With the Blessings of the Sankaracharyas of Kanchi and …X(1)S(2wgsgoaegh5r4i55vk0tov55))/images...Sri Kanchi Kamakoti Medical Trust Registered Office: ... supplement the Charitable

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With the Blessings of the Sankaracharyas of Kanchi and the Almighty, we have crossed another milestone year and moved a step closer to our vision 2020.

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Sri Kanchi Kamakoti Medical Trust

Registered Office:

Sankara Eye Centre Sathy Road, Sivanandapuram Coimbatore 641035

Phone Number: +91 422 4236789 Fax Number: +91 422 2666460

Auditor

Mr. N. Ramesh Natarajan VKS Aiyer and Co‘A.S.Apartments’No.34, Bharathi Park 8th CrossSaibaba ColonyCoimbatore - 641 011

Senior Leadership Team

Dr. R.V. Ramani Doctors Training

Dr. Radha Ramani Paramedics Training

Dr. Jagadeesh Kumar Reddy K. Group Head - Cataract and Cornea

Dr. Janakiraman P. Director - Technical

Dr. P. Mahesh Shanmugam Group Head - Vitreo Retina

Dr. Kaushik Murali Head - Technical

Mr. Bharath Balasubramaniam Head - Outreach & Information Systems

Mr. Subbarao C.V.S. Director - Human Asset

Mr. Sriram S. Chief Financial Officer

Mr. Sethu Madhavan U.K. Head - Business Development

Mrs. Seetha Chandrasekar Director - Partner Relations

Steering Council Members Mr. C.N. Srivatsan Mr. Sundar RadhakrishnanMr. P. Jayendra Mr. S.G. Murali

Bankers Central Bank of IndiaSaravanampatti BranchSathy Road, Coimbatore - 641035

Canara BankOppanakara StreetCoimbatore - 641001

AXIS Bank Ltd.RS PuramCoimbatore - 641002

Sankara Board Members

Dr. S.V. Balasubramaniam Chairman

Dr. R.V. Ramani Founder & Managing Trustee

Dr. P.G. Viswanathan

Dr. M. Leela Meenakshi

Dr. S. R. Rao

Dr. S. Balasubramanian

Sri. J.M. Chanrai

Sri. Murali Krishnamurthy

Sankara Board Members

Dr. S.V. Balasubramaniam Chairman

Dr. S. Balasubramanian

Dr. R.V. Ramani Founder

Sri J.M. Chanrai

Dr. P.G. Viswanathan

Sri Murali Krishnamurthy

Dr. M. Leela Meenakshi Dr. S. R. Rao

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MissionTo provide unmatched eyecare through a strong serviceoriented team.

VisionTo work towards freedom from preventable and curable blindness.

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2013-2014Message from the ManagementDear Visionaries,

By the Grace of Lord Almighty and the Blessings of the Sankaracharyas of Kanchi, the year 2013-14 saw the successful implementation of quite a few programmes, taking Sankara Eye Care Institutions to the next level.

As envisaged, Bhojraj Chanrai Sankara Eye Hospital with the financial support from Sri M.B. Chanrai was inaugurated at Malad (West), Mumbai by His Holiness Sankaracharya on 22nd Dec 2013. However, due to the procedural formalities with the Mumbai Municipal Corporation Health Authorities, the Hospital could start functioning only from 1st April 2014.

On 11th Jan 2014, our City Hospital at Kanpur was inaugurated. This City Hospital at Kanpur would support and supplement the Charitable Eye Care activities at the Community Eye Care Hospital, which will be inaugurated in Oct 2014 in order to take the entire Kanpur Unit to a state of self-sufficiency as early as possible.

In Feb 2014, Sankara Eye Hospital, Dr. Babubhai Patel City Centre started functioning in Anand City in Gujarat. As a result of the location of the Base Hospital at Mogar Village, which is around 12 kms from the City, it was decided to have a City Centre, primarily for the paying patients which in turn would help in increased footfall at the Base Hospital.

On a very happy note, we are able to share with all of you that land for Sankara Eye Hospital has been procured at Jodhpur in Rajasthan and Indore in Madhya Pradesh. Chhattisgarh Government is working out on the possibility of providing Sankara land a lower cost in Naya Raipur shortly.

The prestigious IMC Ramkrishna Bajaj National Quality Award for performance excellence in Health Care has been awarded to Sankara Eye Care Institutions India. It is indeed a befitting National recognition for the efforts put in by all of us so far.

The landmark achievement of ’1 Million free eye surgeries’ which took place in March 2013 set the pace for the celebrations during the entire year 2013-14. While the general public at large appreciatied our efforts, we reaffirmed and strengthened our conviction to take the Institution to higher levels in terms of quality and scale.

In the field of Academics and Training, thanks to the efforts of Sankara Academy of Vision, Bangalore and Shimoga Hospitals received the DNB recognition for Post Graduate training of Doctors.

In the field of Staff Welfare, our HR Department has come out with quite a few measures like Family Mediclaim for the Staff and Accident Insurance. These measures, we are sure are going to be of immense value to the extended family members of Sankara.

As a part of strategic plan for the next 5 years, stabilising the existing Hospitals and taking all of them to a level of financial self-sufficiency would be the key for the future of our Institutions. Towards this, an organisational restructuring with specific responsibilities for the various verticals are being worked out. The strategic planning would also include the pacing of the new Hospitals with specific timelines which will allow the existing Units to achieve their full potential.

During the year, all of Sankara Eye Care Institutions put together have reached a financial self-sufficiency of 91%. Once few of the recently started Hospitals get over teething issues and start balancing themselves, we are sure that the self-sufficiency percentage will go up considerably.

Looking at the year 2013-14, we rightly feel that it has been a year of balanced growth and achievements for Sankara Eye Care Institutions - India.

While we pat ourselves on our back for the year’s performance, we are looking forward with optimism towards an exciting and satisfying year ahead.

Dr. S.V. Balasubramaniam Dr. R.V. Ramani Chairman Founder & Managing Trustee

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Sri N. Natraj, was an ardent supporter of our humanitarian cause since inception.

A native of Coimbatore, born in the year 1928, Sri. N. Nataraj was very close to our movement. He has been watching the genesis and growth of our Institution since 1977. Couple of years later, when our Diagnostic Wing was set up at Sri Kanchi Kamakoti Medical Centre in Sri Kamakshi Amman Temple, he came out with the support to buy the equipment for the clinical lab. He also started a Medical Centre in the name of his parents and it functioned as a sister Institution of our Group.

In the year 1985, when our Trust was contemplating on starting an Eye Care Institution, he came forward spontaneously to donate on behalf of his family, a 5.26 acres of land, on the outskirts of Coimbatore at Saravanampatti, a very magnanimous gesture indeed.

This was the beginning of Sankara Eye Care. It was the seed for the growth of an institution which is now like a banyan tree spreading its branches of Community Eye Care service across the country.

He was requested to join the Trust Board, wherein he served as a Trustee for 27 long years. He was a Philanthropist, Educationalist and a leading Industrialist in Textiles. He was a very compassionate person, always looking for opportunities to help others.

Sadly we lost him in the year 2014.

On behalf of Sri Kanchi Kamakoti Medical Trust, on behalf of the Doctors, Staff and Volunteers of Sankara Eye Care Institutions – India and on behalf of the millions of the beneficiaries of this movement, we extend our heartfelt condolences to the bereaved family. We pray to Lord Almighty for his soul to rest in peace.

- Board of Trustees

Late Sri. N. Natraj16.3.1928 - 26.2.2014

In Memory of

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Presence across Indian States 10

No.of hospitals 12

No. of beds 1,747

No. of free surgeries performed per month 11,734

No. of camps conducted since inception 17,199

No. of free surgeries in 10 years 9,60,855

No. of free surgeries since inception 11,55,532

since inception 31,37,177 Anand Anand City

HospitalBangalore Coimbatore Coimbatore

CityGuntur Kanpur

city hospitalKrishnankoil

0

10000

20000

30000

40000

50000

60000

70000

80000

90000

Ludhiana Mumbai Rishikesh Shimoga Vijayawada

Anand Krishnankoil Coimbatore GunturBangalore ShimogaLudhiana Rishikesh

0

10000

20000

30000

40000

50000

60000

70000

80000

90000

Patient screened 36544 41539 83555 49667 24764 35351 35299 50770

Surgeries performed 11951 19351 39335 23675 12035 3835 11251 19371

Coimbatore Guntur Krishnankoil Ludhiana Rishikesh ShimogaAnand Bangalore

Bangalore Coimbatore Coimbatore City

Guntur Kanpur City Hospital

Krishnankoil Ludhiana Mumbai RishikeshAnand Anand City Hospital

OutpatientInpatient

17338 1460 82028 67490 23490 64284 2271 38563 20140 1345 19435 49948 15360

2108 0 5491 5406 927 7769 42 1488 950 2 1449 3696 558

Shimoga Vijayawada

Highlights 2013-14

Free - Patients Screened & Surgeries performed

Paying - Outpatients & Inpatients

Total patients screened

12 13

Humble beginning

Sankara was started in 1977 as a small outpatient medical centre volunteering services to the poor. Today, Sankara Eye Care Institutions (SECI) operates 12 super specialty eye care hospitals with presence across 10 states - Tamil Nadu, Andhra Pradesh, Karnataka, Gujarat, Punjab, Maharashtra, Uttar Pradesh, Harayana, Himachal Pradesh and Uttarakhand in India. Its mission has remained focussed on preventing and curing needless blindness across India.

Equitable Eye Care

Sankara was born out of a need to provide quality eye care to all, regardless of socio-economic, religious, linguistic and geographical backgrounds. Once Sankara Eye Hospital was setup in Coimbatore, exclusive outreach camps were conduct-ed to raise awareness, screen and detect eye defects and ailments and treat these.

Outreach Programs

The primary goal of the Community Eye Health Program is to fight against preventable and curable blindness. Today Sankara has a Comprehensive Community Eye Health Programme that provides holistic eye care and tailor made services to address the needs of varied age groups and eye defects.

Adults

Through the Gift of Vision Program, Sankara reaches out to patients through its network of field workers, doctors and paramedics. This outreach program covers rural areas within 300 kms of its super specialty tertiary care base hospital. Screening, investigations are done at onsite camps at the village. Patients requiring treatment and surgery are transported to the base hospital for treatment. Systematic post-operative follow-up is done back at the village.

Children

Sankara has focused its efforts towards eradicating curable blindness in children since 1988 and it is among one of the first in the country to take on such initiatives. Sankara recognizes that the needs of children differ based on their age and hence that the modality of screening would also differ; the institution has unique custom made programs to screen these groups. The important parameters include children screening, spectacles distribution, paediatric surgeries, teacher training and distribution of low vision aids.

Swagatham

Meaning ‘welcome’ in Sanskrit, is a comprehensive Neonatal Screening Program for the new born. Here, new borns are screened for congenital defects at the hospitals. This Program was launched on the 31st of May, 2002.

Maithri

Meaning ‘friend’ in Sanskrit, reaches out to underprivileged pre-schoolers between the ages of 3 and 6 years. This program screens children attending the Integrated Child Development Centres (noon-meal centres), orphanages and thereafter those suspected with visual defects are referred to the hospital.

Rainbow

This is a School Screening Program, where teacher volunteers are identi-fied and trained to do the preliminary screening. The eye care team from Sankara Eye Hospital comprising of an Ophthalmologist and/or Optometrist, visit the schools and screen children for any disease or abnormality of the eye. Children found with eye problems and requiring further treatment are referred to the Base hospital for a comprehensive examination. Children requiring pre-scription lenses (spectacles) are provided them free of cost.

Sankara Eye Bank

Sankara has been instrumental in spreading awareness on eye donations and setting up eye banks in the country. Eye donation drives and outreach camps have resulted in a large number of eye donations. Our hospitals in Coimbatore, Bangalore, Anand, Guntur, Ludhiana and Shimoga have eye banks. Eye banks will be set up at other locations shortly.

Comprehensive

Eye Care Services

+ Cataract & IOL Clinic

+ Corneal & External Eye disease

+ Paediatric & Strabismus

+ Glaucoma Services

+ Vitreo Retinal Services

+ Occuloplasty & Aesthetics

+ Low Vision

+ LASIK

+ Contact Lens Clinic

+ Computer Vision Clinic

+ Ocular Oncology

Speciality services

+ Cataract

+ Glaucoma

+ Diabetic Retinopathy

+ Ocular Oncology

+ Cornea and Refractive Surgery

+ Paediatric Ophthalmology

+ Eye Banking

SankaraEye Care Institutions, India

Sankara Eye Foundation- USA

From small beginnings, SEF has grown into a big organization, with more than 200 volunteers working from different parts of America. Through various innovative and appealing programs and events, funds are being raised to support SECI in conducting eye surgeries, procuring/modernizing equipments and constructing new hospitals all over the country.

SEF USA, is playing a big role in ‘Vision 20/20 by 2020’. Under this program they are supporting the establishment of 20 eye hospitals spread all over the country by the year 2020. The first such hospital came up in Guntur, AP in 2004. Subsequently hospitals have come up in Krishnankoil, Bangalore, Shimoga, Anand and Ludhiana. As a result, the number of free eye surgeries performed in India has grown exponentially.

Sankara Eye Foundation- Europe

Sankara Eye Foundation Europe was born out of the drive of a handful of individuals based in London in 2005. They harness support in the form of gifts and donations to set up new eye hospitals in India as well as contribute to the running of existing ones.

SEF aims to actively support the free eye surgeries at Sankara Eye Centre in India, by raising funds through events, booths and individual donors.

All work in the UK is done entirely by non-paid local volunteers who donate their time towards this large cause.

Mission for Vision Trust

Mission for Vision Trust is a major Partner in Service with Sankara Eye Care Institutions India participating not only in the establishment of the new hospitals, but also in supporting the deficits in recurring expenditure. Mission for Vision Trust and Sankara Eye Care Institutions-India have a common goal in front of them. They strongly believe that, ‘No one should be needlessly blind’.

While stressing on the community eye care services, Mission for Vision Trust also lays importance on the quality of outcome. Towards this, MFV has put in place a regular ongoing audit on the post-operative patients, around 6 months after the surgery, not only to enquire about their vision and their well-being, but also to evaluate the socio-economic benefit which has been accrued to them.

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Coimbatore AriyalurCoimbatoreCuddaloreDharmapuriErodeKanchipuramKarurKrishnagiriNamakkalNilgiriPuthukottaiSalemTanjoreThiruvanamalaiThiruvarurTiruchirapalliTirupurVelloreViluppuramCoimbatore City

KrishnankoilMaduraiDindigulRamanathapuramSivagangaiTirunelvelliTuticorinVirudhunagar

Guntur GunturKrishnaPrakasam

Vijaywada

Bangalore AnantapurBangalore - ruralBangalore - urbanChamrajnagarChikbalapurChittoorKolarMandyaMysoreRamnagara Tumkur

Shimoga BelgaumBellary BijapurChikmagalurChitradurgaDavangereDharwadGadagGulbargaHassanHaveriKarwarShimoga

Mumbai

TAMIL NADU

ANDHRA PRADESH

KARNATAKA

Anand AhmedabadAnandBharuchKhedaVadodraAnand City

PUNJAB

Ludhiana BathindaFaridkotFatehgarh sahibHoshiarpurJalandarKapurthalaLudhianaMansaMogaSangrurShahid Bhagat Singh Nagar

GUJARAT

Rishikesh* DehradunHaridwarRishikeshTehri GarhwalUddham Singh Nagar

UTTARAKAND

Yamuna Nagar

Sankara Hospitals

HARAYANA

Sirmaur

HIMACHALPRADESH

Kanpur City BijnorMuzaffar NagarSaharanpur

UTTARPRADESH

MAHARASTRA

Tamil Nadu

Karnataka

Maharashtra

Gujarat

Punjab

HimachalPradesh

HaryanaUttarakand

Uttar PradeshRajasthan

Madhya Pradesh

Andhra Pradesh

We have reached 359 village blocks, in 79 districts, across 10 states.

Vision 2020: To create replicable and sustainable models of Sankara Eye Hospital and establish one in every state of India with the ultimate objective of achieving perfect vision for all by the year 2020.

Sankara Hospitals

States covered by Outreach Program* Managed Hospital: NEI Rishikesh

States where land has been procured

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At Sankara, both paying and free patients are treated with the same quality and care. The 80:20 model has made quality eye care for all, possible.

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80:20 is a unique cross-subsidy model wherein 80% of the patients are provided free services at community hospitals with revenues generated from 20% of paying patients at city hospitals. This approach enables our hospitals to attain self-sufficiency in 5 years.

Paying vs Free SurgeriesHighlights:

Every paying patient supports 4 free patients.The Dual model

80:20 is a sustainable model for financial self-sufficiency that has enabled Sankara to scale free eye care services to the rural poor across India.

The approach involves two separate facilities. The city and community hospitals work towards different targets and audiences, yet come together to form a self-sufficient system. This model has been successfully piloted at Coimbatore and Guntur. The 80:20 approach has proven better productivity. Focussed business development has helped bring in more patients, and has also helped us reach self sufficiency in shorter periods.

This cross-subsidizing model has enabled Sankara to multiply the reach and effectiveness of its services. It has helped raise the bar in quality and cut costs at the same time.

Two new facilities were set up at Kanpur and Mumbai this year.

Community Hospitals

80% of Sankara’s patients are treated for free at the community hospitals. These hospitals have been set-up at rural locations with capital funding from donors. The eye care services offered are on par with our city hospitals, offering the best in Ophthalmic care. Sankara’s community hospitals reach out to a large population of needlessly blind and its outreach programs pride itself in being one of the largest in the country.

Over 3.5 lakh patients have been screened and over 1.4 lakh free surgeries performed through our outreach programs this year.

City Hospitals

Sankara’s city hospitals are located at the heart of the city and target an urban audience. Competitive marketing initiatives, monthly programs, collaborations, have been initiated to drive awareness and bring in more patients to our city hospitals. Revenues generated at our city hospitals support the running of the community hospital.

The services offered at our city hospitals are in class with the best eye care facilities; equipped with the finest expertise and state-of-the-art technology at competitive prices. Paying patients have the comfort of well designed facilities, ensuring utmost care.

Over 4.0 lakh outpatients were treated & 29,886 paid surgeries performed across our hospitals this year.

Self Sufficiency for Scale

A model for self sustenance is the key to scale and reach. Separate facilities for urban and rural patients has enabled focussed efforts and optimized processes, without any compromise on quality.

The volume of consumables provides us the buying power to cross-subsidize and bring the costs down. This enables us to deliver consistent value to all and to be self-sufficient at the same time.

Here, money saved is money earned and we ensure every rupee goes a long way to brighten up someone’s life.

This model has enabled Sankara’s facilities become self-sufficient to the tune of 91% on operational expenditure this year.

80% FREE PATIENTS

1,40,804

29,88620% PAYINGPATIENTS

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Setting Up Cost

Operation & Maintenance

Identify. Phase I begins with the Identification of Land for the Community Hospital. Once land has been finalized, construction begins. Paramedics from the locality are also identified and inducted for training.

Feasibility Study

Research. Phase I begins with a Feasibility Study which helps in the identification of possible locations based on need study. Different locations across the Indian states are studied, evaluated and identified.

Building & Materials

IDENTIFY LAND & RESOURCES

FEASIBILITY STUDY TO IDENTIFY NEXT LOCATION

BEGIN CONSTRUCTIONOF COMMUNITY HOSPITAL

Running Cost Self Sufficient System

Run. The community and city hospitals are inaugurated and they begin to support each other with funds and resources.

Self Sufficient System. Recurring donations help support the running cost of the hospitals. By the 5th year the system becomes self sufficient.

Land, Infrastructure, Equipment & Training

Every hospital you support will stand on its own feet in 5 years

24120 months 84 months18

INAUGURATE CITY HOSPITAL

SELF SUFFICIENT MODEL

Build. Once land has been finalized, construction of the community hospital begins. Simultaneously an ideal building to be leased for the city hospital is identified.

LEASE CITY HOSPITAL

CAPITAL FUNDING RECURRING FUNDING

INAUGURATE COMMUNITY HOSPITAL

COMMUNITY HOSPITAL

CITY HOSPITAL

5 YEARS TOWARDS SELF SUFFICIENCY

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Sankara is committed to providing free eye care services to the rural poor with the highest standards of quality, care and compassion through its various outreach programs.

Outreach Performance Highlights: Patients screened 2013-14

Our programs have reached out to over 5,85,000 men, women, children, elders & transgenders.

Community Outreach

Sankara’s Gift of Vision program covers rural areas within 300 kms of the community hospital. Screening and investigations are done at onsite camps at the villages. Patients requiring treatment and surgery are transported to the community hospital for treatment. Systematic post-operative follow-up is done back at the village. This is an intense logistics model which requires rigorous planning, resource management and on-field execution.

Field workers operate through a very focussed approach covering villages, taluks and blocks. Door-to-door screening ensures that no one is left out even in the remotest of villages. This year outreach programs have seen improved efficiency and productivity. Sankara has conducted less camps, but has had a larger turnover with conversions of over 75% of surgical cases per camp this year. The political unrest in Andhra Pradesh and the recent floods in Rishikesh, drastically impacted the outreach efforts yet camps went on as and when possible.

Sankara has conducted over 1894 camps with the help of its outreach teams this year, and has achieved a milestone of 1million free surgeries in the last ten years.

Reaching Women & Children

The problem of access to treatment for women is a little more complex. More often than not, the women in villages are paying a heavy price for needless blindness. India’s rural household women are more marginalized than men, and the dependency of the spouse and family leaves her with almost no scope for treatment, not to mention taboos and other cultural barriers she has to overcome. Sankara goes the extra mile to reach out and empower these women through counselling.

Screening early

With children, education and awareness is key. Preventive eye care programs are critical as a blind child can suffer from many more blind years than a blind adult. The approach to working with children is very different and requires a lot of effort.

Government school teachers are an integral part of the program and help Sankara immensely not only in the primary screening process but also in sustaining the effort. Children from challenging environments are most often neglected due to ignorance. Empowering teachers is the only way to reach the children.

Over 4,193 teachers have been inducted into the primary screening process.

Over 7000 children were screened through the Gift of Vision program and 2.7 lakh children were screened through Rainbow program this year.

Everyone matters

Sankara’s outreach efforts are designed to access its varied target audience ranging from men, women, children, elderly and transgenders. This year Sankara took special efforts to reach out to one of the most marginalized communities in our society-transgenders. Vision screening was conducted at Samara Society, a Sexuality Minorities Rights Organization in Bangalore.

159 of them were screened; patients with eye problems were referred to the Base Hospital for treatment.

Sankara has reached out to over 159 transgenders this year.

Performance Highlights:

50000000

0

100000000

Transgender Men Women Children

150000000

200000000

250000000

300000000

1,81,899

2,72,209

159

1,68,590

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The Gift of Vision Program

has screened over 3,57,489people this year.

This program was started with the aim to reach out to the rural community and carry out timely interventions to prevent and cure the needlessly blind.

NO. SCREENED

2013-14 3,57,489 1,40,804

31,37,177 11,55,532TOTAL (Since Inception)

FREE SURGERIES PERFORMED

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Sankara screens thousands of children every year through the Rainbow Outreach Program. Through the comprehensive eye care delivery we hope that no child (between ages of 0 to 18) goes needlessly blind and those with irreversible blindness or low vision have the same rights and access to services as their sighted counterparts.

NO SCREENED

2,72,209 4,028 1,01248,43,763 6,640 1,01,713

2013-14

FREE SPECTACLES SURGERIES PERFORMED

TOTAL (Since Inception)

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Shilpa, 11

It takes just a pair of glasses to bring back the energy and curiosity of little girls like Shilpa. She was spotted by her teacher and diagnosed at Sankara with a need for correction of refraction error in both eyes. Many such cases go unidentified leaving children dull and unresponsive in school.

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Veeresh, 9

A child’s vision can fail him, but not his hope. Can you imagine growing into blindness? Veeresh has a condition called Retinitis Pigmentosa a condition that leads to a steady decline of vision, ultimately blindness.

Our Rehabilitation Centre offers support, training and counselling to patients like him as well as their families in taking on this journey one step at a time and in preparing for the future.

Richa, 2 Baby Richa was diagnosed with cataract and squint in both her eyes. She underwent surgery at Sankara and her vision has been significantly restored. Her parents are overjoyed as she now has the promise of a good childhood ahead of her.

Krishna, 15

Krishna misses playing kho-kho with his friends, impaired vision had put him on the bench. But that was just the beginning, his vision gradually got worse making him dependent. Even schools refused him admission.

Life has changed after surgery at Sankara. He has better vision and uses spectacles and a telescope to overcome low vision. Krishna passed his X board exams with a first class. He is now confident than ever before and is pursuing commerce and aspires to become a businessman.

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Gagan, 7

Gagan was identified with poor vision by his class teacher. He was later diagnosed and operated at Sankara for cataract in both eyes. Gagan’s parents are thankful he can now see well again.

Ajaib Singh, 60

Ajaib Singh can’t afford to relax in his old age. He still works hard at the farm to support his family and also takes care of his son who became crippled after an accident. Life only got bleaker with his vision gradually failing. He was identified at one of Sankara’s outreach camps and was operated for cataract in both eyes. With better vision, he can now take on

each day with more strength and courage.

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Gyan Kaur, 70

Gyan Kaur was diagnosed and treated for cataract in both eyes. She helps at a community kitchen whenever she has the time, making soft rotis for people in need besides looking after her family. Sankara takes a special effort in reaching out to women in rural India as they are less accessible to treatment and are more marginalized than men.

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Balamma, 53

Sankara believes in quality eye care for all.Balamma was identified at one of Sankara’s camps for transgenders. She underwent surgery for cataract in her right eye and is back to work. She says, “I’m very happy to have clear vision now after the surgery, I’m back to work. Particularly, I’m moved by the efforts of Sankara to reach out to our communities which are otherwise neglected.”

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Coimbatore

25%

Krishnankoil

14%

Guntur5%Bangalore

12%

Shimoga

12%

Anand

16%

Ludhiana

9%

Rishikesh

7%

Coimbatore

Krishnankoil

Guntur

Bangalore

Shimoga

Anand

Ludhiana

Rishikesh

28%

8%

8%

8%

14%

17%

14%

3%

Coimbatore

Krishnankoil

Guntur

Bangalore

Shimoga

Anand

Vijayawada City Hospital Coimbatore

LudhianaRishikesh

Kanpur city Mumbai

18%16%3%

3%2%

7%

12%

26%

5%

18%

Base HospitalsCentrewise Performance Snapshot

CAMPS CONDUCTED

1,894

PAID SURGERIES

29,886FREE SURGERIES

1,40,804

2004 SANKARA EYE HOSPITAL, GUNTUR

Building = 53,720 Sq.ft Non Paying beds = 200 Paying beds = 25

1985 SANKARA EYE CENTRE, COIMBATORE

Building = 1,04,769 Sq.ft Non Paying beds = 475 Paying beds = 25

Performance 2013-14

Paying Outpatients seen 67490 Paying surgeries performed 5406 Camp Patients screened 83555 Non Paying Surgeries performed 39335

2011 SANKARA EYE HOSPITAL, COIMBATORE CITY

Building = 5,000 Sq.ft Non Paying beds = Nil Paying beds = 5

Performance 2013-14

Paying Outpatients seen 23490 Paying surgeries performed 927 Camp Patients screened NA Non Paying Surgeries performed NA

2004 SANKARA EYE HOSPITAL, KRISHNANKOIL


Performance 2013-14

Paying Outpatients seen 38563 Paying surgeries performed 1488 Camp patients screened 24764 Non Paying Surgeries performed 12035

Performance 2012-14


TAMIL NADU

ANDHRA PRADESH

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2014 SANKARA EYE HOSPITAL, KANPUR CITY2008 SANKARA EYE HOSPITAL, ANAND



2010 NIRMAL EYE INSTITUTE, RISHIKESH


Performance 2013-14


2011 SANKARA EYE HOSPITAL, VIJAYWADA

Building = 7,000 Sq.ft Non Paying beds = Nil Paying beds = 4

Performance 2013-14


2012 SANKARA EYE HOSPITAL, LUDHIANA2008 SANKARA EYE HOSPITAL, BANGALORE



Performance 2013-14


Performance 2013-14


2013 SANKARA EYE HOSPITAL, MUMBAI2008 SANKARA EYE HOSPITAL, SHIMOGA



Performance 2013-14


Performance 2013-14

Paying Outpatients seen 49948 Paying surgeries performed 3696 Camp Outpatients screened 50770 Non Paying Surgeries performed 19371

Performance 2013-14


Performance 2013-14


UTTARAKHAND

UTTAR PRADESH

GUJARAT

KARNATAKA

Managed by Sankara Eye Care Institutions, India

PUNJAB

MAHA-RASHTRA

42 43

Operational Performance 10 year dataFree

Camps Conducted 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 10 Year Since Total Inception

Coimbatore 540 597 521 547 575 621 541 462 465 477 484 468 5161 8268 Krishnankoil 5 161 225 288 350 296 233 245 215 246 261 2520 2525 Guntur 59 64 61 67 110 145 150 138 103 93 990 990Bangalore 221 239 249 256 259 227 1451 1451Shimoga 26 138 181 223 197 232 997 997Anand 33 175 231 253 323 312 1327 1327Silvassa 24 186 213 156 191 207 0 977 977Rishikesh 54 103 110 128 395 395Ludhiana 96 173 269 269 Total 540 602 741 836 924 1062 1413 1605 1731 1856 2025 1894 14087 17199

Patient Screened 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 10 Year Since Total Inception

Coimbatore 123746 125318 110366 102480 104232 99517 79238 77208 77449 79378 89695 83555 903118 1553717 Krishnankoil 629 22622 27044 29203 31160 28237 23136 26345 25433 23306 24764 261250 261879 Guntur 23149 26581 21353 24771 55811 53082 51701 51431 48289 49667 405835 405835 Bangalore 25186 34367 36637 43655 51077 41539 232461 232461 Shimoga 7767 36073 38093 51100 49087 50770 232890 232890 Anand 7120 29472 33967 37392 33856 36544 178351 178351 Silvassa 1069 4623 23942 26662 14662 12851 0 83809 83809 Rishikesh 16612 35877 44162 35299 131950 131950 Ludhiana 20934 35351 56285 56285 Total 123746 125947 156137 156105 154788 156517 207982 277280 307466 338928 373257 357489 2485949 3137177

Surgeries Performed 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 10 Year Since Total Inception

Coimbatore 40091 44858 40789 38175 38947 34942 33442 33694 34309 35255 38439 39335 367327 561720 Krishnankoil 284 5514 7385 8950 11045 10862 10395 12649 12540 13505 12035 104880 105164 Guntur 7202 9990 10625 12089 20799 21997 25527 27543 23675 186826 186826Bangalore 7286 10552 13156 16302 19740 19351 86387 86387Shimoga 1485 8037 12617 20277 21300 19371 83087 83087Anand 1797 10100 11088 13257 11785 11951 59978 59978 Silvassa 1499 3600 5988 5889 4802 3977 0 25755 25755 Rishikesh 5376 11720 11223 11251 39570 39570 Ludhiana 3210 3835 7045 7045 Total 40091 45142 53505 55550 58522 59575 79271 100763 120611 141696 150558 140804 960855 1155532

44 45

Paying

Outpatient 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 TotalCoimbatore 52581 57342 63441 66496 66187 67767 70365 58403 61405 67490 631477Krishnakoil 22688 25230 26752 28910 31112 33296 34021 33174 37456 38563 311202Kanpur City 2271 2271Guntur 19915 26270 29270 36117 38802 46477 51758 57596 65894 64284 436383Bangalore 489 29454 46401 64000 67271 73460 82028 363103Shimoga 7078 27196 37696 41269 45500 49948 208687Anand City 1460 1460Anand 6255 21115 23133 22834 20846 17338 111521Vijayawada 4108 11017 15360 30485Coimbatore City 4360 17196 23490 45046Ludhiana 16845 20140 36985Mumbai 1345 1345Rishikesh 4487 13289 16969 19435 229180Total 95184 108842 119463 132012 178888 242252 285460 302304 366588 578152 2409145

Paying Inpatient 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14 TotalCoimbatore 2836 2941 3126 3514 3720 3892 4149 4022 4264 5406 37871Krishnakoil 441 558 558 618 692 778 1041 1167 1386 1488 8727Guntur 575 980 1420 2274 2586 3128 3934 4954 6618 7769 34238Bangalore 967 1871 2827 3567 4776 5491 19498Shimoga 194 1103 1948 3006 3972 3696 13920Anand 159 1170 1508 1875 1871 2108 8690Vijayawada 109 391 558 1058Coimbatore City 70 587 927 1580Ludhiana 603 950 1555Kanpur City 42 42Mumbai 2 2Rishikesh 463 1072 1000 1449 3988Total 3852 4479 5104 6406 8318 11942 15870 19842 25468 29886 131170

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When the glow in the eye indicates a serious disease!

Retinoblastoma is a cancerous growth that occurs in the eye. It can present as a white reflex at the pupil of the eye (Cat’s eye like appearance) or as a squint(crossed eyes). Rarely, if ignored in the early state, it can cause protrusion of the eyeball.

The exact number of children affected by retinoblastoma is not known.Sankara is one of the 10 odd nodal centres (the only one in Karnataka state) of the National Retinoblastoma Registry created by ICMR in India keeping track of the retinoblastoma patients.

Centres with ability to provide comprehensive care for ocular cancers are scarce. Sankara Eye Hospital Bangalore has established an Oncology unit with support from Budhrani Trust and Sight Savers to become one of the 4 centres in the country providing Chemotherapy, Ruthenium Brachytherapy (Radiation), Transpupilary Thermotherapy and Surgical care.

Quick Facts on Retinoblastoma

• Affects 1 in 20000 live births.

• Children frequently present with a white glow or glint in the pupil of one or both eyes in dim lighting. A white pupil seen could be seen in a colour photograph.

• Could be hereditary.

• Treated by a combination of chemotherapy, thermotherapy, brachytherapy (localized radiation) and surgery (if needed).

Department of Ocularistry - Customised Prosthesis

Disfigurement associated with loss of an eye can cause significant physical and emotional problems. Adjusting to functional disability and societal reactions to the facial impairment causes significant stress to most patients.

Sankara Eye Hospital, with support from KIOCL has established a Department of Ocularistry. The newly established clinic fabricates quality custom-made prosthesis for each patient and thus, works towards rehabilitating people across the region with disfigured eyes, cosmetically and socially.

The Centre also trains Optometrists from the Sankara College of Optom-etry in the nuances of the speciality to increase the skilled manpower available to establish similar centres across India.

New centre for Artificial Cornea (Keratoprosthesis) inaugurated at Sankara Eye Hospital, Bangalore

Corneal disease remains the leading cause of blindness amongst children in Asia. Many corneal diseases can be effectively treated by corneal transplantation. While conventional cornea transplant uses donor tissue for transplant, Keratoprosthesis procedures require an artificial cornea.

With a commitment to provide eye care beyond compare, Sankara inaugurated a Centre for Keratoprosthesis & Research with the support of Rotary. The unit, established at a cost of Rs 20 lakhs would be the first one in Bangalore to offer a provision for patients to have the Modified OOKP (Osteo-Odonto Keratoprosthesis).

Under the direction of Dr. Y. Umesh and guidance of Director Dr. J.K. Reddy, a nationally and internationally recognized expert in the realm of corneal diseases, the centre will offer best possible surgical treatment for damaged corneas.

Mobile Vision Centre

Refractive errors and the need for glasses is a public health challenge affecting nearly 285 million world-wide. Apart from providing high quality glasses at affordable prices, the Mobile Vision Centre van will work towards enhancing eye care services with refraction, lens dispensing and tele- ophthalmological consulting.

Impact:

Total Screened 15280 Defective 23% Total Prescription 3012 Dispensed (85% conversion)

• 80% had their eyes tested for the first time

• 65% benefitted with a better ability to work following correction

• 30% attributed an increase in their monthly income to their ability to see better

Eye-novation - Smart Phone Based Retinal Imaging System

Imagine a Whatsapp image based retinal surgeon consultation. Dr Mahesh Shanmugam, Head Vitreoretina at SECI India has modified a regular smart phone that can to be used as a direct ophthalmoscope, an ophthalmic instrument used by most eye specialists and doctors to check the eye.

Retinal imaging helps diagnose a variety of medical conditions. Traditionally done using a variety of equipment ranging from an ophthalmoscope to more elaborate digital imaging systems, the innovation works by affixing a light emitting diode (LED) powered by an external battery pack, close to the smart phone camera aperture. Field trials are underway to establish its use in community ophthalmology settings.

Advancing the Speed of Sight

Sankara, is proud to have installed Mumbai’s first Wavelight Refractive Suite. With EX 500 Laser and the FS 200 Femtosecond LASER, the all LASER system enables 1 dioptre of power to be corrected in 1.4 seconds. The LASIK flap is created in about 6 seconds. Wavefront Optimised treatments, paired with an advanced tracker (latency of 2 milliseconds) make it an effective and safe treatment platform.

LASIK facility is available at Bangalore (Femto), Coimbatore (Femto), Guntur (SBK), Shimoga (SBK) and Ludhiana (SBK) units of Sankara.

Before After Ocular Oncology

48 49

Behind Sankara’s success is a team of 183 doctors, 506 paramedical professionals, 175 support staff who have touched the lives of over 40 million people spanning over three decades.

People Initiatives

People are our Assets Performance and Productivity Welfare

Sankara is a people driven organization. Our employees are constantly equipped with knowledge on latest methodologies and best practices through in-house training and also through workshops by domain experts. 50% of our establishment costs account for people costs. Sankara’s most valuable assets are its people; and we believe that valuable individuals make a valuable organization.

Out of 1184 staff at Sankara 41% are men and 59% are women.

As a people driven organization, performance and productivity define Sankara’s growth and success and is monitored through a performance management system. This tool enables us to measure productivity and informs our decisions on appraisals and promotions. All administrative processes have been automated through a web based management system.

Productivity norms help us evaluate individual performance and optimize manpower requirements across units and departments. It also helps us analyze areas that require additional support. New recruits are appointed not just based on skill but on values, emphasizing the importance of values and organizational culture.

343 new recruits were inducted into Sankara this year.

Sankara is an equal opportunity employer, and our HR initiatives work towards developing and integrating our mission with employee growth, motivation and performance. Though a non-profit organization, we at Sankara ensure competitive benefits and programs for employees on par with opportunities that exist in the corporate world. Sankara’s rewarding work culture has helped us attract and retain high calibre workforce over the last decade with attrition rates that are negligible.

Sankara as an organization takes great interest in the well being of its employees. Financial security, support for housing, accident cover are some of the benefits employees are entitled to. A corpus has been created to handle staff welfare at the time of calamity in an employee’s family and to support career enhancement.

50 51

At the heart of our success are our dedicated supporters. Generous and relentless support from organizations and individuals has helped us create and expand the access to quality eye care in the country. Your generosity and support will go a long way in supporting this cause making a difference to a million lives.

Support

Capital funding will support new project’s infrastructure, building, equipment and other capital assets that are required to set-up in a new location and scale up our presence across the country.

Last year’s contributions towards infrastructure development were to the tune of Rs. 24 crores. In the year 2014-2015 we plan to set up a new hospital in Kanpur in Uttar Pradesh and identify land for new hospitals in 2 states.

Our model enables us to become self-sufficient on operational expenditure within 5 years of establishment of a new hospital. Recurring donations support the operational costs of newly set-up facilities in conducting camps, surgical expenditure, consumables and distri-bution of spectacles for the patients. Contributions towards this are accepted in the form of long term endowments, recurring or one-time donations.

In 2013-14 we received long term endowments to the tune of Rs. 11.24 lakhs and Rs. 12.38 crores as recur-ring donations. This helped us to reach out to 79 Reve-nue districts in India, where we conducted 1894 camps, screened 3,57,489 patients and performed 1,40,804 free surgeries.

Alongside scale of infrastructure, it is imperative to build the human resource potential. Sankara Academy of Vision was started in 2012 recognizing the need to recruit more staff and to train the existing ones. The Academy works in tandem with universities in creating courses that will build employment at the field level and also skill enhance-ment and specialization for staff and doctors respectively.

Girls who have passed out of school final can become Optometrists by pursuing a course created by the Academy of Vision. All staff are recruited from the location of the upcoming hospital creating local employment and women empowerment. Staff from the new centers are trained at our mission headquarters before they are inducted into their routine.

296 medical and paramedical staffs were trained last year.

A. Infrastructure/Capital Funding B. Recurring Donations C. Training

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With the support of over 20,000 donors of the Indian diaspora and a tireless group of volunteers, all over the US-SEF has been able to help Sankara India build super specialty eye hospitals in Guntur, Bangalore, Shimoga, Anand, Ludhiana and Kanpur - a pan India movement to eliminate curable blindness among the rural poor.

SEF has contributed to 48% of the donation received for surgeries, and 56% of the donation received for projects.

In monetary terms, SEF’s contribution has grown from Rs 2.99 crores to Rs 17.89 crores.

Sankara’s fundraising through events has reached new heights with Mega Concerts and multi-city tours promoting Sankara to wider audiences.

Sankara Eye Foundation, USA has been awarded the coveted 4-star rating for sound fiscal management and commitment to accountability and transparency, for the second consecutive time. Charity Navigator, commending Sankara for its efforts, states that receiving four out of a possible four stars indicates that an organization adheres to good governance and other best practices that minimize the chance of unethical activities and consistently executes its mission in a fiscally responsible way.

Sankara Eye Foundation, USA has received the highest 4-star rating from Charity Navigator.

A Symposium on ‘Scaling up Social Impact’ was organised at Microsoft campus, Mountain View. The purpose of this symposium was to bring together non-governmental organizations, impact investors, social enterprises, academics, foundations, think tanks and development professionals to share their experiences in scaling up social impact.

Three operational leaders from SECI were present including Mr. C.N. Srivatsan, Honorary Director of Project Vision 20/20 at Sankara, Bharath Balasubramaniam, Head- Outreach and Information Systems, and Dr. Kaushik Murali, Head-Technical.

SEF is now supported by Calvert Foundation and has been selected for GSBI program at Santa Clara University.

SEF among Top Indian Charities in USA

Fundraising through Events SEF Symposium

Sankara Eye Foundation, USA (SEF) activities for 2013- 2014

Sankara Eye Foundation, USA (www.giftofvision.org) is the fund raising arm of Sankara Eye Care in the US and was established in 1998. Over the past 15 years SEF and its large community of donors have been playing a major role in pursuing the Vision 2020 program to establish 20 Sankara hospitals all over India.

0

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2013-14 2012-13 2011-12 2010-11 2009-10 2008-09 2007-08 2006-07 2005-06 2004-05

Other Donations Donation from SEF

Support from Sankara Eye Foundation, USA

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Sankara Academy of VisionSankara Academy of Vision (SAV) was formally chartered in 2013 by the Founder & Managing Trustee, Sankara Eye Care Institutions (SECI) to develop a cadre of human resource critical for eye care delivery.

The year saw SAV train and develop 190 personnel from across Vision Care Technicians to Optometrists and Super- Specialists in Ophthalmology. A major fillip to the training initiative was the support received from the Sir Ratan Tata Trust.

Cadre Enrolled in 2013-14

Vision Care Technicians 23

Optometrists 81

Ophthalmologists 22 (Post Graduate)

Subspeciality Training 64 (Fellowship)

The Academy has enrolled in its long term programmes students from India, Nepal, Nigeria, Iran and Azerbaijan.

Beyond Academics the Vision Care Technician course also enables socioeconomic empowerment of the students. In a study undertaken earlier this year, 85% of the VCTs belonged to marginalized social communities. Further 72 % reported that they received more respect and better treatment among their family and community. Today they contribute approximately 30% towards the monthly household income.

Our passion to share our experience and knowledge in eye care, led us to conduct continuing medical education programmes in Ophthalmology & Optometry. The audience included a range of delegates from postgraduates to practicing clinicians.

SECI, is today recognised among the leading eye care organizations in the country. The year saw 4 publications in peer reviewed national and international journals and a further 67 presentations as research papers and guest faculty invitations across various state, national and international conferences.

Dr. Mahesh P. Shanmugam, Head Vitreoretina & Ocular Oncology, Sankara Eye Care Institutions, India was recognised with the highest award of the Andhra Pradesh State Ophthalmological Society Annual Conference at Warangal on 29th September 2013. He was awarded the Dr. Siva Reddy Gold Medal and Oration-Vitreoretinal Surgery, New Frontiers.

At the 48th Annual Conference of U.P. State Ophthalmic Society at Jhansi, in October 2013, Sankara was recognised with the Dr. V.N. Raizada award and the Dr. Awadh Dubey award for its research on different aspects of macular and retinal surgery.

At the All India Ophthalmological Conference, held at Agra in February 2014, Sankara was awarded the J.S. Mahashabde Award for the best research presentation in Community Ophthalmology and the K.C. Singhal Award for the best research presentation in External Eye Diseases.

F M F M F M F M F M F M Total

Sankara Academy of Vision

Anand 1 1 1 1 2

Bangalore 1 13 1 42 33 34 89 35 124

Guntur 5 7 2 1 2 1 9 18 9 27

Krishnankovil 1 3 13 14 3 17

Ludhiana 3 1 12 14 15 15 30

Kanpur 14 14 0 14

Shimoga 1 2 1 2 3 4 15 20 8 28

Coimbatore 9 8 2 1 2 1 31 43 11 54

Grand Total 15 18 5 4 23 13 55 47 116 214 82 296

Unit

Academics-DNB

Academics- Medical

Fellowship

Academics- Optometry

Academics- Post DNB

Academics- Vision Care Technician

Grand Total

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Publications

Journals1. John S., Natarajan S., Parikumar P., Shanmugam M.P., Senthilkumar R., Green D.W., Abraham J.K.S., “Choice Of Cell

Source In Cell Based Therapies For Retinal Damage Due To Age Related Macular Degeneration (AMD): A Review” Journal Of Ophthalmology. Vol. 2013, Article ID 465169, 9 Pages, 2013

2. Shanmugam M.P., Changing Paradigms Of Anti-VEGF In The Indian Scenario. Ind J Ophthalmol 2014 Jan; 62(1):88-92

3. Shanmugam P.M., Mishra D., Ramanjulu R., Smart Phone As A Direct Ophthalmoscope, To The Editor. Retina 2014; Mar;34(3):E6-7. Doi: 10.1097/IAE.0000000000000132

4. Khetan V., Gopal L., Shanmugam M.P., Gupta A., Sharma T., Bhende P., Muthukumar S., Subramaniam R., Kuppuswamy T., Saxena S.k., Dash A. Brachytherapy Of Intra Ocular Tumors Using ‘BARCI-125 Ocu-Prosta Seeds’ - An Indian Experience. Ind J Ophthalmol. 2014; 62:158-162

5. Saxena M., Shanmugam M.P. Brachytherapy, A Viable Option Of Globe Salvage In Treatment Of Large Ciliary Body Melanocytoma, A Case Report. Ind J. Ophthalmol. 2014 (In Press)

6. Ramanjulu R., Shanmugam M.P., Is More Than One Intravitreal Injection Necessary In Treating Vitreous Seeds Associated With Retinoblastoma. Letters To The Editor. Arch Ophthalmol. 2014 (In Press)

7. Anti-VEGF Agents And Their Role In Vitreoretinal Diseases. Ramanujulu R., Shanmugam M.P., Bengal Ophthalmic Journal. 2013;39-53

8. Mishra D.K.C., Shamugam M.P., Kumar M., Ramanjulu R., Reddy S.Y., Jayamadhuri, Rodrigues R., Smart Phone & Ophthalmic Imaging. Journal Of APOS 2014;3:4-6

9. Anti-VEGF In Clinical Situations. Expert Opinion. Rosenfeld P., Sadda, S., Shukla S., Shanmugam M.P., Rajendran A. Journal Of DOS. 2014. (In Press)

10. Dr. Vipul, Dr. Kumar Sambhav, Presentation Of Conjunctivalamyloidosisas Bilateral Ptosis And Cicatricialentropion, Saudi J of Med And Med.Sc. Vol 1, Issue 1. Jan- Jun, 2013; Pp. 48 - 50., Jan. 2013.

11. Dr. Prabhusankar, Dr. Kumar Sambhav, Diagnosis Of Polymicrobialendophthalmitis By Xycton Analysis, Journal of Clinical Ophthalmology And Research, Jan-Apl, 2013. Vol 1 Issue 1; Pp. 21 - 22, Feb. 2013.

12. Dr. Ajita Sasidharan, Dr. Ragavendra, Iris Claw Intraocular Lens: A Viable Option In Monocular Surgical Aphakia, Indian Journal Of Ophthalmology, Vol 61 Issue 2, Feb, 2013 Pp. 74 - 75, Feb. 2013.

13. Dr. J.K.Reddy, Dr. Vipul B., Buccal Mucuous Membrane Grafting In Alkali Injury, Journal of TNOA ,Vol 52, Issue 2, Apl, 2013, pp. 62 - 64., Apr. 2013.

14. Dr. Ajita Sasidharan, Dr. Kumar Sambhav, Analysis Of Change In Intraocular Pressure After Phaco Emulsification, Sudanese Journal Of Ophthalmology, Volume-5, Issue-1, Page 7-8, Sept. 2013.

15. Dr. J.K. Reddy, Dr. Vipul B., Retropupillary Iris Claw In Pediatricsubluxated Lens, Journal of Clinical Ophthalmology and Research, Sep-Oct 2013, Vol 1, Issue 3, Pp.150-153, Sept-Dec. 2013

16. Dr. Vipul, Dr. Ameya, Bilateral Lens Coloboma, Journal of Clinical Ophthalmology and Research, Feb. 2014.

17. Dr. Vipul, Dr. J.K.reddy, Labial Mucus Membrane Graft In Cement Injury, hhSudanese Journal of Ophthalmology, Feb.2014.

AwardsDr. P. Siva Reddy Oration Medal – Andhra Pradesh Ophthalmic Society, September 2013, Warangal

Best Paper Smart Phones in Ophthalmology. Mishra D, Mahesh Shanmugam, Madhu Kumar, Rajesh R. Andhra Pradesh Ophthalmological Society Meeting, 27-29th September, Warangal, 2013

Chapters1. Avastin And Lucentis And Their Role In Vitreoretinal Diseases. P. Mahesh Shanmugam, Rajesh R. In Intravitreal Injections.

Sinha, Verma (Eds). Jaypeebrothers Medical Publishers, India 2013

2. Choroidal Melanoma. P. Mahesh Shanmugam. Recent Advances In Ophthalmology. Nema HV (Ed) JP Medical Ltd, India, 2013

3. A. Mono And Bimanual Dissection Of Diabetic TRD, B. Retinotomy And Retinectomy In Conditions, C. Brachytherapy. Plaque Insertion And Removal. P. Mahesh Shanmugam, Ramanjulu R, Tekwani P, Saxena M. Rodrigues G. Garg A (Ed) Jaypee’s Video Atlas Of Ophthalmic Surgery. Jaypeebrothers Medical Publishers, India, 2013

4. A. Intraocular Biopsy Techniques, B. Resection Of Intraocular Tumors. P. Mahesh Shanmugam. In Principles And Practice Of Vitreoretinal Surgery. Narendran V., Kothari AR (Eds). Jaypeebrothers Medical Publishers, India. 2014

Conferences

International Conferences

1. Optometric Intervention In Rehabilitation Of Neurological Cases - Dr. Aditya Goyal, Neuro Optometric Rehabilitation Association Conference, Organised By NORA, San Diego, USA.

2. Efficacy Of Flashing Techniques In Treating Patients Suffering With Nystagmus And Other Binocular Vision Disorders - Dr. Aditya Goyal, Asia Pacific Optometry Conference, Seoul, South Korea.

3. Multidisciplinary Approach To Neuro Vision Rehabilitation - Mr. Aditya Goyal, Neuro Optometric Rehabilitation Association Conference, Organised By NORA, Raleigh, USA.

4. Retinoblastoma-Factors Affecting Survival and Outcome The Sankara Experience- Dr. Kaushik Murali, International Symposium of Ophthalmology, China 2014.

5. Improved Case Selection Leading To Improved Trainee Confidence: Application Of The Najjar-Awwad Cataract Surgery Risk Score (Na-Risk Score) In Manual Small Incision Cataract Surgery- Dr. Kaushik Murali- International Symposium of Ophthalmology.

6. Study Of Paediatric Traumatic Cataract Surgery With Acrylic Hydrophilic Lens Implantation - Dr. Kaushik Murali-Singapore National Eye Centre & AAPOS Joint Conference, Singapore, 2013.

7. Assessment Of The Nanna-Kannu Model Of Comprehensive Eye Care For Children On Attitudes And Eye Care Practices In Urban India - Singapore National Eye Centre & AAPOS Oint Conference, Singapore, 2014.

8. Comprehensive Paediatric Eye Care For The Community - Delivery Model And Impact, India Experience - Dr. Kaushik Murali, 8th International Symposium Of Ophthalmology, Guangzhou, China, 2013.

9. Difficult Strabismus - Unknown Case, Dr. Kaushik Murali, 2nd Asia Pacific Strabismus And Paediatric Ophthalmological Society Congress,Guangzhou, China -2013.

10. Instruction Course On Ocular Oncology: Adult Intraocular Tumors - Dr. Mahesh Shanmugam, P. Yacoub Yoursef, Francis Munier, 11th International Conference Of The Jordanian Ophthalmological Society, Amman, Jordan, 2013.

11. Surgical Management Of Intraocular Tumors - Dr. Mahesh Shanmugam P, 12th International Conference Of The Jordanian Ophthalmological Society, Amman, Jordan, 2013.

12. 1. Selective Intra-Arterial Chemotherapy For Retinoblastoma, 2.How To Handle Private Practice As A Newcomer, 3.Controversies In Vitrectomy For PDR, 4. Panel Discussion On Surgical Retinal Diseases, 5. RD Prophylaxis & 6. Paraneoplastic Retinopathy - Dr. Mahesh Shanmugam P., APAO-AIOS Meeting, Hyderabad, 2013.

13. Improving Tolerance And Effectiveness Of Cyclopentolate In Children With Addition Of HPMC 1% - Dr. Kaushik M., Mahesh Shanmugam P., Ramanjulu R., Vaidya R., Rao D. APAO-AIOS Meeting, Hyderabad, 2013.

14. 1. Uveal Melanoma, 2. Clinicopathological Correlation-Intraocular Tumors. - Dr. Mahesh Shanmugam P., Confluence, Hyderabad, 2013.

15. Combined Vein Occlusions: Instruction Course On Retinal Vascular Occlusions - Dr. Mahesh Shanmugam P., Kothary A., Bhende M., Shroff C., Shroff D., APAO-AIOS Meeting, Hyderabad, 2013.

16. Penetrating Ocular Trauma: Instruction Course On Posterior Segment Trauma - Dr. Mahesh Shanmugam P., Deka S., Bhattacharya H., Samant P., Luthra S. APAO-AIOS Meeting, Hyderabad, 2013.

17. Atypical Presentation Of Paediatric Posterior Segment Tumors And Retinal Disease: instruction Course On Ocular Masquerades Dr. Mahesh Shanmugam P., Rajendran A., Shukla D., Rathinam R., APAO-AIOS Meeting, Hyderabad 2013.

18. Scleral Buckling Surgery - Dr. Mahesh Shanmugam P., Gopal L., Chee C., American Society Of Retinal Specialists Annual Meeting, Toronto, Canada, 2013.

National and State Conferences

1. Preoperative Evaluation Of Lasik - Mr. Mallikarjun M.H., Aim Emmetropia CME On Refractive Surgery At Shimoga, CME, June’13.

2. Optometric Intervention In Rehabilitation Of Neurological Cases - Mr. Aditya Goyal, Neuro Optometric Rehabilitation Association Conference, Organised By NORA, San Diego, USA, Apr’13.

3. Efficacy Of Flashing Techniques In Treating Patients Suffering With Nystagmus And Other Binocular Vision Disorders - Mr. Aditya Goyal, Asia Pacific Optometry Conference, Seoul, South Korea, Oct’13.

58 59

37. IOL Retro Fixation IOL - Mr. Mallikarjun M.H., BOS Summit 2013, Bangalore, Aug’13.

38. Speaker -Higher End Machine Vs Highly Skilled Surgeon - Mr. Mallikarjun M.H., Faco Ref, Udupi, May’13.

39. Pterygium Surgery Conducted Symposium - Dr. Sudhakar P., APOC, Warangal, Feb’14.

40. Surgical Outcome With Hydrophilic Lens Implantation In Bilateral Developmental Cataract-Dr. Sai Rani K., APOC, Warangal, Sept’13.

41. Talk On Pterygium Rotation Autograft-Dr. Jayamadhury G., APOC, Warangal, Sept’13.

42. Fibre Glue In Pterygium Surgery - Dr. Haritha V., APOC, Warangal, Sept’13.

43. Predicatbility Of Microkeratome Related Flap Thickness In SBK Patients. 2.Response To Chemoreduction In OSSN- Correlation With CD4 Count - Dr. Madhuri V., APOC, Warangal, Sept’13.

44. Efficacy Of SFIOL & Claw Lens In Management Of Aphakia - Dr. Jayamadhury G., AIOC, Agra, Feb’14.

45. Psuedo-Orbital Cellulitis : An Indicator For High Mortality? - Dr. Rajesh, Nov’13.

46. Intravitreal Carboplatin With Avastin: Regression Of ONH Metastasis - Dr. Rajesh, Nov’13.

47. Smart Phones In Ophthalmology, Mishra D., Mahesh Shanmugam, Madhu Kumar, Rajesh R., Andhra Pradesh Ophthalmological Society Meeting, 27-29th September, Warangal, 2013.

48. Management Of Urreta Zalvaria Syndrome Post Dalk- Dr. Pallavi, Kera Kon, Goa, Dec 2013.

49. Video On Challenge In Ahmed Glaucoma Valve Implantation - Dr. Meena, Dr. Mahesh Shanmugam. P., All India Ophthalmological Conference, Agra, Feb 2014.

50. E -Poster -Impact Of Code Blue Protocol & BLS Training In Speciality Eye Hospital Through Time Motion Analysis- Dr. Kaushik Murali, Annual Conference Of The All India Ophthalmological Society, Agra Feb 2014.

4. Multidisciplinary Approach To Neuro Vision Rehabilitation - Mr. Aditya Goyal, Neuro Optometric Rehabilitation Association Conference, Organised By NORA, Raleigh, USA, Apr’14.

5. Comprehensive Paediatric Eye Care For The Community - Delivery Model And Impact, India Experience - Dr. Kaushik Murali, 8th International Symposium Of Ophthalmology, Guangzhou, China, 2013.

6. Yes - Improving Tolerance And Effectiveness Of Cyclo Pentolate In Children With Adiition On HPMC 1 %. (Paper ) Evaluation Of Incisional Architecture Of Sclero Carnial Dunnel & Incision With Razor Blade After Manual Sics Using Anterior Segment OCT ( Poster )- Dr. Kaushik Murali, APAO - AIOS, Hyderabad, Jan’13.

7. Poster - Acquired Iii Patery In A Child Secondary To Arachnoid Cyst- Dr. Sowmya, APAO - AIOS Hyderabad, Jan’13.

8. Paper - Does Size Really Matter? Inverted Irm Peeling For Large Macular Hole. Poster - Iris Claw / 6.5 mm PCIOL Apahalke Rehabilitation- Dr. Rajesh R, APAO - AIOS , Hyderabad, Jan’13.

9. E-Poster - Giant Aneurysm Of Anterior Cerebral Artery Misdiagnoised As Amblyopia - Dr. Sowmya, AIOC Annual Conference, Agra, Feb’14

10. Anciliary Vessel Sparing Extra Ocular Muscle Surgery And Routine Procedure In Future - Dr. Kavitha Venkatachalam, 72Nd AIOC 2014. Programme Ready Reckoner, Agra, Feb’14

11. Binocular Vision - Mr. Aditya Goyal, Vidyasagar, Kolkata, Mar’13

12. Binocular Vision - Mr. Aditya Goyal, Bansara, Kolkata, Mar’13

13. Binocular Vision - Mr. Aditya Goyal, SRMC, Kolkata, Apr’13

14. Binocular Vision - Mr. Aditya Goyal, IVI, Hyderabad, May’13

15. Binocular Vision - Mr. Aditya Goyal, Rishikesh, Jun’13

16. Binocular Vision - Mr. Aditya Goyal, Ophthalmic Officer, Jaipur, Dec’13

17. Binocular Vision - Mr. Aditya Goyal, Ophthalmic Officer, Vizag, Dec’13

18. Binocular Vision - Mr. Aditya Goyal, Chitkara, Chandigarh, Feb’13

19. Project Management (Conceptualisation To Monitoring) -Financial And Capital Planning - Preparing A Sound Budget - Dr. Kaushik Murali, Vision 2020 India Annual Conference, Bhopal, 2013.

20. Project Management (Conceptualisation To Monitoring) - Corporate Social Responsibility - Resource Mobilisation - Dr. Kaushik Murali, Vision 2020 India Annual Conference, Bhopal, 2013.

21. Towards Quality Excellence In Operation Theatre - Operation Theatre And Patient Safety - Dr. Kaushik Murali, Vision 2020 India Annual Conference, Bhopal, 2013.

22. Video Anterior Ciliary Vessel Sparing Extraocular Muscle Surgery – A Routine Procedure In The Future. - Dr. Kaushik Murali, Annual Conference Of The All India Ophthalmological Society, 2014.

23. E Poster - Modifying Eye Seeking Behavior In Children Through Community Paediatric Eye Screening Programme - Dr. Kaushik Murali, Annual Conference Of The All India Ophthalmological Society, 2014.

24. ACARA Indian Institute Of Human Settlement - Venture Stories - Dr. Kaushik Murali, Lecture At ACARA IIHS Summer Institute For Social And Environmental Enterpreneurship, 2013.

25. Paediatric Cataract Surgery In Difficult Situations - Dr. Kaushik Murali, Integral Vision, Rishikesh 2014

26. Guest Faculty - Dr. Umesh, KSOS Annual Conference, Nov’13.

27. Guest Faculty - Dr. Minija C.K., KSOS Annual Conference, Hassan, Nov’13.

28. Acquired Contunant In Elderly - Dr. Sowmya, KSOS Annual Conference, Hassan, Nov’13.

29. Validation Of Najar Swaad Cataract Surgery Risk Score In Sics In Sankara Bangalore - Dr. Subhashree, KSOS Annual Conference, Hassan, Nov’13.

30. Retinoblastome - Risk Factors And Visual Outcome / Vision Rehabilitation(E Poster) - Dr. Vidhya, KSOS Annual Conference, Hassan, Nov’13.

31. Update On Treatment Of Optic Neurotic - Dr. Rajesh, KSOS Annual Conference, Hassan, Nov’13.

32. Management Of Pediatric Cataract - Dr. Kavitha Venkatachalam, KOSC, Hassan, Nov’13.

33. Wipe Out Phenomenon :4 Myth Or Reality - Dr. Veena U. H., KOSC, Hassan, Nov’13.

34. Wipe Out Phenomenon :4 Myth Or Reality - Dr. Kamala Subramanian, KOSC, Hassan, Nov’13.

35. Phaco In Hypermature Morgngnian Cataract - Mr. Mallikarjun M.H., KOSC, Hassan, Nov’13.

36. Strabismus In Pediatric Age Group - Dr. Madhu Karna, CME, Max Hospital, Noida, Mar’13.

60 61

Events 2013-14

Anand

Mumbai (Malad) Hospital Inauguration

Kanpur City Hospital Inauguration

Anand City Centre Inauguration

Coimbatore (MHQ)

Co-sponsors Meet at Coimbatore Doctor’s Day Long Service Awards, Coimbatore Base Hospital

Mahashivrathri Millionth Surgery Felicitation Non Paying SOP Workshop

Phacsala Road Show Phacsala Road Show

Coimbatore City

Radiocity World Sight Day

Govt. Organised Rally Paid Screening Conducted at Anand Agriculture University

Vasad Police Station Supported Screening

CEO Mr. Ravi Chadha and his wife receive offerings from the priest

CEO Mr. Ravi Chadha and wife participating in the inauguration Pooja ceremony

Our patron, Dr. Babubhai Patel and his relatives perform the aarti while the staff members look on

Padmashri Irshad Mirza, Chairman Mirza International Limited inaugurates the Diagnostic Department

Dr. Col. Deshpande - President Vision 2020 Right to Sight, India inaugurates the Theatre Complex

Shri Mahesh Gupta Divisional Commissioner, Kanpur performs the honours of inaugurating the City Hospital at Kanpur

Dr. Kaushik Murali addresses the gatheringParamacharya addresses the gathering while Dr. R.V. Ramani and Mr. Chanrai look on

Paramacharya garlands Lord Ganesha

62 63

Bangalore

CME on ROPWorkshop on Accessible Science Workshop on Inclusive Education

10K Marathan Rotary & Sankara Nanna Kannu

Graduation Day 2013 Ocularisty Clinic InaugurationRAID common purpose meet

Shimoga

“Say It With Fruits”- Guests from Fort Collins, USAAnnual Day

Anganvadi Screening Programme

Quiz Competition for Childrens Day at Base Hospital

Visit of Sri Kimmane Rathnakar - Minister for Primary and Secondary Education Govt. of Karnataka

Ramkrishna Ashram Swamiji visits Base Hospital

Vijayawada

Stall at Industrial ExhibitionScreening at Rama Public School

Guntur

Dr. Sudhakar Felicitated by Rotary ClubAndhra Bank Chairman Visit Eenadu Health Show- Screening

Kanna Charitable Trust 1000 Camps Award Jt. Director of National Programme for Control of Blindness - visit

64 65

Annual Day Celebrations

World Sight Day Screening

World Blood Donors Day

World Optometry Day Streetplay

Awards & Accolades

Dharamsay Nansey Oman Award 2012

India NGO Award 2008

S.R. Jindal Prize 2011 The Six Sigma Healthcare Excellence 2013 Award

IMC Ramkrishna Bajaj National Quality Excellence Trophy 2013, by IMC

Ramkrishna Bajaj National Quality Award Trust, on March 19, 2014 in Mumbai

The Medical Excellence Award 2014, by Aditya Media and JanSanskruti

FICCI 2009, 2010, 2011

Namma Bengaluru Award 2009

HMA 2008

Social Impact Award 2011

Press Conference on 1st Anniversary

CME on Optometry

Ludhiana

Optometry Course Batch Lions Club TalkGroup Photo on CME

Eye Bank Inauguration100th Camp at Focal PointBrig. M.S. Gujral, CEO Ludhiana, Recieving the

Medical Excellence Award 2014

66 67

Financial Report

Rs. In Crores

Financial Years 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 2013-14

Donations for Operations 5.46 2.68 3.32 4.11 7.00 5.79 6.84 9.08 12.91 12.38

Donations for projects 0.36 7.63 13.48 21.00 4.77 11.79 17.84 17.72 24.00

Hospital Income 5.05 6.15 7.46 8.37 16.04 24.62 31.02 42.37 53.28 66.77

Total Expenses 7.68 8.57 9.93 12.13 19.14 27.35 34.17 48.08 63.60 73.66

Total Assets 21.17 25.81 34.47 50.32 85.91 90.69 106.4 129.42 158.65 217.68

Total Liabilities 1.54 1.06 0.94 1.79 7.08 3.61 3.55 5.25 15.29 43.74

Net Worth 19.63 24.75 33.53 48.53 78.83 87.08 102.85 124.17 143.36 173.93

FINANCIAL PERFORMANCE SNAPSHOT FOR THE LAST 10 YEARS

68 69

Auditor’s Report CONSOLIDATED INCOME AND EXPENDITUREACCOUNT FOR THE YEAR ENDED31st MARCH, 2013

PARTICULARS 2013-14 2012-13

INCOME

Donations from Public - Specific 239,980,709 177,216,549Donations from Public - General 123,836,812 109,826,986

TOTAL DONATION 363,817,521 287,043,534

Less : Specific Donations Transferred to Corpus Account 238,856,709 176,486,549Less : Endowment Donations Transferred to Endowment Account 1,124,000 730,000

123,836,812 109,826,986

Transferred From Corpus --- 19,317,560 Profit On Redemption Of Mutual Funds --- 679,217Dividend Receipts - From Mutual Funds --- 300,805Collection From Patients 548,639,323 457,332,469Interest Receipts 21,944,874 8,822,992Other Receipts 12,459,234 7,225,645Preventive Eye Care Charges 2,808,556 2,250,978RECURRING GRANT FROM : - Govt of India - Eye Bank 575,250 543,750 - Indian Council for Medical Research Icmr 899,053 899,166 - Sri Ratan Tata Trust - Support to Sankara Academy of Vision 5,473,766 1,283,550 - District Blindness Control Society 74,869,605 52,880,190 - Others 75,000 550,000

791,581,473 661,913,308

EXPENDITURE

Establishment Charges 350,786,438 316,530,085Medicines And Lens 151,257,864 121,212,932Cafeteria Expenses 22,934,334 21,721,750Repairs And Maintenance 28,468,887 36,163,377Camp Expenses 8,783,824 6,623,998Ward Up Keep 43,780,614 40,539,875Transportation Expenses 33,341,001 29,496,215Training Expenses 42,434,255 23,169,949Printing And Stationery 10,508,262 8,355,801Marketing Expenses 6,519,632 5,013,505Financial Charges 6,449,604 2,716,076Eye Bank Expenses 653,746 493,565Administrative Expenses 30,455,663 23,965,514TDS Interest Paid 36,391 ---Donation Given 220,750 ---

7,366,631,265 636,002,641

EXCESS OF INCOME OVER EXPENDITURE 54,950,209 25,910,667

For SRI KANCHIKAMAKOTI MEDICAL TRUST For V K S AIYER & COCHARTERED ACCOUNTANTS

Founder & Managing Trustee N. RAMESH NATARAJAN - PartnerMembership No. 200/23443

Amount in Rs.

70 71

CONSOLIDATED BALANCE SHEET FOR THE YEAR ENDED 31ST MARCH, 2014

DESCRIPTION OF LIABILITIES SCHEDULES 2013-14 2012-13

DONATION IN CASH RECEIVED TOWARDS INITIAL CORPUS

From the author of the trust Balance as per Last Balance Sheet 602 602

DONATION IN KIND RECEIVED TOWARDS CORPUS

Balance As Per Last Balance Sheet 97,226,465 91,399,173Add : Received during the year 9,194,995 5,827,292Less: Transferred to Trust Books ---- ----

CLOSING BALANCE 106,421,460 97,226,465

GENERAL FUNDS OF THE SRI KANCHI KAMAKOTI MEDICAL TRUST

Balance As Per Last Balance Sheet 1,088,407,262 967,849,269Add : Assets out of contractual agreement ---- ----

1,088,407,262 967,849,269

Add : Excess of Income over Expenditure 54,950,209 25,910,667 Add : Transferred from Corpus Fund - being corpus funds applied 171,502,562 94,647,326

1,314,860,033 1,088,407,262

Add: Transferred from Other Units ---- ----

CLOSING BALANCE 1,314,860,033 1,088,407,262

VOLUNTARY CONTRIBUTIONS WITH SPECIFIC DIRECTION (ENDOWMENT)

Balance As Per Last Balance Sheet 3,202,002 2,472,002Add : Received during the year 1,124,000 730,000

Add: Transferred from Units 4,326,002 3,202,002

CLOSING BALANCE 4,326,002 3,202,002

VOLUNTARY CONTRIBUTIONS WITH SPECIFIC DIRECTION

Balance As Per Last Balance Sheet 242,534,888 180,013,225 Add : Received during the year 238,856,709 176,486,549

481,391,597 356,499,774

Less : Transferred to Income & Expenditure account --- 19,317,560Less : Applied during the year & Earlier Years transferred to General Fund 171,502,562 94,647,326

CLOSING BALANCE 309,889,035 242,534,888

1,735,497,132 1,431,371,219 Grant in Aid from Sri Ratan Tata Trust to Sankara Academy of Vision 3,850,435 2 ,222,971 IOL TRAINING - GOI

Balance As Per Last Balance Sheet 180,053 (224,287)Add : Received during the year --- 720,000

180,053 495,713

Less : Applied during the year 180,053 315,660

CLOSING BALANCE --- 180,053

Amount in Rs.

DESCRIPTION OF LIABILITIES SCHEDULES 2013-14 2012-13

SECURED LOANS AND ADVANCES

From Banks 1 150,000,000 4,880,000

Hire Purchase Credits For Acquisition Of Vehicles 2 1,175,611 3,569,407

Deferred Credits 3 80,025,202 54,825,202

190,640,292 63,274,609

Unsecured Loans from others 4 20,000,000 6,365,106

CURRENT LIABILITIES & PROVISIONS 5

CURRENT LIABILITIES :

Loans repayable on demand 91,090,544 ---

Current Maturities of long term DEBT 35,257,097 32,545,931

Sundry Creditors 80,854,880 22,245,020

Liabilities for Expenses 2,079,180 15,952,931

Liabilities for other Finance 5,017,968 3,106,829

Other Current Liabilities 8,524,222 4,373,958

PROVISIONS Short term Provisions 3,943,832 4,903,272

TOTAL CURRENT LIABILITIES & PROVISIONS 226,767,722 83,127,940

INTER UNIT BALANCES 2,176,755,581 1,586,541,897

DESCRIPTION OF ASSETS SCHEDULES Total with 35 AC Total with 35 AC

2013-14 2012-13

Fixed Assets 6 1,635,131,595 1,307,617,052

Investments 7 27,919,044 24,331,517

Current Assets Loans And Advances

1. Inventory 8 1,971,578 2,081,746

2. Sundry Debtors: (i.e. Bills Receivable: 9 22,932,850 25,228,617

3. Cash And Bank Balances: 10 358,011,058 192,520,457

4. Other Current Assets 11 334,292 104,737

5. Loans & Advances & Deposits 12 130,455,164 34,657,771

TOTAL CURRENT ASSETS LOANS & ADVANCES 513,704,942 254,593,328

CURRENT ASSETS LOANS & ADVANCES (NET) 513,704,942 254,593,328

2,176,755,581 1,586,541,897

For SRI KANCHIKAMAKOTI MEDICAL TRUST

Founder & Managing Trustee

Amount in Rs.

For V K S AIYER & COCHARTERED ACCOUNTANTS

N. RAMESH NATARAJAN - PartnerMembership No. 200/23443

72 73

FUND FLOW STATEMENT FROM 01.04.2013 to 31.03.2014

SOURCES OF FUNDS Amount Rs.

Funds From Operations 54,950,209

INCREASE IN

Donation in kind 9,194,995

Specific capital donations 238,856,709

Specific grant from SRTT 1,627,464

Endowment funds 1,124,000

Secured loans 127,365,683

Unsecured loans 13,634,894

Current liabilities 143,639,782

TOTAL SOURCES OF FUNDS (A) 590,393,736

APPLICATION OF FUNDS

INCREASE IN:

Fixed assets 327,514,542

Current assets 93,621,012

Investments 3,587,527

DECREASE IN:

IOL training fund 180,053

TOTAL APPLICATION OF FUNDS (B) 424,903,135

NET INCREASE / ( DECREASE) IN CASH AND BANK BALANCES

Closing Cash And Bank Balances 358,011,058

Opening Cash And Bank Balances 192,520,457

A-B 165,490,601

1. Basis of Accounting

The financial statements are prepared under historical cost convention and on mercantile basis and in accordance with applicable accounting standards laid down by the Institute of Chartered Accountants of India and normally accepted accounting principles. The accounting is on the basis of a going concern concept.

Accounting Standards prescribed the Institute Of Chartered Accountants of India have been adopted to the extent applicable in the preparation of annual accounts with permissible departures wherever required

2. Fixed Assets

Fixed assets are stated at cost of acquisition, including and attributable cost for bringing the assets to its working condition for its intended use. Fixed assets received as contributions in kind are stated at the cost incurred by its donor and other expenses to its working condition for its intended use.

3. Investments

Investments are considered long term and carried at their cost unless there is a permanent diminution in value of investments. Interest of such investments are accounted on actual basis. In case of Dividends from other form of investments, they are accounted as and when they are actually received / right to receipt is established. Investments are generally is the form of fixed deposits with scheduled banks as stipulated by Income Tax Act, 1961.

4. Liabilities

Liabilities acknowledged as debt are taken into account, while contingent and disputed liabilities, if any, are not provided for and are disclosed by way of a Note.

5. Provisions

Provision is recognised when an enterprise has a present obligation as a result of past event and is probable that an outflow of resources will be required to settle the obligation, in respect of which a reliable estimate can be made. Provisions are determined based on Management estimates required to settle the obligation at the Balance Sheet date. These are reviewed at each Balance Sheet date and adjusted to reflect the current management estimate.

6. Revenue Recognition

Hospital Service Income, reflected is at gross amount as reduced by rebates, discounts and other concessional granted.

7. Foreign Currency Transaction

Foreign Currency Transactions are normally recorded at the rates prevailing on the date of transaction.

8. Borrowing Cost

Borrowing costs including interest and other costs as specified in paragraph 4 of the Accounting Standard 16 incurred in connection with borrowing funds, if any, are capitalised as per the method prescribed in the said standard, with the value of the qualifying asset, which takes a substantial period exceeding 12 months to get ready for its intended use or sale.

9. Research and Development

Capital Expenditure if any on Research and Development is treated in the same way as expenditure on fixed assets. The revenue expenditure if any, on Research and Development is written off in the year in which it is incurred.

10. Retirement Benefits

a) Retirement benefits such as periodical Contribution to Provident fund and Pension Fund and Employees State Insurance, being defined contribution plans, are charged to revenue on payment that had become due.

b) The employee’s gratuity is a defined benefit plan. The present value of the obligation under such plan is determined based on the actuarial valuation using the projected unit credit method which recognises each period of service as giving rise to an additional unit of employee benefit entitlement and measures each unit separately to build up the financial obligation. The Company has an employee gratuity fund managed by trustees through Life Insurance Corporation of India.

c) Liability towards gratuity is provided and contributed to the trustees of the approved fund on the basis of actuarial valuation made and reported by actuaries of the Life Insurance Corporation of India as at the end of the year.

11. Leave Benefits

Leave benefits earned by employees during a year are allowed to be encashed in full with in that year.

Significant Accounting Policies and Notes to the Accounts

74 75

Particulars Budget 2013-2014 Actuals 2013-14

Income

Hospital collections 602,178,200 551,447,879

DBCS Grant in Aid 110,281,186 74,869,605

Other Government Grants 575,250

Interest on Investments 5,000,000 34,404,108

Grants other than Goverments 6,447,819

TOTAL 717,459,386 667,744,661

ExpensesMedicines and Consumables 173,134,288 151,257,864

Establishment Cost 363,087,298 350,786,438

Food,Transport and Camp Expenses for Non Paying patients 61,368,237 65,059,159

Ward Upkeep,Repairs and Maintenance 75,029,156 72,249,501

Printing and Stationery 9,134,999 10,508,261

Marketing Expenses 10,755,400 6,519,632

Eye bank Expenses -108,504 653,746

Training expenses 2,045,412 42,434,255

Administrative expenses 34,735,500 37,162,409

TOTAL 729,181,785 736,631,265

Surplus / (Deficit) -11,722,399 -68,886,604

Donations Received towards recurring expenses 123,836,812

Surplus after considering donations -11,722,399 54,950,208

Self Sufficiency % 98% 91%

BUDGET VS ACTUAL FOR THE YEAR 2013-1412. Related Parties

The following persons have been identified by the Board of Trustees as Related Parties.

i. Principal Related party, all members of the Board of Trustees

ii. Substantial Donors as a related parties: a. Sankara Eye Foundation, USA b. Sankara Eye Foundation, UK c. Chanrai Foundation, India / Nigeria

iii. Key Managerial Personnel:

Dr. R.V. Ramani Founder & Managing Trustee

Dr. Radha Ramani Co-Founder

Dr. Janakiraman Director - Technical

Mr. Bharath National Head - Outreach & Information Systems

Dr. Kaushik Murali Director - Technical

Mr. Subba Rao Director - HR

Mr. Sriram S. Chief Financial Officer

Mr. Sethu Madhavan U.K. Country Head - Business Development

Mr. C.N. Srivatsan Hon. Director - Projects

Ms. Seetha Chandrasekar Director - Partner Relations and Foundations

13. Contingent Assets and Contingent Liabilities:

Contingent Assets are not recognised in the books of accounts. Amount due by the Medical Institutions by way of reimburse-ment from District Blindness Society of the respective States is accounted to actual receipt basis. Contingent liabilities are disclosed by way of a note.

SKKMT has entered into an agreement with Life Insurance Corporation of India to administer its Gratuity Scheme. Gratuity liability has been provided for in the Books.

District Blindness Control Society is the Government of India Agency for providing Grants for administering free surgery under the Scheme. The Grants actually received have been accounted as Income. Likewise all other donations have been accounted on the receipt basis.

There are no contingent liabilities pending as on 31/03/2014 on account of (a) Legal cases (b) Pending Income Tax or any other statutory liability (c) LC discounted.

SKKMT is registered under Foreign Contribution Regulation Act and under Income Tax Act for Sec 80G Donations and 35AC Donations. The necessary returns and compliances required under the Act with regard to the same have been complied with during the year.

SKKMT being a Trust does not provide for depreciation yearly with regard to its Fixed Assets. However the loss of profit on disposal of asset is recognised in the year when the asset (s) is disposed of.

Investments have been held with Banks as Fixed Deposits. Balances in specifically / generally earmarked funds have been held as Fixed Deposits with Bank and accounted as Balances in Deposit accounts under cash and bank balances.

Surplus funds earmarked for specific purpose have been held as Fixed deposits and accounted as fixed deposits.

Bank Guarantees for Rs 15.19 lacs have been provided for various Hospital operations by marking lien on fixed deposits.

Figures have been rounded to the nearest Rupee.

Previous year’s figures have been re arranged and re grouped wherever necessary so as to make them comparable with those of the Current Year.

Other NotesIdentity

Sri Kanchi Kamakoti Medical Trust is a registered public charitable Trust, registered vide Doc No.61 of 1982, Book 4 dated

05th February, 1982

The Trust is registered u/s12 A of the Income Tax Act, 1961 and with the CIT –I, Coimbatore u/s 80 G, valid till perpetuity

(C.No.127 (73)/11-12/CIT-I/CBE /2012-13 dt 24.09.2012).

The Trust is accorded approval by the CCIT, Coimbatore u/s 10 (23C) (vi) of the Income Tax Act, 1961.

(C. No. 1491(7)/2010-11/ Sec 10(23C) (via)/CCIT/CBE dated 28.07.2011

Name & Address of the Main Bankers

Central Bank of India, Saravanampatti Branch, Sathy Road, Coimbatore-641 035.

Canara Bank, Oppanakara Street, Coimbatore-641001.

Axis Bank Ltd, R.S. Puram, Coimbatore-641 002.

Name & Address of the Auditors

Mr. N. Ramesh Natarajan, VKS Aiyer & Co, “A.S.Apartments” No.34, Bharathi Park, 8th Cross, Saibaba Colony Coimbatore - 641 011.

Vision and Impact

Vision: To work towards freedom from preventable and curable blindness.

Mission: To provide unmatched eye care through a strong service oriented team.

Governance: The Trust is managed by a team of nine Trustees.

Notes to the Accounts

76 77

Name Age Gender Educational Occupation Qualification

Mr. C. N. Srivatsan 56 Male C.A. Honorary Director – Projects, Sankara Eye Care Institutions - India

Mr. Sundar Radhakrishnan 66 Male B.E., Chief Executive Officer, President and Director- P.G.D.M. VARStreet Inc., Board Member of Sankara Eye (IIM – A) Foundation – USA and Co-Founder, Director of Strategy, Executive Director Mastek Ltd.

Mr. P. Jayendra 56 Male B.Sc. (Chemistry) Chairman – Real-Image Media Technologies

Mr. S.G. Murali 64 Male C.A. Chief Financial Officer and Executive Vice President TVS Motors

Steering Council

Name Age Gender Position in Occupation Meetings the Board attended

Dr. S.V. Balasubramanian 74 Male Chairman Chairman & Managing Director, 4/4 Bannariamman Sugars & Annamalai Finance -Tamilnadu& Karnataka

Dr. R.V. Ramani 66 Male Founder & Runs a private Clinic along with 4/4 Managing his wife Dr. (Mrs) R.V. Radha Ramani in Trustee memory of his late father Dr. A. Ramanathan

Dr. Leela Meenakshi 81 Female Trustee Former Dean, Cancer Institute of - G Kuppuswamy Naidu Memorial Hospital

Dr. P. G. Viswanathan 76 Male Trustee Runs his own ENT Hospital 4/4 Specialises in micro surgery

Dr. S. R. Rao 67 Male Trustee Runs his own private institution- 4/4 Rao Hospital - specialized in laparoscopic surgery established by his father, late Major R S Rao, a founder member of the Trust

Sri. N. Natraj 79 Male Trustee Former Managing Director - M/s Anand Kumar Mills

Dr. S Balasubramanian 67 Male Trustee Runs a Private Eye Hospital - 4/4 Specializes in Micro Surgery and Corneal Transplants

Mr. Jagdish Chanrai 64 Male Trustee Industrialist and Social Activist 2/4

Mr. Murali Krishnamurthy 59 Male Trustee Founder and Executive Chairman SEF USA 1/4

Details of Board Members The Sri Kanchi Kamakoti Medical Trust Board met 4 times in FY 2013-14 on 30th May 2013, 14th Sep 2013, 8th Nov 2013, 13th Feb 2013.

Board approves programmes, budgets, annual activity reports and audited financial statements. The Board ensures the organisation’s compliance with laws and regulations.

Senior Leadership Meeting

A nine member Senior Leadership functions under the Managing Trustee. The Senior Leadership consists of the Directors and Heads of various key portfolios like Finance, Human Resource, Marketing, Technical / Medical, Training etc.

Name Designation Apex Portfolio Meetings Attended

Dr R. V. Ramani Founder & Managing Trustee Doctors Training 6/6

Dr Radha Ramani Co-Founder Paramedics Training 4/6

Dr Janakiraman Director - Technical Technical 6/6

Mr. Bharath Head - OR & IS Outreach & IS 6/6

Dr. Kaushik Murali Head - Technical Technical 6/6

Mr. Subba Rao Director-Human Asset Human Resource 6/6

Mr. Sriram S. Chief Financial Officer Finance & Accounts 6/6

Mr. Sethu Madhavan U.K. Head Business Business Development 6/6 Development

Mr. C. N. Srivatsan Hon.Director - Projects Projects 3/6

Ms. Seetha Chandrasekar Director - Partner Relations Partner Relations and Foundations 4/6

The Senior Leadership met 6 times in April 27, 2013, June 17, 2013, July 19, 2013, September 17, 2013, December 13, 2013 and March 13, 2014.

Sri Kanchi Kamakoti Medical Trust is managing Sankara Eye Hospitals across the country and the pan India group is referred to as Sankara Eye Care Institutions – India

Accountability and Transparency

No remuneration, sitting fees or any other form of compensation has been paid since inception of the Trust, to any Trustee. No travelling expenses have been paid to any of the Trustees to attend the Board Meeting. No other reimbursements have been made to any Trustee.

78 79

Slab of gross salary (in Rs) plus benefits Male Staff Female Staff Total Staff paid to staff (per month)

Less than 5000 16 98 114

5,000 – 10,000 101 304 405

10,000 – 25,000 195 176 371

25,000 – 50,000 67 64 131

50,000 – 1,00,000 13 23 36

Greater than 1,00,000 4 3 7

Distribution of Staff according to salary levels ( as of 31st March 2014)

** Figures specified above excludes Stipend

Facts & Figures:

1. Highest salary paid is Rs. 78,00,000 per year

2. Lowest salary paid is Rs. 57,984 per year.

Total monthly payments made to consultants (In Rs) Number of consultants

Less than 5000 10

5,000 – 10,000 3

10,000 – 25,000 12

25,000 – 50,000 20

50,000 – 1,00,000 12

Greater than 100,000 63

International travel details

Name Designation Destination Purpose Gross Sponsored Expense (Rs) by external organisation

Mr.Bharath Head-Outreach & London SEF UK – Strategy and Way Rs. 85,305/- No Balasubramaniam Information systems forward Meeting

Dr.Kaushik Murali & Head-Technical; London Presentation at the London Rs.1,13,830/- NoMr.Bharath Head-Outreach & House of Commons Balasubramaniam Information systems

Dr. Janakiraman Director-Technical; Scope Visit for Rs. 47,609/- No Dr.Kaushik & Head-Technical Botswana “Gift of Vision – Botswana” Mr.Bharath Head - Outreach & Information systems

Dr. Kaushik Head-Technical; USA SEF USA Visit Rs. 5,17,613/- NoMr. Srivatsan & Honorary director-projects; Mr. Bharath Head - Outreach & Information systems

Rs. 7,64,357/-

Anand:

CEO - Mr. Ravi Chadha CMO - Dr. Amit Chand

Bangalore:

CEO - Mr. Vikram Chaudhuri CMO - Dr. Umesh

Coimbatore:

Dr. Prabhushankar Asst. Director-Technical CEO - Mr. Manmadhan CMO - Dr. Ajita Sasidharan

Coimbatore City:

CAO - Mrs. Binitha Harish

Guntur:

CEO - Col. (Dr.) Shankar Ramany CMO - Dr. Sudhakar Potti

Krishnankoil:

CAO - Mr. Krishnan V. CMO - Dr. Visalakshi S.

Kanpur City:

CEO - Mr. Yadvendra Sahai

Ludhiana:

CEO - Mr. Mohan Singh Gujral CAO - Dr. Anamica Ahuja

Mumbai:

CEO - Mr. Sandesh Rane

Shimoga:

Dr. Mallikarjun M. H. Senior Consultant Cornea and Refractive Surgery CAO - Mrs. Gayatri Shantharam CMO - Dr. Ravi Shankar

Vijayawada:

CAO - Mrs. Sailaja Vemuri

Rishikesh (Managed Institution):

CAO - Dr. Anubha Agarwal CMO - Dr. Deba Prasad Kar

Sankara Eye Care Institutions, IndiaAnnual Meet 2013 - 2014

Unit Heads:

80

Sankara Eye Hospital Kunnur Po, Srivilliputhur TalukVirudhunagar Dist, Krishnankoil - 626190Ph : 04563-289029Mail: [email protected]

Sankara Eye Hospital Varthur Main Road, MarthahalliKundalahalli Gate, Bangalore-560037Ph : 080-28542727/28Mail: [email protected] www.sankaraeye.com

Sankara Eye Hospital Ta.Mogar, National Highway 8 Dist. Anand (Gujarat)Ph : 02692-280450Mail: [email protected]

Nirmal Ashram Eye Institute(Managed by Sankara Eye Care Institutions India)Khairi KalanP.O Sathya Narayan DistrictDehradun-249 204Ph: 0135-2452610, 2453142 Mail: [email protected]

Sankara Eye Hospital Sree Guru Residency, Prakasam Road, Near Pushpa HotelSuryaraopet, Vijayawada-520002Ph: 0866-2434629, 1001661Mail: [email protected]

Sankara Eye Hospital Guntur-Vijayawada Expressway Pedakakani, Guntur-522 509Ph : 0863-2293903/905Mail: [email protected]

Sankara Eye Hospital Thirthahalli Road, HarakereShimoga-577202Ph : 08182-222099/100Mail: [email protected]

Sankara Eye HospitalVipul World, Village Bhanohar, Post Dhaka, Near Wadi Haveli, Ludhiana - Ferozepur Road Dist. P.O Sathya Narayan District,Ludhiana - 141 101. Ph: 0161 -2881123 / 24.Mail: [email protected]

Sankara Eye Hospital Srivari Kikani Centre(Next to Chinthamani Super Market)Krishnaswamy Mudaliar RoadR.S.Puram, Coimbatore - 641002Ph: 0422-4256789, Mail: [email protected]

Sankara Eye Hospital 14/73, VIP Road, Civil Lines,Kanpur - 208001Ph : 0512-2530582, 2530116, 2530118 Mobile No : 7703006608

Bhojraj Chanrai Sankara Eye Hospital401/402, 4th Floor, SEJ Plaza,Near Nutan School, Marve Road,Malad-West, Mumbai – 400064Ph. : 7710077180

Headquarters:Sankara Eye Centre

Sathy Road, Sivananda Puram, Coimbatore-641035Ph : 0422-2666450, 4236789, E-mail : [email protected], www.sankaraeye.com

Sankara Eye Care Institutions, India

Donations to be made in the name of ‘Sri Kanchi Kamakoti Medical Trust’ payable at Coimbatore. Donations are exempted from IT-80G / 80 GGA/35AC (100%).

Online donations can be made through our website: www.sankaraeye.com

Sankara Worldwide

Sankara USA Sankara Eye Foundation, USA, 1900 McCarthy Blvd #302, Milpitas, CA 95035, www.giftofvision.org

Sankara Europe 123 Roehampton Vale Roehampton, London, SW15 3PGPhone: +44 208 780 2570, www.giftofvision.org.uk

Headquarters:

Sankara Eye HospitalSathy Road, Sivananda Puram, Coimbatore-641035

Ph : 0422-2666450, 4236789E-mail: [email protected]

www.sankaraeye.com

Sankara Eye Care Institutions

Documents

With the Blessings of the Sankaracharyas of Kanchi and …X(1)S(2wgsgoaegh5r4i55vk0tov55))/images...Sri Kanchi Kamakoti Medical Trust Registered Office: ... supplement the Charitable