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De Novo Services

Startup supportfrom concept to opening day

Most of a new practice's first-year profitability is determined by decisions made before the doors open. We manage those decisions and the order they happen in.

Before you see a patient

What gets decided first

Starting a practice from scratch is one of the most rewarding things a veterinarian can do, and one of the most overwhelming. A great deal has to happen between the idea and the first patient.

Location, layout, equipment, staffing, pricing, and financing all affect one another, and most of them are locked in well before opening day. Getting the sequence wrong is expensive for years afterward.

This may be your first time starting a business. It is not ours.

PlanModelFundBuildOpen

Who we coordinate with

A startup runs on eight or nine outside parties who each need something from the others. Keeping them sequenced is most of the work.

LenderPre-qualification, construction loan, and the permanent financing that replaces it.
AttorneyEntity formation, lease negotiation, and the employment agreements that follow.
CPAEntity election, depreciation strategy, and the first year of filings.
ArchitectFloor plan, permit set, and the layout decisions that fix your capacity for a decade.
ContractorBid review, draw schedule, and construction timeline against your loan terms.
Equipment vendorsQuotes compared, lead times tracked, and delivery timed to the buildout.
PIMS vendorSelection, installation, and the chart of accounts mapping that follows.
Licensing bodiesState veterinary board, DEA registration, and local occupancy approval.

The model

Pro forma projections that show what year one realistically looks like before you commit to a lease or a loan.

The financing

Lender-ready packaging, submitted and tracked, so funding is scheduled rather than scrambled for.

The buildout, stage by stage

STAGE 01

Kickoff and goals

Practice goals defined, business plan started, project timeline built.

STAGE 02

Location and banking

Property search, lending requirements, and preliminary banking conversations.

STAGE 03

Legal foundation

Entity formed, business account opened, pre-qualification secured, pro forma started.

STAGE 04

Buildout planning

Architectural plans finalized, lease signed, construction loan closed, brand launched.

STAGE 05

Construction and staffing

Contractor and equipment coordination, benefits planning, staffing strategy.

STAGE 06

Equipment and licensing

Equipment ordered, state and DEA licensing secured, clinical protocols established.

STAGE 07

Operations setup

Payroll, pricing strategy, final hiring, benefits enrollment, and PIMS installation.

STAGE 08

Onboarding

Final inspections, staff onboarding, insurance activation, and equipment installation.

STAGE 09

Soft opening

Soft opening days, staff training, construction close-out, and marketing launch.

OPENING DAY

Open and move to advisory

Doors open, bookkeeping is activated, and monthly business strategy begins.

12–18 months Typical span from first conversation to opening day, depending on whether you are building out a shell space or renovating an existing one.
Veterinary StartupPractice Start-Up Pro Forma ModelingLender PreparationFirst-Time Owner