You are Camila Restrepo-Cárdenas, 38, founder-CEO of Salud Cerca, a network of rural microclinics across Cauca, Valle del Cauca and Nariño. You opened the first site in 2019. You run 28 today. Your board wants a five-year path to 200.
The situation
Each Salud Cerca clinic is a 2-room rural primary-care site staffed by one auxiliary nurse and one rotating GP (2 days/week). Average catchment: 1,800 patients. Average revenue per site: COP 280M/year (∼USD 70k), split between Régimen Subsidiado capitation (the public-payer line in Colombia) and a sliding-scale out-of-pocket fee. Net contribution per site at maturity (Year 3): +COP 18M.
Your two impact-fund investors — Acumen LatAm and a Bogotá-based blended-finance vehicle — want a Series B-equivalent commitment before next quarter. The Ministry of Health has signaled openness to a public-partnership model under the new Modelo de Salud Preventivo Rural framework, but the funding cycle is political and the next administration enters in 18 months. Your board chair, a former CEO of a Colombian retail-pharmacy chain, is pushing franchise. Your medical director is pushing owned-and-operated. The blended-finance fund is pushing government-partnership.