cosmotic surgical center business plan

Cosmetic _Surgical _Centre _ Business Plan

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic Surgical Centre Proposal for Financial Assistance

For Cosmetic Centre



Company Information

Company

Registered Office Cosmetic Surgical center

Industry : Medical Industry - Cosmetology and Plastic Surgery

Promoters The promoters of the company are :- 1.

Cost of the Project Rs. 432.39 Lacs

Means of Finance Particulars

Amount (In Lacs)

Equity Capital 138.39 Term Loan – 294.00 Total 432.39

Auditors , Hyderabad

Finance Consultants Matrix Consulting #101, Durga Apartments, Rajbhavan Road, Hyderabad – 82 , Tel : 040-40037960 / 9989040404

Debt Equity 1: 2

Average Gross DSCR 2.26

Net DSCR 2.17

Break Even Point 35.73%



Genesis People now days go for cosmetic surgery in India to achieve beauty enhancement. Cosmetic surgery is now more popular that ever with reality TV shows such as extreme makeover increasing public awareness about cosmetic surgery and plastic surgery procedures. Although in the past cosmetic surgery was only available to the rich and famous, it is now becoming popular amongst the general public. In India many new and advanced medical treatment facilities are available and most experienced surgeons are also available for performing surgical procedure, which makes the success rate of different cosmetic surgery procedures very good and these too are provided at very low cost. The medical guide to cosmetic surgery aims to provide a comprehensive non-biased overview of cosmetic and plastic surgery procedures, the benefits, the risks involved and what you could expect from the cosmetic surgery procedure that you are interested in. You can get your cosmetic surgery in India done with best possible outcomes according to what you desired. Cosmetic surgery involves having a surgical procedure carried out by a plastic surgeon to improve the “look” of a particular part of your body. Cosmetic surgery can not only improve physical appearance but it can also have emotional and psychological effects. Procedures such as breast enlargement or a facelift could have a great influence on an individual’s self esteem and confidence levels. One of the most common questions when it comes to cosmetic surgery is: what is the price? How much does it cost? Why are some clinics cheaper than others? The overall cost of any cosmetic surgery procedure ultimately depends on a number of different factors including but not limited to: The experience of the surgeon, the location of the clinic, the aftercare package that you get, the type of procedure you are having, the type or quality of materials being used and number of days in hospital required. Different cosmetic surgeries which are now days successfully being performed in most advanced cosmetic surgery centers are Arm Lift Surgery, Body Lift Surgery, breast Enlargement & Implants, breast Lift, breast Implant removal Surgery, breast Reduction Surgery, Brow Lift, Buttock Lift surgery, Buccal fat removal, Chin Augmentation – Implants, Chin Reduction Surgery, Ear Correction Surgery, Facelift, Eyelid Lift surgery, Liposuction, Male breast reduction surgery, Rhinoplasty - Nose Reshaping Surgery etc. Medical tourism in India provides very good assistance to international patients for their low cost and safe surgical treatment in India, after patients’ arrival in India everything they require is taken care by medical tourism in India. In India most advanced treatment centers are available in most prominent cities of India at Chennai, Hyderabad, Bangalore, Mumbai and Delhi for performing different cosmetic surgeries in India. Getting cosmetic surgery in India is a very good option for abroad patients seeking low cost and safe surgical treatment for their beauty enhancement. With multiple cosmetic surgeries available for beauty enhancement, you can achieve a well shaped body and good looks.



I NTRODUCTION Cosmetics Surgical Centre is a cosmetology centre being set up in Hyderabad to provide medical care facilities in the field of cosmetology, plastic surgery and advanced dentistry. The centre will be fully equipped to provide treatments like:-

• Cosmetology – Botax, Chemical Peel, Microderma Abrasion, Laser Hair removal, Sclerotherapy

• Cosmetic Plastic Surgery – Liposuction, Nose Reshaping, Breast Reshaping, Elide surgeries, Face Lift.

• Cosmetic Dental Surgeries involving operation theatre procedures like dental implants and Cosmetic Dentistry.

• Maxillo Facial Surgeries • Orthognathic Surgeries - Surgical correction of jaws and teeth.

Promoters of the company Dr. Sudheer Karanam & Dr Archana are already running a speciality dental hospital under the name and style of Ameerpet Super Speciality Dental Hospital, a proprietorship firm from the year 2000 and today are one of the finest dental clinics in Hyderabad. The present dental hospital is located at Ameerpet which is the prime commercial market of the twin cities and is easily accessible from all parts of the country. Now the promoters are planning an expansion cum modernisation program to set up a Cosmetic Surgery unit at a cost of Rs.432.39 Lacs to have a state of the art cosmetology centre to provide medical facilities in the field of cosmetology and plastic surgery under the name and style of RAMACHANDRA COSMETIC SURGICAL CENTER ( The new facility of RCS is proposed to be set up by the company in 3550 Sq feet area at 102 & 301, Classic Avenue, 6-3-90/7, Ameerpet, Hyderabad wherein all the latest procedures pertaining to cosmetology and plastic surgery will be performed. The panel of doctors and surgeons along with the support staff will provide medical care in cosmetology to the patients from across the country.



SERVICES at the Proposed COSMETOLOGY CENTER Bephaloplasty Bephaloplasty relates to surgery of eyelids. Younger patients undergo this surgery because of an inherited condition in which the fat deposits push against a retaining wall (orbital septum) that normally prevents protrusion of fat resulting in early bulging above or below the eyes. Older patients generally seek surgery because of sagging of the eyelid skin, but can also have bulging fat. Liposuction Liposuction involves removal of fatty deposits in body. It is most successful in people with good skin tone who have fatty deposits. Mega liposuction Aspiration of more than ten liters of fat in one sitting is termed mega liposuction. The proportion of mega liposuctions being performed is increasing world-wide as more and more surgeons get convinced of its safety. Up to 20 liters can be aspirated in one sitting in well-selected cases and in a hospital setting with good infrastructure. Corrective cosmetic surgery It is challenging because the original anatomy is altered, important structures may be missing and there are scars and scar tissue to deal with. Corrective work requires complete mastery of the art of cosmetic surgery. Rhinoplasty, facial rejuvenation, breast surgery, liposuction and other body contouring procedures are the commonest areas where people have had to resort to corrective surgery.

Tummy tuck In some cases, liposuction surgery can be combined with excision of excess abdominal skin instead of a more complete tummy tuck. When a full tummy tuck is contemplated, however, extensive liposuction is best delayed until a later time or has to be done before abdominoplasty since there seems to be a higher chance of complications when the two

procedures are combined. Occasionally, minor additional liposuction is done after the original operation. Brachioplasty Brachioplasty relates correction of loose upper arm. Patients who have had mastectomy surgery may not be able to have a brachioplasty because of the increased risks of repeated armpit infections or also people with excess sweat production may also not be good candidates for brachioplasty cosmetic surgery. Thigh Lift (Thigh plasty) A thigh lift is done to remove excess skin from the thigh and buttock area. This sagging of skin is usually caused by weight loss or ageing. After patients have lost a lot of weight, having this surgery performed is like the “icing on the cake”.



Breast Enlargement The operation is carried out under general anaesthesia. An implant (prosthesis) is placed through an incision, under the breast tissue or under the muscle. The incision can be made under the breast, around the nipple or in the armpit. A breast implant is composed of an outer shell filled with saline (salt water). Breast Lift Mastopexy is commonly performed in conjunction with breast augmentation (implants) to increase breast firmness and size. This may appeal to women who have lost breast volume after pregnancy. Pregnancy and nursing often result in stretched skin and therefore decreased volume. Brow lift Newer techniques now allow to perform Forehead Lifting through small incisions in the scalp by using an Endoscope and specialized instruments. This accelerates the healing process. Facelift The skin begins to wrinkle and sag as a result of age, sun exposure and genetics. Over time, the skin sags and folds over the chin, jaw line and neck become prominent. Not only does a facelift improve facial appearance but also has a dramatic effect on the neck, enhancing its contour and profile. Male Breast Reduction Surgery Key hole surgery for male breast refers to application of principles of liposuction using certain special instruments. The marks are only 3-4 mm long and fade in time. Rhinoplasty Rhinoplasty relates surgery of nose. The reasons for rhinoplasty include reducing or increasing the size of the nose, removal of bumps as well as improving expressions of nose. Ear Surgery A complete examination of patient’s ears is made in order to take the most effective surgical approach. All issues such as shape and types of anesthesia used are discussed. The areas that will be excised are marked and digital photographs are taken in order to document the amount of improvement after surgery. Chin and Cheek Enhancement A small incision is made either underneath the chin or inside the mouth. A sterile implant, similar to the shape of a natural chin, is placed in front of the bone to increase the projection of the chin. The implant is secured in position and sutured.



Scar Reduction With very few exceptions most people are self-conscious about facial scars. Some people may also experience diminished functioning of eyes, mouth or nose due to scarring. Facial scar revision would improve not only patient’s appearance but also the self- confidence. Cleft Lip and Palate The correction of such deformities is challenging and the results are rewarding. Nose function as well as appearance gets major improvement by surgery. The days are gone when such surgeries were done in surgical camps. More and more patients are seeking better care and attention. The surgical options are many and varied. The results depend on judicious selection of technique keeping in mind the nature of deformity. Results are permanent. Genital surgery The following services are available for genital enhancement: 1. Male genital cosmetic surgery- - Penile lengthening - Penile girth increase

2. Female genital cosmetic surgery- - Labia minora reduction

- Labia majora enhancement - Pubic fat liposuction - Pubic lift - Vaginal tightening (Vaginoplasty) Butts surgery Butt implants are made of silicon and have been in use for a long time. They are safe and can be placed through hidden cuts. Body Contouring Diet, exercise and change in life style are the most important means to reduce weight and maintain the results. Morbidly obese (BMI 40 or more) may have to resort to bariatric surgery. Unfortunately, a large amount of weight is lost over a relatively short period of time. This can result in loose skin all over. Added to this will be sagging breasts, butts, arms, thighs and a prematurely aged look on the face. Cosmetic surgery can correct all these by tucks and lifts of the concerned areas. Body contouring after massive weight loss is a specialized field in cosmetic surgery requiring a great deal of experience designing the surgery itself. Dimple Creation Men and women are equally demanding this procedure now-a-days. As in all other surgeries, attention to detail is important here as well. Under local anesthesia, a small depression is created in the muscle of cheek region. This is done through the inside of the mouth without external scars.



NON INVASIVE SURGERIES Botax Treatment consists of a number of tiny injections made through a very fine needle directly into muscle. Effects of the injections begin to appear within a few days. The results generally last around four to six months, after which time, the injections must be repeated. Fat Injection Using ones own fat cells to augment and fill defects, is a time tested and safe option. Touch ups may be required in a few patients. Fat is harvested by liposuction using special technique and processed to remove tissue debris and injected as beads in layers to increase the viability. There is no chance of allergy or rejection. It works well for hollow under eyes, deep lines and sunken cheeks. Tissue Grafts Dermafat, dermis, fascia and muscle are viable permanent fillers. They are most useful in lip augmentation. Although this is not non surgical, the fact that the results are permanent make it an attractive option. Grafts can be harvested from locations where the incisions can be well hidden. Contour Threads As the ageing process begins, the skin's connective tissue thins and collagen and elastic fibers begin to break down. As a result, these changes in underlying support structures appear as sagging, deep creases, folds and wrinkles in the skin as early as one’s thirties. There is a simple new technique that makes it possible to rejuvenate and beautify the patient’s appearance. A lift procedure performed with Contour Threads is a safe, conservative and effective one that offers subtle, natural looking results. By gently shifting sagging tissues in an upward direction, this technique allows the surgeon to produce a relaxed, fresh appearance while preserving and enhancing the natural contours of the patient’s face.



COSMETOLOGY INDUSTRY – DEMAND ANALYSIS

Cosmetic surgery is not exactly a 20th century vanity. Although many of its innovations are the products of only the last two decades, as a field of medical practice cosmetic surgery dates far, far back - to the times of the Indian surgical wiz, Sushruta, in fact. That's the fifth century B.C. and the Sushrut Samhita tells how he used a flap of skin from the cheek and forehead to restructure a nose lost through accident or punishment.

What's new about cosmetic surgery is its current popular image. No longer are nose jobs and tummy tucks a preserve of the affluent set or the glamour professions. Today, not just movie stars and top-drawer models, but also company executives, housewives and college students see the aesthetic ideal as one worth pursuing without apology or guilt.

In India, the process has been nudged along by several specific social trends. A totally different kind of impetus has come from the promise and possibilities held out by the burgeoning glamour industry. Thus, the series of Indian triumphs on the international beauty stage in recent years has proved to be a major fillip as thousands of want to-be queens look to cosmetic surgeons to create for them those 'winning' looks and figures.

Many Plastic Surgeons were carrying out Cosmetic Surgery procedure as a part of their practice. But as an independent specialty, the first Cosmetic Surgery Centre of India was founded in Bombay on the 4th November 1987 by author Vijay Sharma as a speciality clinic. Currently, it continues to offer only aesthetic surgery procedures, including the face-lift, eyelid surgery, nasal surgery, facial contouring, ear correction, double-chin correction, liposuction, lipectomy, breast implants, breast uplift, breast reduction, Chemical Peeling, botox injections and several more.

Worldwide, cosmetic surgery constitutes about 20 to 70 per cent of the practice of renowned plastic surgeons. India is no exception, and in terms of aesthetic sense Indian surgeons are at par with those anywhere else in the world. On the basis of 15 years of a thriving independent practice, it can be confidently stated that the time is overdue for Indian surgeons to opt for cosmetic surgery as an independent specialty.

Common Cosmetic Surgery done in India

o Rhinoplasty o Face Lift o Breast Implant o Liposuction o Scar Revision o Chemical Peel o Eyelid Surgery o Gynacomastea

o Tatto Removal o Face Balancing o Chin Balancing o Hair Transplantation Dermabrassion o Auto Fatgrafting o Botox Injections o Laser Surgery



Responsible Factors

In India we observe that the attitude towards the cosmetic surgery depends on the several factors as follows:

1. Life style 2. Awareness 3. Socioeconomic status 4. Professional need 5. Phases of the life 6. Important events 7. Self Image 8. Availability 9. Globalization

1. LIFE STYLE:

People of India are aware about how to earn and how to invest money and get the best out of life. In other words, those who know how to balance the disciplines of life and progress are the major group who opt for cosmetic surgery.

2. AWARENESS:

Awareness among the Indians and availability of cosmetic surgery goes hand in hand. Not long ago very few people knew about cosmetic surgery, but with the beginning of first cosmetic surgery centre of India, people started opting for facelift, nose shaping, breast augmentation, liposuction, chemical peel and till now, a 600 folds growth has been observed in the cosmetic surgery between 1987 and 2003.

3. SOCIO ECONOMIC STATUS:

Though India is a developing country with mixed economy but she has many maharajas & inherited rich monarchs, century old traders, entrepreneurs and modern people. So the socio economic status varies a lot and has a large range of people with a varying paying capability for cosmetic surgery, but still the cost of Cosmetic Surgery in India is less than one third of international price. Enough reason to attract people for medical tourism in India.

4. PROFESSIONAL NEED:

In India the effect of globalization has motivated Indian people to be more presentable specially at international business convention, meeting and the beautiful Indian women winning successively four Miss World and two Miss Universe crowns has boosted the women of India to be more presentable and to opt for cosmetic surgery.



5. PHASES OF LIFE:

In India, the majority of people love being in the joint family. Hence, the common reasons for cosmetic surgery are as follows:

a. Grandfather going for a face-lift before his retirement to have a second boost of life,

b. Young girl correcting her humpy nose before joining college accompanied by her parents,

c. After marriage husband bringing his wife for a pair of breast implants, either due to the hidden desire to have a better breast, which she could not express to her parents or post multiple deliveries sagginess of the breast.

6. IMPORTANT EVENTS:

The phenomenon is noticed among Indians that the desire to get the cosmetic surgery done is enhanced around special events like Marriage, Birthday, Anniversary, Diwali, Christmas, Eid, Holidays, Completing Decade, Beginning of the Millennium etc.

7. SELF IMAGE:

Indians are very conscious about themselves, to maintain their physical, mental and spiritual well-being. Hence one finds yoga, asanas, massage, meditation and other traditional practices run in the family besides health Spa's.

Indian film industry is a land of superstars, so thousands of actors and actresses exist in Bollywood, who love their self image and opt for cosmetic surgery and become an epitome of "good looks" to be followed by common man.

8. AVAILABILITY:

Since 1987 Cosmetic Surgeons of India have been providing world class services as follows: "Face Lift", "Nose Shaping", "Cheek Implants", "Ear Shaping", "Breast Shaping", "Chin Correction", "Wrinkle Protofiling", "Hair Transplant" "Chemical Peeling", "Auto Fat Grafting", "Fat Suction" and "Botox Injection".



9. GLOBALIZATION:

India has come up on the world map as premier centre to provide quality medical care and finest doctors in the world.

A. People from 137 countries visit India to get more than 10,870 varieties of medical treatments.

B. India is the most economic and reliable when it comes to the advance medical procedures like.

o Cardiac bypass o Organ transplant o Cosmetic Surgery o Various Surgical Procedures o Medical Treatments o Health Checkups

C. 40 % of the National health services of USA and UK comprises the doctors of Indian origin trained in Indian medical colleges, who are serving the people of America and England.

D. 68 % of the quality medical care provided in India is by the doctors who have been trained in England, America, Germany and France.

E. Medical community in India is very aggressive in seeking knowledge and is on par with the advanced countries; and in some fields even better than the advanced countries.

F. Potentially India now has the infrastructure in a few private hospitals to provide quality medical care available in the rest of the world.

CONCLUSION

The social need of looking good among Indians exist irrespective of race, cast, colour, geographical distribution or socio economic status as else anywhere in the world. There is an up rise in the number of people of India getting cosmetic surgery done by 600 folds.

Definitely there is more emphasis upon youth, beauty and success among modern Indians as anywhere else in the world.

The media plays a great role about awareness of cosmetic surgery and Indian media is very aggressive about highlighting anything about cosmetic surgery.

The current growth of 600 folds in Cosmetic Surgery in India between years 1987 and 2003 is all due to the above mentioned factors.



Future Prospects: India’s GDP is growing at a rate of over 9% p.a., on the back of robust growth results declared by the industry and services sectors. The booming software sector, real estate and other sectors have resulted in higher income for the hitherto middle class families. Consequently, the disposable income in the hands of general public has been on the rise. The middle class and high class are now aspiring to reach world standards in all aspects of living. Hence, they are willing to spend on lifestyle products and self-image. Cosmetology improves the looks of people and also enhances their self esteem. Hence, there are more and more people desirous of cosmetic / plastic surgeries not merely for health reasons but for reasons of good looks. Hence, the prospects for the industry and the Company are very bright in the near and medium term. MEDICAL TOURISM – COST ADVANTAGE OF INDIA

Medical Tourism is where residents of one country seek to reduce the costs of their medical treatment at home, by having treatments done abroad and cutting the costs dramatically and enjoy a free holiday as well.

Medical Tourism has been gaining popularity of late. India has a distinct advantage in this field. India combines world class medical treatment with low costs. The rise in medical tourism has seen cosmetic surgery costs drop by up to 90%, making world class treatments affordable for everyone and the patient also gets to enjoy a free holiday as well.

If one has always wanted a face lift, breast enlargement or another procedure one can now afford the look one has always dreamt about, as cosmetic surgery costs have tumbled.

An extensive facelift that would cost $20,000 in the U.S would cost under $3,000 in India saving a massive $17,000. Savings are massive across all procedures making cosmetic surgery within the reach of everyone. Added to this pleasure of being among stunning beaches to the mighty Himalayas to the lovely Taj Mahal and thousands of years of culture and much more.

India combines world-class healthcare with prices costing a fraction of those in the US or Europe. This year, around half a million foreign patients will travel to India for medical care; in 2002, the number was only 150,000.

India is now the leader in medical tourism packages and growth in the industry is improving at more than 30% per annum and looks set to become a multi billion dollar industry.

Infrastructure costs are far lower in India and this is reflected in lower cosmetic surgery costs, yet the hospitals are world class.



The Expertise of Cosmetic Surgery in India

There has been bad press on cheap cosmetic surgery operations and most of them have been in western countries. In India low cosmetic surgery costs are combined with surgery on par with anywhere in the world and this is one of the fastest areas of growth in medical tourism in India.

Not only are the facilities fantastic, but Indian doctors are acknowledged worldwide for their expertise and professionalism, with many having trained in the west. Plastic and reconstructive surgery in India utilizes the latest techniques to cover all areas of cosmetic surgery.

Medical Visa For India:

The Indian Government issues Medical Visa to tourists who come to India for medical treatment.

• It is valid for a period of one year or the period of treatment, whichever is less. • It is extendable for a period of one additional year. • It enables tourist travel to India up to three times in one single year. • It enables 2 Family Members or Attendants to accompany the Patient. • The Indian Embassy assesses the patient's need & decides on Visa for Family

Members or Attendant. AMERICAN EXPERIENCE IN COSMETOLOGY DEVELOPMENT

Nearly 11.5 million cosmetic surgical and non surgical procedures were performed in the United States in 2005, according to statistics released by the American Society for Aesthetic Plastic Surgery (ASAPS). The Aesthetic Society which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 444% since the collection of the statistics first began. The most frequently performed procedure was Botox injections and the most popular surgical procedure was liposuction.

“The surgical portion of the statistics show interesting results in the breast augmentation and breast lift areas,” said Aesthetic Society president Mark L. Jewell, MD. “While some procedures are down, these areas continue to increase; breast augmentation by 9 percent and breast lift by 23 percent. This also marks the first year that we have segmented the device used for breast augmentation, saline or silicone.



TRENDS AND DEMOGRAPHIC DATA

Nearly 11.7 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2007, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 457 percent since the collection of the statistics first began. The most frequently performed procedure was Botox injections and the most popular surgical procedure was liposuction.

"Our statistics confirm that aesthetic plastic surgery is not defined by race or gender," said Aesthetic Society president Foad Nahai, MD. "The number of surgical and nonsurgical procedures performed on men increased 17 percent since last year, and 22 percent of the aesthetic procedures were performed on traditional racial and ethnic minorities."

TRENDS AND DEMOGRAPHIC DATA

Top surgical and nonsurgical cosmetic procedures among men and women in 2007:

Surgical procedures Nonsurgical procedures Liposuction 456,828 Botox 2,775,176

Breast augmentation 399,440 Hyaluronic Acid (Hylaform, Juvederm, Restylane) 1,448,716

Eyelid surgery 240,763 Laser Hair Removal 1,412,657 Abdominoplasty 185,335 Microdermabrasion 829,658 Female breast reduction 153,087 Laser Skin Resurfacing 647,707

Top cosmetic procedures for WOMEN

Surgical procedures Nonsurgical procedures Breast augmentation 399,440 Botox 2,445,656

Lipoplasty 398,848 Hyaluronic Acid (Hylaform, Juvederm, Restylane) 1,364,533

Eyelid surgery 208,199 Laser Hair Removal 1,226,974 Abdominoplasty 180,457 Microdermabrasion 743,748 Breast Reduction 153,087 IPL Laser Treatment 584,530

Women had 91 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was over 10.6 million, an increase of 1 percent from the previous year. Surgical procedures increased 9 percent; nonsurgical procedures decreased by less than 1 percent. Since 1997, surgical procedures increased 142 percent, while nonsurgical procedures have increased 743 percent.



Top cosmetic procedures for MEN:

Surgical procedures Nonsurgical procedures Liposuction 57,980 Botox injection 329,519 Eyelid surgery 32,564 Laser hair removal 185,684 Rhinoplasty 31,713 Microdermabrasion 85,910 Male breast reduction 20,280 Hyaluronic Acid (Hylaform, Juvederm,

Restylane) 84,184

Hair transplantation 16,491 IP laser treatment 63,177

Men had 9 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was just over 1 million, an increase of 17 percent from the previous year. Surgical procedures increased 5 percent; nonsurgical procedures increased 21 percent. Since 1997, surgical procedures have increased 3 percent while nonsurgical procedures have increased 886 percent.

Frequency of cosmetic procedures by AGE GROUP:

% of total Age procedures Top surgical procedure Top nonsurgical

procedure 47% 35-50 5.4 million Liposuction Botox 25% 51-64 2.9 million Eyelid Surgery Botox 21% 19-34 2.4 million Breast augmentation Laser Hair Removal

6% 65 and over 700,096 Eyelid Surgery Botox

2% 18 and under 205,119 Cosmetic ear surgery Laser Hair

Removal

Racial and Ethnic Distribution

Traditional racial and ethnic minorities accounted for 22 percent of all cosmetic procedures in 2007. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 2 percent.

Location and Fees

Almost fifty-four percent (54 percent) of cosmetic procedures in 2007 were performed in office-based facilities; 28 percent in freestanding surgicenters; and 17 percent in hospitals. Americans spent just over $13 billion on cosmetic procedures; $8.3 billion was for surgical procedures, and $4.7 billion was for nonsurgical procedures.



Quick Facts 2007

o There were nearly 11.7 million surgical and nonsurgical cosmetic procedures performed in the United States in 2007, as reported by the American Society for Aesthetic Plastic Surgery (ASAPS). Surgical procedures accounted for nearly 18% of the total with nonsurgical procedures making up 82% of the total.

o From 2006-2007, there was a 2 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 8 percent, and nonsurgical procedures increased by 1 percent.

o Since 1997, there has been a 457 percent increase in the total number of cosmetic procedures. Surgical procedures increased by 114 percent, and nonsurgical procedures increased by 754 percent.

o The top five surgical cosmetic procedures in 2007 were: liposuction (456,828 procedures); breast augmentation (399,440 procedures); eyelid surgery (240,763 procedures); abdominoplasty (185,335 procedures); and breast reduction (153,087 procedures).

o The top five nonsurgical cosmetic procedures in 2007 were: Botox injection (2,775,176 procedures); hyaluronic acid (1,448,716 procedures); laser hair removal (1,412,657 procedures); microdermabrasion (829,658 procedures); and IPL laser treatment (647,707 procedures).

o Women had nearly 10.6 million cosmetic procedures, 91% percent of the total. The number of cosmetic procedures for women increased 1 percent from 2006.

o The top five surgical procedures for women were: breast augmentation, liposuction, eyelid surgery, abdominoplasty and breast reduction.

o Men had nearly 1.1 million cosmetic procedures, 9 percent of the total. The number of cosmetic procedures for men increased 17 percent from 2006.

o The top five surgical procedures for men were: liposuction, eyelid surgery, rhinoplasty, breast reduction to treat enlarged male breasts, and hair transplantation.

o People age 35-50 had the most procedures – 5.4 million and 46 percent of the total. People age 19-34 had 21 percent of procedures; age 51-64 had 25 percent; age 65-and-over had 6 percent; and age 18-and-younger had less than 2 percent.

o The most common procedures for age 18-and-under were: laser hair removal, microdermabrasion, chemical peel, otoplasty (ear reshaping) and rhinoplasty.

o Traditional racial and ethnic minorities, as of last year, had approximately 21 percent of all cosmetic procedures, an decrease of 1 percent from 2006: Hispanics, 9 percent; African-Americans, 6 percent; Asians, 5 percent; and other non-Caucasians, 2 percent.

o Where cosmetic surgeries were performed: office facility, 54 percent, hospital 17 percent; and free-standing surgicenter, 29 percent.

o Of the doctors surveyed 70 percent say they do not offer "spa" services (e.g. wraps, facials, massages) in conjunction with their medical practices. 86 percent of the doctors say they do not work in conjunction with medical spas where nonsurgical procedures, such as injections and laser procedures are performed.

o Americans spent just under $13.2 billion on cosmetic procedures last year. Figures may not add exactly to totals and percentages may not equal 100 percent due to rounding.



COST OF THE PROJECT AND MEANS OF FINANCE Ramchandra Cosmetics Surgical Centre Pvt. Ltd. is a cosmetology centre being set up in Hyderabad to provide medical care facilities in the field of cosmetology, plastic surgery and advanced dentistry. The company will also takeover the business of Ameerpet Super Speciality Dental Hospital, a partnership firm, being run by one of the promoters of the company, Dr. Sudheer Karanam, as its managing partner. The company is planning an expansion cum modernisation program for the dental hospital to further upgrade the dental care facilities like cosmetic dental surgeries, maxillo facial surgeries, orthognathic surgeries etc. The company is proposing to undertake the project at a total cost of Rs. 432.39 Lacs as per the following details: Particulars Rs. In Lacs Land - Interiors 26.57 Plant & Machinery 253.57 Furniture and Fixtures 62.87 Electrical Equipments 53.68 Contingencies 27.80 Preliminary and Pre-operative Expenses 7.90 Total 432.39

MEANS OF FINANCE

Particulars Rs. In Lacs Capital 138.39 Term Loan 294.00 Total 432.39 The over all debt equity of the project works out to 2.12 : 1.



IMPLEMENTATION SCHEDULE:

The expansion plan is expected to be implemented as per the following schedule: Particulars Commencement Completion Acquisition of premises Already available Lease agreement Already available

Civil works including interiors, cabins, furniture etc.

February April

Plant & Machinery - Placement Order - Delivery at site

Process started

April

February

April

Arrangement for power Already Available

Arrangement for water Already Available

Electrical Installation Already Started March

Initial procurement of Consumable stores March

Training personnel Already Available

Inauguration 1st May ,

Commencement of services (with expanded capacity)

1st May ,

GOVERNMENT CONSENT AND SANCTIONS As the promoters are already running a dental hospital which is in operating since last 9 years, all necessary sanctions and approvals like municipal corporation licence, bio waste disposal certificate etc. are in place for the premises and can be immediately extended to the Cosmetic company too. The process has been initiated to get all the above clearances modified and it is expected that all clearances and sanctions will be in place before the commencement of the facility from 1st March 2011.



Cosmetic Clinics in and Around Hyderabad

Dr Priti Shukla's Cosmetic Surgery #305, Myfair garden, Besides Ohri's /petrol pump, Rd No 12, Banjara Hills, Hyderabad,

Andhra Pradesh 500034 - 09291565930 .

Sri Asthetic Plastic Surgery Banjara Hills, Hyderabad, Andhra Pradesh 500034 - 040 23355295

Sri Medical Aesthetics Cosmetic Surgery 8-2-686/B/10 Plot No 542,Road No 12,Near Rainbow Hospital, Banjara Hills,

Hyderabad, 500034 - 040 23301555

Lakshmi Saleem Flat-101 6-3-680, Sri Venkatarama Apartment,Somajiguda,Thakur Lane, Hyderabad,

Andhra Pradesh 500082 - 040 2340 3736

Cosmetic & Plastic Surgery Clinic Opp Mahavir Hospital, Shantinagar, Hyderabad, Andhra Pradesh 500028 - 040

23314484

Sri Sai Cosmetic & Plastic Surgery Clinic Shop#56 Block No 12, Bagh Lingampally, Hyderabad, Andhra Pradesh 500044 - 040

27650552

Concept Laser Cosmetic Surgery Ctr 6-3-572/2, Somajiguda, Hyderabad, Andhra Pradesh 500082

Sri Medical Aesthetics Cosmetic Surgery 8-2-686/B/10, Banjara Hills, Hyderabad, Andhra Pradesh 500034 - 09849991377

Vk'S Cosmetic Surgery Clinic & Lhe Ctr Saaz Apartments 6/3/249/3/C, Banjara Hills, Hyderabad, Andhra Pradesh 500034

Concept Cosmetic Surgery & Laser Clinic 11-5-401/1,Next To Neeraj Multi Media, Red Hills, Hyderabad, 500026 - 09848031160

The Royal Hospital For Dentistry & Facial Surgery # 6-3-626/1/104, Anand Nagar, Khairathabad, Hyderabad, Andhra Pradesh 500004 -

040 23323699



Professor V Sivarami Reddy Flat No 101 Plot No 23,Sireesha Residency,Shanti Nagar,Opposite Mahavir Hospital,

Masab Tank, Hyderabad, 500028 - 040 23316262

Clinic 2000 Arcade , Himayat Nagar Main Rd, 203, Second Floor, Sai Datta, Hyderabad, Andhra

Pradesh 500029 - 040 66669595

SV Clinic & Plastic Surgery Ctr 7-1-246/B/1,Dharam Karan Road,Lmr Temple, Ameerpet, Hyderabad, 500016 - 040

23743194

Dr Malik Dental Cosmetic & Surgery Centre 7-2-663 1st Floor,Subash Road,Opposite Bata Show Room, R P Road, Secunderabad,

500003 - 040 66173702

Revera Cosmetic & Laser Surgery Centre Prime Plaza (K.F.C Bld) 304, Himayath Nagar, Hyderabad, Andhra Pradesh 500029 -

040 23461998

New Look Cosmetic Laser Clinic Rajesh Villa, 1st Floor, 5-9-29/40/2, Opp.Hyderabad Nursing Home, Basheer Bagh,

Hyderabad, Andhra Pradesh 500063 - 040 66364808

International Dental Care 8-2-686/K/5/G2, Asha Mahal AGR, Adj. to Fresh@Banjara Supermarket, Rd,

Hyderabad, Andhra Pradesh 500034 - 040 23318747

Parvathi Nursing Home E-30, 31, Vikrampuri Colony, Behind KFC, Near Secunderabad Club, Karkhana Road,

Secunderabad, Andhra Pradesh 500009, Secunderabad, Andhra Pradesh 500009 - 040 2781 4173

Dr.VSRavindra BDS; FAGE Dental surgeon, Dental &Cosmetic clinic

PEODODONTICS (treatment for childrens'teeth problems),EXODONTIA AND

SURGERY( removal of impacted teeth by surgical procedure.) COSMETIC TREATMENT-

Wockhard hospitals Hyderabad

Apollo surgeon sets up Plastic Surgery Foundation at Hyderabad



Based on the feasibility study the Estimated Key Financial Parameters of the project, Financial projections, Term loan requirement, Term loan repayment schedules and such other financial data are worked out in detail and appended to this report Details of the Promoters Dental Clinic ( Proprietorship Firm ) The dental hospital is located at the leased premises of around 1800 SFt. At Ammerpet, Hyderabad Infrastructure available at Dental hospital

• Fully equipped automatic Five Dental Chairs, with Light Cure unit as well as OPG, X-Ray unit and Ultrasonic Scalars.

• Friadent (Frialite) Implant Kit from Germany

• Newly installed ORTHOPANTAMOGRAPH (O.P.G} machine,

TEMPEROMANDIBUALRJOINT (TMJ) and LATERAL CEPHALOGRAPHY X-rays

• A fully equipped DENTAL CERAMIC LABORATORY, attached to the hospital campus, with trained and skilled professional taking care of the crowns and bridges requirements of the hospital and as well as of private clinics in and around the twin cities.

• In patients facilities provided.

• Spacious waiting hall for accommodating sufficient number of patients and their

attendants.

• Centrally Air –conditioned

• Parking space available for Vehicles.



Specialities at the dental hospital

• Ameerpet Dental Hospital provides advanced Laser treatment for both Hard& Soft tissue.

• It is one of the few hospitals in the state of Andhra Pradesh, to have a separate fully equipped, IMPLANT CENTRE –along with advanced Laser equipment with three Implant surgical kits. The managing partner of the hospital, Dr. Sudheer Chowdhary, an Implantolagist, heads this section and has successfully inserted more than 250 implants within a span of 8years.

• Facilities available for Lingual orthodontics and Invisible Braces. • The hospital is accredited with government organizations and insurance companies as

referral hospital. The hospital has also initiated the process of accreditation under Central Government Health Scheme (CGHS) which is expected to materialize soon.



CAPEX Particulars INR Lacs 1 Land - 2 Interiors 26.57 3 Plant & Machinery 253.57 4 Furniture & Fixtures 62.87 5 Electrical, Aircon and Genset 53.68 6 Contingencies 27.80 7 Preliminary & Pre Operative Expenses 7.90

Total 432.39 Means of Finance

Particulars INR Lacs 1 Share Capital 138.39 2 Term Loan 294.00

Total 432.39



RS lacs Profitability projections Income FY ended 31 March 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15

Gross Sales

408.80

525.60

584.00

584.00

584.00

584.00 Other Income 0.00 0.00 0.00 0.00 0.00 0.00 Less: Excise Duty & Sales Tax 0.00 0.00 0.00 0.00 0.00 0.00

Net sales (A)

408.80

525.60

584.00

584.00

584.00

584.00 Expenditure Consumables Stores 51.10 65.70 73.00 73.00 73.00 73.00 Power & Fuel 7.20 7.20 7.20 7.20 7.20 7.20

Salaries & wages

81.92

88.06

94.66

101.76

109.39

114.86

Repairs and Maintenance

43.24

43.24

43.24

43.24

43.24

43.24

Other Manufacturing Expenses

9.68

12.01

13.18

13.18

13.18

13.18 Cost of Production (B) 193.13 216.21 231.28 238.38 246.01 251.48 Less: Increase/ (Decrease) in Stock - - - - - -

Selling, Distribution & Adm. Expenses

32.40

32.40

32.40

32.40

32.40

32.40

Total Cost of Sales

225.53

248.61

263.68

270.78

278.41

283.88

Gross profit

183.27

276.99

320.32

313.22

305.59

300.12 GP margin(%) 44.83% 52.70% 54.85% 53.63% 52.33% 51.39%

Interest on term loan

76.44

34.40

26.75

19.11

11.47 3.82 Prelimnary Expenses Written Off - - - - - - Depreciation 36.66 36.66 36.66 36.66 36.66 36.66

Sub Total

113.10

71.06

63.42

55.77

48.13

40.49

Profit before tax

70.17

205.93

256.90

257.44

257.46

259.63

Provision for Taxation

17.37

66.20

85.82

87.97

89.66

91.84

Profit after Tax

52.80

139.73

171.08

169.47

167.80

167.79 Dividend 0 0 0 0 0 0

Retained profit

52.80

139.73

171.08

169.47

167.80

167.79



Projected Balance Sheet of LIABILITIES (Rs. Lacs)

As at March, 31 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 SOURCES OF FUNDS 1 Share Holders Funds a Equity Share Capital 138.39 138.39 138.39 138.39 138.39 138.39 Profit for the year 52.80 139.73 171.08 169.47 167.80 167.79 b Reserves & Surplus 0.00 52.80 192.53 363.61 533.08 700.87 Sub Total (A) 191.19 330.92 502.00 671.47 839.27 1007.05 2 Loan Funds a Term Loan 294.00 235.20 176.40 117.60 58.80 0.00 b Working Capital Loan 0.00 0.00 0.00 0.00 0.00 0.00 c Unsecured loans 0.00 0.00 0.00 0.00 0.00 0.00 Sub Total (B) 294.00 235.20 176.40 117.60 58.80 0.00 3 Current Liabilities a Creditors for supplies 4.26 5.48 6.08 6.08 6.08 6.08 b Creditors for expenses 6.83 7.34 7.89 8.48 9.12 9.57 Sub total © 11.08 12.81 13.97 14.56 15.20 15.66 Total Liabilities 496.28 578.93 692.37 803.64 913.27 1022.71 ASSETS (Rs. Lacs)

2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 APPLICATION OF FUNDS 1 Fixed Assets a Gross Block 432.39 432.39 432.39 432.39 432.39 432.39 b Less: Depreciation 36.66 73.33 109.99 146.65 183.32 219.98 Net Fixed Assets 395.73 359.07 322.40 285.74 249.08 212.41 2 Investments 0.00 0.00 0.00 0.00 0.00 0.00 3 Current Assets, Loans & Advances Inventories 4.26 5.48 6.08 6.08 6.08 6.08 Receivables 34.07 43.80 48.67 48.67 48.67 48.67

Deposits & Other Current Assets 32.22 135.59 275.22 418.15 559.44 700.55

Cash & Bank Balances 30.00 35.00 40.00 45.00 50.00 55.00 Total Current Assets 100.55 219.87 369.97 517.90 664.19 810.30 4 Preliminary Expenses 0.00 0.00 0.00 0.00 0.00 0.00 Total Assets 496.28 578.93 692.37 803.64 913.27 1022.71



Projected cash flow statement INR lacs

For the year ending March 31, 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 Sources of funds Net Profit After Taxes 52.80 139.73 171.08 169.47 167.80 167.79 Depreciation 36.66 36.66 36.66 36.66 36.66 36.66 Increase in term loan 294.00 Increase in Unsecured Loans - - - - - - Increase in Equity 138.39 - - - - - Preliminary Expenses Written off 0.00 0.00 0.00 0.00 0.00 0.00 Reduction in Non Current Assets 0.00 0.00 0.00 0.00 0.00 0.00 Increase in bank borrowing 0.00 0.00 0.00 0.00 0.00 0.00 Increase in current liability 11.08 1.73 1.16 0.59 0.64 0.46 Total 532.94 178.12 208.90 206.73 205.09 204.91 Application of Funds Capital expenditure 432.39 0.00 0.00 0.00 0.00 0.00 Deposits 0.00 0.00 0.00 0.00 0.00 0.00 Decrease in Current Liabilities - - - - - - Increase in Current Assets 70.55 114.32 145.11 142.93 141.29 141.11 Decrease in Term Deposit 0.00 0.00 0.00 0.00 0.00 0.00 Decrease in term loans 0.00 58.80 58.80 58.80 58.80 58.80 Total 502.94 173.12 203.91 201.73 200.09 199.91 Opening cash balance - 30.00 35.00 40.00 45.00 50.00 Net surplus/(deficit) 30.00 5.00 5.00 5.00 5.00 5.00 Closing cash balance 30.00 35.00 40.00 45.00 50.00 55.00



REPAYMENT SCHEDULE OF TERM LOAN New Term Loan (Rs. Lacs) As at March 31, 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 Opening balance 294.00 294.00 235.20 176.40 117.60 58.80 Repayments - 58.80 58.80 58.80 58.80 58.80 Closing balance 294.00 235.20 176.40 117.60 58.80 - Average balance 588.00 264.60 205.80 147.00 88.20 29.40 Interest @ 13% 76.44 34.40 26.75 19.11 11.47 3.82 COMPUTATION OF INCOME-TAX For the year ended March 31, 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 Net Profit 70.17 205.93 256.90 257.44 257.46 259.63 Add: Depreciation 36.66 36.66 36.66 36.66 36.66 36.66 Less: Depreciation as per I.T. 55.73 47.83 41.08 35.29 30.33 26.09 Profit as per I.T. 51.10 194.76 252.49 258.82 263.79 270.21 Less:unabsorbed losses - - - - - - Adjusted profit 51.10 194.76 252.49 258.82 263.79 270.21 Exemption as 100% EOU Exemption 80HHA Taxable Profit 51.10 194.76 252.49 258.82 263.79 270.21 Tax 17.37 66.20 85.82 87.97 89.66 91.84 Debt Service Coverage Ratio For the year ended March 31, 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 Coverage Profit After Tax 52.80 139.73 171.08 169.47 167.80 167.79 Depreciation 36.66 36.66 36.66 36.66 36.66 36.66 Interest On Term Loan 76.44 34.40 26.75 19.11 11.47 3.82 Total Coverage 165.90 210.79 234.50 225.25 215.92 208.27 Debt Interest on Term Loan 76.44 34.40 26.75 19.11 11.47 3.82 Repayment Term Loan - 58.80 58.80 58.80 58.80 58.80 Total Debt 76.44 93.20 85.55 77.91 70.27 62.62 DSCR 2.17 2.26 2.74 2.89 3.07 3.33 Max. Minimum 2.17 2.26 Average DSCR



BREAK EVEN ANALYSIS For the year ended March 31, 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 Sale Value of Production 408.80 525.60 584.00 584.00 584.00 584.00 Variable Costs Raw materials 0.00 0.00 0.00 0.00 0.00 0.00 Consumables Stores 51.10 65.70 73.00 73.00 73.00 73.00 Power & Fuel 7.20 7.20 7.20 7.20 7.20 7.20 Excise Duty 0.00 0.00 0.00 0.00 0.00 0.00 Direct Labor (40% Variable) 32.77 35.22 37.87 40.71 43.76 45.95 Manufacturing Expenses 9.68 12.01 13.18 13.18 13.18 13.18 Selling Expenses (40% Variable) 12.96 12.96 12.96 12.96 12.96 12.96 Interest on Working Capital - - - - - - Total Variable Cost (B) 113.70 133.10 144.21 147.05 150.10 152.29 Contribution (A-B) 295.10 392.50 439.79 436.95 433.90 431.71 Fixed Costs 224.93 186.58 182.89 179.51 176.45 172.08 Net Profit 70.17 205.93 256.90 257.44 257.46 259.63 Break even Sales 311.60 249.84 242.86 239.92 237.48 232.79 Sales at 100% capacity 730.00 730.00 730.00 730.00 730.00 730.00 Break even 42.68% 34.23% 33.27% 32.87% 32.53% 31.89% Cash Break even Sales 35.73% 27.50% 26.60% 26.15% 25.77% 25.09%



Details of Project Cost Estimation for Plant & Machinery and Miscellaneous Fixed Assets S

No Particulars Quantity Estim Price

Amount Rs. VAT Total

1 O T Table Electronic 1 Sets 250,000 250,000 10,000 260,000 2 O T Lights 1 Sets 630,000 630,000 25,200 655,200 3 Electro Cautary Machine 1 Sets 500,000 500,000 20,000 520,000 4 Section 3 Sets 52,000 156,000 6,240 162,240 5 Centrifugal Machine 1 Set 100,000 100,000 4,000 104,000 6 Trolley & other minor O T Instruments 1 Sets 100,000 100,000 4,000 104,000 7 Oxygen & No2 Pipeline 1 Set 161,114 161,114 6,445 167,559 8 C O2 Laser 1 Set 1,000,000 1,000,000 40,000 1,040,000 9 Auto Clave (Horizontal) 1 Sets 350,000 350,000 14,000 364,000 10 De - Fabricator 1 Set 400,000 400,000 16,000 416,000 11 Ventilators 2 Set 419,500 839,000 33,560 872,560 12 I C U Beds 5 Beds 220,044 1,100,220 44,009 1,144,229 13 Laser Machine 1 Sets 3,500,000 3,500,000 140,000 3,640,000 14 Liposuction Unit (Power Assisted) 1 Units 1,258,600 1,258,600 50,344 1,308,944 15 VASER Liposuction 1 Units 4,420,000 4,420,000 176,800 4,596,800 16 Sirona Dental Chairs 7 Chairs 600,000 4,200,000 168,000 4,368,000 17 Anesthesia System ( Boils machine ) 1 Set 625,000 625,000 25,000 650,000 18 E.P.300 Press furnace with V P 4 V Pump 1 set 388,336 388,336 15,533 403,869 19 E.P.3000 Press furnace with V P 4 V Pump 1 No. 698,900 698,900 27,956 726,856 20 e max All Ceramic Consumables 1 No. 55,015 55,015 2,201 57,216 21 Multiparameter Monitor ( pulse oxymeter) 6 Sets 185,000 1,110,000 44,400 1,154,400 22 Ceramill Zirkonia Milling System 1 No. 1,140,000 1,140,000 45,600 1,185,600 23 Zirkhon Zahn 1 No. 1,400,000 1,400,000 56,000 1,456,000

SUB TOTAL 24,382,185 975,287 25,357,472



Electricals, Power and Air conditioning S

No Particulars Quantity Estim Price

Amount Rs. VAT Total

1 Air Conditioning Unit 12 Units 93,727 1,124,724 44,989 1,169,713 2 Generator & Spare Generator 1 No. 671,750 671,750 26,870 698,620 7 Electrical : a) 2 x 18 w CLF fittings 60 nos b) Spot lights 30 nos c) Finolex wiring for all fittings d) A.C. points with box e) Moduler switches (Fortune Art) [1] 12 model [2] 6 model f) Telephone socket g) Computer Jack h) D .B .(3 phase) i) M .C .B. j) P .V . C pings k) U .P. S point L S 3,500,000

l) UPS, computers, Printers and billing Systems

Total 5,368,333



Interior

S.No. Description Quantity Unit Rate Amount

Rs 1 False Ceiling : 3500 SFT 75 262,500 Providing & fixing of false ceiling made out of G .I .channels and 10mm thick GIPSUM sheets 2 Painting : 10500 SFT 26 273,000 2 coats of primer, 2 coats of Altek putty, 2 coats of plastic emulsion (Asin Paints) to the walls and false ceiling 3 Gents Toilet : LS 395,000 Providing & fxing of following fittings & piping a) Wash basin Padestal (Parry ware) b) W .C . (Parry ware) c) Wall and floor tiles (R A K) d) Water proof flush door with outer frame e) Taps(Jaquar) and Angle Cocks (Parry ware) * Urinal 4 Ladies Toilet : LS 365,000 Providing & fxing of following fittings & piping a) Wash basin Padestal (Parry ware) b) W .C . (Parry ware) c) Wall and floor tiles (R A K) d) Water proof flush door with outer frame & TAPS 5 Wash Area : a) Wall Tiles 4 Nos 9860 39,440 b) Mirror with edge polish 4 Nos 6300 25,200 c) Soap dispencer 12 Nos 2500 30,000 d) Dryer Techno carts 4 Nos 14500 58,000 e) Door with outer frames 4 Nos 7000 28,000 f) Platform with Grainate top 2 Nos 9600 19,200 g) Wash basin (Parry Ware) 12 Nos 7800 93,600 including tap & fittings 8 Flooring 3500 SFT 120 420,000 providing & fixing of Vitrified tiles including sand and cement (Western Morbo or Granolite ) Interior Architect Remuneration 648,000 Total Cost of interior 2,656,940



Furniture : 1 a) Partitions made out of 65 x 38 mm sal wood 3000 SFT 950 2,850,000 frame, 6mm thick Green Ply Garjan wood 5mm thick clear flot (Modi Guard) glass, 4mm thick Teak Veneer with Malamine spray polish b) Consulting office furniture - 4 cabins 4 350000 1,400,000 c) Door fixtures (Door closer or Door Gear, 9 Nos 8800 79,200 S S hinges, SS handles etc ISI standard d) Modularstorage with 18mm thick Green Garjan 1750 SFT 850 1,487,500 ply wood, 4mm thick veneer, draw channels, SS handles including inside luppam finish painting 9' x 3' - 8 14' x 3' - 1 e) Main door as per the drawing 3 Nos 20000 60,000 f) Adm Office furniture 300,000 f) Soft Leather Sofa Single Unit 20 Nos 5500 110,000 g) Computer Jack 20 nos Total 6,286,700



Assumptions Cosmetic Wing Project Starting Year Start of Commercial Operations (1 May 2009) FY 09-10 FY 10-11 FY 11-12 FY 12-13 FY 13-14 FY14-15

Revenue Occupancy Rate 35% 45% 50% 50% 50% 50% Operating Days 365 365 365 365 365 365 Liposection & Major Cos Surgery FY 09-10 FY 10-11 FY 11-12 FY 12-13 FY 13-14 FY14-15 No. of Theatres 1 1 1 1 1 1 No. of working hours per day 16 16 16 16 16 16 Time for each procedure (hrs.) 3 3 3 3 3 3 No. of procedures per day 5 5 5 5 5 5 Revenue from each procedure (Rs.) 40,000 40,000 40,000 40,000 40,000 40,000 Annual Revenue (Rs. in lacs) 272.53 350.40 389.33 389.33 389.33 389.33 Cosmetic Procedures FY 09-10 FY 10-11 FY 11-12 FY 12-13 FY 13-14 FY14-15 No. of Chairs 3 3 3 3 3 3 No. of working hours per day 12 12 12 12 12 12 Time for each procedure (hrs.) 0.5 0.5 0.5 0.5 0.5 0.5 No. of procedures per day 72 72 72 72 72 72 Revenue from each procedure (Rs.) 1,000 1,000 1,000 1,000 1,000 1,000 Annual Revenue (Rs. in lacs) 91.98 118.26 131.40 131.40 131.40 131.40 ICU & Recovery Rooms FY 09-10 FY 10-11 FY 11-12 FY 12-13 FY 13-14 FY14-15 No. of Beds 5 5 5 5 5 5 No. of hours per day 24 24 24 24 24 24 Average Bed Charges per hour (Rs.) 200 200 200 200 200 200 Annual Revenue (Rs. in lacs) 30.66 39.42 43.80 43.80 43.80 43.80 General Anesthesia FY 09-10 FY 10-11 FY 11-12 FY 12-13 FY 13-14 FY14-15 No. of patients per day 5 5 5 5 5 5 Average revenue per patient (Rs.) 2,000 2,000 2,000 2,000 2,000 2,000 Annual Revenue (Rs. in lacs) 13.63 17.52 19.47 19.47 19.47 19.47 Expenses FY 09-10 FY 10-11 FY 11-12 FY 12-13 FY 13-14 FY14-15 Annual Increase in per employee Salary 7.50% 7.50% 7.50% 7.50% 7.50% 7.50%



Sales

Particulars FY 09-10 FY 10-11

FY 11-12

FY 12-13

FY 13-14

FY14-15

Number of Guests Operating Capacity 35% 45% 50% 50% 50% 50% Operating Days 365 365 365 365 365 365 Income from various services (Rs. Lacs) Liposuction & Major Cos. Surgery 272.53 350.40 389.33 389.33 389.33 389.33 Cosmetic Procedures 91.98 118.26 131.40 131.40 131.40 131.40 ICU & Recovery Rooms 30.66 39.42 43.80 43.80 43.80 43.80 General Anesthesia 13.63 17.52 19.47 19.47 19.47 19.47 Total Income 408.80 525.60 584.00 584.00 584.00 584.00

Salaries & Wages 2009-10 2010-11 SALARY TOTAL SALARY TOTAL

PARTICULARS P.A. P.A. NOS P.A. P.A. (RS.IN LAKHS) (RS.IN LAKHS) ANNUAL INCREASE IN PAY 7.50% Managing Director 6.00 1.50 1 6.45 6.45 Directors 3.60 0.90 1 3.87 3.87 Plastic Surgeon 9.00 4.50 2 9.68 19.35 Anesthesetist 3.60 1.80 2 3.87 7.74 Dermatologist 3.60 0.90 1 3.87 3.87 Duty Doctors (MBBS) 2.40 1.20 2 2.58 5.16 Cosmetologists 0.96 0.72 5 1.03 5.16 OT Nurses 1.20 0.60 2 1.29 2.58 ICU Nurses 0.96 0.48 2 1.03 2.06 Staff Nurses 0.84 0.42 2 0.90 1.81 Office Boys 0.60 0.15 2 0.65 1.29 Administration Head 3.60 0.90 1 3.87 3.87 Business Development Head 6.00 1.50 1 6.45 6.45 Valet Parking drivers 1.20 0.60 2 1.29 2.58 Security Guards Team 3.00 0.75 1 3.23 3.23 Sales Team 1.20 1.50 5 1.29 6.45

TOTAL 18.42 32 81.92



Cosmetic Wing Other Expenses

FY 09-10 FY 10-

11 FY 11-

12 FY 12-

13 FY 13-

14 FY14-

15 Consumables Lipo. & Major Surgery (as % of Income) 12% 12% 12% 12% 12% 12% Cosmetology (as % of Income) 20% 20% 20% 20% 20% 20% Lipo. & Major Cos. Surgery - Annual Consumables 32.70 42.05 46.72 46.72 46.72 46.72 Comestology - Annual Consumables 18.40 23.65 26.28 26.28 26.28 26.28 Total Consumables 51.10 65.70 73.00 73.00 73.00 73.00 Cost of Repairs & Maintenance Cost of Assets 432 432 432 432 432 432 Cost of spares as a % of cost of assets 10% 10% 10% 10% 10% 10% Total Cost of repairs & maintenance 43.24 43.24 43.24 43.24 43.24 43.24 Power & Fuel Total cost of power 7.20 7.20 7.20 7.20 7.20 7.20 Selling & Administrative Expenses Rent 3.00 3.00 3.00 3.00 3.00 3.00 House-keeping 2.40 2.40 2.40 2.40 2.40 2.40 Telephones 2.00 2.00 2.00 2.00 2.00 2.00 Advertisement 20.00 20.00 20.00 20.00 20.00 20.00 Miscellaneous 5.00 5.00 5.00 5.00 5.00 5.00 Total Selling & Administrative Expenses 32.40 32.40 32.40 32.40 32.40 32.40 Other Operating Expenses Operating Expenses (as % of sales) 2% 2% 2% 2% 2% 2% Operating Expenses (Rs. in lacs) 8.18 10.51 11.68 11.68 11.68 11.68 Bio-waste disposal 0.50 0.50 0.50 0.50 0.50 0.50 Parking Charges 0.50 0.50 0.50 0.50 0.50 0.50 HR Training expenses 0.50 0.50 0.50 0.50 0.50 0.50 Total other operating expenses 9.68 12.01 13.18 13.18 13.18 13.18



Allocation of Contingencies, Preliminary Expenses and Erection and Installation Expenses S.No.

Particulars of Fixed Assets Cost Conting. Total Allocation Cost Existing Total

Cost of Prel. after

Alloc Assets Assets 1 Land - - - 2 Buildings - - - - - 3 Interiors 26.57 1.86 28.43 0.53 28.96 28.96 4 Plant & Machinery 253.57 17.77 271.35 5.05 276.39 276.39 5 Furniture & Fixtures 62.87 4.41 67.27 1.25 68.52 68.52

6 Electrical, Aircon and Genset 53.68 3.76 57.45 1.07 58.51 58.51

7 Office Equipments - - - - - 8 Vehicles - Total 396.69 27.80 424.49 7.90 432.39 432.39 -

Depreciation as per Companies Act

Particulars of Fixed Assets

Rate of Dep 2009 2010 2011 2012 2014 2015

1 Land 2 Buildings 3.34% - - - - - -

3 Interiors 3.34% 0.24 0.97 0.97 0.97 0.97

0.97

4 Plant & Machinery 10.34% 7.14 28.58 28.58 28.58 28.58

28.58

5 Furniture & Fixtures 6.33% 1.08 4.34 4.34 4.34 4.34

4.34

6 Electrical, Aircon and Genset 4.75% 0.69 2.78 2.78 2.78 2.78

2.78

7 Office Equipments 4.75% - - - - - - 8 Vehicles 9.50% - - - - - -

Total 9.17 36.66 36.66 36.66 36.66

36.66

cosmotic surgical center business plan

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