🔴 This is a full-scope, professional and yet user-friendly financial model of a startup medical clinic. I have developed this model with those beginning entrepreneurs in mind who are not familiar with sophisticated financial concepts but need an industry-grade investment banking quality financial model for their startups 🔴
MODEL HIGHLIGHTS:
✅ The model provides a comprehensive and granular picture of your prospective business and addresses all information requirements of you as an owner, your partners as co-investors and banks as external financing institutions
✅ The model generates the three standard financial statements: income statement, cash flow statement and balance sheet
✅ It also includes detailed return analysis calculating IRR, equity multiple, peak equity exposure, breakeven and payback periods, return on invested capital
✅ Sensitivity analysis included into this model allows to calculate key return parameters at various holding period, amount and cost of debt, exit multiple assumptions
✅ In addition, it performs KPI analysis specific for a medical clinic: average annual and daily number of patient visits, daily visits per doctor, average time per visit and others
✅ The model covers a period of 10 years (can be extended if needed) and is illustrated by professionally designed magazine-quality charts 📊
✅ Finally, the model covers three scenarios (base case, upside case and downside case) for which you can set different commercial and economic assumptions and immediately examine the effect. A special premise of this model is that scenarios can be switched back and forth from any sheet, which makes this model especially convenient
MODEL STRUCTURE:
1️⃣ Any new business starts with capital investments and construction. The model has a very flexible capex section which covers up to 30 specific medical clinic capex items (more can be added) each having its own cost, acquisition date and useful life period. For certain capex items you can indicate renewal intervals and the model will handle them automatically. The model also handles non-capital startup expenses and inventory stock.
2️⃣ Once the capex program is completed and necessary equipment and materials are purchased, your medical clinic starts generating profits. The model uses a number of drivers to make a granular analysis of revenues and profits: prices and costs by category and type of treatment, ramp-up plans, monthly seasonality and other assumptions.
Apart from medical service revenues, the model calculates retail revenues and profits from sale of various healthcare products.
3️⃣ The model forecasts direct costs of services as well as general operating and overhead expenses. It handles various fixed expenses and those which are driven by revenues.
4️⃣ Many startups are partly financed by debt. Drawing debt at right terms provides financial leverage and increases investor returns substantially. In this model you can choose the LTV ratio, interest rate and other loan conditions.
5️⃣ Profits are distributed at regular intervals as you specify in the model (3, 6, 12 etc. months). In case the project is done by two partners one of which being a Limited Partner (LP) and another one a general partner (GP), when it comes to distributing dividends or exit proceeds the model uses a 4-hurdle carried interest waterfall to calculate the distributions between the partners.
6️⃣ The last stage of the analysis is calculating exit proceed (or terminal value) required for proper valuation and profitability assessment, even if the shareholders are not planning to exit at that point in time. Exit valuation is done using the Gordon's model; WACC assumptions are derived from Capital Asset Pricing model (CAPM) which uses comparable peer company analysis and your risk premium assumptions.
🔷 Teamed up together, these calculations and schedules are used to build the financial statements (income statement, cash flow statement and balance sheet), calculate returns and perform KPI analysis for your medical clinic startup project 🔷
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Source: Best Practices in Healthcare, Integrated Financial Model Excel: Medical Clinic Financial Model Excel (XLSX) Spreadsheet, Andrei Okhlopkov
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