Silver Jubilee Celebration

Role of Not for Profit Organizations in the Development of Healthcare

Healthy Africa; Approaches for the Not For Profit Hospital Chain of Saudi German Hospitals Group

Silver Jubilee Celebration on occasion of 25th Anniversary of Madras

Medical Mission

12th & 13th January 2007; Chennai; India

Silver Jubilee Celebration

Role of Not for Profit Organizations

in the Development of Healthcare

Silver Jubilee Celebration on occasion of 25th Anniversary of Madras Medical

Mission

12th & 13th January 2007; Chennai; India Eng. Sobhi A. Batterjee ; President & CEO

Healthy Africa;

Approaches for the development of a Not For Profit Hospital Chain

of Saudi German Hospitals Group

Part 2 : How ?

F. O. Silver Jubilee Convention MMM Chennai 12-13th January 2007 3

الناس “ احيا فكأنما احياها الناس ومن احيا فكأنما احياها ومن”جميعاجميعا

٣٢المائده

…“…“and who’s ever saves one souland who’s ever saves one soul

it is as if he saved all mankindit is as if he saved all mankind”” Surah Al-Maeda 32

We are obliged to our believe…

F. O. Silver Jubilee Convention MMM Chennai 12-13th January 2007 4

to Design, Finance, Construct, and Operate 30 World Class Hospitals ,and create 50,000 Jobs in the Healthcare Industry; to be the dominant regional player in the private medical education by establishing 5 Medical Colleges in Middle East and Africa by the year 2015, Insha’ Allah !

1. SGH-Group Vision:

F. O. Silver Jubilee Convention MMM Chennai 12-13th January 2007 5

SGH-Group achievements: SGH-Group achievements: HOSPITALS

MEDICALEDUCATION

NON FOR PROFITORGANIZATIONS

OTHER ESTABLISHMENTS

1990 1998 2000 2001 2002 2003 2004 20052006

1990 1998 2000 2001 2002 2003 2004 20052006

SGH JEDDAH - KSA

SGH ASEER - KSA

SGH RIYADH - KSA

HMRTI(Health Management

Research & Training Institute)

SEDI(Saudi Entrepreneurship Development Institute)

SGNAs(Saudi German Nursing & Allied Sciences Institute)

CONSTRUCTION DIVISION

FBA(Family Business Academy)

SGH MADINAH - KSA

SGH SANAYEMEN

GOLD’S GYM

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22 . .SGH HOSPITALSSGH HOSPITALS 22 . .SGH HOSPITALSSGH HOSPITALS

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SGH JEDDAH - KSASGH JEDDAH - KSA SGH JEDDAH - KSASGH JEDDAH - KSA

Established in:1988Number of Beds:302

Total Number of Employees = 1258 :

Medical Staff = 601 (173 Doctors + 293 Nurses + 135 Supporting Staff)

Non-Medical Staff = 657

YEAR200320042005

Number of Out Patients :184,858 197,912  354,977

Number of In Patients:13,19314,202 15,513

Revenue in millions SR:211,98219,89229,64

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SGH ASEER - KSASGH ASEER - KSA SGH ASEER - KSASGH ASEER - KSA

Established in:2000Number of Beds:400

Total Number of Employees = 471 :

Medical Staff = 222 (59 Doctors + 113 Nurses + 50 Supporting Staff)

Non-Medical Staff = 249

YEAR200320042005

Number of Out Patients :115,166 94,640  96,062

Number of In Patients:5,867  5,517 5,580

Revenue in millions SR:64,5870,6872,94

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SGH RIYADH - KSASGH RIYADH - KSA SGH RIYADH - KSASGH RIYADH - KSA

Established in:2001Number of Beds:300

Total Number of Employees = 502 :

Medical Staff = 288 (68 Doctors + 130 Nurses + 90 Supporting Staff)

Non-Medical Staff = 214

YEAR200320042005

Number of Out Patients :56,934 79,411 95,402

Number of In Patients:3,566  4,402 4,770

Revenue in millions SR:47,4661,9371,48

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SGH MADINAH - KSASGH MADINAH - KSA SGH MADINAH - KSASGH MADINAH - KSA

Established in:2004Number of Beds:300

Total Number of Employees = 410 :

Medical Staff = 255 (55 Doctors + 120 Nurses + 50 Supporting Staff)

Non-Medical Staff = 185

YEAR20042005

Number of Out Patients :46,840 64,243

Number of In Patients:2,979 3,776

Revenue in millions SR:23,2134,80

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SGH SANA - YEMENSGH SANA - YEMENSGH SANA - YEMENSGH SANA - YEMEN

Established in:2006Number of Beds:300

Total Number of Employees =310:

Medical Staff = 200 (50 Doctors + 100 Nurses + 50 Supporting Staff)

Non-Medical Staff = 110

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SGH DUBAI - UAESGH DUBAI - UAE SGH DUBAI - UAESGH DUBAI - UAE

SGH Dubai General Hospital &5 Centre of Medical Excellenceto be established : 2008

Number of Beds:

315

250

Under Construction

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SGH CAIRO - EGYPTSGH CAIRO - EGYPTSGH CAIRO - EGYPTSGH CAIRO - EGYPT

To be established by:

2008

Number of Beds:300

Under Construction

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SGH HAIL - KSASGH HAIL - KSA SGH HAIL - KSASGH HAIL - KSA

To be established by: 2009

Number of Beds: 150 Under Construction

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33 . .MEDICAL EDUCATIONMEDICAL EDUCATION

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BATTERJEE MEDICAL BATTERJEE MEDICAL COLLEGECOLLEGE

Jeddah - KSAJeddah - KSA

BATTERJEE MEDICAL BATTERJEE MEDICALCOLLEGECOLLEGE

Jeddah - KSAJeddah - KSA

1st Medical College will be opened in 2007, further four Medical Colleges, each with a capacity of 4000 students, will be established in the Middle East by 2010.

9 Faculties; Medicine, Dentistry, Nursing, Pharmacy, Radiology, Laboratory, Physiotherapy, Health Management & Health Information.

The teaching curricula where developed by leading German Universities; the non for profit AVICENNA – Foundation and International Advisory Board will guarantee a high quality of teaching and medical research.

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SGNAs - KSA - KSA Saudi German Institutes for Nursing and Saudi German Institutes for Nursing and

Allied Medical SciencesAllied Medical Sciences

- -800800 students at presentstudents at present- -

SGNAsKSA - KSA - Saudi German Institutes for Nursing and Saudi German Institutes for Nursing and

Allied Medical SciencesAllied Medical Sciences

- -800800 students at presentstudents at present- -

Offering Undergraduate Diploma Programs in Nursing and other specialties of applied medical sciences.

Affiliation with the IB Academy of Germany and UNISA of South Africa branches in Jeddah, Aseer, Riyadh and Madinah.

Mandatory the students have to participate in a site visit program at the Charite to Berlin, the biggest and most famous University Hospital in Europe.

AI N

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44 . .NON FOR PROFITNON FOR PROFIT HOSPITALS AFRICAHOSPITALS AFRICA

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ZAKAT DONATION PROJECTS / ZAKAT DONATION PROJECTS / Non for Profit HospitalsNon for Profit Hospitals

ZAKAT DONATION PROJECTS / ZAKAT DONATION PROJECTS / Non for Profit HospitalsNon for Profit HospitalsNarrated Haritha bin Wahab:

I heard the Prophet I heard the Prophet saying, "O people! Give saying, "O people! Give in charity as a time will in charity as a time will come upon you when a come upon you when a person will wander person will wander about with his object of about with his object of charity and will not find charity and will not find anybody to accept it, anybody to accept it, and one (who will be and one (who will be requested to take it) will requested to take it) will say, "If you had brought say, "If you had brought it yesterday, would have it yesterday, would have taken it, but to-day I am taken it, but to-day I am not in need of it."not in need of it."

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SGH Group Journey - for profit and non-for profit both -

SGH Group has a focus on Middle East (KSA, Yemen, UAE, Egypt ) In Yemen SGH gone there even though many people

told not to go.!!! In Hail (KSA) we are going there to support the local community who are not as rich like other parts of KSA

and we will go to other poor regions of KSA where private Sectors will not be in favor to go.

BUT SGH Group is going to include Africa nations like Ethiopia,

Nigeria, Chad, Ghana Eritrea, Congo …………… IN FUTURE The Group will also include Asian nations like Pakistan, India,

Afghanistan, Bangladesh…… We will do many more non-for profit hospitals, Institutes, Blood

banks across Asia (including Middle East) and Africa BUT we need more Partnerships and supports from Governments,

NGOs, Charity Organizations, Private Groups….

20

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Saudi German Hospitals Group as a responsible Corporate Citizen had demonstrated a serious attempts

to do many Community Services including by opening many (most needed in the region) educational Institutions

as Non for Profit organizations:-Saudi Entrepreneurship Development Institute (SEDI), to Facilitates growth of Small and Medium

Businesses in the KSA and in Arab World, www.sedi.org.sa

Healthcare Management Research & Training Institute (HMRTI) which is dedicated to the Improvement

of the Health Standards of the People through Health Management Research and Training in the region,

www.hmri-me.or

SGH Group - promoter for community services (1)

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Family Business Academy (FBA), A Cost-effective and Result Oriented Resource Center for those seeking

Knowledge/Information on Managing a Family Business. www.fba-me.org

Charity Blood Bank, SGH Group has also promoted this Charity Blood Bank that is the largest in the region.

www.jcbloodbank.com

SGH Group - promoter for community services (2)

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The Saudi German Hospitals group has developed a specialized program for projects which are donated as ZAKAT to the governments but also non for profit hospitals for rural areas together with world leading companies of the health care industry, and supported by different development funds.

The Saudi German Hospitals Group is planning, constructing, equipping and operating these Hospitals as their own contribution to develop corporate social responsibility to stamp attribute of developed societies in the Arab World.

The ZAKAT and non for profit projects are located in Oman, UAE, Kashmir, Sudan, Eritrea, Chad, Nigeria, Congo-Kinshasa, Ghana, and Nigeria ; further projects are planned In other African countries, Pakistan, and Afghanistan as well.

ZAKAT PROJECTS / ZAKAT PROJECTS / NON FOR PROFIT HOSPITALS NON FOR PROFIT HOSPITALS

ZAKAT PROJECTS / ZAKAT PROJECTS / NON FOR PROFIT HOSPITALS NON FOR PROFIT HOSPITALS

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Essentials: African Projects (1)1. Standardized Basis Architecture Model located in or close to a city (suburban region) of not more than 500.000 population, in a rural environment but with accessibility and basic facilities Turn Key: 5 Million USD ( all inclusive ) ; Adaptable and modifiable construction – tailor able to the regional different needs2. Structured and designed for secondary care; inpatients 50 beds; 12 outpatient clinics; calculated app. 2500 Inpatients ( 25- 30 %) and 7500 Outpatients = 10,000 patients p.a. ; access round the clock3. Medical emphases addressed to the common disease of Africa e.g. Malaria, Hepatitis, and AIDS. Furthermore it will cover : Infectious Diseases, Simple Traumata, Pediatrics, Obstetrics & Gynecology (Maternal Care), basic ophthalmology, dermatology, ENT, etc…basic abdominal surgery, basic dental medicine, simple laboratory (normal function), Simple X-ray.

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4 .Hospital design: The Emergency Unit operating 24 hours x 7days a week but it will not cover any tertiary care, specialized clinics, specialized surgery. Patients who need tertiary care will be referred with well equipped ambulance to the next suitable hospitals. Emergency/Recovery rooms with 9 beds. 2 Delivery Wards Capacity for 3 Operating Theatres, but will start with only 2 (1 in emergency, one in surgery ) Small blood center collecting donations from relatives, as a facility to manage own supply of needed blood

5 .nursing education & training facility will be available as in all SGH ventures

6 .Typical staff structure

will start with 70 employees at the beginning. Managerial structure must have CMO & COO.

Essentials: African Projects (2)

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7 .Outpatient Clinics: total 12 ; of them are 2 OB & GYN , 4 Internal Medicine, 1 Dental Medicine,1 Ophthalmology, 1 ENT, 2 Pediatric , 1 Urology/ Nephrology.

8 .Environment emergency power supply : UPS and generator Fresh air system. Complete water treatment Incinerator for human waste. Waste management septic tank. The hospital should be able to function in a supporting environment & in presence of efficient utilities and infrastructure.

Essentials: African Projects (3)

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The Master planning is completed already

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FINANCING - FUNDING

Development Funds

Industry Partner

SGHG

Government

NGO’s & other Donors

IP & SGHG Non-For-Profit Organization

INVESTMENTS RUNNING COSTS

as supplieras supplier

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USA/Global Non-Profit

(501c3)

LocalNon-ProfitAffiliate

Tax-deductible funding

Disclosure

USA/Globalfoundations

Infrastructure:LandConstructionTechnology

Govt relationsCommunityFund-raisingSustainabilityEmployer

GlobalBoard

LocalBoardCommunity funding &

subsidies

Disclosure

LocalGovt/donors

SGHG)OperationsKnow-howStaffing

Users

Services

Subsidized Payments

Industrial Partner

NON PROFIT STRUCTURE

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5 .Strategic out view (1)1. SGHG is a “ learning organization “

2. We will start in this year with our first NFP- Hospital in Pakistan; we will use our experience from this project to

start in 2008 with the first NFP hospital in Africa.

3. We will develop a “ standardized hospital model “ for Africa which is able to cover the most pressing needs

but also adaptable for special needs in the region

4. We plan to set up within the next ten years 10 hospitals ; each year a hospital plus a nursing school; we want to speed up the time frame for further hospitals but also to

improve the medical quality and economic sustainability

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Strategic out view (2)5 .Non For Profit Projects needs a spiritual & religious

fundament and a team spirit of brotherhood and selflessness between all required partners – a new

definition of partnership , social responsibility and teamwork

6 .We invite to participate in these challenging task the big development funds & finance institutions

the Non Governmental Organizations the African governments

the World Organizations and their regional representatives as e.g. WHO, UNESCO, IHF ,

JCAHO, and the African Union Commission the Medical and Pharmaceutical Industry

the Universities and other educational institutes

F. O. Silver Jubilee Convention MMM Chennai 12-13th January 2007 35Thank you for your attention !