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Keep expenses down. Look for every possible way to save. This will allow you to keep going longer, hopefully until revenue starts to cover your practice expenses. Postpone unnecessary purchases, or pick up a broom and clean the office yourself. Do it all yourself, for as long as needed. Surveys from our organization, The DPC Journal reports that the majority of DPC and private, direct-pay practices employ less than 2 employees per year.

One of the riskiest times for any business especially those in the direct-pay, private medical marketplace is when it first opens. In the first two years, three of every ten start ups go out of business according to the US SBA.

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