2011

Invitation to establish a world class

Spinal Injury Rehabilitation CentreIn

Mumbai, India

2011

HEALTHCAREThe Fastest Growing Sector In INDIA

Contribution to India’s GDP – 5.2%*

Rs. 1,500 Million Industry100% FDI allowed

Expected to Grow – 8.5 % by 2012Growing @ 13% - 15% per annum

Private healthcare providers account for

63% of the total spend.

Government sector and corporate employers account for the rest.*Only 1% of GDP spent on healthcare.

Nina Foundation2011

SEGMENTS IN HEALTHCARE

•Provided by general physician at clinic.•Minor ailments are treated.•Preventive care such as vaccinations.PRIMARY

CARE

•Provided by physicians who have specialized in various areas such as gynecology, internal medicine, general surgery etc.

SECONDARY CARE

•Provided by specialists (ENT doctors, cardiac surgeons, neurologists etc. )

•Includes emergency and trauma care, organ transplants, neonatal care, etc.

TERTIARY CARE

Rehabilitation falls under tertiary care. Nina Foundation2011

Pan IndiaData Analysis

No. of Rehabilitation Centres : 27

Region No. Of BedsWest 273East 70

North 303South 212

Total no. of Beds 858

Nina Foundation2011

Source: Ph.D Thesis of Dr. Ketna L. Mehta – Market Potential study for a world class rehabilitation centre for Spinal Cord Injury in Mumbai. 2008.

GAP ANALYSISPan India

Total no. of SCI’s 3,00,000

Fresh cases per year 20,000 (Presuming Life expectancy as 50)

Total SCI Rehabilitation Centres 27(from all 4 zones)

Total no. of beds 858

GAP (No. of beds) 19142

Total No. of People with SCI

Less Total No. of Beds available= GAP

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GAP ANALYSISState & City

Fresh Cases per Year 1600 in Maharashtra State Total No of Beds available 203

GAP (No. of Beds) 1397

Fresh Cases per Year 400 in Mumbai City

Total No of Beds available 153

GAP (No. of Beds) 247

Nina Foundation2011


Current ScenarioMumbai

To shift to a new place Beds affected = 28

Paraplegic Foundation

To shift to a new place

Beds affected = 32

SHARAN

To close down and focus on CBR

Beds affected = 45

CheshireHome

Total no. of Beds affected = 105Nina Foundation

2011

Mumbai has the best health infrastructure, butno World-ClassRehabilitation Centre for SCIs.


Gap (No. of beds) 247 + 105 = 352.

No rehab centre for tetraplegics.

6 tetraplegics dead in last 4 months due to lack of facilities.

Nina Foundation2011

• Comprehensive, skillful and world-class rehabilitation services lacking.

• 1 in 10 SCI goes abroad for rehab (expense of 100,000 USD).

• High % of fresh cases spending $ 2000 for 3-day unproven stem cell treatment.

• High disposable incomes but no holistic world-class rehab centre to treat both affording and non-affording cases.


Nina Foundation2011

We Invite to Mumbai

Corporates interested in healthcare sector.

World-class International Rehab Centres

World-class Indian Rehab Centres

Hospitals / Hospital chains

Philanthropist Investors.

Nina Foundation2011

A UNIQUE SCI REHAB CENTRE MODEL

FOR MUMBAI

BUSINESS PLAN

Nina Foundation2011


• 60 Beds with accessible toilets and bathrooms • Small Operation Theatre • Diagnostic facilities, X-ray, pathology lab, urodynamics• Fully equipped state-of- the- art physiotherapy department • Information Centre • Indoor and Outdoor recreation centre • Occupation therapy department and vocational training

centre • Orthotics Department for aids and appliance for ADL • Hydrotherapy• Swimming pool

Nina Foundation2011

THE VARIOUS FACILITIES FOR THE PROPOSED SPINAL CORD INJURY CENTRE

• Yoga and Meditation Centre• Hobby Room, Library • Dining Hall and Kitchen• Offices for Directors, Doctors, Administrators, Nurses, Wardboys• Rehabilitation Store • Homeopathic Centres and Counseling Room • Mobility Stimulators, Driving, Crossing, Home Access

THE VARIOUS FACILITIES FOR THE PROPOSED SPINAL CORD INJURY CENTRE

Nina Foundation2011

PARTICULARS YR 1 YR 2 YR 3 YR 4 YR 5 TOTALLand 2.03 - - - - 2.03Location: (Mumbai 20,000 sq.ft) Cost of construction 0.10 - - - 0.10Equipment (Including Gym) 0.20 - - - - 0.20Machinery 0.10 - - - - 0.10Training cost - 0.02 0.02 0.02 0.02 0.08Cash & Bank 0.20 0.10 0.10 0.10 0.10 0.60 TOTAL 2.63 0.12 0.12 0.12 0.12 3.11

Financials (estimated) for 5 years Indicative Project Cost (in millions USD)

Nina Foundation2011

* Estimated 12% growth for revenues each year.

PARTICULARS YR 1 YR 2 YR 3 YR 4 YR 5Revenue 0.00 0.48 0.55 0.60 0.67*Salaries of Doctors 0.00 0.04 0.07 0.09 0.10Salaries of Staff 0.00 0.09 0.10 0.12 0.12Maintenance 0.012 0.024 0.036 0.043 0.048Water 0.001 0.001 0.001 0.001 0.001BMC Property Tax @ 5 Rs/sq ft PA 0.0006 0.0006 0.0006 0.0006 0.0006Electricity Bill (@ 4 Rs/Unit) 0.002 0.003 0.003 0.003 0.004Advertising & PR (5% of turnover) 0.04 0.07 0.08 0.09 0.11Depreciation @ 15% PA 0.16 0.29 0.25 0.21 0.18 Expenses Total 0.215 0.51 0.54 0.55 0.56Net profit (after interest & depreciation) -0.215 -0.03 0.01 0.05 0.11

Income Statement (in millions USD)

Nina Foundation2011

3 shifts of 8 hours duty as the rehab centre will be operational 24 hours. Therefore, housekeeping / ancillary / staff will be tripled in number.

Doctors and physiotherapists will be from 8 am to 8 pm with one each on night / Sunday on call and rotation shift.

MS & MD (04) $500 Pm each

Visiting Consultants will earn a share from consulting fees and operation charges (no salary)

4 physiotherapists @ $500 x 4.

SALARY

Nina Foundation2011

Rehab centre Occupancy rate : 66% in the first year.No. of Patients: 40 (will need 10 staff members – ward boys, aaya bais, nurses, front desk etc).For 3 shifts: 10 x 3 = 30 for 24 hours.Add for contingency (absent, weekly off = 10).Thus for 60 patients, 60 staff members will be required.

Average salary of each – $350.Thus total staff salary 350x60= $21,000 p.m.Total Salary Bill (Doctors + Staff) = $4,000 + $21,000 = $25,000.For 13 Months (1 Month Bonus in Diwali) = $325,000

SALARY

Nina Foundation2011

REVENUE (in USD)

PARTICULARS RS A category patients (who can fully pay) 12 beds @ $2050.00 p.m 24,600B category patients (who can partly pay) 20 beds @ $1540.00 p.m 30,800C category patients ( who cannot pay) 28 beds @ $200 p.m 5,600Total Revenue (PM) 61,000TOTAL REVENUE (PA) 732,000

Note: 12 + 20 + 28 beds = 60 Beds Thus for 40 beds = $ 488,574

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CONSTRUCTION

PARTICULARS SQ FTFSI for 60 beds (150 sq ft each for deluxe rooms and 100 for medium=1800+4800) 6600

Passages (5 ft wide) Physio room (500 sq ft each)* 3 1500Consulting, dressing & operation space 10002 lift channels 5100Swimming pool 2000 Pathology lab, urodynamics, sonography centre 800Recreation and vocational centre 1000Gym 2000Total Construction in sq ft 20,000

Nina Foundation2011

Please contact us to explore and action this opportunity.

Dr. Ketna L. MehtaTel.: +91-09769680820E-mail: [email protected] / [email protected]

Ms. Anupama GaneshTel.: +91-09324236610E-mail: [email protected]

Mr. Mohammed SoniTel.: +91-09930043002E-mail: [email protected]

Documents

2011