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Clinics and practices

Specialist medical practice financial model, built free.

A three-statement Excel model for a specialist practice group, built from your own figures and checked to balance.

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  • Usually ready within the hour

We use generative AI in parts of our process, so mistakes can occur. Every model should be checked by a person before it is relied on. Read more

The business

Group of specialist practices (ophthalmology, dermatology, cardiology, gastroenterology, orthopaedics) earning consultation and procedure fees, often with its own day hospital or procedure rooms, and growing by bringing specialists into a partnership or corporate model.

In short

  • 01

    Three linked statements

    Income statement, balance sheet and cash flow, linked in every period.

  • 02

    Valued two ways

    Discounted cash flow and trading multiples, side by side.

  • 03

    Monthly to annual

    Monthly, quarterly, half-yearly or annual periods, for up to 30 years.

  • 04

    Checked every period

    A Checks sheet shows the balance sheet balances and the cash reconciles.

The sample

The sample, as Excel draws it.

Built by the same system and checks as yours, on illustrative figures: every sheet as Excel draws it, or live.

Annual · 10 years · Low detail
Specialist medical practice sample model.xlsx
The Summary sheet of the sample specialist medical practice model

Illustrative figures: the sample describes no real business. The live preview shows values; your model’s Excel file has every formula.

How it works

How the model works for a specialist medical practice.

  1. How it earns revenue3 formulas
    Clinic revenue · All clinics
    Closing patientsOpening patientsNew patient startsPatient losses
    Clinic revenue · All clinics
    Clinic revenueIn-centre dialysis revenueHome dialysis revenue
    Clinic revenue · All clinics
    Treatments (home weeks counted as weekly treatments)In-centre treatmentsHome dialysis patient weeksIn-centre treatments per patient per week
  2. What drives its costs3 formulas
    Practitioner and clinic direct costs · All clinics
    Practitioner and clinic direct costsPayments to contractor practitionersSupport staff costsConsumables
    Operating expenses · Across the business
    Total FTEsOperations and deliverySales and marketingTechnologyFinance, HR and administration
    Operating expenses · Across the business
    Total average FTEsOperations and deliverySales and marketingTechnologyFinance, HR and administration
  3. What it invests in3 formulas
    Medical equipment capex and replacement
    Medical equipment capexItem 1 capexItem 2 capexItem 3 capexItem 4 capexItem 5 capex
    Medical equipment capex and replacement
    Medical equipment depreciationItem 1 depreciationItem 2 depreciationItem 3 depreciationItem 4 depreciationItem 5 depreciation
    Medical equipment capex and replacement
    Medical equipment (net book value)Opening net book valueMedical equipment capexMedical equipment depreciation
  4. How it is funded3 formulas
    Debt
    RepaymentsScheduled repaymentsPrepayments from an equity raise and the cash sweep
    Debt
    Closing balanceOpening balanceDrawdownsRepayments
    Debt
    Interest expenseOpening balanceAll-in interest rateshare of the year
  5. How profit becomes cash3 formulas
    Working capital
    Trade receivablesRevenuefrom statementsDebtor daysDays in period
    Working capital
    InventoryDirect costs (positive)from statementsInventory daysDays in period
    Working capital
    Trade payablesCash operating costs (positive)from statementsCreditor daysDays in period
What it covers

19 parts, each one tested.

Every part is a tested building block with its own checks: yours is put together from the ones your business needs.

  • CPI forecastConsensus curve with long-run anchor
  • Operating expensesHeadcount build by function
  • Corporate costsFixed cost base indexed to CPI
  • Working capitalFull working capital
  • Income taxCorporate rate with tax losses
  • DebtAmortising term loan
  • Equity raisingDistribution reinvestment plan
  • Dividends and distributionsPayout of net profit
  • Discounted cash flow valuationDCF on free cash flow to the firm
  • Multiples valuationEV / EBITDA multiple
  • Practice and site acquisitionsAcquisitions per year × size × multipleRoll-up acquisitions of practices, clinics, imaging sites or pharmacies — consideration paid, goodwill, and the revenue and costs acquired.
  • Medical equipment capex and replacementEquipment register with replacement datesCapex, depreciation and book value of major medical equipment — imaging modalities, linear accelerators, dialysis machines, theatre and laboratory equipment — replaced on its own cycle.
  • Medical indemnity and professional liabilityInsurance premium per exposure unitInsurance and self-insured claims for medical malpractice and professional liability.
  • LeasesLease register
  • Key-metric summaryLast-twelve-month and run-rate metrics
  • Covenant tests and headroomLVR, gearing and ICR for property
  • Case selectionStackable stress toggles
  • Clinic revenueDialysis patients × treatments × rateConsultation, procedure and product revenue earned by a practice from Medicare or insurer benefits and patient fees.
  • Practitioner and clinic direct costsContractor share of billingsPractitioner remuneration, clinical support staff and consumables at each practice.
Key numbers

The numbers it tracks.

  1. 01specialists
  2. 02procedures per specialist
  3. 03revenue per procedure
  4. 04facility fee income
  5. 05EBITDA per practice
  6. 06acquisition multiple
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See a finished model, sheet by sheet

The sample is built on illustrative figures and describes no real business. Models are calculations prepared from the information you provide. They are not financial advice and must be independently verified. See our terms.