to move or transport), or stationary (requiring placement in a certain place where it will be permanently located).

Medical staff... The next stage of planning will have to deal with the search for medical personnel. It is important that the specialist has a high qualification, a diploma corresponding to the profile, a valid doctor's certificate. In addition, he should be well versed in working with ultrasound machines. Pay attention to his professional experience, which must be at least three years.

Business registration

To prepare all the necessary documents for registering a private ultrasound office, you should contact the municipality, Rospotrebnadzor, fire inspection.

It is necessary to register with the tax office, as well as go through the procedure for registering a legal entity.

When all the documents are ready, you must submit an application to the licensing commission. This will help you obtain a license to provide medical services.

Estimated calculation of income and expenses

If more than one hundred thousand people live in your city, then income and expenses will be approximately as follows:

• the price of an ultrasound machine (1 sensor) - from 550,000 rubles;
• the price of one ultrasound procedure is about 1,500 rubles;
• the average number of studies per day is 15-20 people;
• approximate annual income - 10,368,000 rubles;
• monthly income - about 846,000 rubles;
• consumption (1 month) - 259,200 rubles;
• the total amount of profit for the year is about 7,257,600 rubles;
• the total amount of profit for one month is about 604,800 rubles;
• recoupment of the project - 5, 21 months.

In this material:

Modern methods of functional diagnostics provide doctors with complete information about the condition of patients. Correct diagnosis directly determines the effectiveness of further treatment of the patient, which is why functional diagnostics is important for modern medicine. Opening an ultrasound office is a promising business decision due to the prevalence of this method for diagnosing human internal organs. Providing qualified ultrasound services is guaranteed to make a profit.

Relevance and advantages of the idea to open a private ultrasound office

In addition to the obvious prevalence of this method of functional diagnostics of the body, the business plan of the ultrasound office does not imply the need for a higher medical education. Private diagnostic rooms are preferred to public medical institutions, which ensures a constant flow of clients. The cost of services for ultrasound examination of the body in private clinics and offices is higher than in public institutions, so you can easily recoup the cost of the purchased equipment and other initial costs in a short period.

Market analysis: target audience, competition and risks

The demand for paid services of functional diagnostics through ultrasound examination of internal organs is growing, since the main number of diagnoses can be made or refuted thanks to this method of diagnosing the body. When analyzing the market for paid medical services in a particular region, it is necessary to carefully study the level of competition, in advance to protect yourself from losing the competition.

The risks of opening a private office for ultrasound diagnostics are due to a low level of consumer demand in a particular region and, at the same time, a high level of competition.

Organizational activities

Registration, package of documents

To provide private medical diagnostics services, you must register as a legal entity (the form of ownership for registration is a limited liability company). You can collect the package of documents required for state registration on your own, or you can use the services of a third-party company on a paid basis.

The head of the ultrasound office has an appropriate medical education and a special license to provide functional diagnostics services. A business owner does not need a license or medical education.

Search for premises and requirements for it

The room for an ultrasound examination room of the body must meet the following requirements:

• without fail, such a premise belongs to the non-residential fund;
• all necessary communications, including heating;
• daily cleaning and sanitization, for which it is necessary to conclude a special contract with the service organization;
• the advantage will be the presence of separate entrance and exit, due to the anonymity of the surveys;
• the area of ​​the room should provide for a convenient location for the reception and waiting room for clients, as well as the placement of the examination couch and all the necessary equipment in the work area.

Among other things, you need to pass a fire inspection and obtain a permit from Rospotrebnadzor.

Purchase of equipment and furniture

The main factor that determines the choice of patients between a public medical institution and your private office will be the availability of modern equipment for conducting ultrasound diagnostics of the body. Various diagnostic equipment is used to study various internal organs and body systems. To provide a wide range of services in the field of functional diagnostics, you will need to purchase several ultrasound machines or an expensive multifunctional device.

The regulations of the Ministry of Health establish mandatory requirements and standards for equipment for functional diagnostics, which is why it will not be possible to save money on the purchase of Chinese counterparts, and devices from leading European manufacturers will have to be purchased.

Finding qualified employees

Qualified personnel will also have a direct impact on the popularity and demand for the services of your functional diagnostics room. In addition to the fact that your employees need to have a higher medical education, a mandatory requirement will be at least 5 years of work experience in their chosen specialty. In addition to doctors, the staff should include cleaners and nurses, as well as a specialist working in the reception area.

The financial part of the business plan

Opening and maintaining costs

Statistics show that the average start-up costs for the organization and opening of a full-function room for ultrasound diagnostics of the body, as well as the purchase of the necessary equipment, in various regions are from 2 to 4 million rubles. In addition, the amount of regular monthly maintenance costs of the institution includes:

• rent for premises, utility bills;
• tax payments to the budget and off-budget funds;
• employee salaries;
• purchase of consumables.

Calculating future income

Ultrasound diagnostics of the body is a medical service, the cost of which in private institutions is quite high. Despite this, clients regularly turn to the services of ultrasound offices for complete and reliable information about the state of internal organs. The main income is generated from the list of offered functional diagnostics services, as well as the number of clients. As practice shows, the average monthly income of private rooms for ultrasound examination of the body is from 300 to 900 thousand rubles.

Payback period of investment

With an average cost policy of your institution, high consumer demand, and the absence of fierce competition, the payback period of a business project will be from 5 to 12 months. This period is directly influenced by the size of the initial investment and the indicators of the project's revenues in direct proportion to regular expenses.

The business project of a private office for ultrasound functional diagnostics of the body in different regions of the country has different chances of success, however, with the proper approach and careful initial analysis of the market and the level of competition, it can grow into a stable business with high profitability rates.

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Modern doctors often use the methods of functional diagnostics in order to make a correct diagnosis. The study of internal organs using ultrasound has become especially popular with doctors and patients. For doctors, this method has the highest information content, and for patients it is very convenient in that it does not cause any discomfort and pain and does not require special preliminary preparation. There is only one, but essential, problem. In municipal clinics with their coupon system and huge queues, ultrasound is scheduled for many weeks in advance. That is why it is so important to open a private ultrasound office in order to cover as many patients as possible with ultrasound diagnostics. First of all, you should draw up a business plan for an ultrasound office.

Selection of the necessary equipment and personnel

Carefully approach the choice of apparatus for research. Cardiac patients will need one piece of equipment, while those with gynecological problems will need another. The same patient may have different pathologies. So the best profile would be a complete "examination" of the body with an ultrasound examination. Then you will need an ultrasound machine with 4 sensors, which will differ from each other in their purpose.

Next, choose between a stationary and a portable scanner. A portable one is purchased if you are going to do an ultrasound examination at home, for example, for those who are seriously ill.

Doctors for research should be selected with a sufficiently high qualification. They should know the equipment like the back of their hand and use it in such a way as to answer all the requests of the most demanding and, even sometimes capricious, client as much as possible. The doctor must have a certificate for this type of work.

It is important that your staff, in addition to professional qualities, also possesses good skills in cultural and polite service.

This is not taught in our medical universities.

Find a suitable diagnostic room and register your business

It is better to select a room for an ultrasound office on the first floor of buildings. It is important that it is well lit, sufficiently ventilated and warm during the cold season. Modern communications will not interfere - a sink and a toilet. Make repairs in the prepared office. Your diagnostic center should be comfortable, clean, warm and light. So that it was pleasant to be and wanted to visit more than once.

Prepare all the necessary documents, having previously learned the full package of requirements in the municipality, fire inspection, Rospotrebnadzor. Register with the tax office and go through the procedure for registering a legal entity. Having prepared the necessary documents, write an application to the licensing commission to obtain a license to conduct an ultrasound scan.

An approximate calculation of the profitability of an ultrasound office in a city with a population of over 100,000 people

• an expert class ultrasound machine with 4 multipurpose sensors - cost 3,150,000;
• per day - 30 studies. The cost of one procedure is 1500 rubles;
• expenses - 30%. Premises for rent, staff salaries with taxes, unforeseen costs;
• a month - 24 working days;
• annual income - 10,368,000 rubles;
• monthly income - 864,000 rubles;
• annual expense - 3,110,000 rubles;
• monthly expense - 259,200 rubles;
• profit for the year - 7,257,600 rubles;
• profit for the month - 604,800 rubles;
• it is easy to calculate that the payback period of the project will be 5.21 months.

Among the numerous medical services, the ultrasound office is one of the leaders in terms of the number of visitors. While launching such a business is difficult - it will require expensive equipment, special permits and skilled personnel - the profit prospects are vast. Ultrasound diagnostics is necessary for examining all internal organs, so the number of visitors to such an institution is not limited to pregnant women. We will tell you what is required to open a private ultrasound office, how to choose a location, how much money will have to be spent, what income you can count on.

What documents and permits for opening an ultrasound office

The most difficult stage in opening a private ultrasound diagnostics room will be the registration of the necessary permits. Due to the great responsibility that such institutions take upon themselves, all regulatory authorities check them with increased attention. It is necessary that the manager has a medical education and work experience in the specialty for at least 5 years. There is an option of opening without such qualifications - provided that a specialist who meets the above requirements is hired.

List of documents and permits:

• certificate of registration with the Federal Tax Service (as an individual entrepreneur or legal entity);
• lease agreement for premises or a certificate of ownership of it;
• positive conclusion of the sanitary and epidemiological service and the fire inspection;
• positive conclusion of Rospotrebnadzor;
• certificates for the ultrasound diagnostic apparatus;
• medical license;
• maintenance agreement with the management company;
• waste collection contract;
• employment contracts with employees, copies of their educational documents.

It will be possible to issue a work permit only after the purchase of equipment and the selection of staff. The fact is that a private ultrasound office cannot obtain a license without documents for an ultrasound diagnostic apparatus(they will be provided by the seller of the equipment) and documents on the education of personnel (they will be provided by the employees upon employment).

To open an ultrasound office, you need to obtain a medical license and several other permits

Room selection

One of the stages of how to open an ultrasound office is choosing a location. It is important to combine two conditions: compliance with the law and the convenience of customers. Requirements for the premises of the private office of ultrasound diagnostics are recorded SanPiN 2.1.3.2630-10, the norms are common for all medical organizations.

Consider the requirements of SanPiN in a simpler language than is used in official documents:

1. Each ultrasound machine is located in a separate room with an area of ​​14 sq.m., but preferably 20 sq.m.
2. The examination room must have natural and artificial lighting, cold and hot water supply.
3. Connecting to an uninterruptible power supply.
4. The cabinet is equipped with exhaust ventilation.
5. It is recommended to install an air conditioner.
6. The walls are light-colored; ceramic tiles are prohibited.
7. Noise - no more than 50 dBA.
8. The cabinet should be provided with a sound-absorbing coating, this will provide additional comfort to visitors.
9. To change the patient's clothes, it is required to equip a special area of ​​at least 7 square meters, connected by a common passage with the diagnostic room.
10. The norm of the waiting area is from 10 sq.m.
11. You cannot open a diagnostic room in the basement, basement, or in a residential building. Non-residential fund only.

To understand more precisely what is required from the owner of an ultrasound diagnostic institution, study the Regulation on the ultrasound diagnostic room dated July 21, 1988 No. 581. Despite the fact that this document was adopted back in Soviet times, its norms are still relevant today.

Equipment standard

It is not enough to fulfill the requirements for the premises in order to obtain permission to open a private office for ultrasound diagnostics. There is a standard for equipping an ultrasound room for licensing - a list of devices and furniture that must be purchased and installed in a certain way.

Technics:

• ultrasound diagnostic apparatus;
• tonometer;
• bactericidal irradiators;
• light endoscope;
• computer with internet access.

Furniture and interior:

• Desktop;
• desk lamp;
• chair for an ultrasound office;
• a couch with the ability to adjust the height;
• screen;
• chair;
• rack for documents.

Ancillary equipment and tools:

• first aid kit;
• tape measure;
• container for waste;
• disinfectants;
• a set of disposable napkins, paper towels or napkins.

The order of equipment assumes that the couch is installed so that the doctor can freely bypass it and have access to the patient from any side. The apparatus itself should be positioned so as to freely conduct an examination in all planes. Do not install electrical equipment in the office that threatens the accuracy of the ultrasound diagnostic apparatus and provokes interference in its operation.

There are several requirements for the design regarding space, equipment and furniture.

Purchase of equipment

An effective business plan for an ultrasound office must necessarily include the calculation of costs. Most of all investments will be required for the purchase of an ultrasound diagnostic apparatus. Its cost is very high: from 850 thousand to 10 million rubles. In this case, you cannot limit yourself to buying a used installation. Over time, with active operation, the power of the equipment decreases, the diagnostics turns out to be less and less accurate. If the cabinet misdiagnoses, its reputation will go bad once and for all.

The purchase of the device should be made from trusted companies that have proven themselves well on the market. The seller should help with the selection and ensure the safe transportation of the unit. Among foreign manufacturers, the most reliable are:

• Aloka Hitachi;
• Alpinion;
• Dixion;
• EDAN;
• Esaote;
• General Electric;
• Philips;
• Samsung Medison;
• Siemens;
• SonoScape;
• Toshiba.

Tax regime and OKVED

When registering with the tax service, the owner of an ultrasound diagnostic room must indicate certain codes from the classifier of codes of economic activity - 86.10 and 86.21. These are the activities of hospital organizations and general medical practice.

The best taxation option is simplified mode (USN). It involves a minimum of reporting, several advance payments and the payment of tax once a year. This is convenient, since you do not need to pay VAT and calculate income tax. For the ultrasound office, the option "6% of Income" is more suitable, since this institution bears little expenses, that is, it will not be possible to significantly reduce the taxable base by their amount.

Such institutions are allowed to operate under the general taxation regime, but, in comparison with the simplified one, it is extremely disadvantageous.

Although healthcare providers are now allowed to use a zero percentage rate on income tax, this does not exempt them from VAT and a huge number of reporting documents, for which the state will have to hire a full-time accountant.

Staff

All specialists who will work with an ultrasound machine must have a medical education. Work experience is desirable (with the exception of the head physician / owner of the institution - 5 years of work experience in the specialty is required for him). The fact is that ultrasound diagnostics is based solely on the knowledge of a specialist. The device shows a "picture", and the doctor must interpret it - compare it with the norm, see the pathology. In one office, from 1 to 3 specialists are employed, depending on the work schedule.

Another irreplaceable employee - nurse... The vacancy of a nurse in an ultrasound office requires secondary medical education and work experience (preferably). It is the responsibility of the nurse to assist the doctor and carry out his instructions. Typically, such employees are engaged in preparing the equipment for work, taking care of it, as well as filling out some documents. The complete list of responsibilities depends on the specifics of the office. More detailed information will be contained in the job description of a nurse.

The reception will work administrator. This employee meets visitors, advises them on the cost and procedure for diagnostics, makes an appointment, and answers phone calls. No medical education required.

An ultrasound machine costs from 850 thousand rubles

Financial investments

The largest part of the investment will be the purchase of an ultrasound diagnostic apparatus. Its cost will be at least 850 thousand rubles, but rather - 2-3 times more... It is not worth saving on this installation, since the work of the entire cabinet depends on its power and accuracy. Chinese devices for 300-400 rubles do not bring the desired effect, diagnoses with them will be erroneous, and there is also a possibility of refusal to license. The same goes for used equipment.

In addition to the apparatus, opening requires the following costs:

• rental of premises - from 30 thousand rubles per month;
• repair - from 50 thousand rubles;
• furniture and ancillary equipment - about 100 thousand rubles;
• license, registration of all necessary permits - 50 thousand rubles;
• other expenses - about 20 thousand rubles.

A good solution would be to invest in advertising. This would help to attract more customers in the first months of operation and ensure a full workload of the office. Advertising and promotion in social networks will increase the initial investment by an average of 100 thousand rubles.

The calculation of the total costs depends on the cost of the ultrasound diagnostic apparatus.

How much can you earn

The cost of ultrasound office services ranges from 300 to 5000 rubles. The price depends on the complexity of the procedure. The most inexpensive are examinations of the abdominal cavity, joints and tissues, neck and reproductive system. The most expensive is the examination of the brain. An ultrasound scan of pregnant women costs an average of 1,000 rubles (in the early stages, usually a little less).

Accepting 20-30 clients during a working day (full load) with an average check of 500 rubles, the account will earn about 15 thousand rubles daily and 450 thousand rubles a month. If the load is at the level of 50-60%, then the income will be about 220-250 thousand rubles. This is a good result, which will cover all the associated costs, the wages fund. But even such income will not allow you to quickly recoup your investment. The average term is 1.5-2 years.

The cabinet must work at least 10 hours throughout the week, seven days a week. This will maximize the number of clients. The more the download, the more profit.

Conclusion

The opening of a private ultrasound office involves costs of at least 3 million rubles. This is a difficult line of business. To do it legally, you need to comply with the legal requirements for location, office equipment, education and staffing. This business cannot be classified as an organization with a quick payback due to the high initial costs.

Public hospitals are overcrowded, recording is made 1-2 weeks before the date of the procedure.

Opening an ultrasound examination room is a great business idea regardless of the city. Getting started involves sticking to a plan.

The initial step is to define the profile according to which the cabinet will work. The direction dictates the installation of certain work equipment. This is followed by the registration of a legal entity.

Conducting medical activities necessarily requires the registration of an LLC. You can register yourself or entrust the registration to a specialized company. The future owner of the enterprise will carry out the following activities: draw up a contract, issue a power of attorney to the company.

Before starting a business, you will have to visit the municipality, fire inspection, Rospotrebnadzor. The company is registered by the tax office, and it is also necessary to apply for a licensed activity. Submission of an application is required in order to issue the corresponding license.

The doctor conducting the research must have a diploma of higher medical education, pay for the certificate. His work experience must be five years. If the experience is not enough, the first months of work you need to use the services of another specialist.

Inspection of premises and selection of location

The search includes items such as:

• The premises should be chosen non-residential, a private apartment will not work due to the lack of permission to carry out medical practice (it is allowed to transfer the premises to a different type of use);
• The room must be connected to utilities: sewerage, ventilation, cold, hot water supply, heating;
• The owner is obliged to conclude an agreement with the relevant companies for the removal, disposal of waste;
• The room must be subjected to regular sanitization, daily cleaning;
• It is advisable to make a separate entrance, exit to visitors (observance of the anonymity of the study);
• A waiting room is attached to the office.

The area of ​​the premises will be about 20 square meters. There is enough space to install a diagnostic device, a computer desk, shelves, a couch, a coat rack, a chair.

Equipment order

The biggest expense item is the purchase of equipment for diagnostics. The new device costs about 500 thousand rubles. The cost of a new device depends on the speed of diagnostics, performance, and model power.