Feasibility Study and Business Plan
The Feasibility Report offers critical guidance and evaluates the most practical health service models to pursue in the area. If necessary, Apollo International can enlist the support of an external consultant to submit feedback regarding market feasibility. Consequently, a comprehensive, Infallible Business Plan and Strategic Vision Document will be compiled.

Key objectives to address as an outcome of the Feasibility Study
Healthcare Demand and Delivery
The Feasibility Report analyses and assesses the demand for healthcare services across the primary, secondary, and tertiary levels of care in the target location and other potential regions. This includes researching the current demand for services and analysing projected needs for each identified care service. Additionally, referral patterns for the target location and other potential regions must be identified.
Service Flow Analysis
A feasibility study also requires an understanding of how patients move between different areas to access services. Our research identifies why patients are outflowing from certain regions to other destination cities/localities. Moreover, it establishes patient volumes and the volumes of specialist services such as consultations, diagnostics, IP admissions, and procedures being referred.
Market Entry Strategy
Finally, the feasibility report addresses the questions around necessary requirements, including devising a strategy for the service provider to position itself as a primary, secondary, or tertiary care provider. Additionally, the report includes the market entry model, proposed clinicians' engagement model, market positioning plan for patient retention, and ramp-up plan and service/speciality mix plan for the proposed facility. Significant consideration is given to establishing a commissioning and ramp-up plan for the proposed facility primarily to ensure the right service/speciality mix for success in the market.
Key Activities for the Feasibility Study
Belief Review
In order to build an understanding of what stakeholders seek in terms of growth, return, and risk, it is necessary to consolidate their aspirations, comprehend the dynamics of their business goals, and establish a specific period for any investments to be made. By doing this, we are able to appreciate the needs of all stakeholders involved and plan our strategies accordingly.
In-Depth Market Assessment
The market analysis focuses on reviewing and assessing the demographics, disease profiles, patient segments, and demand-supply analysis for current and potential services. Furthermore, the study involves collating and analysing essential clinical data and defining the competitive market scenario, which entails collecting and examining primary and secondary data. Doing so estimates the demand-supply gap across multiple specialities, thus resulting in an appropriate model for the proposed hospital concerning the facilities mix and other services. Some of the significant factors covered in the market assessment are as follows:
Macro-economic, Demographic and Key Healthcare Factors
Market assessment requires a review of GDP and its growth indicators with per capita income and growth under the Macroeconomic review. The demographic indicators require research on the population and its growth rate, local vs expatriates, profile by age, gender, and literacy rate. Finally, the healthcare indicators include a review of vital statistics, per capita expenditure on health, disease burden (communicable and non-communicable), and burden of chronic diseases.
Healthcare Infrastructure
The study captures the key healthcare facilities present in the country/other regions and their infrastructure, including all relevant stakeholders in the healthcare market (hospitals, medical centres, clinics, diagnostics, medical education, etc.), the number of relevant, organised players and healthcare market distribution (by ownership type, geographic presence, and service type). It also encompasses drivers, restraints, and challenges for the market, medical insurance overview, recent policy level developments/changes in healthcare/devices/healthcare IT, and major upcoming health facilities.
Supply Side Market Overview
The supply side of the market overview primarily focuses on the forthcoming hospitals, medical centers, diagnostic centers, and clinics anticipated within the next 3 to 5 years in the specified regions and cities. It also deals with analysing competitors' expansion plans, detailing their hospital-wise capacities and the volume of doctors across key service lines and specialties. Additionally, it evaluates the availability of well-qualified and trained doctors and nurses in these regions and cities.
Demand Side Market Overview
The demand side of the market overview captures the consumer behaviour patterns, the medical tourism aspects (inflow and outflow of patients), factors propelling patient outflow from targeted cities to other destinations, and the division among private and public facilities. Other major points include primary healthcare adoption trends amongst expatriates, referral patterns in the city, and the average volumes in key servicing lines that identify competing doctors / health facilities.
Local Healthcare Demand Analysis
Local Healthcare Demand Analysis involves an analysis of the buying process and an understanding of the key sources of patients. The buying process mainly addresses the key decision makers/influencers and the reasons for choosing primary healthcare services, including price points, doctor's affinity, etc. The key source of patients looks into service type, patient reach/coverage, an estimate of current and future demand for key targeted services, and demand from identified target group segments.
Detailed Profile of the Key Providers: Primary / Secondary / Tertiary Healthcare
The company profiling parameters for the top providers identify the company overview, business description, business model, employee engagement model, and marketing strategy. Company overview deals with the year of establishment, ownership type, key people in management, and the number of employees on the company stage. While the business description addresses general and specialised services, care focus areas, and USPs/wellknown services, the business model deals with revenues and growth, volumes of customers, major channels for patients, operating models and distribution channels, geographic presence, investor funding, and industry partnerships/tie-ups. Availability, salary structure, training, and engagement models pertaining to doctors, specialists, nurses, and paramedics make up the employee engagement model. The marketing strategy discusses the type of customers, product/service portfolio, expansion plans, and announced investments. The other important elements of the strategy are pricing for consultation, key procedures/surgeries, value-added services, and the overall strengths and weaknesses of the facility/group.
Establish Strategic Direction
Clinical Visioning Document
As a subset of the Business Vision & Strategy document, based on the analysis of the needs of the addressable populations, the proposed clinical, IT-enabled services are planned. Services to be offered in each vertical are detailed, and the key enablers for providing such services are recommended. The Clinical Services Review & Planning includes the review and recommendation of the proposed services and programs, identifying the focus clinical disciplines, clinical support infrastructure, related medical equipment, programs and technology, and the phasing of facilities as necessary for the target patient and academic segments. Each of the verticals would have a different timeline. The broad planning areas for these are listed in the next section.
Medical Equipment Plan
Based on the plan of facilities, the medical equipment needs are determined, keeping in mind the expected volumes, utilisation of the features, and other factors. Apollo International develops the rationale for medical equipment planning and sourcing. We also help identify the medical equipment needs for the proposed clinical services, considering the expected volumes, utilisation of the features, present and future market needs, and financial implications. Additionally, we estimate the costs of new equipment and aid in creating a medical equipment list comprising all the key equipment for the proposed verticals developed at this stage, along with the costs of such equipment.
Infrastructure Design Guideline
Once the clinical services to be offered and the medical equipment needs have been finalised, the infrastructure requirements for each vertical will be laid out. Apollo International analyses the location's suitability and estimates the extent of the land/building required for the proposed facilities – hospitals, clinics, academics and IT-enabled solutions. Additionally, we estimate the space requirements basis clinical and academic visioning and speciality programs to be offered. Further, we help to establish requirements for operation theatres, diagnostic-related setup requirements, and specific specialty-related built-up plans. We also review the built-up area required for the proposed services and the construction costs of civil, electrical, mechanical, plumbing, and other sites. Finally, suggestions on the engineering service equipment requirements are provided.
Workforce Strategy
The strategy entails a detailed study of the proposed facilities' medical and non-medical workforce needs. The following activities will be carried out as part of the workforce review, including estimating the number of consultants, surgeons, doctors, nurses, technicians, and administrative personnel required for the proposed hospital/clinics, evaluating the faculty needed by academic discipline, and other resources required. The activity also identifies the skill-set gaps within the available talent pool in the region, considering the proposed clinical/academic services, medical equipment plan, infrastructure plan, and others. Additionally, it starts identifying the sources for recruiting clinical/ academic, nursing, and managerial workforce. The strategy also reviews the estimated cost of the workforce across various functions and categories. Apollo International also recommends models for the Physician/ Faculty Association.
IT Enabled Healthcare Solutions
The IT-enabled healthcare initiatives must be aligned toward - Integration, Scalability, and Reach. To achieve these objectives, a strategic and vision document is formulated to review the current state of IT-enabled healthcare, the available technology infrastructure, gap analysis, and suitable delivery modules. The two broad objectives of the vertical would be to support the healthcare delivery business, leverage IT to gain operational and clinical efficiencies, enhance customer reach and experience, and build IT-enabled services along with the business models to be offered to the target market.
Revenue & Cost Model
Project costs to be incurred for the completion of the proposed facilities across different work areas are determined. A detailed estimate of the civil and building expenses, including utilities and support services, medical and other equipment and technology, and an estimation of preliminary and pre-operative expenses are prepared. The revenue streams are determined, and related tariff plans in line with the overall business objectives are prepared. The financial projections for ten years are carried out, and the overall viability of the integrated healthcare platform is determined.
Deliverable - Business Plan Review & Validation
All the strategic understanding listed in the previous section provides the cognitive assumptions, the basis on which an INFALLIBLE BUSINESS PLAN is developed, comprising revenue projections, profitability, investment requirements, investment returns, and major financial ratios. Apollo International reviews and validates the plan.