New Horizon Recovery Center

Words in [brackets] are blanks you fill in with your own details when you adopt this sample in Supreme Plan AI.

Executive Summary

New Horizon Recovery Center is an outpatient substance use treatment program in Nashville, Tennessee, led by Dr. Anita Brooks, LCSW. The program provides intensive outpatient and partial hospitalization services for adults with a licensed medical director, evidence-based therapy and aftercare.

Why this fits. Demand for substance use treatment remains high, and families, payers and referring physicians look for programs that are well run and ethical. A program with clinical leadership, short waits and strong aftercare can fill steadily.

Here is what our numbers show. In Year 1 we plan about 1,500 intensive outpatient program days, 400 partial hospitalization days and 250 assessments and individual sessions. That brings in sales of $479,500, growing to $1,973,900 by Year 5. We expect a loss of about $328,000 in Year 1, a loss of about $96,100 in Year 2, a profit of about $50,900 in Year 3 and a profit of about $282,500 by Year 5. Clinical staff pay, the facility lease and the renovation and furnishings are our largest costs, and the plan counts all of them. Insurance payments arrive weeks after each service, which the plan also counts.

We need $890,000 in total. Of that, $329,000 is startup costs (group room and counseling office furniture, computers, kitchen and medical equipment, security systems, a facility renovation, licensing and insurance, a lease deposit and working capital), and the rest is cash for the first months. I am putting in $100,000 of my own savings and asking for a $790,000 SBA 7(a) loan.

I am Dr. Anita Brooks, LCSW, owner and clinical director of New Horizon Recovery Center. These numbers are estimates based on the assumptions listed at the end of this plan, not promises.

Company Description

New Horizon Recovery Center will be a limited liability company (LLC) in Nashville, Tennessee, owned and run by Dr. Anita Brooks, LCSW. Dr. Brooks is a licensed clinical social worker with years of experience in substance use treatment and program leadership. She wants to run an outpatient program that treats the whole person and follows the highest ethical standards.

What we do:
- Intensive outpatient program (IOP) several days a week.
- Partial hospitalization program (PHP) for higher-need patients.
- Individual, group and family therapy.
- Medication management through a licensed prescriber.
- Case management, relapse prevention and aftercare.

Who we serve: Adults with substance use disorders in the Nashville area who need more support than weekly counseling but do not need residential care.

Licensing and insurance. The program will be licensed as a substance use treatment facility by the Tennessee Department of Mental Health and Substance Abuse Services, will register the entity, obtain the facility's National Provider Identifier, enroll with insurers and Medicaid, retain a licensed physician as medical director and carry professional liability, general liability and workers compensation insurance. We follow state licensing rules, the federal confidentiality rule for substance use disorder records and HIPAA, use evidence-based treatment, bill only for services provided and documented and never pay or accept any fee for referring patients. We are not an emergency service: our crisis plan names 911 and the 988 Suicide and Crisis Lifeline.

Our promise. Evidence-based care, respect for every patient and a clear plan for recovery.

Where things stand today. The business plan, clinical protocols and ethics policy are written. The next steps are the lease, the license, the payer credentialing and the first patients.

Problem & Opportunity

Many people need structured treatment but cannot take time away for residential care, and good outpatient programs have waitlists.

What customers run into:
1. Long waits for treatment.
2. Programs that do not coordinate with doctors or work schedules.
3. Unethical marketing and patient brokering.
4. Weak aftercare.

Why it matters. Timely, evidence-based treatment saves lives and helps people return to work and family.

Products & Services

New Horizon will be the Nashville program where treatment is strong, ethical and built around the patient.

What makes us different:
1. Licensed clinicians and a physician medical director.
2. Evening and day options for work and family.
3. Individualized plans and family involvement.
4. Strict ethics with no referral payments.
5. Aftercare and alumni support.

How treatment works:
1. The patient calls and we complete an assessment within days.
2. The team creates a treatment plan and the patient starts IOP or PHP.
3. The patient attends groups, therapy and medical visits and follows the plan.
4. We step down to lower levels of care and provide aftercare.

Why customers stay. Patients complete treatment and remain connected through aftercare and alumni groups, and families trust the program.

Market Analysis

Who we serve:
- Adults stepping down from residential treatment.
- Adults who need structured outpatient care.
- Referrals from physicians, hospitals and therapists.
- Employers and employee assistance programs.

How we sized the market. Our Year 1 plan is about 1,500 intensive outpatient program days, 400 partial hospitalization days and 250 assessments and individual sessions, a small share of the outpatient treatment in a large metro area. Replace this estimate with your own count of providers and referral sources near you.

Why now. Demand for substance use treatment remains high, and payers and families look for programs that are well run and ethical.

Competitive Landscape

What customers can do today:

1. Large treatment systems. Comprehensive and often with waits.
2. Other outpatient programs. Varied in quality and ethics.
3. Residential treatment. Intensive and costly.
4. Individual therapists. Personal and less structured.
5. Community support groups. Free and not clinical.

Where we fit. New Horizon will be a clinically strong, ethically run outpatient program with short waits and strong aftercare.

Marketing & Sales Strategy

How customers will find us.

Before opening:
- Meet physicians, hospitals and therapists, with no payments for referrals.
- Complete the license and accreditation process.
- Set up a website and a Google Business Profile with compliant marketing.
- Prepare clinical protocols and a crisis plan.

After opening:
- Send progress reports to referring providers with patient permission.
- Host alumni groups.
- Offer family education nights.
- Keep compliance audits current.
- Share educational content, not promises of cure.

What we will measure. How patients and referral sources heard about us, how many assessments become admissions and how many patients complete treatment.

Operations Plan

How the business will run.

Season and schedule. Programs run on weekdays with day and evening tracks, and demand stays steady all year. We keep a waitlist and schedule assessments within a few days.

Team. Dr. Brooks leads the clinical program in Year 1. Counselors, a nurse, case managers and an admissions and billing team staff the program from opening, and we add counselors as patients grow.

Quality and safety. The program has written protocols for withdrawal risk screening, medical referral and emergencies, naloxone on site, staff trained in CPR and crisis response and a plan to call 911 and transfer patients when needed. Records are kept in a secure system, and confidentiality rules are explained to every patient.

Equipment. We will buy group room and counseling office furniture, computers and health record hardware, kitchen and dining equipment, medical and safety equipment and security and access control systems.

Paperwork and money. Patients pay copays and insurers pay claims weeks later. We submit claims within two days of service, follow up on denials weekly and explain balances clearly. We never offer inducements to patients or referral sources. We keep the books in simple accounting software and set aside money for taxes and insurance every month.

Management & Organization

The people who will run New Horizon Recovery Center.

Dr. Anita Brooks, LCSW, owner and clinical director. She leads treatment and staff. A licensed physician serves as medical director. (Replace this paragraph with your own background.)

Team. Three licensed counselors in Year 1, growing to eight, with nurses and case managers, each licensed or certified and trained on safety and ethics.

Office. Admissions and billing staff work from opening.

Outside advisors. An accountant, an insurance broker, an attorney who reviews contracts and a free mentor from SCORE or the Small Business Development Center.

Staff pay in this plan is a full year per person: owner / Clinical Director $85,000; licensed Counselor $58,000; case Manager and Admissions Coordinator $40,000; registered Nurse $78,000; billing and Administrative Coordinator $36,000. Replace them with the pay you can offer where you live.

Milestones Narrative

Our goals and when we plan to reach them.
- Before opening (6 months ahead): sign the lease, renovate the facility, obtain the license, credential with payers, hire and train clinicians and open admissions.
- Year 1: about 2,150 program days and sessions with three counselors, a nurse and a case manager; $479,500 in sales and a loss of about $328,000.
- Year 2: about 3,600 and a fourth counselor; $852,400 in sales and a loss of about $96,100.
- Year 3: about 4,950 and a second nurse; $1,226,350 in sales and a profit of about $50,900.
- Year 4: about 6,200 and a sixth counselor; $1,602,100 in sales and a profit of about $236,200.
- Year 5: about 7,350 and an eighth counselor; $1,973,900 in sales and a profit of about $282,500.
Growth depends on winning and keeping customers, so treat the later years as goals, not promises.

What we check every week: patients in each program, program days billed, claims submitted and paid, denials, discharges and cash in the bank.

Funding Request

How much we need and how we will use it. Total we are raising: $890,000.

How we got that number. The Funding Need Calculator in this plan adds up three things:
- Startup costs of $329,000, listed item by item in the Startup Costs section: $40,000 for group room and counseling office furniture, $15,000 for computers and health record hardware, $12,000 for kitchen and dining equipment, $15,000 for medical and safety equipment, $13,000 for security and access control systems, $60,000 for facility renovation, $12,000 for license fees, entity registration and attorney review, $20,000 for professional, general and workers compensation insurance, first payment, $24,000 for security deposit and first month's rent, $8,000 for signs, branding and website, $10,000 for launch marketing, $10,000 for staff hiring and training, $90,000 for working capital for slow insurance payments.
- The cash the business uses before it breaks even, about $391,300. Patients build over the first months and insurance pays weeks after each service, so the program pays staff and rent before payments arrive.
- A cash cushion of about $164,800: three months of Year 1 operating costs.
- Together, the cash used before break even and the cushion come to about $556,000, and the three pieces add up to about $885,000, rounded up to the nearest $500: $885,500.
We are raising $4,500 more than that, $890,000 in all, to cover a slower first season than planned. With this funding, the lowest year-end cash balance is about $62,900, at the end of Year 3.

Where the money comes from:
- My own money: $100,000.
- SBA 7(a) loan: $790,000.

Kind of funding we are looking for. An SBA 7(a) loan from a lender that finances small businesses and healthcare providers, backed by our savings and the equipment as collateral.

How we will pay it back. We expect a loss of about $328,000 in Year 1, a loss of about $96,100 in Year 2, a profit of about $50,900 in Year 3, a profit of about $236,200 in Year 4 and a profit of about $282,500 in Year 5. With this funding, the business has money in the bank at the end of every year of the plan. Our loan is the SBA 7(a) loan at 10.5% over 10 years, $10,660 a month. That payment is already included in our cash flow. We chose these as cautious planning rates; ask the lender for the real rates, which may be lower or higher.

What we are offering the lender: the equipment and a personal guarantee.

A smaller first step, if needed. If we cannot raise the full amount right away, we can start smaller and grow into this plan:
- Phase 1: open with the intensive outpatient track and add partial hospitalization later, which lowers the startup costs and the loan.
- Phase 2: once the first track is steady, open the partial hospitalization program and follow this plan.
To plan the smaller start, make a copy of this plan (use Duplicate) and lower the numbers to match.

All numbers in this plan are estimates. We will update them as real results come in.

Appendix Notes

Documents to attach before you send this plan:

- Your resume and a personal financial statement (a list of what you own and what you owe; lenders usually provide a form).
- Business registration papers and your EIN (your business tax number from the IRS, free at irs.gov).
- Your facility license application and clinician licenses.
- Proof of insurance and your medical director agreement.
- Your lease or letter of intent.
- Your clinical protocols, crisis plan and ethics policy.
If you don't have any of this yet, no worries - let's continue.

The assumptions behind our numbers (change them in the Financials section to match your own):
- Intensive Outpatient Program Days: about $200 in Year 1, rising to $225; about $20 in direct costs, rising to $23; about 1,500 in Year 1, growing to 4,500.
- Partial Hospitalization Program Days: about $380 in Year 1, rising to $428; about $35 in direct costs, rising to $39; about 400 in Year 1, growing to 2,000.
- Assessments and Individual Sessions: about $110 in Year 1, rising to $124; about $10 in direct costs, rising to $11; about 250 in Year 1, growing to 850.
- An intensive outpatient program day averages about $200 collected, a partial hospitalization day about $380 and an assessment or individual session about $110.
- Prices rise about 3% a year.
- Equipment ($95,000 in Year 1) covers group room and counseling office furniture, computers and health record hardware, kitchen and dining equipment, medical and safety equipment and security systems, and later years ($8,000, $12,000, $10,000 and $12,000) replace and add equipment.
- Pay (a full year, per person): owner / Clinical Director $85,000; licensed Counselor $58,000; case Manager and Admissions Coordinator $40,000; registered Nurse $78,000; billing and Administrative Coordinator $36,000.
- Other yearly costs in Year 1: facility Lease and Utilities $84,000, medical Director $48,000, insurance $22,000, health Record and Billing Software $20,000, laboratory Testing $18,000, compliant Marketing $18,000, licensing, Accreditation and Compliance $14,000, food and Supplies $14,000, admin $8,000. These grow between 3% and 8% a year.
- Customers and payers pay about 73 days after service, so at the end of Year 1 about $95,900 is still owed to us. Income tax at 21%.
- Every dollar amount is an estimate. Replace them with your own quotes and research.

Startup Costs