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Electronic Healthcare Delivery:
Telemedicine’s Time Has Come
Presented by: MD Khan
MyLiveDoctors– Care & Solutions
Health Access at your fingertips!
Comprehensive product portfolio serves key
healthcare stakeholders
What we Treat!
Non Emergency care
Colds and flu, cough, menstrual issues, headache, pink eye, rash,
UTI, diarrhea, vomiting, aches and pains, insect bites, STDs
For your child Fever, cold and flu, rash, diarrhea, nutrition, growth questions
Chronic conditions
Diabetes, high blood pressure, cholesterol, thyroid disease,
insomnia, COPD, asthma, dementia
Mental health care
Anxiety, mood disorders, therapies, depression, bipolar, abuse,
insomnia, panic disorder, schizophrenia
Provide a Second Opinion Not satisfied? Have a specialist take a second look
Complimentary and
Alternative medicine
Natural medicine, ayurveda
MyLiveDoctorProgram
Outpatient specialty telemedicine services
• Cardiology
• Dermatology
• Gastro Hepatology
• Hematology
• Infectious Disease
• Neurology
• Obesity
• Orthopedic Surgery
• Pulmonology
• Rheumatology
• Psychiatry
Inpatient Hospital based telehealth service
• Emergency Care
• Critical Care
• Inpatient Consultations
• Pharmacy
• Diagnostics
Primary Care Services
• Remote Physician Visits
• Remote Clinic Visits
• Patient Education
Home Care
• Patient Monitoring
• Care Coordination
• Wound Care
WHAT’S HAPPENING AND WHAT’S NEXT?
Market Dynamics
Initial Target Population – Pakistan Demographics
City Population Smart Phone
Users
Expected No. of
Patients/month 2019
Expected No. of
doctors 2019
Lahore 9.5 Million 78% 100,000 200
Islamabad 2 Million 81% 40,000 50
Karachi 22 Million 69% 160,000 150
Bahawalpur 3.5 Million 63% 10,000 100
Diabetes 35.3 million
High Blood Pressure 66 million
# of Internet Users – Jan 2018 35 -> 45 million
# of Facebook Users – Jan 2018 32 million
ED visits 2011 – 7 Major health
centers
1,080,000 -> Now many millions more
Global Telehealth Market is set to expand by 2022
Health care facilities in Pakistan
Facilities Quantities
Number of registered doctors 111042
Number of registered dental surgeon 8228
Number of registered medical specialist 20836
Number of registered nurse 62651
Population per doctor 1310
Population per dentist 25297
Population per nurse 4636
Number of health institutions 12804
Number of hospital beds 103285
Population per bed 1530
Telemedicine provider landscape in USA – Booming!
Mode of visit MonetizationShare# of visits
Choice of
video or phone
Access fee~70%575k+
Choice of
video or phone
Access fee or
license fee
~15%125k – 150k
Video only
License or
other fee
~10%60k – 80k
Video only
Visit fee
only
Doc network
3,100 MD, BH, Derm
professionals
2,300 MD, BH
professionals
MD, BH and
dieticians
1,500 MD, Psych,
and other
~5%<50k
Revenue Model
Current Snap shot – No Marketing
Cities Lahore, Karachi, Islamabad, Bahawalpur
No. of Doctors – on MyLiveDoctors 85 – Personal Contacts, No marketing
No. of Patients 100 prelaunch
Hospitals Discussion with 5
Remote Health Care Centers 0
Servaid Pharmacy Ideas in Place
Chugtai Lab Ideas in Place
Welfare Organizations Active Discussions with 3
Target Growth 1st Phase Now - Feb 2020
Cities Lahore, Karachi, Islamabad, Bahawalpur
No. of Doctors 1000- Staffed, Free-lancer, Part-time,
No. of Patients / Month 400,000
No of Patient Encounters/month/doctor 200 = Approx 8 / day (25 days a month)
Hospitals 50
Private clinics 1000
Remote Health Care Centers 02
Servaid Pharmacy 01
Chugtai Lab 01
Welfare Organizations 10
Business Models
Type Explanation
1 B2C - Employed Physicians - 24 hour Primary and Specialty coverage
2 B2C - Freelancers
3 B2B – Private Clinics/Hospitals- Monthly Subscription - SAAS
4 B2B Pay per Patient Visit
5 B2C Individual and family Subscriptions
6 B2B Subscription packages with Insurance companies
7 B2B Commission on Surgical referral patients
8 B2B Retired physician packages
9 B2B Specialist services
10 B2C Health packages
11 B2B Commission on Lab tests
12 B2B Commission on Prescription
13 B2C E commerce of health items
14 B2C Data licensing
15 B2C Home monitoring
Business Model: Staffed and Freelancers
The Doctors -
• Pediatric
• Gynecologist
• Medicine
• Family Medicine
• Stay at home docs
• Other Specialists
Revenue – 20% for the company
Doctor gets paid: $16 / Hour
Company gets paid: $4 – 5.6 / Hour / Doctor - Average $4.5
Approx. 15 min per patient = 4 patients per hour
Primary care- Day patient visit: $5 = $20 / hour
Night/weekend/holiday patient Visit: $7 = 28 / hour
1 yr Attainable Financials target: Minimum Revenue/Month
Staffed Primary Doctors
100 docs – 8 hours/day
$4.5/hour – Low estimate
$90,000
Staffed Specialist Doctors
150 docs – 8 hours/day
$10/hour – Low estimate
$300,000
Freelancers
1000 docs – 3 hours/day
$6/hour
$450,000
Clinic Subscriptions –Per patient
commission is separate
500 clinics - $50/month $25,000
Hospital Subscriptions 50 Hosp - $150/month (low) $7,500
Pharmacies
Commission per medicine – 5% $100,000 – Very low estimate
Lab work / imaging Commission per Lab – 5% $100,000 – Very Low estimate
Many More Business Models
Rs500 / $5 – Standard GP fees –> Up to Rs2000 / $20 for Specialists – Already have 86 docs on board!
Conservative
Estimates
$1,072,500 /
Month
This is just the beginning! And we know how to do it!
$12.8
Million/
year
This is just the
beginning. And we
know how to do it!
Many more models!
Monthly Burn Rate total expected $20,000
Item Current # of Employees Additional Needed – 24 hour staffing needs
COO 1
Senior IOS developer 1 1
Senior Android
Developer
1 1
Junior IOS/android
developers
2 4
Web developer 1 1
ASP.Net developer 2 1
HR, Social Media 1 2
Designer 1 part time Need 1 fulltime
Content Writer 1 part time Need 1 full time
SEO- Part time 1 Need 1 full time
Tester – Part time 1 Need 2 full time
24 hour call center 0 4
Marketing manager 0 1
Business Developer 1 1
A lot of work can
be done
inexpensively
Staff can potentially
be decreased with
decreased work
load after the initial
push
Employees
Current: 13
Total Needed: 29
Startup Budget/Use of Proceeds
First Phase Budget – First year (Approx.) Cost
Salaries $160,000
Repairs & maintenance $10,000
Paid Advertisement $101,846
Brand & Creatives $20,400
Content Marketing $3,450
Public Relation $9,000
Events $3,850
Accounting and legal $6,000
Rent $18,000
Internet & Telephone $6,000
Equipment $10,000
Server $4,000
Total $354,546
Startup Budge: Additional Expenses
First Phase Budget – First year (Approx.) Cost
Office expansion From $1,500 to $2,500
Telemedicine equipment purchase $20,000 to $50,000
Establishing Centers $20,000 per center
Hardware procurement: Laptops etc $15,000
Break Even Analysis
0
160000
270000
400000
Amount
Revenue and Net Income
Break Even
10%
Shares Offered
$3000,000
Valuation – Immediate
Realistic Potential
$300,000
Angle Investment Required
Forecast returns for the investor at year end
Shares Expected returns / month Expected returns / year
5% $53,620 $640,000
10% $107,250 $1,280,000
15% $160.875 $1,920,000
The TEAM
Strong All-Around Team Winning Combination
Medical
Umer Khan – CEO - Entrepreneur and US
based Practicing Physician
Technical/Project
Management
Muhammad Irfan – COO
Advisors
Muhammad Usman – Entrepreneur,
Marketer, Start-up Expert
Shahid Rasool – CEO Cricingif, Start-up
Expert
Thank YouLets do this right - Together

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Find doctors online - Tele appointment with doctor

  • 1. Electronic Healthcare Delivery: Telemedicine’s Time Has Come Presented by: MD Khan MyLiveDoctors– Care & Solutions
  • 2. Health Access at your fingertips! Comprehensive product portfolio serves key healthcare stakeholders
  • 3. What we Treat! Non Emergency care Colds and flu, cough, menstrual issues, headache, pink eye, rash, UTI, diarrhea, vomiting, aches and pains, insect bites, STDs For your child Fever, cold and flu, rash, diarrhea, nutrition, growth questions Chronic conditions Diabetes, high blood pressure, cholesterol, thyroid disease, insomnia, COPD, asthma, dementia Mental health care Anxiety, mood disorders, therapies, depression, bipolar, abuse, insomnia, panic disorder, schizophrenia Provide a Second Opinion Not satisfied? Have a specialist take a second look Complimentary and Alternative medicine Natural medicine, ayurveda
  • 4. MyLiveDoctorProgram Outpatient specialty telemedicine services • Cardiology • Dermatology • Gastro Hepatology • Hematology • Infectious Disease • Neurology • Obesity • Orthopedic Surgery • Pulmonology • Rheumatology • Psychiatry Inpatient Hospital based telehealth service • Emergency Care • Critical Care • Inpatient Consultations • Pharmacy • Diagnostics Primary Care Services • Remote Physician Visits • Remote Clinic Visits • Patient Education Home Care • Patient Monitoring • Care Coordination • Wound Care
  • 5. WHAT’S HAPPENING AND WHAT’S NEXT? Market Dynamics
  • 6. Initial Target Population – Pakistan Demographics City Population Smart Phone Users Expected No. of Patients/month 2019 Expected No. of doctors 2019 Lahore 9.5 Million 78% 100,000 200 Islamabad 2 Million 81% 40,000 50 Karachi 22 Million 69% 160,000 150 Bahawalpur 3.5 Million 63% 10,000 100 Diabetes 35.3 million High Blood Pressure 66 million # of Internet Users – Jan 2018 35 -> 45 million # of Facebook Users – Jan 2018 32 million ED visits 2011 – 7 Major health centers 1,080,000 -> Now many millions more
  • 7. Global Telehealth Market is set to expand by 2022
  • 8. Health care facilities in Pakistan Facilities Quantities Number of registered doctors 111042 Number of registered dental surgeon 8228 Number of registered medical specialist 20836 Number of registered nurse 62651 Population per doctor 1310 Population per dentist 25297 Population per nurse 4636 Number of health institutions 12804 Number of hospital beds 103285 Population per bed 1530
  • 9. Telemedicine provider landscape in USA – Booming! Mode of visit MonetizationShare# of visits Choice of video or phone Access fee~70%575k+ Choice of video or phone Access fee or license fee ~15%125k – 150k Video only License or other fee ~10%60k – 80k Video only Visit fee only Doc network 3,100 MD, BH, Derm professionals 2,300 MD, BH professionals MD, BH and dieticians 1,500 MD, Psych, and other ~5%<50k
  • 11. Current Snap shot – No Marketing Cities Lahore, Karachi, Islamabad, Bahawalpur No. of Doctors – on MyLiveDoctors 85 – Personal Contacts, No marketing No. of Patients 100 prelaunch Hospitals Discussion with 5 Remote Health Care Centers 0 Servaid Pharmacy Ideas in Place Chugtai Lab Ideas in Place Welfare Organizations Active Discussions with 3
  • 12. Target Growth 1st Phase Now - Feb 2020 Cities Lahore, Karachi, Islamabad, Bahawalpur No. of Doctors 1000- Staffed, Free-lancer, Part-time, No. of Patients / Month 400,000 No of Patient Encounters/month/doctor 200 = Approx 8 / day (25 days a month) Hospitals 50 Private clinics 1000 Remote Health Care Centers 02 Servaid Pharmacy 01 Chugtai Lab 01 Welfare Organizations 10
  • 13. Business Models Type Explanation 1 B2C - Employed Physicians - 24 hour Primary and Specialty coverage 2 B2C - Freelancers 3 B2B – Private Clinics/Hospitals- Monthly Subscription - SAAS 4 B2B Pay per Patient Visit 5 B2C Individual and family Subscriptions 6 B2B Subscription packages with Insurance companies 7 B2B Commission on Surgical referral patients 8 B2B Retired physician packages 9 B2B Specialist services 10 B2C Health packages 11 B2B Commission on Lab tests 12 B2B Commission on Prescription 13 B2C E commerce of health items 14 B2C Data licensing 15 B2C Home monitoring
  • 14. Business Model: Staffed and Freelancers The Doctors - • Pediatric • Gynecologist • Medicine • Family Medicine • Stay at home docs • Other Specialists Revenue – 20% for the company Doctor gets paid: $16 / Hour Company gets paid: $4 – 5.6 / Hour / Doctor - Average $4.5 Approx. 15 min per patient = 4 patients per hour Primary care- Day patient visit: $5 = $20 / hour Night/weekend/holiday patient Visit: $7 = 28 / hour
  • 15. 1 yr Attainable Financials target: Minimum Revenue/Month Staffed Primary Doctors 100 docs – 8 hours/day $4.5/hour – Low estimate $90,000 Staffed Specialist Doctors 150 docs – 8 hours/day $10/hour – Low estimate $300,000 Freelancers 1000 docs – 3 hours/day $6/hour $450,000 Clinic Subscriptions –Per patient commission is separate 500 clinics - $50/month $25,000 Hospital Subscriptions 50 Hosp - $150/month (low) $7,500 Pharmacies Commission per medicine – 5% $100,000 – Very low estimate Lab work / imaging Commission per Lab – 5% $100,000 – Very Low estimate Many More Business Models Rs500 / $5 – Standard GP fees –> Up to Rs2000 / $20 for Specialists – Already have 86 docs on board! Conservative Estimates $1,072,500 / Month This is just the beginning! And we know how to do it! $12.8 Million/ year This is just the beginning. And we know how to do it! Many more models!
  • 16. Monthly Burn Rate total expected $20,000 Item Current # of Employees Additional Needed – 24 hour staffing needs COO 1 Senior IOS developer 1 1 Senior Android Developer 1 1 Junior IOS/android developers 2 4 Web developer 1 1 ASP.Net developer 2 1 HR, Social Media 1 2 Designer 1 part time Need 1 fulltime Content Writer 1 part time Need 1 full time SEO- Part time 1 Need 1 full time Tester – Part time 1 Need 2 full time 24 hour call center 0 4 Marketing manager 0 1 Business Developer 1 1 A lot of work can be done inexpensively Staff can potentially be decreased with decreased work load after the initial push Employees Current: 13 Total Needed: 29
  • 17. Startup Budget/Use of Proceeds First Phase Budget – First year (Approx.) Cost Salaries $160,000 Repairs & maintenance $10,000 Paid Advertisement $101,846 Brand & Creatives $20,400 Content Marketing $3,450 Public Relation $9,000 Events $3,850 Accounting and legal $6,000 Rent $18,000 Internet & Telephone $6,000 Equipment $10,000 Server $4,000 Total $354,546
  • 18. Startup Budge: Additional Expenses First Phase Budget – First year (Approx.) Cost Office expansion From $1,500 to $2,500 Telemedicine equipment purchase $20,000 to $50,000 Establishing Centers $20,000 per center Hardware procurement: Laptops etc $15,000
  • 19. Break Even Analysis 0 160000 270000 400000 Amount Revenue and Net Income Break Even 10% Shares Offered $3000,000 Valuation – Immediate Realistic Potential $300,000 Angle Investment Required
  • 20. Forecast returns for the investor at year end Shares Expected returns / month Expected returns / year 5% $53,620 $640,000 10% $107,250 $1,280,000 15% $160.875 $1,920,000
  • 21. The TEAM Strong All-Around Team Winning Combination Medical Umer Khan – CEO - Entrepreneur and US based Practicing Physician Technical/Project Management Muhammad Irfan – COO Advisors Muhammad Usman – Entrepreneur, Marketer, Start-up Expert Shahid Rasool – CEO Cricingif, Start-up Expert
  • 22. Thank YouLets do this right - Together