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Silver Jubilee Celebration Role of Not for Profit Organizations in the Development of Healthcare 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 25 th Anniversary of Madras Medical Mission 12 th & 13 th January 2007; Chennai; India

Silver Jubilee Celebration Healthy Africa; Approaches for the development of a Not For Profit Silver Jubilee Celebration Healthy Africa; Approaches for the development of a Not For Profit Hospital Chain Role of of Saudi German Hospitals Group Not for Profit Organizations in the Development of Healthcare Silver Jubilee Celebration on occasion of 25 th Anniversary of Madras Medical Mission Part 2 : How ? 12 th & 13 th January 2007; Chennai; India Eng. Sobhi A. Batterjee ; President & CEO

We are obliged to our believe… ” “ﻭﻣﻦ ﺍﺣﻴﺎﻫﺎ ﻓﻜﺄﻨﻤﺎ ﺍﺣﻴﺎ ﺍﻟﻨﺎﺱ ﺟﻤﻴﻌﺎ ٣٢ We are obliged to our believe… ” “ﻭﻣﻦ ﺍﺣﻴﺎﻫﺎ ﻓﻜﺄﻨﻤﺎ ﺍﺣﻴﺎ ﺍﻟﻨﺎﺱ ﺟﻤﻴﻌﺎ ٣٢ ﺍﻟﻤﺎﺋﺪﻩ “…and who’s ever saves one soul it is as if he saved all mankind” Surah Al-Maeda 32 3

1. SGH-Group Vision: q to Design, Finance, Construct, and Operate 30 World Class Hospitals 1. SGH-Group Vision: q to Design, Finance, Construct, and Operate 30 World Class Hospitals , and create 50, 000 Jobs in the Healthcare Industry; q 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 ! 4

SGH-Group achievements : HOSPITALS SGH SANA YEMEN SGH ASEER - KSA SGH JEDDAH - SGH-Group achievements : HOSPITALS SGH SANA YEMEN SGH ASEER - KSA SGH JEDDAH - KSA SGH RIYADH - KSA SGH MADINAH - KSA MEDICAL EDUCATION 1990 1998 2000 NON FOR PROFIT ORGANIZATIONS SGNAs (Saudi German Nursing & Allied Sciences Institute) 2001 2002 2003 2004 2005 FBA (Family Business Academy) SEDI (Saudi Entrepreneurship Development Institute) HMRTI (Health Management Research & Training Institute) OTHER ESTABLISHMENTS CONSTRUCTION DIVISION 5 GOLD’S GYM 2006

2. SGH HOSPITALS 6 2. SGH HOSPITALS 6

SGH JEDDAH - KSA Established in: 1988 Total Number of Employees = 1258 : SGH JEDDAH - KSA Established in: 1988 Total Number of Employees = 1258 : §Medical Staff = 601 (173 Doctors + 293 Nurses + 135 Supporting Staff) §Non-Medical Staff = 657 YEAR Number of Beds: 302 2003 2004 2005 Number of Out Patients : 184, 858 197, 912 354, 977 Number of In Patients: 13, 193 14, 202 15, 513 Revenue in millions SR: 211, 98 219, 89 229, 64 7

SGH ASEER - KSA Established in: 2000 Total Number of Employees = 471 : SGH ASEER - KSA Established in: 2000 Total Number of Employees = 471 : §Medical Staff = 222 (59 Doctors + 113 Nurses + 50 Supporting Staff) §Non-Medical Staff = 249 YEAR Number of Beds: 400 2003 2004 2005 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, 58 70, 68 72, 94 8

SGH RIYADH - KSA Established in: 2001 Total Number of Employees = 502 : SGH RIYADH - KSA Established in: 2001 Total Number of Employees = 502 : §Medical Staff = 288 (68 Doctors + 130 Nurses + 90 Supporting Staff) §Non-Medical Staff = 214 YEAR Number of Beds: 300 2003 2004 2005 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, 46 61, 93 71, 48 9

SGH MADINAH - KSA Established in: 2004 Total Number of Employees = 410 : SGH MADINAH - KSA Established in: 2004 Total Number of Employees = 410 : §Medical Staff = 255 (55 Doctors + 120 Nurses + 50 Supporting Staff) §Non-Medical Staff = 185 YEAR Number of Beds: 2004 300 2005 Number of Out Patients : 46, 840 64, 243 Number of In Patients: 2, 979 3, 776 Revenue in millions SR: 23, 21 34, 80 10

SGH SANA - YEMEN Established in: 2006 Total Number of Employees =310: §Medical Staff SGH SANA - YEMEN Established in: 2006 Total Number of Employees =310: §Medical Staff = 200 (50 Doctors + 100 Nurses + 50 Supporting Staff) §Non-Medical Staff = 110 11 Number of Beds: 300

SGH DUBAI - UAE SGH Dubai General Hospital & 5 Centre of Medical Excellence SGH DUBAI - UAE SGH Dubai General Hospital & 5 Centre of Medical Excellence to be established : 2008 12 Number of Beds: 315 250 Under Construction

SGH CAIRO - EGYPT To be established by: Number of Beds: 2008 Under Construction SGH CAIRO - EGYPT To be established by: Number of Beds: 2008 Under Construction 13 300

SGH HAIL - KSA To be established by: 2009 14 Under Construction Number of SGH HAIL - KSA To be established by: 2009 14 Under Construction Number of Beds: 150

3. MEDICAL EDUCATION 15 3. MEDICAL EDUCATION 15

BATTERJEE MEDICAL COLLEGE Jeddah - KSA q 1 st Medical College will be opened BATTERJEE MEDICAL COLLEGE Jeddah - KSA q 1 st 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. q 9 Faculties; Medicine, Dentistry, Nursing, Pharmacy, Radiology, Laboratory, Physiotherapy, Health Management & Health Information. q 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. 16

SGNAs - KSA Saudi German Institutes for Nursing and Allied Medical Sciences - 800 SGNAs - KSA Saudi German Institutes for Nursing and Allied Medical Sciences - 800 students at present A I N q Offering Undergraduate Diploma Programs in Nursing and other specialties of applied medical sciences. q Affiliation with the IB Academy of Germany and UNISA of South Africa branches in Jeddah, Aseer, Riyadh and Madinah. q 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. 17

4. NON FOR PROFIT HOSPITALS AFRICA 18 4. NON FOR PROFIT HOSPITALS AFRICA 18

ZAKAT DONATION PROJECTS / Non for Profit Hospitals Narrated Haritha bin Wahab: I heard ZAKAT DONATION PROJECTS / Non for Profit Hospitals Narrated Haritha bin Wahab: I heard the Prophet saying, "O people! Give in charity as a time will come upon you when a person will wander about with his object of charity and will not find anybody to accept it, and one (who will be requested to take it) will say, "If you had brought it yesterday, would have taken it, but to-day I am not in need of it. " 19

H Group Journey - for profit and non-for profit both - n SGH Group H Group Journey - for profit and non-for profit both - n 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 n SGH Group is going to include Africa nations like Ethiopia, Nigeria, Chad, Ghana Eritrea, Congo …………… IN FUTURE n The Group will also include Asian nations like Pakistan, India, Afghanistan, Bangladesh…… n 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 20

SGH Group - promoter for community services (1) Saudi German Hospitals Group as a SGH Group - promoter for community services (1) 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 21 21

SGH Group - promoter for community services (2) Family Business Academy (FBA), A Cost-effective SGH Group - promoter for community services (2) 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 22

ZAKAT PROJECTS / NON FOR PROFIT HOSPITALS q. The Saudi German Hospitals group has ZAKAT PROJECTS / NON FOR PROFIT HOSPITALS q. 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. q. 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. q. 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. 23

Essentials: African Projects (1) 1. Standardized Basis Architecture Model located in or close to 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 needs 2. 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 clock 3. 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. 24

Essentials: African Projects (2) 4. Hospital design: The Emergency Unit operating 24 hours x Essentials: African Projects (2) 4. Hospital design: The Emergency Unit operating 24 hours x 7 days 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. 25

Essentials: African Projects (3) 7. Outpatient Clinics: total 12 ; of them are 2 Essentials: African Projects (3) 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. 26

The Master planning is completed already 27 The Master planning is completed already 27

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FINANCING - FUNDING INVESTMENTS RUNNING COSTS Development Funds NGO’s & other Donors IP & FINANCING - FUNDING INVESTMENTS RUNNING COSTS Development Funds NGO’s & other Donors IP & SGHG Non-For-Profit Organization Industry Partner as supplier 31 SGHG as supplier Government

NON PROFIT STRUCTURE Tax-deductible funding USA/Global foundations Local Govt/donors Disclosure Subsidized Payments Infrastructure: Land NON PROFIT STRUCTURE Tax-deductible funding USA/Global foundations Local Govt/donors Disclosure Subsidized Payments Infrastructure: Land Construction Technology Local Board Community funding & subsidies Disclosure Users USA/Global Non-Profit (501 c 3) Global Board Local Non-Profit Affiliate Govt relations Community Fund-raising Sustainability Employer Services Industrial Partner 32 SGHG) Operations Know-how Staffing

5. Strategic out view (1) 1. SGHG is a “ learning organization “ 2. 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 33

Strategic out view (2) 5. Non For Profit Projects needs a spiritual & religious 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 34

35 Thank you for your attention ! 35 Thank you for your attention !