Photo by Jonathan Borba on Unsplash, this article comes from the WeChat public account: Eight-point Health News (ID: HealthInsight) , author: Tan Zhuo Zhao

At the end of March, the first nurse offered to resign. She said she wanted to do e-commerce and sell clothing. At this time, the Doctor Lu clinic in Chengdu has been back to work for a month, but customer traffic has not improved. The average income of a store is 14 or 5 patients a day, and the overall income in March decreased by 45% compared with the same period last year.

“This situation is a great blow to everyone. I am afraid and do n’t know what to do.” The clinic founder Lu Fengping said to the nurse, “You try to do it. If it does n’t work, please come back and we will all go together. Overcoming difficulties. “

From this time to mid-April, seven or eight nurses resigned. Lu Fengping understands that their working hours have changed from last two days off to first six days off, and because of low performance, their income has been reduced by half, and it is really difficult to get more than 2,000 a month.

A nurse wants a guaranteed salary, but “I really have no way to promise”. In February, the hospital was closed for a month, and nearly 3 million of cash flow was almost exhausted. Lu Fengping mortgaged all the real estate and the car, and loaned 5 million yuan, and this continued. If this amount is not enough, the clinic still has a loan amount of 8 million or 9 million. I hope to get through the difficulties and survive the months of March and April. Now I finally see a little dawn.

The difficulty of Dr. Lu ’s chain of clinics is a microcosm of private medical institutions nationwide under the epidemic. “Other clinics also have stores,” Lu Fengping said. According to a survey released by Guangzhou Alibaba in mid-March, In February, the business volume and revenue of all the hospitals interviewed declined year-on-year. Jiucheng Hospital is under financial pressure, and private hospitals are in a more difficult situation. The cash flow support of Chengdu Private Hospital is less than 2 months.

There are also ashamed. In Shenzhen, which is 1300 kilometers away from Chengdu, Zhuozheng Medical ’s income also fell in February, which was the most severe epidemic.90%, but because Zhuo has already achieved breakeven in 2017, and in order to build a hospital, in the second half of 2019, the D round of financing was raised, so the cash reserve is relatively sufficient, and President Zhou Fang saw the other side.

“We recently planned to open a second clinic in Shanghai. It was difficult to find a place years ago. The properties in Shanghai, expensive or not, are basically very full. But we visited again last week. There are many venues and many restaurants. 1. The gym is empty, and the price is estimated to have dropped by about 30%. “

Zhuozheng expects to add several more clinics this year, and it will focus on being a hospital. “The impact of the epidemic on all walks of life is definitely huge. We cannot change the trend of the epidemic, but we should try our best to avoid it Looking for opportunities in China to reduce the impact, including talking about rent, location, etc., is beneficial to us. “

The cash flow pressure brought by the epidemic has become the life-and-death robbery of private clinics. The past is the sea of ​​stars, and if you ca n’t bear it, you will be buried in the sea.

Cessation of the clinic means no income

The decree was received on January 31.

Shutdown means no income. This is the first time I saw Lu Fengping ’s 15-year entrepreneurial career. Her Dr. Lu ’s chain of clinics has opened 40 in Chengdu, all of which are located in common residential buildings.

Store rents must be paid, employee salaries must be paid, and equipment damage must still be borne. What should I do with cash flow? Although she received a financing of more than 10 million in 2018, it has long been used for store expansion, leaving little left. Originally interrupted the second round of financing this year and happened to happen to the epidemic.

Lv Fengping remembered that there was a major flu in Chengdu in 2008. At that time, doctors and nurses were so busy that a lot of fever patients flooded into the clinic every day. Although only some routine diagnosis and treatment, including emotional counseling, let patients drink plenty of water to rest. After the patients got better, a doctor’s sense of presence was reflected.

In this epidemic, Lu Fengyuan was also looking forward to taking on some real work, and the clinics in Singapore played a good role in the epidemic. But later failed to do so, the clinic was closed, and young and middle-aged doctors were transferred to the frontline of epidemic prevention. From 9 a.m. to 6 p.m., the nurses go to the entrance of the community and the exit of the expressway to help register the body temperature and go for pre-examination and triage in large shopping malls and high-tech industrial parks.

This kind of work is “a little waste for our doctors,” Lu Fengping said. What she has to consider is the survival of the clinic. 40 clinics, 140 people,The total cost of manpower, rent, and management is about 2.66 million, and the monthly rent alone is 700,000. These figures, which could have created profits, are now a very heavy burden, which is constantly pressing Lu Fengping. There are only two or three million cash in the clinic account, which can last up to a month.

The headquarters office of the group was originally in a high-end office building. “We started renting back in February. We have a large 500-square-meter clinic that was used for rehabilitation physiotherapy and doctor training before the 2nd and 3rd floors. Move the headquarters to this area. “Lu Fengping said, so that monthly rent savings of nearly 50,000. However, this fee is undoubtedly a drastic salary relative to the clinic’s monthly expenditure.

The news of peers closing stores came one after another. Lv Fengping began to hesitate, whether to cut off the tail to save himself.

But the 40 clinics are all opened one by one. They did not go to buy them. Each one poured the gene and blood of “Dr. Lu”. In her eyes, like a big child in one hand, unwilling to shut down any one. After weighing the pros and cons, she chose Kechuang Loan to mortgage all the houses and cars and loaned 5 million yuan.

My friend who opened an individual clinic asked Lu Fengping for lessons. She always encourages them, “If there is only one store, just do it, earn the rent, and then earn the salary. For other things that make money, let’s not talk about it first, survive first, and see hope.” , Lu Fengping will “come miserably”, “You have an advantage over me, I have more than 100 employees, the pressure is greater, I can only mortgage all RVs.”

Zhuozheng Medical’s nearly 30 outlets across the country in February stopped the hospital at the request of the government half of the time, plus patients did not dare to go to the hospital, the number of consultations and income decreased by 90%.

“In order to meet the needs of some patients, the clinic can be opened or opened as much as possible during the epidemic.” Zhou Fang, the president of Zhuozheng Medical, said that compared with closing the store, opening means that the loss is more severe. “In the cost structure of Zhuozheng Medical, labor costs account for 60%, rents account for 20%, and the total monthly expenditure exceeds 20 million yuan.

But Zhuo Zheng has not yet encountered a cash flow crisis. In September 2019, Zhuo Zheng received a Series D financing, “In fact, the money of Series C was basically useless at the time. (40 million US dollars, August 2017 Month) , because the plan is to open a hospital, we must make the worst possible plan-the hospital will slow down our development speed, so we made a D round of financing at the time, just to ensure that the company is in extreme Under the circumstances, we will basically not die. “Zhou Fang said, under the current circumstances, it is estimated that the funds should be no problem for five or six years.

Originally thought that everything will be better after resuming work, but the reality is even more collapsed

Like the cloudy weather in Chengdu, Lv Fengping felt gloomy throughout February. During the month of shutting down, patients often consulted her, when to open business, I really wanted to see a doctor. “As long as work is resumed, everything will get better.” She was anxiously waiting for the work to resume, and she had prepared protective materials and working capital for the work.

“We feel that there is hope when the door opens, and there must be patients, and the recovery will be faster.” But what surprised Lu Fengping was that the month after resuming work was more collapsed than before.

March 1 is the first day of resumption. Lu Fengping repeatedly told every clinic staff to put disinfectant at the door and wear protective clothing. The employees confidently wanted a fight. Looking forward to a good-looking Lu Fengping, at that time, I thought that the number of patients may be reduced by half, and it is estimated that there are at least 20 or 30 patients in each store.

But that day, there were only about 15 patients in each store. In the following days, the number of patients did not increase much. Throughout March, the number of patients fell by 45% compared to the same period last year.

Zhuo Zhengzheng has been playing steadily and has been regarded as the “industry benchmark”. But in March, the operating income only recovered to 50%, and in April it recovered to about 60%, still facing the state of losing money every month. Zhou Fang said that it was thought that the epidemic could end in two or three months, but it may actually last longer.

Unable to do so, Lu Fengping immediately fell into another state of fear. The pressure of wages, drug validity and rent, and the continuous loss faced by the clinic. This is the biggest challenge she has faced in her 15 years of entrepreneurship-no patient, “every day is like a thin ice, like abyss.”

At 7pm on March 3, the clinic opened a shareholders meeting with 13 doctor shareholders attending. As the founder, what Lu Fengping has to do isGet loans, connect with drug suppliers, and prepare the money owed to the suppliers and the money to buy medicines. From the operational level, the holding of this shareholders meeting is to unite the shareholders of doctors, take self-help, and negotiate a plan to optimize labor costs: shareholders take the lead without rest, and adjust the working hours of nurses, from the last two to one. Six rest days.

There are few patients, which is directly reflected in the income of employees. Without the support of performance wages, the income of medical care has been reduced by at least half during the epidemic. The doctor is relatively stable, but the departure of several nurses happened at this time.

When some patients chatted, they unintentionally said, “You used to be in the market, but now you are in a hurry.” This made Lu Fengping, who was already vacillated, hesitate again. Do you continue to do clinics, and do you transform into online? She struggles every day-“The rent pressure is so great, the employees are emotionally unstable, and they are communicating further with the employees every day, and with the government. We have covered the whole of Chengdu now. Offline patients go online. Do you want to do other services, such as opening an animal clinic? “

For the entire industry, the number of clinic transfers has begun to increase. According to the statistics of the clinic, only the number of clinic transfers from January to April exceeded the number of clinic transfers throughout 2019. Especially in March after the peak period of the epidemic, 317 clinics were seeking transfer, which was 6 times that of February. Zhou Fang believes that if the clinic’s funds are not enough, in the next few months, there must be another batch to die.

“The medical industry is a slow industry, not a profiteering industry. We realized this from the beginning. If we blindly pursue fast and conflict with the laws of medical treatment, there will be a big crisis, especially in the epidemic. Such a situation will accelerate its collapse. “Zhou Fang said.

Entering May, I feel that spring has finally arrived

Because of the abundant cash flow, Zhuozheng medical team has maintained stability, and for the expansion of the original plan, including the opening of clinics and the construction of hospitals, Zhou Fang believes that it is also more beneficial to choose a site and negotiate rent.

On the other hand, although the epidemic situation will have some impact on Zhuozheng’s management, the working environment has become quieter and more calm. In the past, I was busy doing business, and some internal management did not have the opportunity to do, or things that were difficult to push, now I have more time to do it, which will be better for long-term development.

“In the past, this business model was supported in the industry for a while, and the business model was supported for a while. The outside world is very impetuous, and now it is back to doing the thing itself. No matter how serious the epidemic is, we must focus on doing our business and not waste time. Funds, As long as it is safe, You can earn it later. But because of the impact of the epidemic, I stopped here and did nothing. It was the worst. “Fang Zhou said.

And Lu Fengping, after experiencing hope, disappointment, despair, another round of hope, disappointment … emotions are like a pendulum, and they persevered in countless times of entanglement.

It is more gratifying that compared with March, the store traffic increased by an average of 10% in April.

In May, Lu Fengping felt that spring was here. “According to previous years, May is the off season, because the weather is not cold or hot, and the incidence rate is low. But from the 1st to the present, it is much better than I expected. It may be related to more people going out. Today (May 5) From 8 am to 11 am, I saw 13 patients by myself. It was originally expected to recover to 70% in May It can be optimistically estimated that it may return to about 80% over the same period. ”

△ Lv Fengping, photo provided by the interviewee

The increase in people flow means that income is increasing, and correspondingly, the loss is decreasing. In two months, a loan of 5 million was spent on 1.26 million. Compared with the net expenditure in February, the cash flow is relatively more abundant.

Some surprises will follow. The Chengdu government is planning to invest in the construction of a community health service center with 20 health service stations, and intends to cooperate with Dr. Lv for a long time. “Cooperate with the government, you don’t have to worry about rent, I will concentrate on doing well.” In Lu Fengping’s view, the government is changing its view of private medical institutions. If the government can purchase clinic services, it may also be a path in the future.

Enterprises do not have to pay for medical insurance during the epidemic, so there is less pressure. For rented shops, some landlords waive one month’s rent. In addition, there is an 8-9 million social security account loan that has not yet been applied for. Lu Fengping believes that it can still pass.

“Although the RVs are all mortgaged, the future is still worth looking forward to. The doctor was originally born, the genes are here, and there is no panic. I have n’t found the doctors who have starved to death for so many years. The big deal is that I ’m thankful Not this year, I will talk about it next year. “

This article comes from the WeChat public account: Eight Point Health News (ID: HealthInsight) , author: Tan Zhuo Zhao