1. A practical approach Dr. Florin T. Padeanu
Starting a Practice
A practical approach
Dr. Florin T. Padeanu

2. Disclosure I am a clinic owner
I trained as a lawyer prior to being a physician

3. Your clinic? Physical location: Space requirements Parking
Location as a determinant of your patient population
Lease or Own
Neighbours

4. Your clinic?
Partners or Colleagues:
Expectations
Skills
Capital

5. Your clinic? Personnel: Manager Front end staff Billing
Other team members

6. Costs
Capital investment – leashold improvements, equipment, downpayment
Staff costs
Lease costs, Mortgage costs
Ongoing equipement costs

7. Return on investment Independence Choosing who you practice with
5 to 10 years for any financial benefits

8. Contracts Why? Usual terms: How paid What hours you need to put in
What will the clinic provide for you
How do you terminate the relationship
Any administrative duties
Enforcement

9. Leases Get to know your landlord
What is included in the lease payment: heat, electricity, taxes, etc. (net v. triple net)
Common areas
Additional costs
Exclusivity of use
Term and right of renewal

10. Conclusion Choose partners well
Location determines your practice population
Think long term
Choose independence of practice