Budget Review 2011-12

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    Budget Review 2011-12

    Potential Growth Engine- Medical Loans

    March 21, 2011

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    Copyright 2010 Innosight LLC 2

    Middle of the pyramid has the ability to payfor the medical exigencies in installments

    Upper class19 million

    Middle Class203 million, will be

    430 million by2015

    Non afforders810 million, will reduceto 350 million by 2015

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    Rapidly expanding middle classhas USD 1000+ annual incomeOf the house hold health careexpenditure 74% is out-of-pocketNeed for financing poorly served20 million people fall below povertyline due to indebtedness arisingfrom health care needsA rental model could save these

    families

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    Provide Affordability Solutions to the Middle of the PyramidTo Meet Medical Exigencies

    Objective #3:

    Establish viability of an independentMedical Finance Company

    Approach #1:

    Participate in the Red SeaFinancing Initiative

    Demonstrate a scalable model

    Finance for Other Medical

    Exigencies

    Approach #2:

    Work with Medtronic to develop aCaptive Medical Finance Company

    cardiaccare

    Finance for AllMedical Needs

    Finance for Cardiac Care

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    Progress on the Pilots GLP/Tiger Team

    Pilots at Pune & Solapur 2 loans disbursed, both performing Tight norms for lending Pilot abandoned by Medtronic

    Red Sea initiative through Innosight2 of the 3 Pilots planned in progress

    Credit norms lightened for quick approval5 loans disbursedFuture outlook promising20 more Pilots planned for 2011-12

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    Screening process of patients receiving financial assistance

    Cardiologist Patient

    Initial Patient Consultation

    CIMS

    Office

    Patient is Screened for Financing

    Patient FinanceCounselor

    Financing approved anddevice implanted

    Patient

    Doctor prescribestreatment. If thepatient cannot affordthe treatment, thephysician introducesfinancing programand refers them toHHFA FinanceCounselors

    Finance Counselor explains the financingoptions and screensthe patient through aseries of simplebehavioral questionsand a brief creditcheck

    Within 24 hours theFinance Counselor will approve or decline the financing,and if approved thepatient will receivethe implant andappropriate financepackage

    Device

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    Project Tracker - Medical Loans

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    Scheduled Area of ConcernCompleted W I P

    Activities Task Owner Apr 30 May 31 Jun 30 Jul 31 Aug 31 Sep 30Admin

    Develop detailed project monitoring templateJose

    Identify atleast 1 Partner for part of Tier 1 highrisk capital Team

    Identify atleast 1 Partner for part of Tier 2 lowrisk capital TeamWrite articles based on success stories forpublishing JoseAchieve readiness for launch of stand alonemedical loan company Jose

    Identify target customer, competition, productofferings, differentiators, launch strategy,distribution channels, etc

    Team

    Milestone- disburse 50 loans, 45+ performing Jose

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    Quick Estimates for 2011-12

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    2011 2012 2015 2020 2022

    Turnover 1.25 5 75 500 1000Surplus 1 2 3.75 30 60

    Salary 0.96 1.5 2.4 5 10Net 0.04 0.5 1.35 25 50

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    Progress on Consulting with Medtronic

    1. Design a Patient Financing Program (3 months) Rs 10 lacs

    2. Handhold the Financing Program(3 months) Rs 4.5 lacs

    3. Modify Financing Program to Fit Red Sea(Rs 7 lacs Rs 2.8 lacs *

    4. Implement & Administer Financing Program for Red Sea(3 locations for 6 months) Rs 25 lacs**

    5. Estimate for new Pilots(25 to 50 lacs Rs 35 lacs

    * Rest merged with item no 4** 8 lacs billed upt o March 2011

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    Budget Estimates Submitted to Medtronic

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    April 11 May 11 June 11 July 11 Aug 11 Sept 11 Oct 11 Nov 11 Dec 11 Jan 12 Feb 12 M

    No of locations (cumulative) 3 4 6 8 9 11 13 14 16 18 19 21

    Partner level resource 1 1 1 1 1 1 1 1 1 1 1 1Manager level resource 0 1 1 1 2 2 2 3 3 3 4 4Junior level resource 0 1 1 1 1 1 1 1 1 1 1 1

    A 300000 300000 360000 480000 600000 640000 720000 800000 830000 890000 950000 97

    B 0 60000 120000 120000 40000 80000 80000 30000 60000 60000 20000 4000

    A+B=C Monthly professional fees 300000 360000 480000 600000 640000 720000 800000 830000 890000 950000 970

    133333 100000 200000 200000 75000 150000 150000 75000 150000 150000 75000 150

    Furniture, equipment, display, etc. 210000 100000 200000 200000 100000 200000 200000 100000 200000 200000 1000

    PAMAC staff, conveyance, CIBIL, Fraud contro 84000 240000 360000 480000 540000 660000 780000 840000 960000 1080000

    Travel & Living will be at actuals

    Total monthly expenses 800000 1240000 1480000 1355000 1730000 1930000 1845000 2200000 2380000 2285000

    Monthly professional fee based on previous

    month's no of locations(Rs)Incremental professional fee for incrementallocations(Rs)

    One time cost of implementation (3 visits,interviews, training, etc.)

    Estimates for 2011-12