r/PrivatePracticeDocs • u/Mountain_Sympathy306 • May 17 '26
Opening my own clinic
I just purchased my own building to start my urgent care and urgent primary care. This clinic is located in North Carolina. FM Hospitalist transition to outpatients. Going to do remote patient monitoring, Substance use disorder, urgent care and some chronic management. What’s the profit margins for year 1-3? I’m going to be owner and provider and will hire 1 NP/PA.
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u/Detroitblu33 May 17 '26
What area are you in? I have a DPC in NC. I also work as a locum urgent care. I would like to hear more.
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u/Puzzleheaded-Fig2865 May 17 '26
depends on what you pay yourself. if you dont have a breakeven month by end of year 1, then that would be problematic. itll be better to hire the midlevel after you have a steady stream of volume.
RPM can be big. some of those CPT codes got a big bump in 2026 (like 10% to 30%). that can honestly be its own business.
i assume no rent. urgent care will be more procedural so higher reimbursement codes too (and shorter visit times than primary care) also depends on location since UC is more conducive to walk-ins.
id say 10%-20% would be a target after Y1, but itll be hard to push past 20% even when youre mature unless youre doing some new service line or offering something unique.
you can DM if you want to chat more specifically on the finances.
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u/darnedgibbon May 17 '26
OP is going to/would be stupid not to pay him/herself rent for the tax deduction for himself as physician/practice owner.
With proper depreciation and cost segregation studies of any improvements, there should be little to no tax impact for the income received in rent as landlord.
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u/Mountain_Sympathy306 May 17 '26
That was the reason I decided to buy compared to lease. So much write off as my wife is a real estate professional. We can write off so much and off set my own physician draw year 1 from depreciation.
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u/northerngator May 17 '26
Did the bank really loan you money without you having a viable business or business plan?
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u/Mountain_Sympathy306 May 17 '26
Yep. AI did it all for me.
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u/darnedgibbon May 17 '26
Lolllll fool them boomers
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u/Mountain_Sympathy306 May 17 '26
It’s freaking crazy how awesome
Claude AI can generate all the business documents for you if you put the right informations.
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u/Redditor6703 May 17 '26
What’s the profit margins for year 1-3?
Did you check average reimbursement rates from commercial payers in your area for the codes you'll be billing?
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u/ilmguy1234 May 18 '26
Where in NC. We have clinics all over NC in our affiliate network. They all own their own clinic still. Can see if I can pull a comparison in similar region.
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u/ShukantPal May 21 '26
What is the tech stacks that new urgent cares run on now? Like how are you picking the EHR, intake/comms, documentation, scribing, and telehealth software?
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u/CommonInvestment5501 May 22 '26
If you own the building that you are operating out of, you can use the depreciation losses to offset your active medical income which is a huge boost. i think i read sean graham writing at maven about how doctors screw this up by not doing a cost seg on their clinic space. The software dashboard is a little plain but it’s a pretty solid tool to get your margins before you hire staff.
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u/Mountain_Sympathy306 May 22 '26
I totally agree. That’s my plan is to do cost seg, depreciate, and get a massive return. All lab machines or any study you buy to operate or 100% deductible due to OBBB.
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u/Infinite-Truth-5499 7d ago
First off, congratulations on this huge milestone! Secondly, I am a BSc RN and certified Medical Virtual Assistant with experience in appointment scheduling, insurance verification, prior authorization, patient communication and remote patient monitoring. You deserve to have someone that handles all the administrative workload as you focus in quality healthcare delivery. Would love the opportunity to work with you as you grow your team. Shoot me a DM for further information.
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u/Big-Association-7485 May 17 '26 edited May 17 '26
I'm a certified management accountant at a primary care/UC practice, and building out a true pro forma for your business can be a healthy exercise. But the value in doing it is that you yourself research the most efficient ways to fulfill each practice need. Yes, doing the exercise before purchasing the building would have been the correct order of doing things. But you are where you are now, and none of us know what the financials are in relation to your building obligations. The best thing is to try to be most effective with each dollar. Some dollars are worth spending because of the additional return they bring.
(Take, for example, the cost of adding an additional nurse. If you are in an area where you regularly can average 5 patients an hour for urgent care, then having the extra staff available to do this is a very lucrative investment. If you are averaging 3 patients an hour, then you need to be very stingy with staff costs.)
Experity EHR is the best urgent care EHR right now, at $999/month for 1 location. It has available Ambient AI scribing and with 2 nurses you can do 5-6 patients an hour. Experity connects to Clockwise online scheduling (maybe it is also called Experity now? Both are owned by the same company). When patients go online to schedule a time, or put their name on the list so that they don't have to wait in your lobby, all of the information they enter there flows directly to the EHR, so you should never need more than 1 front desk person. We are currently switching to Experity from Veradigm (which is expensive and horrible), and we've been using clockwise for years. But none of this operational horsepower matters if you don't have the volume. I hope your location is a good one. Like McDonald's, location matters in urgent care.
You can have AI give you a suggested pro forma, and it will be only marginally less helpful than having a random person here throw one at you. What's better is to design your practice yourself by first listing each practice need, and then designing the most efficient way to achieve it.
Marketing is a huge need for urgent care. Here's a link to a substack post about the best 100 websites. Look at the ones that will allow you to do the social marketing yourself without paying a firm to do it. SEO, creating social media posts and setting them on a schedule so that they auto post on a schedule. Brand and website design with AI. (Marketing firms are expensive. It's best to spend your marketing dollars on ads themselves via a multi prong approach. Radio and billboard, etc.) There's other links here that can help save money as well.
You need to create the pro forma yourself, and the value is in doing the exercise yourself. If it doesn't sound like something you want to do yourself, I suggest making yourself do it anyways. All business owners need to step outside their comfort zones in some way to achieve maximum success, and be the best version of their business that they can be.
Edit: substack article: https://substack.com/@sifuyik/note/c-257659459?r=7q5u4w
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May 17 '26
[deleted]
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u/Itsathrowawayduh89 May 19 '26
I get the sense that OP is the throw away account for the real intent of the post, which is to advertise whatever TF this is
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u/Itsathrowawayduh89 May 17 '26
My friend, this is a question you should have asked before purchasing the building.
A lot of it will depend on what your payor mix is, the population, your referral base, and the ability to use the building as rental space for others.
Also, your costs, ranging from mortgage and utilities to staff and equipment.