Financial Aspects to Know Before Starting a Private Practice

Jenny Handwerk |

Financial Aspects to Know Before Starting a Private Practice

For many physicians, opening their practice can be daunting. While many physicians recognize the benefits, others focus on the hazards. Because of their risk-taking attitude, they question their ability to start a successful solo practice from scratch. Opening a private practice is not easy, but with direction and perseverance, it is easier than you may believe.

Starting your own medical office or hospital is a big decision for doctors who want more control over their careers, give customized care to their patients, and reap the financial rewards of running a successful business. 

However, starting a medical practice, opening one, or establishing a hospital can be complicated and require significant thought and consideration. If you want to join the ranks of physician-turned-business owners, you're in for an exciting ride. However, the financial aspects and logistics you sort out today will significantly impact your future profitability and capacity to maintain a lucrative practice.
We've detailed the key financial aspects to remember when starting a private practice to help you create a complete plan and to-do list. 

Gather Information

First, spend some time collecting information. It can be advantageous to network with physicians who have already completed the process of starting their practice. Many will be willing to offer guidance. Some may even recommend payroll services and employment options for lawyers and accountants. Setting up your own medical practice is hard, as you will discover after conducting some study. 

Have an Emergency Fund in Place 

Many new practices need to make money in their first year. You'll still have to pay expenses while growing a client base. Any new physician should have an emergency fund covering six months to a year's personal and company expenditures. Your emergency fund may assist you in meeting unforeseen bills or when money does not come in as soon as you want. 

Analyze Startup Costs and Budgeting

Opening a private practice is a costly undertaking. After you've decided on a site for your new office, the next step is to estimate costs and create a budget. To begin, develop a complete list of the expenses you must account for before opening your doors. If you have coworkers who have previously gone through the process, they can offer you a more realistic picture of what to expect.

Create a predicted budget once you've determined your opening costs and future running expenses. Knowing how much you'll need to pay upfront and how much you'll need to operate each month will allow you to allocate resources better. And, as you create your budget, ensure you receive numerous quotations from providers.

Funding Options and Financing

Once you've determined your expenses, the following step is to figure out how you'll support them. Several options are available to you, each with its benefits and considerations. 

Remember that, besides using your funds, each solution listed below will need you to create a business plan or pro forma (which you should do anyway). Banks and investors require confirmation that you have researched and can justify the requested amount.

Find the Right Insurance 

Physicians should have adequate insurance coverage. This covers liability, malpractice, and umbrella insurance if something goes wrong during your practice. Physicians should also get life and disability insurance to preserve their hard-earned income. Disability insurance is meant expressly for them. This is because handicap affects them differently than other occupations.  

You should search for a policy that allows you to qualify as disabled in as many scenarios as possible, as well as the flexibility to choose whether or not to continue working if you cannot perform some but not all of your obligations. 

Analyze Revenue Projections and Cash Flow Management

To effectively secure a loan or line of credit, you must provide realistic and research-based income estimates for at least the next few years. Many physicians (at least in the early stages of their careers) have negative net worths due to student loan debt. For this reason, revenue predictions are critical for medical practitioners requesting funding. 

Consider your projected patient value—are you looking to serve many people or offer a boutique experience for a few clients? How will you set the price for your services? At what rate will your insurance reimburse you?
When managing your practice's cash flow, you must be strategic. 


Starting a new medical practice necessitates a thorough awareness of the financial considerations involved. While the precise cost will be different depending on various criteria such as location, specialty, and practice size, considering the fees listed above will assist you in developing a reasonable budget. By carefully planning and making educated decisions, you can build the groundwork for a successful and sustainable medical practice.