sandeep raj br
TRANSCRIPT
Rural Empowerment And Community Health
Social Issue Solution & Social impact
Setting up Satellite Clinics (Rural)
Setting up Central Clinics( Urban)
Patient Visits SC
Nurse Video conferences with doctor in CC
Primary consultation
Link up to Macro clinics, Tertiary hospitals
Market Segment & Size
The social issues/ customer pain points, Our solution and value created
Increasing instance of people turning to un trusted medical advice
India-Diabetic capital of the worldLifestyle related illness increasing
Qualified & trained doctors unwilling to go to rural areas where the need is more
People have to travel to cities for even basic nursing services
Dependence on local pharmaceutical products and outdated medicines
No access to certified diagnostic labs for blood tests
• Rural people unaware of health services that they should avail
Non-communicable diseases
Unqualified Local practitioners
No access to quality medicines
Accessibility of doctors
Nursing services
Information asymmetry
Diagnostic services
REACH
Learning from pilot work done
PlanMyHealth.com EMRI
Demographic diseases
Willingness for telemedicine
People ready to Pay for the service
Training is critical
3,80,000 emergencies, 4000
babies delivered
Possible to leverage technology
Doctors Physical presence not
required
Charities and subsidies do not work
for ever
Empower people to take charge of
their health
Competitor analysis and Competitive position
ScaleEconomic | Geographic
Collaborators
TechnologyWeb & IT | Equipments
Business model and revenue model
Additional Revenue sources
Medical data collection
Informatics to government
Popularize RSBY
Ambulance services using EMRI
Advertisement
Main Revenue sources
Medical Consultation
Registration charges
Pharmacy charges
Diagnostic services
Home health
Accompany patients to hospitals
Business model and revenue model
Pharma
Advertisement
Diagnostics
Misc
Registration
Doctor on call
$600/month
$700/month $120/month
$420 lakh/month
$ 300/month
$ 300/month
REACH
Total revenue/Satellite Clinic = $1440/ Month
Entry strategies
Post office network- bureaucratic
CSC’s – Entrepreneurship culture
Exploring network of defence personal
Rollout plan Technology
02000000400000060000008000000
1000000012000000
Working Cap-ital CC
Infrastructure investment CC
Working Cap-ital SC
Infrastructure investment SC
1 2 3 4 50
5000000
10000000
15000000
20000000
25000000Sales
Funds required
year 1 year 2 year 3 year 4 year 5-1000000
0
1000000
2000000
3000000
4000000
5000000
6000000
7000000
8000000
Profits
NPV = $ 14.27 Million
IRR=85.24%
Social Impact AssessmentINPUTS
• Nurses• Doctors• Infrastructure (call centers & rented space)• Telemedicine equipment
ACTIVITIES• Capacity Building• Acquiring talents • Training
OUTPUTS• A satellite clinic in every locality• Easy connectivity with good doctors & specialists• Lab tests conducted • Pharmacy services• Consultation & referrals
OUTCOMES• Increases employment• Better connectivity • Improved health• Improved productivity• Reduced mortality rate• Cleaner Environment
Social Impact Assessment
Segment Issue Performance metric
Men & Women Morbidity No. of working days
Absenteeism to work Change in per capita GDP
Households Increased spending to healthcare expenses due to diagnosis at later stage
% of savings used to fund medical costs
Burden due to health expenses
Savings as % of GDP
Society Productivity Productivity loss (1.9% of GDP)
Early retirement Dependency ratio
Life expectancy Preventable deaths from non communicable deaths
Social Impact Indicators (IRIS)
Dimension Performance metric Outcome
Employment Caregivers Employed - Nurses
Number of nurses licensed or certified based on local requirements, employed by the organization
Training & Assessment
Caregivers trained Number of the organization's caregivers that received training
Quantity & Reach Health related well visits
Number of well visits or screenings, including immunization visits
Quantity & Reach Patient referrals Number of patient referrals made by the organisation
Quantity & Reach Immunizations Number of immunisation
Quantity & Reach Medical Consultation Number of medical consultations done
Social Impact Indicators (IRIS)
Dimension Performance metric Outcome
Environment Greenhouse gas emissions for product replaced
Greenhouse gas emissions that would have been produced by the product replaced during the lifetime of the organizations product
Social & Environmental BenefitsEarning potential created through nursesProductivity in householdsHuman health benefitsEnvironmental benefits
Social Purpose benefit flow ($)
Year 1 -217,152
Year 2 997,056
Year 3 3,101,760
Year 4 3,941,760
Year 5 3,941,760NPV = 5,542,544
What does an investor get and exit options
Equity Free Cash flow ($)
year 0 -2198000
year 1 -387600
year 2 1210800
year 3 6096000
year 4 7680000
year 5 9660000
NPV
14,273,955.86
IRR = 85.24%
5th year EBITDA $ 10.8
Mn
multiple 5
Equity $ 54 Mn
Required investment $ 29.7 Mn
% share holding 0.550063
704
02000000400000060000008000000
1000000012000000
Working Capital CC
Infrastruc-ture in-vestment CC
Working Capital SC
Infrastruc-ture in-vestment SC
Thank You