1. ASHWINI GUDALUR FINANCIAL IMPLICATIONS OF HEALTHCARE

2. PH FOUNDN- Rs 1400000 $ 31818 SKILLSHARE- Rs. 446896 $ 10156 SRTT- Rs 300000 $ 6818 HOSP. INC - Rs 944331 $ 21462 CORPUS - Rs 495185 $ 11254 INS. PREMIUM –Rs 98679 $2242 OTHER - Rs 344598 $7831 FUNDING SOURCES TOTAL RS 4029659 $ 91583

3. TOTAL EXPENSES COMMUNITY HEALTH- Rs 547394 $ 12440 INSURANCE- Rs 323815 $ 7359 CURATIVE CARE- Rs1124044 $25546 TRAINING-Rs. 371555 $ 8444 CAPITAL- Rs 138455 $3146 ADMIN- Rs 377486 $8579 STAFF WELFARE – Rs 94707 $2152 FUNDRAISING- Rs 30524 $ 694 RS 3007980 $ 68363

4. INS. REIMBURSEMENT- Rs.309414 $7032 PAID BY PTS- Rs. 41467 $ 942 DIABETIC FUND- Rs. 29606 $ 673 OWN FUNDS- Rs 402851 $9156 IN PATIENT EXPENSES TOTAL: Rs 783338 $ 17803 Total Inpatients 1033 Cost / Pt. Rs 758 $ 17

5. IP EXPENSES NOT COVERED TOTAL Rs. 509979 $ 11590

6. OUT PATIENT COSTS IN GAH- 6000 patients / year Average Cost Rs 30/ patient Total cost- Rs 180000 $ 4090 Patients pay Rs 10 per visit Total income – Rs 60000 Deficit OP expenses- Rs. 120000 $ 2727

7. SUB CENTRE OUT PATIENT CARE YEARLY EXPENSE OF Rs. 75000 ANNUAL INCOME Rs 4000

8. The AMS-ASHWINI Health Insurance 1992-2003 REASONS FOR STARTING MUTUAL INSURANCE- Financial arrangement that enables the members to avoid/reduce payments at the time of use of services TO ACCESS HEALTH CARE WITH DIGNITY and not depend on welfare or handouts For Community RISK SHARING of illness- Community Co-operation & Solidarity

9. Mutual Insurance Design AMS Members Premium Paid ASHWINI the Care Providers & Fund Managers Care Preventive OP IP Premium Not- Paid Annual Premium Rs. 22 / person Part cost of treatment

18. SUSTAINABILITY MAJOR ISSUE TRAINING AND PREVENTIVE CARE WILL ALWAYS NEED TO BE SUBSIDISED IT IS THE GOVERNMENTS RESPONSIBILITY BECAUSE THIS HAS FAILED, OTHERS NEED TO STEP IN.

19. BASIC CURATIVE CARE: SUSTAINABLE FROM: Insurance reimbursements Cross subsidy Patients contribution

20. OTHER MEASURES CORPUS FUND- TARGET Rs 10000000 ($ 227272) ACHIEVED Rs 100000 ! ($22727) MADHUVANA PLANTATION- COMMUNITY ASSET TRAINING PROGRAMS- MEDICAL STUDENT ELECTIVE! BRITISH SCHOOL TEACHERS TRAINING OTHER ACTIVITIES- CYCLE TRIP, ARTEFACTS TO UK DIRECT MARKETING