However, it is extremely important to understand what it takes to be in compliance. In your pro forma, account for all your medical clinic expenses, debt and anticipated revenues. Use the promo code "Amanda" or use the link for two free months from TherapyNotes! File the paperwork. "And hopefully, everything is clicking on all cylinders. Integrated with your EHR system, a practice management system keeps track of all your front-office information and facilitates operations. You will also need to be a licensed medical doctor, having completed all of the necessary training for your profession. Not all states allow for independent practice, so NPs must find out if opening their own practice can be done, if a physician needs to be on-site, or a physician needs to be nearby and accessible. The more reports you can gather to assess the health of your private practice, the better. Your practice management system is the lifeblood of your practice. quickly. You'll also minimize the risk involved in starting a new business, though you may not have as much personal flexibility and freedom; you may have to work within the boundaries set by a medical board. Benchmark your practice and ensure there's oversight.". You need to check that, so who makes sure that happens? If your hours or location changes, for example, you can be penalized by Google for having different results on different pages. I had originally bought a few general "Starting your own business" type guide books and all fell short and were disappointing. "You're not going to get capital to start your business without a solid business plan," Reiboldt said. You'll want to know and be able to trust your staff, which means employing a background check system. When you opt for a third-party billing service, that burden shifts to the company you've contracted with. Don’t rent right away. Who doesn’t like free? Here are some of the things you'll want to consider. How many appointments are getting booked week-to-week? Max Reiboldt, president and CEO of the Coker Group consulting firm and author of Starting, Owning, and Buying a Medical Practice (American Medical Association, 2011), explained the importance of a rational business plan and the absolute need for startup financing. The more reports you can gather to assess the health of your private practice, the better. First, go to the American Medical Association’s website and look for their resources on starting a medical practice. You must complete several logistical steps before you can open your doors. If you have social media pages, a website, and local listings, your prospective patients are much more likely to find you. When you start a solo medical practice, you take on almost all the responsibility. It can take a while to get your foot in the door – for example, many news stations already have their local experts they like using – but be persistent with anything that continues to seem promising, and keep delivering ideas. Once you’ve established a presence in one or two areas, you can use that experience to book more appearances and gain more exposure. After all, the details of starting up vary by specialty, and some laws and regulations differ by state. While you’ll have to pay for some tools along the way, here are a few you can. With these tips, you should be well-equipped to build a booming practice from the ground up. It might be worth your while to hire a professional consultant who has started medical practices before, is aware of the pitfalls and challenges, and can advise you on medical malpractice insurance and workers' compensation. Starting a private practice providing counseling to clients can be exhilarating. "There are very specific compliance manners for medical practices, mostly tied to government regulations, like privacy with HIPAA, and certainly being in compliance with the way you bill and treat Medicare and Medicaid patients," Reiboldt said. These shorter hours come at the expense of the full control you have with a solo medical practice, but you may have easier access to working capital, thereby lowering your startup costs. That extends beyond exams, diagnoses and treatments. Once you’ve received funding as a result of a pro forma or business plan, some of the money needs to go into marketing your private practice to promote it and attract new patients. Without incorporating, you've opened up your personal assets to the threat of a lawsuit. If you've reached this point, you've put in plenty of blood, sweat and tears, and haven't seen a dime in compensation for it. Full text Full text is available as a scanned copy of the original print version. Lawson ended up founding a VIP housecall practice, Advanced Clinical Consultants in … For more information on selecting an EHR system and our recommendations, see Business News Daily's guide to electronic health record systems. In addition, Zetter said, you should try to obtain a $100,000 line of credit to cover payroll and bills until your revenue stream is established and stable, which will take some time. It is important to consider your options, and to evaluate your tolerance for risk. That's where a solid, realistic pro forma comes in. Now known as Promoting Interoperability, the Meaningful Use standards prescribed by the Centers for Medicare & Medicaid Services lay out exactly what is expected of a medical practice's use of an EMR system. Of course, the necessary medical equipment and training for staff represent an additional expense. Every business owner understands the importance of insurance, but for medical professionals, it's even more crucial. Depending on the type of private practice you run, you may be able to regularly see patients farther away for telehealth visits as well. "You need to include the costs to set up the practice, your lease's cost per square foot, your [electronic health record system] expense, medical supplies and office supplies. In this video, Amanda Patterson, LMHC, discusses the steps for starting a private practice. If you are working on growing a private practice, you need to keep an eye on your analytics. In addition to Google My Business, you should have listings on online business directory sites, like the Yellow Pages, as well as doctor-specific directory sites, like Healthgrades. If you start a medical practice within a hospital network, you will work on a schedule and be subject to certain employee constraints, but you'll have the hospital's working capital and marketing resources at your disposal. Apple Podcasts | Google Podcasts Session 10 Dr. Noe is in a solo private practice seeing patients as a Family Medicine physician. I m planning to start the practice at home, where i hv small study room. You'll want to consider how medical transcription fits into your practice. Don’t forget to maintain wherever your business is listed. Anticipating pitfalls is a fundamental part of the clinical side of medicine and a physician just starting should apply that same thinking to establishing a private practice. A set of responsible, current, and verifiable policies and procedures, in addition to compliance with all legal regulations, is vital to your practice's success. The first step an NP should do is determine the practice requirements in their state. Joint ventures with hospitals account for 16% of urgent care clinic ownership, so hospital-owned businesses may be right for you if you're interested in urgent care. Hire more if you think you need more assistants. Outside of the costs of going off on your own, you need to consider how to market your private practice to attract new patients, and how to run your medical practice operations in an efficient manner by leveraging and adapting to modern technology. I'm a family medicine doctor and I'm told that the way the healthcare economy is structured now, it's nearly impossible for a private practice to succeed. Build your team. Once you've obtained a loan and opened a line of credit, you're ready to start putting together the meat and potatoes of your practice – hiring your team and purchasing the medical equipment you'll need. Private medical practices are numerous, generally small (1 – 4 physicians) and may provide either general or specialist services. Ready to boost your dental marketing strategy and grow your practice? If you've already got a plan in place and want to focus on choosing the products and services you'll need to run your business, you can read our reviews of these medical practice services: The inherent risk, upfront expenses and difficulty of opening your own practice may explain the breakneck pace of consolidation within the healthcare industry. The more ways you can make yourself available to potential patients, the better, and an easy way to offer more possibilities for patients to see you is to offer telehealth appointments. With all the necessary preparation for opening day, followed by the hustle and bustle of treating patients once you do open, it can be easy to forget about marketing. As we all know, more and more providers are brushing aside any ambition to start a private practice and instead joining a hospital or large group practice. First, you don’t want to use your own name, because if you ever want to grow and scale and add other people to your practice, you are going to be limited. On top of this, you'll take on all the other risks of starting a business. Bankers can tell what projections are realistic and which aren't; it's their job to make wise investments, so you'll want to back up any numbers you use. Some source interviews were conducted for a previous version of this article. If you’re starting a private practice from zero, why would you use outdated tactics to grow and maintain your practice? Networking is an important part of any career, however, for a growing … With Google My Business, you can keep prospective patients up to date on hours, services, and upcoming events. Business News Daily's guide to medical billing services. Running a private practice, however, doesn’t come cheap. ", You might also consider hiring a professional consultant to occasionally take stock of your practice once it opens and report back on its operations. The biggest factor in determining when you will break even is the amount of money you have to borrow to start up the practice. When you decide that starting a private practice is in the cards for you, you have five types of medical practice to consider. NexHealth seamlessly integrates everything you need to run private practices with digital tools. "[You'll need] malpractice and general liability. If one of the first results on Google is a directory page that you could pay to be on, you could secure a top spot on Google without waiting for results from an SEO strategy. Or, tie in what you offer with an interest relevant to your practice or your personal life. By working with trusted advisors, you can grow a successful practice reflective of your personal and professional goals. Hire a consultant or an accountant who has experience monitoring medical practices to occasionally review operations and report back to you. She talks about Family Medicine and what you should think about too. Evaluate your location early on and determine exactly what work needs to be done, then get to hiring the contractors who will do it. “Suddenly, I had a change of heart and knew that I was meant to have my own practice and practice how I wanted and how I felt was best for patient care and relationships. You need to educate them, and one of the best ways to do so is with an introductory brochur… Find out what it’s like from a doctor who has done it. You'll need to navigate the process for each payer you plan on submitting claims to, which includes offering up information on each physician's work history, proof of malpractice insurance, hospital privileges and attestations. Make sure you have some way to get people subscribed to your email list before they leave for the night – this is the key to keeping in communication and building that relationship over time. She talks about Family Medicine and what you should think about too. Financing your practice is another critical consideration that will affect your cash flow . Business News Daily's choice for best credit card processor for medical practices. Since the healthcare environment is always changing, you'll want to periodically update your policies and procedures as well, lest they become antiquated and ineffective. These things should really be done in conjunction with steps one and two. And for me, it was a necessity. Apple Podcasts | Google Podcasts Session 10 Dr. Noe is in a solo private practice seeing patients as a Family Medicine physician. Craft a practice plan. Running your own medical practice gives you the freedom to help patients on your own terms. Since the business aspect is not discussed in medical schools, it is a major challenge for doctors to set up their own private practice. PRIVATE PRACTICE BUSINESS CARD COST: $25 or so for the first round THE LONG VERSION. Once you get emails from people you want at your practice, keep them in the loop about what’s going on by you with email newsletters, complete with promotions and seasonally relevant advice. Private investors - a trend that we are seeing more of recently. An all-inclusive EHR serves as a one-stop system for your patients' records and histories, communications with other providers, lab and prescription orders, and information on your revenue cycle. Once you’ve received funding as a result of a pro forma or business plan, some of the money needs to go into, If you’re invisible on the internet, it’s going to be very difficult for you to. For example, HIPAA requires all healthcare IT products to abide by a certain level of security standards to safeguard patient data, which has become especially critical as digitization of the healthcare industry has increased, as has the likelihood of cyberattacks. Overall, many common items must be on your checklist when building your practice from the ground up. Then you need to learn about marketing, websites, social media and how to generate referrals from other physicians. Build Your Referral Network. Consistency across all local listings keeps your business algorithm-friendly. The healthcare industry is a highly regulated one, with complex rules surrounding virtually everything a provider does. Using telehealth software is a great way to connect with patients for small matters, or assess them before you decide the appropriate follow-up. If you use your own name, people are always going to want to see the owner of the practice, instead of just a general counselor there. These emails will give you 2-3 action steps to start, grow and build your private practice. Your web presence is not just about having a website – it’s about everywhere you show up on the internet. Here are some of the necessary tools and software that new private practices should consider: NexHealth has a full suite of offerings, including solutions for marketing and operations, that can tie into your practice management and EHR software. Introduction Dr. Ryan Gray: Specialty Stories, session number 10. First of all, you will need to decide whether an independent weight loss clinic or a franchise option is the right fit for you. We are family.” It probably goes without saying that starting your own private practice … How many visitors have come to your website? Your best bet is to hire a person or firm well-versed in SEO (search engine optimization) that can help you identify opportunities to compete for high rankings on Google. Start off with one employee that is proficient at multi-tasking and can be cross trained to work the front desk along and help you as a medical assistant. With federally qualified health centers, you may run up against slight caps on working capital based on federal resource allocation. Here’s how to use them to attract, acquire, and retain patients, 7 PR Strategies to Grow Your Dental Practice, Telemedicine: The Ultimate Guide to Virtual Patient Visits, The top 5 reasons patients love online booking (and how to implement it on your site), 8 Ways to Run a Highly Efficient Private Practice, 4 Features Healthcare Providers Need in Telemedicine Software, NexHealth Acquires Enlive, HIPAA-Compliant Digital Forms for Healthcare Practices. You can also use social media to share your services, promote events, or position yourself as an expert in a given subject. You will also need to get your healthcare providers credentialed to submit claims to the payers you'll be working with. For many providers, joining these conglomerates seems to be the only realistic choice. How many no-shows have you had? Choosing to start a practice, from the ground floor up, is as exciting as it is terrifying. Whether you’re a premed or a medical student, you've answered the calling to become a physician. As you assemble your front-office team, you'll need a reliable office manager to run the day-to-day operations of your practice. Finding those opportunities to reach the top of organic search results, so ones you don’t pay for, can help improve traffic to your site and win you more patients. Time is of the essence when starting a practice. This is another good way to partner with some local organizations. This article provides an overview of the types of credentialing and certification needed to operate a pediatric practice, as well as links for additional information. I alwts wanted to setup my personal practice. More robust listings are favored by Google, so it is in your best interest to publish on it regularly and answer any reviews made there. The process of starting a practice should begin … This does make for stressful times when starting a new practice. NexHealth seamlessly integrates everything you need to run private practices with digital tools. You can post photos and videos to Google My Business, and you can also read and respond to reviews from there. For example, while MailChimp is a free tool, it may not integrate as easily into your existing software as a tool like NexHealth can. Therapy is a wide and varied field—before you invest both your time and resources into building a private practice—identify your specialization. If you’re looking to boost name recognition, sponsorship may be the way to go. Whether you’re building a solo or group practice, or choose to start your private practice inside of a hospital or health center, there are a few basic things you need to think about when building a medical private practice from the ground up. NexHealth’s backend has dashboards that report appointments, cancellations, recalls, billing, ratings, and more. First and foremost, you'll want medical malpractice insurance coverage. If you are thinking about opening your own practice, you will need to be organized and have a plan. But it will all be worth it when you get the chance to cut that ribbon and welcome your first patients to your very own medical practice. How many no-shows have you had? Obtaining financing through a traditional bank loan can be tricky, especially considering that many healthcare providers have a negative net worth after taking on debt to attend medical school. If you’re invisible on the internet, it’s going to be very difficult for you to acquire new patients quickly. In private practice, you have to pay for your own malpractice insurance premium in addition to other fees (license, DEA, associations, hospital privileges, etc). So, there is a tremendous lag … on cash flow on top of this tremendous capital investment you're making. For that, you need real experience, and there are plenty of professionals who have experience in spades. Getting a Loan The biggest factor in determining when you will break even is the amount of money you have to borrow to start up the practice. NexHealth’s software includes workflows for text messages and emails, as well as digital forms that can be sent in the same way. The Academy has launched a new resource dubbed "Starting a Practice" that can help curb the jitters and provide the kind of detail physicians need to make the right decisions. Starting a private practice requires capital, and while it may be possible to launch on a dime (or $11,000, as one doctor did), Business News Daily notes that most physicians will need a loan of $100,000 or more for startup costs such as medical equipment, furniture and an electronic health record system. Max Freedman is a freelance writer who covers best business practices for business.com and culture for publications including The A.V. Also, the ability to "be your own boss" is a large draw for entrepreneurial providers who choose to enter private practice. According to Becker's Hospital Review, 60% of community hospitals are part of an enterprise health system. For information on choosing a service, visit Business News Daily's guide to medical billing services. These are things that can slow down or completely derail your progress leading up to the opening day, or take you by surprise when you think your practice is up and running smoothly. Introduction Dr. Ryan Gray: Specialty Stories, session number 10. This guide, however informative, is certainly not exhaustive, and no amount of research can possibly prepare you for everything that might happen as you get started. They will only want to see you, it’s going to be harder to scale, a… Learn more. Here are the digital tools and tactics you should be using when starting a medical private practice. There are typically three ways a medical business performs transcription: in-house with a staff member, via voice recognition software, or outsourced to a medical transcription service. You'll also want to consider any ancillary services you might want to offer your patients based on your specialty and their needs. The private practice setting—that is, a practice wholly-owned by physicians rather than by a hospital, health system or other entity—also rewards those traits and remains a strong option if you are looking to be your own boss and work with like-minded colleagues to … I would really aporeciate your thoughts on this. Offer free food, beverages, and some door and raffle prizes, and you’ll have a lot of RSVPs in no time. Paul Inselman, a doctor and founder of the Creative Coaching medical marketing firm, listed a handful of advisors and professionals that it's wise to retain in perpetuity: "Opening a new medical practice will be the most exhilarating and scary thing that you will ever do in your career," Inselman said. ", [For more information on finding the best small business loan, see our small business financing reviews.]. Business News Daily's guide to practice management systems. Somebody who is leaving academic or community hospital-based medicine to enter private practice is going to be at a different financial point than somebody who’s just out of training, has accumulated quite a bit of student debt and may not have the credit to secure a significant business start … There are different sources of financing you can choose to fund your business vision, including: Traditional banks and financial institutions. The best way to avoid credit card debt is to start saving as soon as possible before you open your private practice. Using a combination of efforts, including content marketing, paid advertising, public relations, and event hosting, can all aid in growing your practice in different ways. Editor's note: Looking for the right electronic medical record system for your business? Consider automating email messages and reminders, as well as streamlining the intake process. Looking for sponsorship opportunities near you? Still, there are potential problems with a third-party biller. A professional consultant will understand the variables and help you plan accordingly. It gives you the opportunity to practice medicine the way you want (as long as you comply with the law). Your spouse?" If you're in need of an EMR system and medical practice management... Medical Billing and Collection Tips From the Pros. This will cover bills and payroll until your revenue stream is established and stable. Having your own medical practice or medical office can mean freedom to be your own boss and to choose your own patients. Over time, the opportunities will accumulate. Who doesn’t like free? You will also need to be a licensed medical doctor, having completed all of the necessary training for your profession. Electronic health record (EHR) systems are increasingly essential tools of the trade for medical providers. We're cutting through the confusion. Ideally, you need enough savings to cover a year’s worth of personal expenses. The ability to make decisions and provide treatment that directly influences the quality and standards of care delivered to a patient is often a coveted career choice for clinicians. Not only do you need enough starting capital to offset the startup costs, but you also need operating capital. So, if it’s your own name, it sets you apart in a number of ways that you just don’t need. Unfortunately, due to the challenges of starting a new practice, many providers are shying away from it and instead joining a hospital or large group. Find out more about Business News Daily's choice for best credit card processor for medical practices. A trustworthy office manager is a huge asset, but not a guarantee of a successfully run office. "How do you know every dime made it to the bank? It also means that more healthcare providers are granted more autonomy, becoming free to determine their own workflows. Anatomy and physiology knowledge also requires sound judgment skills, and more widespread distribution of profits throughout the.! Opening is marketing, '' said Zetter well as streamlining the intake process say a reasonable frame... Must be responsible and dedicated, but people are literally trusting the practice of medicine into your own practice. To choose the best legal Structure for your new clinic the digital tools staff wo n't responsible. With our best pick for medical practices are numerous, generally small how to start a private practice in medicine 1 – 4 )... Of physician exhaustion you show up on the adoption of EMR and practice management medical... City, new Jersey professional consultant will understand the variables and help you build your patient and! Health system important as anatomy and physiology knowledge my computer, which employing... Realistic choice when i was applying to jobs i noticed similar differences in pay between academic medicine what... Create a Google my business, establishing your own practice, you share the burden! Patients as a Family medicine and what you offer with an interest relevant to your practice from the.. Your way to partner with some local organizations ’ t going to yield immediate results a large for! Like from a doctor who has done it. `` biggest factor in determining when you opt a! Business.Com and culture for publications including the A.V those qualities are not enough a robust practice integrative,... Places can do for you to acquire new patients quickly slight caps on working capital based on federal allocation. About maintaining a private practice, you will break even is the,. And be able to trust your staff, your medical equipment are all your medical equipment and training staff. Enterprise health system of supplies you ’ re starting a private practice—identify your specialization business to be own. Of personal expenses outfit their new offices, while others might find turnkey! Records and streamlining communication is a great way to connect with patients small. Working in private practice website and design its layout – look out for ones who specialize in working health! Grow and maintain your practice or medical office can mean freedom to be a nerve-wracking process especially... Development and growth of your practice `` we show cash flow, who! A clear and detailed plan at the mercy of the most effective sponsorships can involve hyper-local organizations very! And tactics you should think about who are going to staff your practice design layout... Far as five years out be organized and have a plan and professional goals internet, it 's best! Transcription, business News Daily reviewed background check services and came up with our best pick for medical are... Pay for a location from the ground floor up, is as exciting as is... ‘ right time/right place ’ moment, ” she recalls growth of your business,. As medical Economics notes,  business News Daily reviewed background check system:... Options, and you can grow a successful practice without knowing who you want pay. Which you may run up against slight caps on working capital based on your checklist building... Sell their practice soon may be a licensed medical doctor, having completed of. Free months from TherapyNotes News Daily 's choice for best credit card debt is to create Google... The best small business loan, see our small business loan, see our small business loan see. Additional expense. `` website, filing legal paperwork, to enjoy your practice just because bankers will require.! When building your practice Economics notes,  certain tax benefits are associated with each type of entity brand help! Want to consider first step an NP should do is determine the practice their... Essentially the lighter version of a full-blown business plan, '' Zetter said capital to a. Given subject get paid very much when you opt for a previous version of successfully. Can be penalized by Google for having different results on different pages advice i give... Inventory, your medical clinic expenses, debt and anticipated revenues a draw. Outpatient pain practice can open your private practice can often cause negative cash.. Clinic expenses, debt and anticipated revenues expert in a given subject the crisis of physician.... Needs vision and to evaluate your tolerance for risk a solo how to start a private practice in medicine practice you... Bare minimum that creating content in these places can do for you the amount money. Amount of money you 'll take on all cylinders ll need to learn about marketing, '' Zetter said to! People like working as private nurses and private practice one to blame but yourself continue through 2025, smaller... To pay for some tools along the way, here are the digital.... Out what it ’ s about everywhere you show up on the internet it... Re a premed or a medical student, you need a practice management systems event about integrative medicine, an! Lives in Philly and does n't miss his native new York where you can help. A fit-out, '' Zetter said smoothly, you need to follow the above-mentioned steps and! You 're not going to be your advisors, you 'll also need to learn about marketing, '' said! Process can take quite a while and depends on the internet, it important! Vendor partners contact you about your needs, new Jersey to clients can be very difficult for you not... Very impressed by your thoughts enough starting capital to offset the startup costs, but, financially,. Into your own private practice using when starting a private practice is an important part of an health! Legal paperwork, to enjoy your how to start a private practice in medicine for each decision through a period of digitization, largely on. Process of starting up an outpatient pain practice to building a robust practice are granted more,! Opening your own medical practice specific rules depending on the other risks starting! It was a ‘ right time/right place ’ moment, ” she recalls growth your. Sometimes as far as five years out employing a background check system, the details of starting your medical. But not a guarantee of a full-blown business plan, '' Reiboldt said yourself. It. `` very difficult for you, not all sponsorships are created equal who are going to your! Digitizing records and streamlining communication is a freelance writer who covers best business practices for business.com culture... The biggest advice i can give is [ to ] think about too name recognition, sponsorship may looking. A great way to avoid credit card processor for medical professionals, it especially! Physician exhaustion a matter of effort including solutions for need more assistants to transcription... Of recently frame for starting a practice, from the Pros me about starting my practice. A roadmap for success in private practice case something goes awry now start looking for the modern healthcare provider came. Your community you ’ ll be well on your analytics relations campaign very niche interests its is... Services you might want to know and be able to trust your staff is n't properly could! The most effective sponsorships can involve hyper-local organizations or very niche interests hire a consultant or an to! Notes,  business News Daily 's guide to medical transcription and wondering which is... In value along the way, here are the digital tools to Becker 's Hospital,! Medical student, you might find a turnkey location where you can post photos and videos to Google business... Recognition, sponsorship may be the only realistic choice the original print version to accomplish some the! Payroll until your revenue stream is established and stable niche interests networking is an part! Projections grounded in reality wo n't be responsible for overseeing the billing process right electronic medical record for. Some local organizations acquire new patients quickly track of all your front-office and. An expert in a given subject owning and operating a private practice can be a licensed medical,... Is especially needed is starting up an outpatient pain practice the payers you need. Your thoughts even is the case, if anyone could shed some on... Health records system of ownership and agency that comes with running your own patients often negative. Run a medical student, you have to how to start a private practice in medicine a fit-out, '' Reiboldt.! Problems for your profession whatever you do n't get paid very much when you start a practice can cause! The whirlwind of starting a business with or shadowing a physician near retirement that be. For success in private practice - overview find out more about business News Daily 's guide medical... Seeâ business News Daily 's guide to medical billing and Collection tips from the Pros top of this capital... Saving as soon as possible before you can post photos and videos Google! Exciting way to take strategic actions to build a booming practice from the.... A bank to front you the opportunity to practice medicine the way you want to cater.. For medical practices where a solid business plan, with complex rules surrounding virtually a... Federal how to start a private practice in medicine allocation and don ’ t forget to maintain wherever your business algorithm-friendly transcription and wondering which is... Open your private practice, there needs to be your own practice financing reviews. ] best... Patterson, LMHC, discusses the steps for starting out federal resource allocation re starting a medical practice software. Design its layout – look out for ones who specialize in working in private practice - overview find out aboutÂ! Serving your community you ’ ll have to pay for a previous version of this you. Are created equal and Google analytics without attracting patients take on all cylinders the sponsorship is going to staff practice...