Advisory

As a chairperson of the board, promoter, co-promoter, or owner of a green field hospital setup, whether a single doctor, non-medical entrepreneur, group of medicos, or private limited company, driving the project, the project’s leadership would be anxious to address several aspects that form part of the stage of planning.
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List of Services

Concept to Launch Advisory

This is a critical step in the planning stage and involves a detailed knowledge transfer from SARATHY ADVISORY towards concept development and recommendations on an APT facility and services model based on a needs analysis of location and also a critical analysis of the board, chairman, promoters, or owners’ wish list with all aspects of capital formations, business model, and business plan to be adopted clearly laid out on the table for brainstorming discussions amongst the stakeholders. It is conceived by SARATHY ADVISORY based on our vast previous experience of development of a well-aligned proof of concept for a given project.  It delivers a very deep insight of the concept to be delivered and is frozen for all phases of the project with targeted business objective.

For trust entities going ahead with green field projects, we define the concept, goals, and objectives in such a manner that makes the project sustainable in the longer term without continuously being dependent on donors.

Advisory for Funding

Once the concept is frozen, budgets and financial plans are worked out, including the phased capital infusions based on cost estimates and projections factored on construction costs, equipment costs, and allied costs of the project. SARATHY ADVISORY specializes in advisories for selection and recommendation, as well as providing end-to-end handholding for procurement of financial assistance modeled of course on very sound D:E ratios and having built-in rational debt servicing mechanisms. Based on SARATHY ADVISORY‘s previous project experience, as well as due to the qualified finance professional strength, we can also recommend a variety of feasible capital formations for the project so you can minimize debt requirements and widen the equity base.

Financial & Capital Structuring

This is key for long-term project success. Our recommendations are based on the understanding of the board, owners, or promoter’s strengths developed with them during the initial brainstorming. We work out minute details of budgetary estimates defining CAPEX at the concept development stage. We provide astute recommendations on capital formation with multiple options that are promoter specific and coined for project needs. These options have a great bearing on long-term feasibility and also for providing earlier breakevens. They are also aimed at reducing the eventual debt and widening the equity base.

Legal Compliance in Entity & Capital

This specialized advisory service is a part of the comprehensive services profile of SARATHY ADVISORY towards green field projects. It would include advisories with reference to legal provisioning and addressing the nuances of the company law.

Strategy Planning & Recommendation Advisory

This advisory aligns the vision of the organization by advising on various areas of strategies such as management, marketing, sales, clinical, organizational, finance, and quality. The strategic plan is developed in synchronization with the core team. We form a part of the team, providing our experience and expertise and helping the project across its entire phase of planning and implementation. The advisory would take care of the project monitoring mechanisms to avoid delays and mitigate the risks of cost escalations in case of any delays.

Hospital Design Advisory

Our specialized inputs into the development of design for green field setup plans include landscaping, space planning, area planning, workflow and equipment housing plans, planning of critical care and operating rooms areas, and specific inputs in diagnostic services plans, facilitation , interior design and engineering services planning, medical gas supplies planning and laminar flow, and HVAC plans. We advise the project architects on medical architectural planning touch points individually tailored to reflect the specific project’s unique mix of contextual, functional, technical, and budgetary requirements.

Design and planning advisory involves creating an environment for healing and designing healthcare buildings that meet a complex set of technical and user requirements, proper integration of building services, medical technology, engineering services, and support areas. Central to it would be the development of a sound clinical environment.

Organization Design, Structuring, Behavior, & HR Advisory

Based on the vision and mission statements, as well as the philosophy, we help to build an organizational culture and focus by bringing clarity within the team in terms of organograms, organizational and governance structure, administrative policies, rules, regulations, and policies. Advisory includes specific organograms for clinical and management services areas with identified key positions and well-developed job descriptions for various staff categories. Lines of governance and reporting are clearly defined to provide accountability during operations and rationalizing OPEX. The methodology addresses linking of this exercise to defined objectives of the business plan. This aligns the whole project, once operational, to financial projections and planned but phased facility and services additions. The process also addresses departmental and asset audits to justify the cost per service initiatives.

Techno Commercial Feasibility Advisory

As a road deliverable at the end of the concept development stage we conceive a project-specific, completely realistic techno-economic feasibility report, which will include all critical components of project concept, logical reasoning for a sound facility and services plan, comprehensive budgetary and financial projections including a few models of revenue and expenditure with all aspects of CAPEX and OPEX culminating into breakeven analysis, and addressing the risks and mitigations methodology. The broad inclusions are need assessment, entry strategies, location or geographic positioning and network, project  planning and development, business model conception, marketing and competitive strategy, competitive environment assessment, comparative feasibility studies based  on different  models of conception, design, construction phase estimates, equipment planning and estimates, human resource planning, systems design and narration, and breakeven estimates along with revenue and expenditure model.

Facility & Services Master Plan

Cost-effective analysis of the projected facility and services plan for the project addresses the needs analysis. The project-specific cost centers are emphasized upon and a rationale for all facility inclusions is provided to back up the decisions. We do not encourage services planning on HR availability, but the plans developed would be process dependent and person independent. The plans are phased with   services additions projected in phases so as to allow scaling in terms of revenue escalation and facility expansions, as well as development of newer client base. The facility and services advisories and tariffs inclusions are based on pointing cost per services initiatives. This is possible due to the specific domain strength of SARATHY ADVISORY in healthcare financials.

Hospital Equipment Advisory

A comprehensive equipment advisory to assist the team in needs analysis, department-wise planning, procurement process, technical and price comparisons, selection report and process, order process, installation schedule, warranty process, downtime reduction, calibration, and maintenance process.

Business Process & Systems Advisory

SARATHY ADVISORY advises towards building a complete guide for process and systems planning based on applicable standards to have an impact on operational success in the clinical, management and administrative areas of the proposed setup. This sets up the work culture prior to commissioning. This also extends to cost reduction initiatives, revenue cycle and cash flow details, development of effective management strategies, medical staff development, physician need analyses, volume projections and bed need analyses, resource prioritization and strategic capital planning, and administrative/HRD policy planning. SARATHY ADVISORY also provides expertise in care guidelines, clinical audits, and departmental audits; advises on best practices through clinical operations and process assistance; NABH implementation; facility safety; risk management initiatives; and process audits methodology. Mapping of technology to get an effective process and policy implemented is also a key advice provided by SARATHY ADVISORY.

Teaching Facility Planning

Nursing, DNB specialty and super-specialty, CPS post-graduate diplomas, and paramedical training Institutes will be attached to the charitable hospital arm. A prerequisite would be a charitable trust with an MOU with the company running the modern hospital setup. The minimum total campus bed complement will have to be 200.

Market Positioning & Value Proposition

Advisories on branding are aimed towards creating a USP and marketing that USP in an ethical manner to increase the project reach. The USP could be developed and planned for a comprehensive facility plan under one roof, hub-and-spoke approach for future expansion, single organ specialty clinics in campuses, evidence-based care, quality care with accreditation at a rational cost, teaching Institute attached  to the hospital for medical and or  paramedical training depending upon the bed complement, or a comprehensive umbrella  care  approach .

Information Communication & Technology Advisory

In today’s technology-dependent world, the key differentiators for a business entity are to adopt technology to deliver the required goals with reduced overhead costs over a long-term period. SARATHY ADVISORY’s experienced professionals provide advice in technology design, architecting, and selecting or developing and implementing the latest technology solutions by keeping in mind the business strategy & goals of the institution. We provide insights into the changing trends in technology and provide advice on how it needs to be adapted to encompass the business processes of the institution, both internally and externally. We advise the IT core team in planning their technology initiatives and defining a clear road map for at least the next 2–3 years depending on the scalability of the business plan of the organization. SARATHY ADVISORY can also help in areas of artificial intelligence, deep data, and machine language to improve the clinical and customer care.

As a board chairperson, owner, promoter, co-promoter of an EXISTING and RUNNING HOSPITAL, set up as a single doctor, non-medical entrepreneur, group of medicos, or private limited company driving the project, the project leadership would be anxious to probe into factors that lead to stagnation in business and prevent scaling up. They would also be keen to find out what it takes to broaden the services horizon into a planned expansion.
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List of Services

Strategic Advisory for Growth with M&A

This is a critical step in the planning stage and involves critical recommendations on APT facility and services model, understanding the objectives of the board, promoters, or owners, taking into consideration the business model, ROI, and capital formations clearly laid out on the table for brainstorming discussions amongst the key stakeholders. We, at SARATHY ADVISORY, prepare a project feasibility report based on our previous experience of such exercises, which provides deep insight into the concept to be delivered and frozen for all phases of the project with targeted business objective.

As for trust entities, it works a bit differently wherein we go ahead to lay out the concept, goals, and objectives in such a manner as to make the project sustainable in the longer term without continuously being dependent on donors.

Either way, the direction of the M&A activity is determined by the organization’s primal driving force to undertake such an activity, which could be for reasons such as synergy by combining businesses, sharpening the business’s objective and focus by deeper core business-related activity, backward and forward business integrations, or mere elimination of competitive business houses. Identification of these drivers and working towards their achievement is essential.

Advisory for Funding

Funding advisory could be done for new projects or existing operations. SARATHY ADVISORY specializes in selection and recommendation of the right method of funding based on financial strategies including debt-related options and building mechanisms for debt servicing.

Based on SARATHY ADVISORY‘s experienced professionals could also recommend a variety of feasible capital formations for the project to minimize debt requirements by widening the equity base.

Financial & Capital Structuring

This is key to long-term project success. Our recommendations are based on a clear understanding of the board, owner, and promoter’s strengths, which is developed during our initial brainstorming with the team. We work out the minute details of budgetary estimates, defining CAPEX at the concept development stage. We provide astute recommendations about capital formation with multiple options that are promoter specific and coined for project needs. These options have a great bearing on long-term feasibility and provide earlier breakevens. They are also aimed at reducing the eventual debt and widening the equity base.

Strategy Planning & Recommendation Advisory

This advisory aligns the vision of the organization by advising on various areas of strategies such as management, marketing, sales, clinical, organizational, finance, and quality. The strategic plan is developed in synchronization with the core team, being part of the team, providing our experience and expertise, and helping the project through the entire phase of planning and implementation. The advisory would take care of the project monitoring mechanisms to avoid delays and mitigate the risks of escalations in costs in case of delays.

Legal Compliance in Entity & Capital

This specialized service is a part of the comprehensive services profile of SARATHY ADVISORY towards brown field projects. It would include advisories with reference to legal provisioning and addressing the nuances of company law.

Techno-commercial Feasibility Advisory

Once the brainstorming with promoters is completed in phases for conceptualization of upgrade, we conceive a project-specific and completely realistic techno-economic feasibility report that will include needs assessment, entry strategies, location/geographic positioning and network, project planning and development, business model conception, marketing and competitive Strategy, competitive environment assessment, comparative feasibility studies based on different models of conception, design, construction phase estimates, equipment planning and estimates, human resource planning, systems design and narration, breakeven estimates along with revenue and expenditure model, and risks narrative and mitigation methodology.

Facility & Services Master Plan

Cost-effective analysis of the projected facility and a services plan for the project address the needs analysis. The project-specific cost centers are emphasized upon and a rationale for all facility inclusions is provided to back up the decisions. We do not encourage services planning on HR availability but the plans developed would be process dependant and person independent. The plans are phased with services additions projected in phases to allow scaling up in terms of revenue escalation and facility expansions, as well as the development of newer client bases. The facility and services advisories and tariffs inclusions are based on pointing cost per services initiatives. This is possible due to the specific domain strength of SARATHY ADVISORY in healthcare Financials. As a part of facility and services masters we advise on the following:

Hospital Design Advisory

Our specialized inputs into the development of design changes to be incorporated for brown field makeovers will include landscaping, space planning, area planning, workflow and equipment housing plans, planning of critical care, and operating rooms areas, as well as specific inputs in diagnostic services plans, facilitation, interior design and engineering services planning, medical gas supplies planning, laminar flow, and HVAC plans. We will work with the project architects. We advise on medical architectural planning touch points individually tailored to reflect the specific project’s unique mix of contextual, functional, technical, and budgetary requirements. Design and planning advisory involves creating an environment for healing and designing a healthcare building that meets the complex set of technical and user requirements, proper integration of building services, medical technology, engineering services, and support areas. Central to it would be the development of a sound clinical environment.

Hospital Equipment Advisory

A comprehensive equipment advisory to assist the team in needs analysis, department-wise planning, procurement process, technical and price comparisons, selection report and process, order process, installation schedule, warranty process, downtime reduction, calibration, and maintenance process.

Business Process & Systems Reengineering Advisory

SARATHY ADVISORY advises to build a complete guide for process and systems planning based on applicable standards to have an impact on operational success in the clinical, management and administrative areas of the proposed setup. This sets up the work culture prior to commissioning. This also extends to cost reduction initiatives, revenue cycle and cash flow details, the development of effective management strategies, medical staff development, physician need analyses, volume projections and bed need analyses, resource prioritization and strategic capital planning, and administrative/HRD policy planning. SARATHY ADVISORY also provides expertise in care guidelines, clinical audits, and departmental audits, and advises on best practices through clinical operations and process assistance, NABH implementation, facility safety, risk management initiatives, and process audits methodology. Mapping of technology to get an effective process and policy implemented is also a key advice provided by SARATHY ADVISORY.

Teaching Facility Planning

If the bed strength of the new set up permits, nursing, DNB specialty and super-specialty, CPS post-graduate diplomas, and paramedical training institute could be planned. Minimum total campus bed complement will have to be 200.

Organization Design, Structuring & Behavior

Based on the organization’s vision and mission statements and philosophy, we help to build an organizational culture and focus by bringing clarity to the team on organograms, organizational and governance structure, administrative policies, rules, regulations, and policy. Advisory includes specific organograms for clinical and management services areas with identified key positions and well-developed job descriptions for various staff categories. Lines of governance and reporting are clearly defined to provide accountability during operations and rationalizing OPEX. The methodology addresses linking of this exercise to the defined objectives of the business plan. This aligns the whole project, once operational, to financial projections and planned but phased facility and services additions. The process also addresses departmental and asset audits to justify the cost per service initiatives.

Market Positioning & Value Proposition

Advisories on branding right from the stage of inception and taken through phases of expansion aimed at creating a USP and marketing that USP in an ethical manner to increase the project reach. The USP could be developed and planned for comprehensive facility plan under one roof, hub-and-spoke approach for future expansion, single organ specialty clinics in the campus, evidence-based care, quality care with accreditation at a rational cost, teaching institute attached to the hospital for medical and/or paramedical training depending on the bed complement, and a comprehensive umbrella care approach.

Information Communication & Technology Advisory

In today’s technology-dependent world, the key differentiators for a business entity are to adopt technology to deliver the required goals with reduced overhead costs over a long-term period. SARATHY ADVISORY’s experienced professionals provide advice in technology design, architecting, selecting or developing, and implementing the latest technology solutions by keeping in mind the business strategy and goals of the institution. We provide insights into the changing trends in technology and provide advice on how it needs to be adapted to encompass the business processes of the institution, both internally and externally. We advise the IT core team into planning their technology initiatives and defining a clear road map for at least next 2–3 years depending on the scalability of the business plan of the organization. SARATHY ADVISORY can also help in areas of artificial intelligence, deep data, and machine language to improve clinical and customer care.

As a chairperson of the board, promoter, co-promoter, or founder of a medical education institute in India, one could be a charitable trust, single doctor, non-medical entrepreneur, group of medicos, or a private limited company driving the project. The project leadership would be anxious to address several aspects that form part of the stage of planning.
Read more

List of Services

Concept to Commissioning Advisory

This is a critical stage in the planning stage and it involves crucial knowledge transfer from SARATHY ADVISORY towards project conceptualization, feasibility analysis for viability and sustainability, detailed project reports (DPR), techno-feasibility, financial planning and phasing, organizational planning assistance including lines of governance, guidance for capital formation and finance assistance, and suggesting the APT model based on a critical analysis of the board, trustee, promoters, or owner’s wish list keeping all aspects of capital formations and business   model  and business plan to be adopted clearly laid out on the table for brainstorming discussions amongst the stakeholders.  The report is conceived by SARATHY ADVISORY based on our vast previous experience in the development of a well-aligned proof of concept for a given project.  It delivers a very deep insight of the concept to be delivered and frozen across all phases of the project with targeted business objective. Later on, SARATHY ADVISORY handholds the stakeholders during the implementation of the project until it is commissioned.

Techno-Commercial Feasibility Advisory

As a  road deliverable at the end of the concept development stage we conceive a project-specific  and completely realistic techno-economic feasibility report, which will include all the critical components of project concept, logical reasoning for a sound facility and services plan, comprehensive budgetary and financial projections including a few models of revenue and expenditure with all aspects of CAPEX and OPEX culminating into a breakeven analysis, and addressing the risks and mitigations methodology. The broad inclusions are needs assessment, entry strategies, location/geographic positioning and network, project  planning and development, business model conception, marketing and competitive strategy, competitive environment assessment, comparative feasibility studies based  on different  models of conception, design, construction phase estimates, equipment planning and estimates, human resource planning, systems design and narration, and breakeven estimates along with revenue and expenditure model.

Advisory for Funding

Once the concept is frozen, the budgets and financial plans are worked out, including the phased capital infusions based on cost estimates and projections factored on construction costs, equipment costs, and allied costs of the project. SARATHY ADVISORY specializes on advisories for selection and recommendation, as well as providing end-to-end handholding for procurement of financial assistance modeled of course on very sound D:E ratios and having built-in rational debt servicing mechanisms. Based on SARATHY ADVISORY‘s previous project experience and due to our qualified finance professional strength we can also recommend a variety of feasible capital formations for the project so as to minimize debt requirements and widen the equity base.

Financial & Capital Structuring

This is key to long-term project success. Our recommendations are based on a complete understanding of the board, owners, or promoter’s strengths developed during the initial brainstorming sessions with them. We work out the minute details of budgetary estimates, defining CAPEX during the concept development stage. We provide astute recommendations on capital formation with multiple options that are promoter specific and coined for unique project needs. These options have a great bearing on long-term feasibility and they provide earlier breakevens. They are also aimed at reducing the eventual debt and widening the equity base so as to restrict the D:E ratio optimally.

Strategic Financial Advisory

This is key to long-term project success. Our recommendations are based on a complete understanding of the board, owners, or promoter’s strengths developed during the initial brainstorming sessions with them. We work out the minute details of budgetary estimates, defining CAPEX during the concept development stage. We provide astute recommendations on capital formation with multiple options that are promoter specific and coined for unique project needs. These options have a great bearing on long-term feasibility and they provide earlier breakevens. They are also aimed at reducing the eventual debt and widening the equity base so as to restrict the D:E ratio optimally.

Legal & Regulatory Compliance Advisory

SARATHY ADVISORY has an astute knowledge of the regulatory and legal compliances required for a medical education and hospital Institution that needs to adhere to the norms defined by regulatory authorities such as state and central government, MCI, and proposed NMC. Having a deep understanding of these regulatory aspects, SARATHY ADVISORY would advise timely compliances on the same. The documents predominantly relate to the Medical Council of India, universities, and as applicable for LOI and LOP, which includes Forms A and B, as well as repeat inspections by both these authorities at various stages during our tenure of involvement and mock audits. SARATHY ADVISORY does not participate or undertake any liaison work with any authorities – these would be done by the internal team of the institution.

Organization Design, Structuring, Behavior & HR Advisory

Based on the vision and mission statements and philosophy, we help to build an organizational culture and focus by bringing clarity in the team on organograms, organizational and governance structure, administrative policies, rules, regulations, and policy. Advisory includes specific organograms for clinical and management services areas with identified key positions, and well-developed job descriptions for various staff categories.  Lines of governance and reporting are clearly defined to provide accountability during operations and rationalizing OPEX. The methodology addresses linking of this exercise to the defined objectives of the business plan. This aligns the whole project, once operational, to financial projections and planned but phased facility and services additions. The process also addresses departmental and asset audits to justify the cost per service initiatives.

Business Process & Systems Advisory

SARATHY ADVISORY advises regarding the building of a complete guide for process and systems planning based on applicable standards to have an impact on operational success in clinical, management and administrative areas of the proposed setup. This sets up the work culture prior to commissioning. In addition, this extends to cost reduction initiatives, revenue cycles and cash flow details, the development of effective management strategies, medical staff development, physician need analyses, volume projections and bed need analyses, resource prioritization and strategic capital planning, and administrative/HRD policy planning. SARATHY ADVISORY also provides expertise in care guidelines, clinical audits, and departmental audits, and it advises on best practices through clinical operations and process assistance, NABH implementation, facility safety, risk management initiatives, and process audits methodology. Mapping of technology to get an effective process and policy implemented is also a Key advice provided by SARATHY ADVISORY.

Information Communication & Technology Advisory

In today’s technology-dependent world, the key differentiators for a business entity are to adopt technology to deliver the required goals with reduced overhead costs over a long-term period. SARATHY ADVISORY’s experienced professionals provide advice in technology design, architecting, and selecting or developing and implementing the latest technology solutions by keeping in mind the business strategy and goals of the Institution. We provide insights into the changing trends in technology and provide advice on how it needs to be adapted to encompass the business processes of the institution, both internally and externally. We advise the IT core team about planning their technology initiatives and defining a clear road map for at least next 2–3 years depending on the scalability of the business plan of the organization. SARATHY ADVISORY can also help in areas of artificial intelligence, deep data, and machine language to improve clinical and customer care.

Hospital & College Design & Services Master Plans

SARATHY ADVISORY provides recommendations to project architects regarding medical college and hospital design, importantly balancing the MCI and regulatory requirements with functionality, workflow patterns, and aesthetics, with greater importance to space planning, area planning, landscaping, equipment housing plan aligned to MCI area requirements, and services with facility plan department-wise in tune with MCI requirements. We recommend and advise with comprehensive specs and estimates on the materials desired and specs for interior designs. SARATHY ADVISORY does not participate in the permissions and formalities, as it is the function of project architects to do the final actual design outputs. We would also advise the promoters on the final delivery by the architects.

Medical College & Hospital Equipment Advisory

SARATHY ADVISORY provides recommendations to project architects regarding medical college and hospital design, importantly balancing the MCI and regulatory requirements with functionality, workflow patterns, and aesthetics, with greater importance to space planning, area planning, landscaping, equipment housing plan aligned to MCI area requirements, and services with facility plan department-wise in tune with MCI requirements. We recommend and advise with comprehensive specs and estimates on the materials desired and specs for interior designs. SARATHY ADVISORY does not participate in the permissions and formalities, as it is the function of project architects to do the final actual design outputs. We would also advise the promoters on the final delivery by the architects.

Skill Lab Advisory in Medical Colleges

Comprehensive advice will be rendered on the vision for the skill lab setting with proposed design, equipment, and PBL scenarios for learning with defined goals and objectives. Adopting latest technologies such as VR could also be advised for a simulation-based skill lab and the technology advisories could also be included.

Budget & Costing Advisory

Budget and costing are critical for the projects in view of the asset-intensive nature coupled with perhaps prolonged breakevens. This will be a comprehensive document by SARATHY ADVISORY’s healthcare specialists and chartered accountants to ensure optimal asset utilization, incorporating financial fundamentals into formulating budget plans.  This helps in eventual handholding for fund infusion.

Advisory on Cross-Subsidizing Services

SARATHY ADVISORY would advise on cost per service initiatives across the establishment to facilitate the model of cross-subsidizing so as not to tax revenue. The advisory would include comprehensive financial planning and phasing details up to addition of PG facilities. Cross-subsidy model is our own USP and is designed to ensure free treatment, adequate clinical material, and at the same time insulation from impacting sustainability.

Advisory for Addition of Educational & Training Facilities

SARATHY ADVISORY would help in building a comprehensive planning and implementation guide for establishing pre-clinical, paraclinical, and clinical post-graduate facility plans, and in addition, DNB, CPS, nursing, paramedical, dentistry, and OT training facilities.

Planned Expansion Advisory

Conceptualization, comprehensive planning, addition of super-specialty services in a phased manner, phased budgeted implementation for post-graduate facilities in super-specialties, facility management and safety and risk management, newer care processes and practices, data standards, and integrity. Ensure safe hospital environment, workflow efficiencies, care timeliness and effectiveness, and overall caregiver productivity.  Establish clear lines for communication and governance.

 

Advisory on Value Additions

Visionary planning methodology, lean methodology, six sigma principles, mentoring and advancement, planning, and implementation of innovations as per dynamics and opportunities.

Advisory Services to Banks and NBFC

SARATHY ADVISORY facilitates banks, NBFCs, and other financial institutions by providing a due diligence report for those healthcare entities who have submitted the project for availing loan facilities. At SARATHY ADVISORY we provide a 360-degree project evaluation service from a healthcare business model standpoint, thereby supporting bankers to have a valid report for facilitating decision making in loan disbursement to new or existing healthcare projects.
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List of Services

Green Field Healthcare Projects: Project Feasibility & Report commendations

Comprehensive advisory to financial institutions on feasibility, viability, and long-term sustainability of hospital and medical education projects inclusive of needs assessment, entry strategies, and location/geographic positioning. Competitive environment assessment and comparative feasibility studies, project-specific  business process designs, suitability of facility and services plans, legal provisioning for due diligence, document assessments especially of TEF reports  and budgetary comments, analysis of strategic plans, promoters and organizational , project environment and linkages, stakeholder’s expectations and projections, overall strategic planning facilitation to improve feasibility, and recommendations on project management framework including timelines  to avoid delays and debt burdens of mounting interest during the construction  phase and moratoriums.

Brown Field Healthcare Projects: DEBT Coverage assessment & recommendations

Strategic planning facilitation aimed at improved feasibility with organizational analysis (diagnostic), organizational SWOT analysis, and understanding the organization structure and its present challenges, if any. Imparting key concepts of strategy and strategy management after business environment analysis  and stakeholders expectations analysis (customer, vendors, partners, bankers, employees, etc.), Strategic planning facilitation with a review of understanding and discussing business numbers or overall organizational performance so as to prepare ground for strategy development and establishing or  revamping vision, mission, and values (VMS) where necessary; hospital marketing; branding and  competitive strategic positioning; and cost per service initiatives to implement the rational tariff policy to build up repayment capacity. Process modulation supported by equipment additions plan based on requirement analysis and costing.

NPAs in Brown Field Healthcare Project: NPA Salvage Advisory.

The dilemma in the mind of the banker or institute head would be “HOW DO I BRING THE PROJECT ON THE RIGHT TRACK AND MAKE IT SURVIVE IN TERMS OF REVENUE?”

SARATHY ADVISORY offers a comprehensive advisory aimed at business process reengineering with healthcare specifics so as to achieve a quick turnaround, shielding them from further non-performance. This involves financial process restructuring by way of lean methodologies, expenditure rationalization on fixed and variable costs, and inputs on debt restructuring plan. Improve sustainability and market positioning with advisory on the addition of services, modulating the tariffs, getting additional capital for facility, and equipment profile strengthening with phased CAPITAL INVESTMENTS AND OPERATIONAL PLAN helped by a design advisory to accommodate facility and services addition with lean concepts supported by equipment additions for survival plan based on requirement analysis and cost verifications.  Process modulation for comprehensive process designs in all clinical and operational areas to include equity with prevailing standards. This helps to achieve accountability, making it process dependant and person independent with indirect impact on improving the ROI. This approach also helps in costing of services and deriving a sound tariff strategy based on this to help build up repayment capacity. Other advisory services include providing legal opinions, provisioning, and documentation to assist with takeover and investor bids and assistance and expert advisory to potential investors for a non-hostile takeover of projects. Other advisory support includes strategic planning facilitation aimed at improved repayment comprehensive with organizational Analysis and SWOT analysis, as well as recommendations on change management initiatives supported by business environment analysis and stakeholder expectations analysis (customer, vendors, partners, bankers, employees, etc.), revamping VMS, where necessary, support plan for hospital marketing, branding and  competitive strategy.

The SARATHY ADVISORY experts, who bring to the table tons of collective experience specific to the healthcare domain, would assist both financial institutions and borrowers to help achieve sustainability for hospital and Medical education projects.

 

Angel / VC: Advisory in Green Field & Brown Field

The advisor presents his final summary to the Angel or VC in a fair and balanced manner that clearly outlines the benefits, risks, key features, costs, and revenues along with the strategy, vision, and mission. The initial meetings with the Angel or VC would be front-ended by SARATHY ADVISORY. Once the Angel or VC shows interest, the client would be duly informed and connected with the Angel or VC. Post this connect, the role of SARATHY ADVISORY moves to the sidelines, helping, negotiating, and suggesting solutions when needed either by the client or by the Angel or VC or even when SARATHY ADVISORY feels that the circumstances warrant such interventions. The idea is to be an enabler to both Client and Angel or VC.

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