The Tox Spot

MSO managing small-footprint, doctor-owned injectable clinics

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In retail healthcare, specifically in the world of aesthetics and beautification, the brand can be the determining factor in success or failure. We live in an influencer-infused world where a social media post can generate business or show the viewer that you are not the right choice. Brand is EVERYTHING, and the concept behind our plan is to build an MSO around a brand that relates to specific customers in specific geographic areas and provides everything needed for success for a practicing physician. In end, we believe that this approach will result in more streamlined operations, a more cost-effective approach to marketing, a loyal regional/national customer base, higher profits for our investor/partners, and the possibility of larger organizations seeking to acquire us in the long run.

WHO WE ARE
Amy Radle Fasullo -
Founder/Managing Partner. Amy has over 25+ years of exper4ience in corporate finance, is a CPA by trade and for the last 5+ years has been the COO/CFO of a small group of aesthetic medicine clinics in Louisiana.
Catherine Radle McKearn - Founder/Partner. Catherine has over 20+ years of experience in multi-unit retail operations and design, and 10+ years of business accounting.

WHAT IS AN MSO?
A Management Service Organization (MSO) is a healthcare specific company that provides administrative and management functions necessary for the success of medical practices. MSO's are the new popular model for private equity groups to acquire retail healthcare businesses to 'roll them up' into larger and more profitable regional/national players by means of consolidating the back office functions.

HOW ARE WE DIFFERENT FROM OTHER MSO’s?
The Tox Spot MSO creates a marketable brand footprint that provides all of the back-office, accounting, HR, Payroll and sales/marketing to grow the business. Our model works for existing clinics that are looking to transition away from day-to-day operator doctors up to newly licensed doctors looking to start a new clinic but don't know where to start. The model represents success because it allows doctors to remain owners but be 100% involved in their craft without the headaches of day-to-day operations.

THE PROBLEM
Managing the administrative, operational, and marketing responsibilities of owning a medical spa are struggle for doctor.
  • Outside of a doctor’s wheelhouse - doctors are traditionally horrible business people.
  • Easy to get things wrong when it comes to marketing & finance.
  • Time consuming-doctors want to practice their craft.
  • They risk compromising their craft when running the business becomes more than it needs to be.
THE TOX SPOT SOLUTION
A new model MSO and customer facing brand where injector owners can:
  • Immediately see the financial and personal benefits of business ownership
  • Have the support of a nationwide network of clinics
  • Benefit from countless peer resources and volume discounts increasing profitability
  • Drive revenue from a customer facing brand
  • Promote a simplified service menu aligned with high yield financial result

CURRENT MARKET
  • Recent and successful entry by MSOs, Franchises, and PEF into the industry; still highly fragmented with individual ownership making up 90% of the industry (AmSpa)
  • Pool of potential consumers is 6x the amount of current consumers (BCG Consumer Sentiment Survey)
  • Non-invasive injectable segment accounts for 63% of the revenue share
  • $16B - 2023 MARKET VALUE
  • 15% - ANTICIPATED GROWTH THROUGH 2030
  • 1.4M - AVG MEDSPA ANNUAL GROSS REVENUE
  • 10,000 - ESTIMATED NEW INJECTORS NEEDED IN UPCOMING YEARS (ALLERGAN)

WHY START AN MSO AND NOT A CHAIN OF CLINICS?
Our concept is predicated on volume - more clinics, more volume discounts, more profits. Forming an MSO will allow us to open in any state and be in compliance with the corporate practice of medicine doctrine in even the strictest states. 

THE OPPORTUNITY IS THE BRAND
The Tox Spot MSO secures the clinic location, manages build out, and provides operational and administrative support, as well as the recognition and strength of a national brand to medical practitioners after opening. Those practitioners, with the support of the MSO, will provide patients with non-surgical aesthetic treatments involving wrinkle relaxants and dermal fillers, IV hydration and vitamin supplementation as well as pharmaceutical grade vitamin supplements and skin care regimens.

HOW THE MSO MAKES MONEY
  • 10% fee on monthly gross revenue generated
  • A Flat Monthly management fee of $10,000 per month
  • Reimbursement of expenses (dollar for dollar)
The MSO will see profitability with the opening of the second location. The MSO will go from gross revenue of $957k and a loss of $168k with only one location to gross revenue of $1.6M with net profit of $78k with two locations, increasing net profits to: $324k with third location (gross revenue $2.9M), $570k with fourth location (gross revenue $3.8M) & $816k with fifth location (gross revenue 4.8M). OUR GOAL IS TO HAVE 20 LOCATIONS NATIONWIDE IN 5 YEARS. (MSO expenses will be fixed with one location or 5 locations. We anticipate MSO expenses increasing in Year Two when the five-location threshold is reached. That increase in expense will come with the addition of administrative staff to handle the volume of transactions coming from the increase in locations.)

HOW THE CLINICS MAKE MONEY
  • 20% - NPM after salary
  • $538 - Avg patient spend per visit
  • $5k - Avg daily revenue
  • 65% - GPM on injectables
  • 85% - GPM on IV hydration
Clinic owners can expect to see a 15- 20% net profit margin, after their salary, based on daily revenue of $5,000 per day.  According to Allergan Aesthetics, the average patient spends $538 per visit. At this rate, a clinic can see a net profit margin of approximately $189,000 annually seeing only ten patients per day. Patient appointments average 45 minutes per patient and an average of 2 patients seen per hour. The average IV appointment brings in $125 with an 85% gross profit margin and each location will have 4 IV treatment stations in their clinic.
$5,000 per day milestone within six months of opening and we are planning 5 clinic openings per year from the date of the first opening.

THE ASK
We are seeking between $500k up to $1.5m in total investment from either one or more investor partners. The minimum amount will open the first 2 locations. If the maximum amount is raised, we will be able to open the first six locations within 12 to 14 months from launch.

USE OF FUNDS (assuming maximum raise)
  • $50,000 will be earmarked for legal fees to form the MSO and create the Master Service Agreement.
  • $250,000 will be used to open the 1st 5 locations. We anticipate $50,000 per location for opening expenses.
  • $400,000 will be used to operate the MSO to give time to the new clinic locations to generate profits, which will be used to run the MSO and grow the concept in the future years.
  • $200,000 will be used for a nationwide marketing campaign to attract injectors to engage us and clients to visit us.
  • $500,000 for all the things that we know come up with the start of a new venture, allowing TTS to develop with adequate working capital.
NEXT STEPS...
We invite any interested individuals or groups of investor partners to contact us for an in-person meeting to review our full pitch desk with financial projections.

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