Cosmotic Surgical Center Business Plan

Cosmetic _Surgical _Centre _ Business Plan

Cosmetic Surgical Centre Proposal for Financial Assistance For Cosmetic Centre

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

Company Information Company Registered Office Cosmetic Surgical center

Industry :

Medical Industry - Cosmetology and Plastic Surgery

Promoters

The promoters of the company are :1. Rs. 432.39 Lacs

Cost of the Project Means of Finance

Amount (In Lacs) 138.39 294.00 432.39

Particulars Equity Capital Term Loan – Total Auditors Finance Consultants

Debt Equity

, Hyderabad Matrix Consulting #101, Durga Apartments, Rajbhavan Road, Hyderabad – 82 , Tel : 040-40037960 / 9989040404 1: 2

Average Gross DSCR

2.26

Net DSCR

2.17

Break Even Point

35.73%

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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”.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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 breast augmentation (implants) to increase and size. This may appeal to women who have after pregnancy. Pregnancy and nursing often skin and therefore decreased volume.

conjunction with breast firmness lost breast volume result in stretched

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 and genetics. Over time, the skin sags and folds line and neck become prominent. Not only does facial appearance but also has a dramatic effect enhancing its contour and profile.

age, sun exposure over the chin, jaw a facelift improve on the neck,

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.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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 selfconfidence. 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.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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

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

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

Responsible Factors In India we observe that the attitude towards the cosmetic surgery depends on the several factors as follows: 1. 2. 3. 4. 5. 6. 7. 8. 9.

Life style Awareness Socioeconomic status Professional need Phases of the life Important events Self Image Availability 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.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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".

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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 Liposuction Breast augmentation Eyelid surgery Abdominoplasty Female breast reduction

procedures Nonsurgical 456,828 Botox Hyaluronic Acid (Hylaform, Juvederm, 399,440 Restylane) 240,763 Laser Hair Removal 185,335 Microdermabrasion

1,448,716

153,087

647,707

Laser Skin Resurfacing

procedures 2,775,176

1,412,657 829,658

Top cosmetic procedures for WOMEN Surgical Breast augmentation

procedures Nonsurgical

procedures

399,440

2,445,656

Lipoplasty

398,848

Eyelid surgery Abdominoplasty Breast Reduction

208,199 180,457 153,087

Botox Hyaluronic Acid (Hylaform, Juvederm, Restylane) Laser Hair Removal Microdermabrasion IPL Laser Treatment

1,364,533 1,226,974 743,748 584,530

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.

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Cosmetic _Surgical _Centre _ Business Plan

Top cosmetic procedures for MEN: Surgical Liposuction Eyelid surgery Rhinoplasty Male breast reduction Hair transplantation

procedures Nonsurgical 57,980 Botox injection 32,564 Laser hair removal 31,713 Microdermabrasion Hyaluronic Acid (Hylaform, Juvederm, 20,280 Restylane) 84,184 16,491 IP laser treatment

procedures 329,519 185,684 85,910

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 47% 25% 21% 6% 2%

Age

procedures Top surgical procedure

35-50 51-64 19-34 65 and over 18 and under

5.4 million 2.9 million 2.4 million

Liposuction Eyelid Surgery Breast augmentation

Top nonsurgical procedure Botox Botox Laser Hair Removal

700,096

Eyelid Surgery

Botox

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 nonCaucasians, 2 percent. Location and Fees Almost fifty-four percent (54 percent) of cosmetic procedures in 2007 were performed in officebased 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.

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Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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 65and-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.

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Cosmetic _Surgical _Centre _ Business Plan

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 Land Interiors Plant & Machinery Furniture and Fixtures Electrical Equipments Contingencies Preliminary and Pre-operative Expenses Total

Rs. In Lacs 26.57 253.57 62.87 53.68 27.80 7.90 432.39

MEANS OF FINANCE Particulars Capital Term Loan Total

Rs. In Lacs 138.39 294.00 432.39

The over all debt equity of the project works out to 2.12 : 1.

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Cosmetic _Surgical _Centre _ Business Plan

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. Plant & Machinery

February

- Placement Order

Process started

February

April

April

- Delivery at site

April

Arrangement for power

Already Available

Arrangement for water

Already Available

Electrical Installation

Already Started

Initial procurement of Consumable stores Training personnel

March March

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.

Page 19

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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

Page 20

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

™ 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

Page 21

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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, XRay 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.

Page 22

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

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.

Page 23

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

CAPEX 1 2 3 4 5 6 7

Particulars Land Interiors Plant & Machinery Furniture & Fixtures Electrical, Aircon and Genset Contingencies Preliminary & Pre Operative Expenses Total

Means of Finance Particulars 1 Share Capital 2 Term Loan Total

Page 24

INR Lacs 26.57 253.57 62.87 53.68 27.80 7.90 432.39

INR Lacs 138.39 294.00 432.39

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

RS lacs Profitability projections Income FY ended 31 March

2009-10

2010-11 2011-12 2012-13

2013-14

2014-15

Gross Sales Other Income Less: Excise Duty & Sales Tax

408.80 0.00 0.00

525.60 0.00 0.00

584.00 0.00 0.00

584.00 0.00 0.00

584.00 0.00 0.00

584.00 0.00 0.00

Net sales (A) Expenditure Consumables Stores Power & Fuel

408.80

525.60

584.00

584.00

584.00

584.00

51.10 7.20

65.70 7.20

73.00 7.20

73.00 7.20

73.00 7.20

73.00 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

9.68 193.13 -

12.01 216.21 -

13.18 231.28 -

13.18 238.38 -

13.18 246.01 -

13.18 251.48 -

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 GP margin(%)

183.27 44.83%

276.99 52.70%

320.32 54.85%

313.22 53.63%

305.59 52.33%

300.12 51.39%

76.44 36.66

34.40 36.66

26.75 36.66

19.11 36.66

11.47 36.66

3.82 36.66

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 Dividend

52.80 0

139.73 0

171.08 0

169.47 0

167.80 0

167.79 0

Retained profit

52.80

139.73

171.08

169.47

167.80

167.79

Other Manufacturing Expenses Cost of Production (B) Less: Increase/ (Decrease) in Stock Selling, Distribution & Adm. Expenses

Interest on term loan Prelimnary Expenses Written Off Depreciation Sub Total

Page 25

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan Projected Balance Sheet of LIABILITIES As at March, 31 SOURCES OF FUNDS 1 Share Holders Funds a Equity Share Capital Profit for the year b Reserves & Surplus Sub Total (A) 2 Loan Funds a Term Loan b Working Capital Loan c Unsecured loans Sub Total (B) 3 Current Liabilities a Creditors for supplies b Creditors for expenses Sub total © Total Liabilities

(Rs. Lacs)

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

138.39 52.80 0.00 191.19

138.39 139.73 52.80 330.92

138.39 171.08 192.53 502.00

138.39 169.47 363.61 671.47

138.39 167.80 533.08 839.27

138.39 167.79 700.87 1007.05

294.00 0.00 0.00 294.00

235.20 0.00 0.00 235.20

176.40 0.00 0.00 176.40

117.60 0.00 0.00 117.60

58.80 0.00 0.00 58.80

0.00 0.00 0.00 0.00

4.26 6.83 11.08 496.28

5.48 7.34 12.81 578.93

6.08 7.89 13.97 692.37

6.08 8.48 14.56 803.64

6.08 9.12 15.20 913.27

6.08 9.57 15.66 1022.71

ASSETS

(Rs. Lacs)

1 a b

APPLICATION OF FUNDS Fixed Assets Gross Block Less: Depreciation Net Fixed Assets

2

Investments

3

Current Assets, Loans & Advances

4

Inventories Receivables Deposits & Other Current Assets Cash & Bank Balances Total Current Assets Preliminary Expenses Total Assets

Page 26

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

432.39 36.66 395.73

432.39 73.33 359.07

432.39 109.99 322.40

432.39 146.65 285.74

432.39 183.32 249.08

432.39 219.98 212.41

0.00

0.00

0.00

0.00

0.00

0.00

4.26 34.07

5.48 43.80

6.08 48.67

6.08 48.67

6.08 48.67

6.08 48.67

32.22 30.00 100.55 0.00 496.28

135.59 35.00 219.87 0.00 578.93

275.22 40.00 369.97 0.00 692.37

418.15 45.00 517.90 0.00 803.64

559.44 50.00 664.19 0.00 913.27

700.55 55.00 810.30 0.00 1022.71

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

Projected cash flow statement For the year ending March 31, Sources of funds Net Profit After Taxes Depreciation Increase in term loan Increase in Unsecured Loans Increase in Equity Preliminary Expenses Written off Reduction in Non Current Assets Increase in bank borrowing Increase in current liability Total Application of Funds Capital expenditure Deposits Decrease in Current Liabilities Increase in Current Assets Decrease in Term Deposit Decrease in term loans Total Opening cash balance Net surplus/(deficit) Closing cash balance

Page 27

lacs

2009-10

2010-11

2011-12

2012-13

INR 2013-14

52.80 36.66 294.00 138.39 0.00

139.73 36.66

171.08 36.66

169.47 36.66

167.80 36.66

167.79 36.66

0.00

0.00

0.00

0.00

0.00

0.00 0.00 11.08 532.94

0.00 0.00 1.73 178.12

0.00 0.00 1.16 208.90

0.00 0.00 0.59 206.73

0.00 0.00 0.64 205.09

0.00 0.00 0.46 204.91

432.39 0.00 70.55 0.00 0.00 502.94 30.00 30.00

0.00 0.00 114.32 0.00 58.80 173.12 30.00 5.00 35.00

0.00 0.00 145.11 0.00 58.80 203.91 35.00 5.00 40.00

0.00 0.00 142.93 0.00 58.80 201.73 40.00 5.00 45.00

0.00 0.00 141.29 0.00 58.80 200.09 45.00 5.00 50.00

0.00 0.00 141.11 0.00 58.80 199.91 50.00 5.00 55.00

2014-15

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

REPAYMENT SCHEDULE OF TERM LOAN New Term Loan As at March 31, 2009-10 2010-11 Opening balance 294.00 294.00 Repayments 58.80 Closing balance 294.00 235.20 Average balance 588.00 264.60 Interest @ 13% 76.44 34.40 COMPUTATION OF INCOME-TAX For the year ended March 31, Net Profit Add: Depreciation Less: Depreciation as per I.T. Profit as per I.T. Less:unabsorbed losses Adjusted profit Exemption as 100% EOU Exemption 80HHA Taxable Profit Tax Debt Service Coverage Ratio For the year ended March 31, Coverage Profit After Tax Depreciation Interest On Term Loan Total Coverage Debt Interest on Term Loan Repayment Term Loan Total Debt DSCR Max. Average DSCR

Page 28

2011-12 235.20 58.80 176.40 205.80 26.75

2012-13 176.40 58.80 117.60 147.00 19.11

2013-14 117.60 58.80 58.80 88.20 11.47

(Rs. Lacs) 2014-15 58.80 58.80 29.40 3.82

2009-10 70.17 36.66 55.73 51.10 51.10

2010-11 205.93 36.66 47.83 194.76 194.76

2011-12 256.90 36.66 41.08 252.49 252.49

2012-13 257.44 36.66 35.29 258.82 258.82

2013-14 257.46 36.66 30.33 263.79 263.79

2014-15 259.63 36.66 26.09 270.21 270.21

51.10 17.37

194.76 66.20

252.49 85.82

258.82 87.97

263.79 89.66

270.21 91.84

2010-11

2011-12

52.80 36.66 76.44 165.90

139.73 36.66 34.40 210.79

171.08 36.66 26.75 234.50

169.47 36.66 19.11 225.25

167.80 36.66 11.47 215.92

167.79 36.66 3.82 208.27

76.44 76.44 2.17

34.40 58.80 93.20 2.26

26.75 58.80 85.55 2.74

19.11 58.80 77.91 2.89 Minimum

11.47 58.80 70.27 3.07 2.17

3.82 58.80 62.62 3.33 2.26

2009-10

2012-13

2013-14

2014-15

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

BREAK EVEN ANALYSIS For the year ended March 31, Sale Value of Production Variable Costs Raw materials Consumables Stores Power & Fuel Excise Duty Direct Labor (40% Variable) Manufacturing Expenses Selling Expenses (40% Variable) Interest on Working Capital Total Variable Cost (B) Contribution (A-B) Fixed Costs Net Profit Break even Sales Sales at 100% capacity Break even Cash Break even Sales

Page 29

2009-10

2010-11

2011-12

2012-13

2013-14

2014-15

408.80

525.60

584.00

584.00

584.00

584.00

0.00 51.10 7.20 0.00 32.77 9.68 12.96 113.70 295.10 224.93 70.17 311.60 730.00 42.68% 35.73%

0.00 65.70 7.20 0.00 35.22 12.01 12.96 133.10 392.50 186.58 205.93 249.84 730.00 34.23% 27.50%

0.00 73.00 7.20 0.00 37.87 13.18 12.96 144.21 439.79 182.89 256.90 242.86 730.00 33.27% 26.60%

0.00 73.00 7.20 0.00 40.71 13.18 12.96 147.05 436.95 179.51 257.44 239.92 730.00 32.87% 26.15%

0.00 73.00 7.20 0.00 43.76 13.18 12.96 150.10 433.90 176.45 257.46 237.48 730.00 32.53% 25.77%

0.00 73.00 7.20 0.00 45.95 13.18 12.96 152.29 431.71 172.08 259.63 232.79 730.00 31.89% 25.09%

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

Details of Project Cost Estimation for Plant & Machinery and Miscellaneous Fixed Assets S Estim Particulars Quantity No Price

Amount Rs.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23

O T Table Electronic O T Lights Electro Cautary Machine Section Centrifugal Machine Trolley & other minor O T Instruments Oxygen & No2 Pipeline C O2 Laser Auto Clave (Horizontal) De - Fabricator Ventilators I C U Beds Laser Machine Liposuction Unit (Power Assisted) VASER Liposuction Sirona Dental Chairs Anesthesia System ( Boils machine ) E.P.300 Press furnace with V P 4 V Pump E.P.3000 Press furnace with V P 4 V Pump e max All Ceramic Consumables Multiparameter Monitor ( pulse oxymeter) Ceramill Zirkonia Milling System Zirkhon Zahn

SUB TOTAL

Page 30

1 1 1 3 1 1 1 1 1 1 2 5 1 1 1 7 1 1 1 1 6 1 1

Sets Sets Sets Sets Set Sets Set Set Sets Set Set Beds Sets Units Units Chairs Set set No. No. Sets No. No.

250,000 630,000 500,000 52,000 100,000 100,000 161,114 1,000,000 350,000 400,000 419,500 220,044 3,500,000 1,258,600 4,420,000 600,000 625,000 388,336 698,900 55,015 185,000 1,140,000 1,400,000

VAT

Total

250,000 630,000 500,000 156,000 100,000 100,000 161,114 1,000,000 350,000 400,000 839,000 1,100,220 3,500,000 1,258,600 4,420,000 4,200,000 625,000 388,336 698,900 55,015 1,110,000 1,140,000 1,400,000

10,000 25,200 20,000 6,240 4,000 4,000 6,445 40,000 14,000 16,000 33,560 44,009 140,000 50,344 176,800 168,000 25,000 15,533 27,956 2,201 44,400 45,600 56,000

260,000 655,200 520,000 162,240 104,000 104,000 167,559 1,040,000 364,000 416,000 872,560 1,144,229 3,640,000 1,308,944 4,596,800 4,368,000 650,000 403,869 726,856 57,216 1,154,400 1,185,600 1,456,000

24,382,185

975,287

25,357,472

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

Electricals, Power and Air conditioning S No Particulars 1 2 7

Air Conditioning Unit Generator & Spare Generator 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) UPS, computers, Printers and billing Systems Total

Page 31

Quantity 12 1

Units No.

Estim Price

Amount Rs.

VAT

Total

93,727 671,750

1,124,724 671,750

44,989 26,870

1,169,713 698,620

LS

3,500,000

5,368,333

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

Interior S.No. 1

Description

Quantity

False Ceiling :

Unit

Amount Rs

Rate

3500

SFT

75

262,500

10500

SFT

26

273,000

Providing & fixing of false ceiling made out of G .I .channels and 10mm thick GIPSUM sheets 2

Painting : 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

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 e) Taps(Jaquar) and Angle Cocks (Parry ware) * Urinal 4

Ladies Toilet : 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

12

Nos

2500

30,000

c) Soap dispencer 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

3500

SFT

120

420,000

including tap & fittings 8

Flooring providing & fixing of Vitrified tiles including sand and cement (Western Morbo or Granolite ) Interior Architect Remuneration Total Cost of interior

648,000 2,656,940

Page 32

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

Furniture : 1 a) Partitions made out of 65 x 38 mm sal wood 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 c) Door fixtures (Door closer or Door Gear, S S hinges, SS handles etc ISI standard d) Modularstorage with 18mm thick Green Garjan 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 f) Adm Office furniture f) Soft Leather Sofa Single Unit g) Computer Jack Total

3000

SFT

950

2,850,000

4 9

Nos

350000 8800

1,400,000 79,200

1750

SFT

850

1,487,500

3

Nos

20000

20

Nos

5500

60,000 300,000 110,000

20 nos 6,286,700

Page 33

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

Assumptions Cosmetic Wing Project Starting Year Start of Commercial Operations

(1 May 2009) FY 09-10 FY 10-11

Revenue Occupancy Rate Operating Days Liposection & Major Cos Surgery No. of Theatres No. of working hours per day Time for each procedure (hrs.) No. of procedures per day Revenue from each procedure (Rs.) Annual Revenue (Rs. in lacs)

35% 365 FY 09-10 1 16 3 5 40,000 272.53

FY 11-12

FY 12-13

FY 13-14

FY14-15

45% 365

50% 365

50% 365

50% 365

50% 365

FY 10-11

FY 11-12

FY 12-13

FY 13-14

FY14-15

1 16 3 5 40,000 350.40

1 16 3 5 40,000 389.33

1 16 3 5 40,000 389.33

1 16 3 5 40,000 389.33

1 16 3 5 40,000 389.33

Cosmetic Procedures No. of Chairs No. of working hours per day Time for each procedure (hrs.) No. of procedures per day Revenue from each procedure (Rs.) Annual Revenue (Rs. in lacs)

FY 09-10

FY 10-11

FY 11-12

FY 12-13

FY 13-14

FY14-15

3 12 0.5 72 1,000 91.98

3 12 0.5 72 1,000 118.26

3 12 0.5 72 1,000 131.40

3 12 0.5 72 1,000 131.40

3 12 0.5 72 1,000 131.40

3 12 0.5 72 1,000 131.40

ICU & Recovery Rooms No. of Beds No. of hours per day Average Bed Charges per hour (Rs.) Annual Revenue (Rs. in lacs)

FY 09-10

FY 10-11

FY 11-12

FY 12-13

FY 13-14

FY14-15

5 24 200 30.66

5 24 200 39.42

5 24 200 43.80

5 24 200 43.80

5 24 200 43.80

5 24 200 43.80

General Anesthesia No. of patients per day Average revenue per patient (Rs.) Annual Revenue (Rs. in lacs)

FY 09-10

FY 10-11

FY 11-12

FY 12-13

FY 13-14

FY14-15

5 2,000 13.63

5 2,000 17.52

5 2,000 19.47

5 2,000 19.47

5 2,000 19.47

5 2,000 19.47

Expenses Annual Increase in per employee Salary

FY 09-10

FY 10-11

FY 11-12

FY 12-13

FY 13-14

FY14-15

7.50%

7.50%

7.50%

7.50%

7.50%

7.50%

Page 34

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan Sales

Particulars

FY 09-10

FY 1011

FY 1112

FY 1213

FY 1314

FY1415

Number of Guests Operating Capacity Operating Days Income from various services (Rs. Lacs) Liposuction & Major Cos. Surgery Cosmetic Procedures ICU & Recovery Rooms General Anesthesia

35% 365

45% 365

50% 365

50% 365

50% 365

50% 365

272.53 91.98 30.66 13.63

350.40 118.26 39.42 17.52

389.33 131.40 43.80 19.47

389.33 131.40 43.80 19.47

389.33 131.40 43.80 19.47

389.33 131.40 43.80 19.47

Total Income

408.80

525.60

584.00

584.00

584.00

584.00

Salaries & Wages

PARTICULARS ANNUAL INCREASE IN PAY Managing Director Directors Plastic Surgeon Anesthesetist Dermatologist Duty Doctors (MBBS) Cosmetologists OT Nurses ICU Nurses Staff Nurses Office Boys Administration Head Business Development Head Valet Parking drivers Security Guards Team Sales Team TOTAL

Page 35

2009-10 SALARY TOTAL P.A. P.A. (RS.IN LAKHS)

NOS

6.00 3.60 9.00 3.60 3.60 2.40 0.96

1.50 0.90 4.50 1.80 0.90 1.20 0.72

1 1 2 2 1 2 5

1.20 0.96 0.84 0.60 3.60 6.00 1.20 3.00 1.20

0.60 0.48 0.42 0.15 0.90 1.50 0.60 0.75 1.50 18.42

2 2 2 2 1 1 2 1 5 32

2010-11 SALARY TOTAL P.A. P.A. (RS.IN LAKHS) 7.50% 6.45 6.45 3.87 3.87 9.68 19.35 3.87 7.74 3.87 3.87 2.58 5.16 1.03 5.16 1.29 1.03 0.90 0.65 3.87 6.45 1.29 3.23 1.29

2.58 2.06 1.81 1.29 3.87 6.45 2.58 3.23 6.45 81.92

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

Cosmetic Wing Other Expenses

Consumables Lipo. & Major Surgery (as % of Income) Cosmetology (as % of Income) Lipo. & Major Cos. Surgery - Annual Consumables Comestology - Annual Consumables Total Consumables Cost of Repairs & Maintenance Cost of Assets Cost of spares as a % of cost of assets Total Cost of repairs & maintenance Power & Fuel Total cost of power Selling & Administrative Expenses Rent House-keeping Telephones Advertisement Miscellaneous Total Selling & Administrative Expenses Other Operating Expenses Operating Expenses (as % of sales) Operating Expenses (Rs. in lacs) Bio-waste disposal Parking Charges HR Training expenses Total other operating expenses

Page 36

FY 09-10

FY 1011

FY 1112

FY 1213

FY 1314

FY1415

12% 20%

12% 20%

12% 20%

12% 20%

12% 20%

12% 20%

32.70 18.40 51.10

42.05 23.65 65.70

46.72 26.28 73.00

46.72 26.28 73.00

46.72 26.28 73.00

46.72 26.28 73.00

432 10% 43.24

432 10% 43.24

432 10% 43.24

432 10% 43.24

432 10% 43.24

432 10% 43.24

7.20

7.20

7.20

7.20

7.20

7.20

3.00 2.40 2.00 20.00 5.00 32.40

3.00 2.40 2.00 20.00 5.00 32.40

3.00 2.40 2.00 20.00 5.00 32.40

3.00 2.40 2.00 20.00 5.00 32.40

3.00 2.40 2.00 20.00 5.00 32.40

3.00 2.40 2.00 20.00 5.00 32.40

2% 8.18 0.50 0.50 0.50 9.68

2% 10.51 0.50 0.50 0.50 12.01

2% 11.68 0.50 0.50 0.50 13.18

2% 11.68 0.50 0.50 0.50 13.18

2% 11.68 0.50 0.50 0.50 13.18

2% 11.68 0.50 0.50 0.50 13.18

Matrix Consulting, Hyderabad, India. +9989040404

Cosmetic _Surgical _Centre _ Business Plan

Allocation of Contingencies, Preliminary Expenses and Erection and Installation Expenses Particulars of Fixed S.No. Assets 1 2 3 4 5

Land Buildings Interiors Plant & Machinery Furniture & Fixtures Electrical, Aircon and 6 Genset 7 Office Equipments 8 Vehicles Total

Cost Conting. -

Total

Allocation

Cost

of Prel.

Cost after Alloc

Existing

Total

Assets

Assets

1.86 17.77 4.41

28.43 271.35 67.27

0.53 5.05 1.25

28.96 276.39 68.52

53.68

3.76 -

57.45 -

1.07 -

58.51 -

396.69

27.80

424.49 -

7.90

432.39

58.51 432.39

Depreciation as per Companies Act Particulars of Fixed Rate of Assets Dep 2009 1 Land 2 Buildings 3.34% -

2010

2011

2012

2014

2015

-

-

-

-

-

3

Interiors

4

26.57 253.57 62.87

28.96 276.39 68.52

3.34%

0.24

0.97

0.97

0.97

0.97

0.97

Plant & Machinery

10.34%

7.14

28.58

28.58

28.58

28.58

28.58

Furniture & Fixtures Electrical, Aircon and 6 Genset 7 Office Equipments 8 Vehicles

6.33%

1.08

4.34

4.34

4.34

4.34

4.34

4.75% 4.75% 9.50%

0.69 -

2.78 -

2.78 -

2.78 -

2.78 -

2.78 -

9.17

36.66

36.66

36.66

36.66

36.66

5

Total

Page 37

Matrix Consulting, Hyderabad, India. +9989040404