1. EXECUTIVE SUMMARY PRESENTATION
Victor Esan
Proposal for a Vein Clinic
as another service line opportunity for a cardiology
practice

2. What is done in a Vein Clinic ?
 Varicose Veins: EVLT (Endovenous Laser
Treatment) and Ambulatory Phlebectomy
 Spider Veins: Sclerotherapy
 Venous Stasis Ulcers: EVLT and Ultrasound
guided Sclerotherapy

3. How does the vein clinic function?
Step 1. Consultation
Step 2. Physical Exam
Step 3. Vein Mapping ( Ultrasound )
Step 4. Schedule Your Procedures (Procedures to be scheduled
like any other procedures as schedule permits )

4. Office Procedure

5. Local Competition
Determined by Local Market

6. Our Proposal
 Vein Clinic to be located within a pre-existing clinic space
whose cost is already allocated to the Cardiology group.
 Physician has to be board certified in Phlebology.
 When fully established, clinic to move to the Women’s
clinic

7. Our Proposal
 Clinic hours :
1. Mondays 1pm – 4.30 pm- Office
Procedures to be scheduled on PV lab days
2. PV lab days to be used for the vein clinic
9am – 1pm - Office
1.30pm – 4.30pm – procedure
NB
Cath lab days will be used for PV Procedures which
have gone down considerably ,it should be noted
that the “appropriate use criteria” is affecting our cath
volumes.

8. Pro Forma Data
 Based on one day a week physician productivity .
½ a day office & ½ a dedicated for procedures.
 Volume based on 40% of a pre existing vein clinic ,
operating in a one day week clinic.
 Physician compensation based on 30% of net revenue.

9. First Year Volume Breakdown
1st Qtr 2nd Qtr 3rd Qtr 4th Qtr First Yr
Visit /per
week 3 4 5 7
Per Qtr 33 44 55 74 206.25
procedurepe
r Visit 2.87
Per Qtr 95 126 158 213 592.17

10. VEIN CLINIC PRO
FORMA
Year 1 Year 2 Year 3 Year 4 Year 5 Total
VOLUME-
- Clinic Visits 206 297 312 327 344 1,486
- Procedures 592 853 895 940 987 4,268
REVENUES:
- Clinic Visits 33,821 51,138 56,380 62,159 68,530 272,028
- Procedures 247,772 353,974 368,988 368,477 400,438 1,755,649
Gross Patient Service
Revenue 281,593 405,112 425,368 446,636 468,968 2,027,677
less contractual adjustments 61% (171,772) (247,118) (259,474) (272,448) (286,070)
$
(1,236,883
)
NET REVENUE:
$
109,821
$
157,994
$
165,893
$
174,188
$
182,897
$
790,794

11. VEIN CLINIC PRO
FORMA
EXPENSES: Year 1 Year 2 Year 3 Year 4 Year 5 Total
Physician Compensation 30% of Net 32,946 47,398 49,768 52,256 54,869 237,238
Nurses Salaries 10,400 10,712 11,033 11,364 11,705 55,215
Benefits 24% 2,496 2,571 2,648 2,727 2,809 13,252
Pharmaceutical Supplies 1,590 1,622 1,654 1,687 1,721 8,274
Clinical Supplies 4,018 4,099 4,181 4,264 4,350 20,912
Non Clinical Supplies 5,314 5,421 5,529 5,640 5,752 27,656
Marketing 10,000 10,000 10,000 10,000 10,000 50,000
Billing Charges 9,480 9,954 10,451 10,974 11,523 52,381
Beds ( 2) 10,000
TOTAL EXPENSES: 83,354 91,302 94,767 98,391 102,181 459,995
Contribution Margin before
Depreciation 26,467 66,692 71,126 75,797 80,717 330,799
Depreciation 12,000 12,000 12,000 12,000 12,000 60,000
NET INCREMENTAL
INCOME: 14,467 54,692 59,126 63,797 68,717 270,799

12. Capital Request
Capital Costs:
Equipment $60,000
Laser Cool touch CTEV 15
watt 35,000
Duplex Ultrasound ( with
portable laptop) 25,000
Total
$
60,000

13. The Final Analysis
 Reimbursement dropping
 Appropriate criteria reducing cath cases
 PV lab volumes have fallen nationally
Need to look at other sources of revenue
The Vein Clinic provides an opportunities for
 Vein procedures
 procedures could lead to Echo’s , Stress Tests,
cardiac cases.
 The Vein clinic will bring new patients to the practice.