Business Plan: Fast Forward Physical Therapy

Sarah J. Nunley and Joe Maisano

Fast Forward P.T

4604 Atlantic Blvd
Jacksonville, Fl, 32207
800-543-5432
904-543-5433 (fax)
fastforwardPT@gmail.com
 Table of Contents

I. Table of Contents ........................................................................................2

II. Executive Summary ....................................................................................3

III. Management ……………………………………………………………………..5

V. Products and Services…………………………………………………………...6

VI. Operational Plan ..........................................................................................7

VII. Budget .........................................................................................................8

VIII. Appendices .................................................................................................11

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II. Executive Summary /10

This business plan is for a outpatient physical therapy clinic named Fast Forward PT. It
will be formatted as a partnership LLC with the owners being Sarah J. Nunley and Joe Maisano.
Our clientele will include specifically elderly adults and individuals in need of treatment for
neurological issues such as Parkinson’s Disease and Multiple Sclerosis, but our business will be
open to anyone else in need of physical rehabilitation. There are not many clinics that have the
personalization of treatment and service quality of a small clinic that also have two physical
therapists who specialize in neurological and orthopaedic issues. In the future, the vision for our
clinic includes becoming a leading competitor for orthopaedic therapy and neurological therapy
in the San Marco area. Physical therapy is an industry that is becoming increasingly relevant as
technology continues to extend the lifespan while simultaneously declining quality of life, and
we have no doubt that our company and niche will keep us relevant in a fast growing industry.
Management:​ Our mission is to keep clients as comfortable as possible while we progress
them through their therapy. We want to get clients back to their original or a better quality of life
as quickly as possible, without compromising their care. With two physical therapists with
different specialists, we will be able to help people with a greater amount of knowledge and
skills. Our core values include respect, compassion, integrity, and knowledge. We want to give
our clients the best experience as we are able and get them back on their feet, literally for some,
as soon as we can. We chose a partnership LLC because we trust each other to take care of the
business as needed and carry equal weight as well as limiting liability for the both of us.
Product and Services: ​Our physical therapy services will include a balance of modalities,
exercises, and manual therapy. The dictionary definition of physical therapy is the treatment of a
disease, injury, or deformity by physical methods which is exactly what we will be doing.
Through heat, electrical stimulation, ultrasound, ice, massages, traction, and working the muscle
we will individualize treatment plans to help our clients live pain free. Our massage therapy will
work along with our physical therapy with private sessions for individuals who may need it.
Evaluations will help us determine what our clients needs from us and the best way for us to
assist them with whatever ailment they may have. We also offer ergonomic evaluations where
we will personally come to job sites to educate employees on how to avoid injury and assess any
areas the business could improve for the safety of their employees.
Operational Plan:​ ​We have found a facility in the San Marco area with 1,050 square feet
with two rooms for private therapy and a break room. We will have four employees on staff at all
times, two office assistants and two therapist aides. Our operating hours are from 7am-7pm
Monday-Friday. Sarah J., Joe, or an office assistant will open and close the clinic. Clients will
sign in at the front desk before being assigned a room, and a therapist will meet with them for

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updates and any manual therapy. If the therapist feels comfortable leaving the patient, an aide
will walk them through their exercises before setting them up with our game ready vcp after their
exercises are finished. Our office assistants will help the client with any scheduling or billing
before we wish them the best day! The average thirty minute visit will cost the company $25.50.
Budget: ​We are applying for a loan of $65,000 to cover our startup costs. These costs
include exercise and therapy equipment and clinic supplies as well as rent, marketing and
operating costs, and employee salaries for three months. This loan will allow us to have
everything we need to be successful as a clinic for the first three months, allowing us to show
clients our quality care and network with doctors to send us clients. Having all of our equipment
and needs for our clinic upfront, we will everything necessary to successfully treat clients,
therefore increasing our reputation and clientele base. We have included repaying our loan
within our monthly costs and will be able to pay back 15% of our loan a month as long as we
meet our client per day goal starting in the fourth month. We used our monthly costs, cost per
client, and average revenue per visit to determine that we are going to need to see 25-57 clients
per day total, meaning each therapist should see around 13-14 clients per a day for us to break
even.

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III. Management /20

Mission Statement:

Fast Forward Physical Therapy's mission is to create a welcoming experience to each

and every patient that walks through the door. As insinuated by the name, our goal is
progress patients as fast as possible while maintaining overall quality care, without
rushing through injury. Whether it be rehabilitating an injury or simply trying to improve
overall function for a higher quality in life. Comfort and excellence ensures the patient
will be best set up for success, being surrounded by knowledgeable professionals who
know what to do in situations that present themselves on a daily basis.

Fast Forward Physical Therapy’s core values:

Respect-
Respect can be defined as consideration for self and of others.
Respect includes consideration for other people's privacy, their physical space and
belongings; and respect for different viewpoints, philosophies, physical ability, beliefs
and personality.
Compassion-
Compassion not only improves workplace culture, but it can also help a company’s
bottom line. Cultivating a compassionate environment that strives to reduce hardship
and increase relationships.
Integrity-
Personal integrity is an innate moral conviction to stand against things that are not
virtuous or morally right. To have integrity is to do what you think is right regardless of
the consequences attached with your decisions.
Knowledge-
Knowledge is important when it comes to best treatment for our patients. Knowledge
ensures best productivity. Constantly learning and adapting to a constantly changing
field is important as well to ensure best possible treatment outcomes.

Both myself and SJ bring quality characteristics to the table when it comes our practice. SJ has
an extensive background in Neuro PT, making that one of our clinics strong suits. I personally
specialize in orthopaedics, working hand in hand with jacksonville's best Orthopaedic Surgeon

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Kevin Kaplan, MD. I did my internship with Kevin in undergrad, a lot of our patients come from
JOI.

Legal Form of Ownership: ​Partnership LLC

We selected this form of ownership because we want to be equal partners and contribute to the
community in a private practice. We both felt a corporation would be too distant from the
community and we want to really stand out as a quality clinic. Partnership fit our business model
perfectly. SJ and I both trust each other enough to be equally responsible for the business if one
of us is not around to make decisions.

V. Products and Services

/10

Service Price Service Info

Physical Therapy $65.00 Physical therapy will

include necessary
eradication of pain, or
rehabilitation from injury.

Massage Therapy $65.00 Part of our treatment plans

includes manual therapy
when necessary

Private $100.00 One on one treatment for

Evaluation/Treatment the patient during their
sessions.

Ergonomic Evaluations $75.00 On-site evaluation of work

space

● Physical Therapy: ​Evaluation and treat of various orthopedic and neurologic conditions.
Treatment of sports injury or occupational injury. Our custom treatment plans will
include therapeutic exercise, manual therapy such as massage or joint mobilization,
stretching and offer a variety of modalities like: hydrocollator heat packs ensure steady
heat for 10 minutes, upon completion of treatment (exercise, traction,manual) we finish
with ice using our game ready. The game ready vpc ensures good icing around affected
area and compression, ultrasound treatment used to target deeper areas of pain via
ultrasonic waves by varying frequencies, and traction, which provides a stretch in tight
muscles of the cervical or lumbar spine.
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 ● Massage Therapy: ​Manual therapy is part of most treatment plans as necessary, or
private sessions for a charge of $65.00 per hour.
● Private PT Evaluation/ Treatment: ​One-on-one treatment with patients/ clients for
individualized goals whether it be strength and conditioning, injury prevention, sports
performance enhancement, or other fitness related goals.
● Ergonomic Evaluations: ​On-site evaluation for employers and employees of the work
space to ensure safety by ergonomics to reduce cumulative strain on the body and
improve postural awareness. This is effective in on-job injury prevention.

★ Patients will be allowed a free follow-up evaluation if any issue persists upon discharge

VI. Operational Plan ​ /20

The office will contain standard exercises and therapy equipment stated in the other
sections and will be located in San Marco. Sarah J., Joe, or an office assistant will open the
office. Aides will make sure everything in the clinic is ready, like laundry being folded and rooms
being clean, while the physical therapists finish notes from the night before. When a patient
walks in he or she will sign in at the front desk before being directed to a table or private room.
Patients will first see a physical therapists to see how their pain is doing and to handle any
manual therapy. Higher risk patients or patients that need more attention will stay with the
physical therapist while others will work with an aide on the exercises that the physical therapist
has given them. The patient will then be given ice and ultrasound treatment at the end of their
appointment before checking scheduling and handling any billing.

Hours: 7 am-7pm, Monday-Friday, closed on holidays

The office will be opened by Sarah J., Joe, or the office assistant.

As stated in the previous section, patients will see the physical therapist, work with an
aide, and then get ice and estim at the end of the appointment. With the cost of paying the aide,
therapist, and office assistant as well as therapy for a thirty minute appointment, it will cost
about $25.50 for every patient.
During the training of employees below there will be a day dedicated to how to talk to
patients and make sure that they are safe and comfortable, for example if a patient is doing a
therapy that does not require personnel in the room they should have a bell placed next to them
to ring if they need something or patients should not be kept in the waiting room. All employees
will be taught how to explain exercises the way that the physical therapists would explain
exercises as not to confuse patients.
Our employees will consist of two office assistants, and enough aides to have at least
two a day.

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 Payment will be every 2 weeks through either a check or direct deposit.
Office assistants require a college degree and two years of prior experience. Aides are
required to complete the training, because we understand a lot of college students work as
aides to gain experience to enter the field. We would like the aides to have at least some
background in exercise physiology/fitness/biology/physical therapy. Training will include two
days of following a PT, a week of assisting an aide that has been previously trained, being
observed working with patients for two days, and passing a test that includes patient protocol,
therapy protocol, and exercise shorthands. For office assistants, training will be a week of
learning how the office works and the ins and outs of the various systems used in the office.
While originally training our first aides and office assistants, we will have them come in for a
week before we open and walk through daily procedures and therapies, so our opening can run
smoothly.
Schedules will be scheduled using TSheets which is an application that allows owners
and employees to the view the schedule, hours worked, paid time off, as well as request time off
and list availability. For patients, a color coded excel sheet will indicate who the patient is
coming to (green for Joe, purple for Sarah J.), and whether or not they are a neurology patient
(blue) or an evaluation (red), etc. Specific schedules and written procedures have not been
prepared.
Aides will assist with patient exercises, therapies, clinic efficiency, and ensure patients
are comfortable.
Office assistants will check patients in or out as well as handle forms, billing, scheduling,
employee payment, and other business/office duties.
Our employees will handle cleaning crews, equipment maintenance, and inventory, but
we will have contracted accountants. We will have a contracted massage therapist to come in
when needed for private massage sessions.
Our inventory will include therabands, biofreeze, shirts, and KT tape.

VII. Budget /20

Startup Budget:
Rent: $1,050/month (x3 for startup budget)
Insurance: $35/year
Utilities: $400 (x3)
Employee pay: $10-15/hour/employee (based off of three months for four employees, $10 for
aides and $15 for office assistants open 60 hours a week)
Treadmill: $900
Cycle arm ergometer: $250
Stationary bike: $150
Hydrocollator with 4 standard and 2 neck packs: $440
10 polyurethane ice packs in oversized, standard and neck sizes: $200

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Theraband rolls in blue, purple, orange, yellow, and red: $350
Business cards (500): $10
T-shirts: $900.43 for 200 shirts
Facebook ads: $50
Luncheons: $100 per luncheon
Fliers: $40
WebPT: $59 per month
Therapy tables (6): $3,300
Linens (100 towels and 50 pillow cases): $302
Dumbbell/weights/band rack: $350
Chattanooga machine: $950
Refrigerator/freezer: $500
Cuff weights (one set for 1-6 pounds): $184
Dumbbells (set with dumbbells 1-10 lbs): $100
Electrotherapy units (3): $2,100
Electrodes: $1.50/patient (based off of 40 patients a day for 3 months)
Pillows (4 for each table): $200
KT tape giant roll with holder: $100
Dynamometer: $200
Washer and dryer: $895
Computers (2): $1,000
Cable/internet/telephone: $200/month (x3)
Desks (2): $300
Office supplies: $1,675
Permits (massage and physical therapy permit for two therapists): $2,300
Total: $64,247.93 rounding to $65,000 for unseen costs.

Monthly budget:
Operation expenses:
Rent: $1,050
Utilities: $400
Cable/internet/telephone: $200
Office supplies: $200
WebPT: $59
Insurance: $2.92
Direct expenses:
Aides ($10 per hour/2 employees/5 days a week): $4,800 ($57,600 a year)
Office Assistant ($15 per hour/2 employees/5 days a week): $7,200 ($86,400 a year)
Payroll taxes (10% of employee salary): $1,200
Marketing (could include marketing tools and inventory refills): $150
Loan repayment (15% of initial loan): $9,750

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 Costs per month: $25,011.92

Income sheet:

Cost/patient $25.50

Costs/Month $​25,011.92

Income

$/PT $65.00

$/MT $65.00

$/Eval $100.00

$/erg eval $75.00

Profits: Patients Patients

x=patient /Month /Day

Profit for PT 65x-25.5x-25011.92 633 32 Revenue= 65x Cost= 25.5x

Profit for MT 65x-25.5x-25011.92 633 32 Revenue= 65x Cost= 25.5x

Profit for Eval 100x-25.5x-25011.92 336 17 Revenue= Cost= 25.5x

100x

Profit for erg eval 75x-25.5x-25011.92 505 26 Revenue= 75x Cost= 25.5x

Average Monthly Profit 76.25x-25.5x-25011.92 492 25-27 Revenue=76.25x Cost=25.5x

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VIII. Appendix /20

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