NP-Led Integrated Care in Maryland

Q: Appendix B: Staffing Budget

Year 1: Dual NP $130,000, MA $40,000, Front Desk $45,000, Part-Time RN $35,000 → Total ~$250,000 Year 2: +NP/PA $120,000, Therapist $85,000, PRN RN $25,000, Coordinator $50,000 → Total ~$530,000 Year 3: +NP $120,000, Functional Medicine Consultant $100,000, RN $75,000, Lab Tech $50,000, Manager $80,000 → Total ~$1,055,000

Q: Appendix C: SOP Index

Clinical: intermediate care triage, DOT checklist, IV therapy safety, weight loss protocols, psychiatric risk, functional medicine workflow, preventive screening. Administrative: patient intake, telehealth consent, cash-pay policy, no-show policy, employer contract handling. Compliance: HIPAA, OSHA, CLIA-waived testing, incident reporting, emergency transfer.

Q: Appendix D: Marketing Checklist

Digital: Google profile, SEO, scheduling, reviews. Community: employer contracts, gyms, schools, churches, health fairs. Patient Engagement: cash-pricing flyers, bilingual social media posts, patient education materials, preventive screening campaigns.

Bridging the gap between urgent and primary care with telehealth & in-person services.

Mental Health Assessment

Begin your wellness journey with a comprehensive evaluation by our experts.

Personalized Therapy Sessions

Work one-on-one with our licensed therapists in a safe and confidential space.

Medication Management

Our experienced nurse practitioners provide careful evaluation and ongoing monitoring

Executive Summary

Ethelaura Care Clinics LLC is a nurse practitioner-led integrated clinic in Maryland. We provide a range of services, including intermediate care, family medicine, psychiatry/mental health, weight loss programs, DOT physicals, IV therapy, functional medicine, preventive screening, occupational health services, and telehealth. Our mission is to expand access, improve outcomes, and achieve profitability within 12–18 months. We bridge the gap between urgent care and primary care. The Bowie hub anchors telehealth, while the Owings Mills site will expand brick-and-mortar services.

Guided by Purpose, Driven by Care

At Ethelaura Care Clinics, every decision we make is rooted in compassion, innovation, and accountability.

Mission

Deliver compassionate, culturally competent, evidence-based care.

Vision

Become the region’s trusted intermediate care and behavioral health destination.

Values

Safety, Dignity, Access, Innovation, Accountability.

Market Analysis & Competitive Edge

Healthcare Challenges in Maryland

What Makes Us Different

Operations Plan

Bowie, MD (Virtual-Only Hub): The Bowie hub serves exclusively as a virtual clinic, designed to anchor same-day telehealth services for intermediate care and mental health. This site also manages virtual weight loss programs, allowing patients to receive coaching, prescription management, and follow-up without in-person visits. By centralizing telehealth triage, Bowie ensures timely access to care while expanding the clinic’s reach.

Owings Mills, MD (Future Brick-and-Mortar Clinic): The Owings Mills site will function as the primary in-person facility, anchoring programs requiring on-site services. This includes weight loss and management programs, IV therapy services, walk-in intermediate care, DOT physicals, functional medicine consults, occupational health screenings, and preventive care. The site will also support employer contracts for occupational health and serve as the brand’s flagship for procedural and hands-on care.

Our Services

Intermediate Care

Quick, same-day care for non-emergency conditions such as minor injuries, infections, and urgent health needs. Designed to bridge the gap between primary care and ER visits.

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Family Medicine

Comprehensive care for all ages, focusing on preventive health, chronic condition management, and long-term wellness for the entire family.

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Psychiatry & Mental Health

Confidential mental health support, including psychiatric evaluations, medication management, and therapy options for anxiety, depression, and more.

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Weight Loss & Metabolic Health

Personalized weight management programs with medical supervision, nutrition coaching, and prescription support to help you achieve sustainable results.

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DOT Physicals & Occupational Health

Certified Department of Transportation (DOT) physicals and occupational exams to keep employees compliant, healthy, and work-ready.

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IV Therapy

Hydration and vitamin infusion therapy designed to boost energy, support recovery, and improve overall wellness.

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Telehealth

Same-day virtual visits from the comfort of home. Convenient access to providers for intermediate care, mental health, and weight loss programs.

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Immediate Access to Specialists for Initial Assessment

Fast connections with trusted specialists for initial evaluations, ensuring timely referrals and coordinated follow-up care.

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Functional Medicine

Root-cause approach to health using advanced testing, nutrition, and lifestyle interventions to restore balance and improve long-term wellness.

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Occupational Health & Screening

Workplace health programs including employment physicals, screenings, and wellness checks tailored for businesses and employees.

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Preventive Screening

Proactive health screenings and wellness panels to detect risks early, support disease prevention, and keep you healthy year-round.

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Our Staffing Growth Plan

Expanding our care team to serve more patients with excellence.

Year 1 – Launch Team

👩‍⚕️ 1 dual NP (FNP/PMHNP) | 👨‍⚕️1 MA | 🧑‍💼 1 Front Desk | 💉 part-time RN/IV nurse

Year 2 – Expanding Care

➕ NP/PA (occupational health) | 🧠 Therapist | 🩺 PRN RN | 📋 Care Coordinator

Year 3 – Full Scale

➕ NP | ⚕️ functional medicine consultant | 👩‍⚕️ full-time RN | 🧪 Lab Tech | 👨‍💼 practice manager

Compliance & Risk Management

At Ethelaura Care Clinics, every decision we make is rooted in compassion, innovation, and accountability.

Licenses

Policies

Risk Management

How We Grow & Connect With Patients

Digital Marketing

🌐 Google Profile 🔍 SEO & Reviews 📅 Online Scheduling

Community Outreach

🏫 Schools ⛪ Churches 🏋️ Gyms 🏢 Employer Contracts

Patient Engagement

💵 Transparent Pricing 🎫 Membership Programs 📱 Same-Day Video Triage

3-Year Growth Forecast

Year 1

~500 visits/mo across telehealth, intermediate care, psych, and preventive screening. Revenue: ~$850,000 | Net: breakeven to 5%.

Year 2

~750 visits/mo, add occupational contracts & functional medicine consults. Revenue: ~$1,350,000 | Net: ~10%

Year 3

~1,000 visits/mo, expanded services, employer contracts. Revenue: ~$1,950,000 | Net: ~15–18%.

Revenue Mix:

Intermediate Care, Psychiatry, Weight Loss, IV Therapy, DOT/Occupational Health, Preventive Screening, Functional Medicine.

Expenses:

staffing ~50%, overhead ~25–30%, supplies ~10%, insurance/compliance ~5–7%.

Ready to Take Charge of Your Health?

Book a telehealth appointment today or join our waitlist for
in-person care at Owings Mills.

Implementation Timeline

Months 0–2

Lease, EHR, insurance, hire staff.

Month 3

Launch Bowie telehealth hub.

Month 6

Launch weight loss & IV therapy.

Month 9

Add DOT & employer services.

Year 2

Open Owings Mills clinic; launch functional medicine & occupational programs.

Risk Mitigation

Staff shortages

Solution: PRN Pool

Reimbursement Delays

Solution: Cash-Pay Options

Cybersecurity Threats

Solution: MFA, HIPAA, Security Risk Assessment

Regulatory Updates

Solution: Regular Compliance Reviews

Appendices

Appendix A: Cash-Pay Pricing

Intermediate Care Visit: $125–$150
Telehealth Visit: $75
Follow-Up Visit: $85–$100
Weight Loss Program (monthly): $250–$350
DOT Physical: $120
Employment/Occupational Physical: $100–$150
IV Hydration Therapy: $125–$175
Mental Health Intake: $200
Psychiatry Follow-Up: $120
Wellness Labs Panel: $150
Preventive Screening Package: $200–$400
Functional Medicine Consult: $250–$400

Appendix B: Staffing Budget

Appendix C: SOP Index

Appendix D: Marketing Checklist