BURDEN FREE MD: Direct Care Startup Costs

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3		Yearly Cost
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5	ESSENTIALS to Start	Low End	High End	Yours!	Notes
6	Medical License	$200	$1,300		Varies by State
7	DEA	$244			total paid x3 every 3y
8	Fax	$0	$1,200		variable, we splurge on the ease of this one
9	Phone	$0	lots		google voice is free!
10	Tax ID	$0			though an accountant's help might be worth it!
11	Billing Plan/Service	$0			nothing to start, fee per payment received
12	Medical Equipment	$0	$4,500		(more extensive list below)
13	Printer, envelopes, stamps	$400
14	Computer	$0	$1,200		If you have your own, just use it to start!
15	Supplier	$0			Mckesson, Andameds, etc.
16		$844	$8,200	0
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19	Must Do to Start	Low End	High End	Yours!
20	Name your practice	$0			enjoy this one!
21	Logo	$0			(if you're creative, or try a logo design service)
22	Website	$0	$200		depends on domain name and service, designing your own is the cheapest for sure!
23	Marketing	$0	$3,000		Big topic - start low, ramp up as needed! You can do a lot with social media and local news for free at first or you can blow this category out of the water!
24	Patient Forms	$0			Link to forms list
25	Bank Account	$0
26		$0	$3,200	$0
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29	MAYBES to start	Low End	High End	Yours!
30	EMR/EHR	$1,200	$6,000		Ideally includes e-rx, patient portal, online scheduling
31	Uptodate	$433			per year for 3 years
32	Accountant	$0	$5,000		we pay ours on a membership model, just like direct care because his service is amazing! when we started we only paid per service needed
33	Lawyer	$0	$2,000		we have help when needed, not on retainer
34	Lab affiliation	$0			They give you all the supplies for free!
35	Vaccines	$0	lots		This is very state dependent
36	Retirement Plan	$0	lots		Huge benefits in owner-only practices
37	Disability Insurance	$0	$1,800		Varies by age, all docs should have this!
38		$1,633	$14,800	0
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41	If you rent/own space...	Low End	High End	Yours!
42	Hazard Insurance	$600	$2,000		One month starts you up, based on size
43	Cleaning Service	$0	$1,500		Do it yourself since traffic is low, or get a roomba to vacuum while you're at home, or hire someone who comes monthly
44	Furniture & Decor	$0	lots		Keep this simple to start, use re-used, re-purposed home stuff until you're rolling in it
45	Utilities	$0	$4,800
46		$600	$8,300	0
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49	ADD ONS...Maybe...	Low End	High End	Yours!
50	Quickbooks	$0	$900		Start with excel and upgrade when you need to
51	CME expenses	$0	$1,000		Varies, finding cheaper options is key
52	Trainings	$0			We don't keep ACLS, etc but some may want to
53		$0	$1,900	0
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56	Medical Equipment Ideas	Low End	High End	Yours!
57	Stethescope, pulse ox, BP cuff	$0			Most doctors own these already
58	Oto/Ophthalmoscope	$0			Many own these too
59	EKG	$0	$2,000		Find used or electronic versions to save
60	GYN table/tools	$0	$2,000		Table, speculums, forceps, etc - either buy single use or get an autoclave for about $1200
61	Suture/Biopsy Materials	$0	$500
62		$0	$4,500	$0
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64	Without Employees you can skip...				Total Low End Startup	$4,710
65	OSHA training				Total Higher End Startup	$55,700
66	Workers Compensation Insurance				Your Estimated Total Startup	$0
67	401k contributions/matching
68	Benefits like health insurance
69	Inter-personal mumbo jumbo :)
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