4M Holding CoMpany

CoMpany profile

4M is a Saudi national and international healthcare leader inoperation, education and development company specializing inCritical Care operations and center for excellence.

The founders have experienced significant success in the areaof critical care development and operations over the past years.This success has been achieved in both the governmental and

private sector proving that there is a need for such services.

Building on their previous success, the founders were able to visualize and form the4M company, which is ideally suited to cater to the needs of the Saudi market.

4M operates high profile Saudi Health Care facilities using their foundation andextensive expertise in long term care operations. The company also is a leader in the“Saudization” of highly specialized healthcare workers specialties and is active in theSH2 program.

about 4M

4M is a fast growing company that isfocused and specialized in healthcareoperation with critical care services. We were founded in January 2013 and havegrown rapidly since that time. our growthhas been rapid and steady as you can see.

• 300 employees by end 2013.• 500 employees by end 2014.• 800 employees by end 2015

• 70% Saudi• Highly specialized Jobs:• Critical Care doctors • nursing & lTC nursing • Critical Care nursing• respiratory Therapists• Critical Care dietitians & pharmacists

• all staff goes under 4M SH2 program.• 80% retention rate.• 4M is a platinum category in Mol & nitaq.• 4M registered in Hadaf & Saudi Hr fund

program.• 4M SH2 gets support from the Saudi Hr

fund program.

Staff

Sukoon international Company

• International Extended and Critical Care• Millennium Multi Medical Company• Saudi Critical Care Society• ICU and Center of Excellences Operation (MMM-O).• Smart Hospital Solution• Sukoon International Training Center• International Medical Center

Company Holdings

IEC Jeddah - Overview

in 2014 the ieC expanded their scope of service toinclude long Term acute Care (lTaC) patients withtotal bed capacity of 200 beds

• long Term Care (103 Beds)• intensive Care (43 beds)• Chronic Ventilation (39 beds)• isolation rooms (16 beds)• procedure rooms (1 bed)

• ieC - Jeddah is the first long Term acute Care Hospital in K.S.a.

• first CBaHi accredited long Term CareHospital in KSa.

• Highest number of iCU beds in the Kingdom.• Holistic approach to healing and care.

IEC Jeddah Achievements

• extended Care• Critical Care• infectious diseases• pediatrics

• renal dialysis• physical Medicine & rehabilitation• Surgical & Medical Consultation• operating room

Scope of Service

• large number of iCU beds• 50 % of bed capacity allocated to chronic

ventilated patients. • Highly qualified staff• advanced technology to increase safety.• Visionary leadership / forward Thinking • Multi-cultural staff improves experience.• High profile medical leadership.• advanced quality awareness & education.• Homle-like environment.

• focused on improvement & patient safety• Strong leadership support and beliefs• existing governmental contracts ensures

profitability.• Total care in-house.• Centrally located near well known hospitals• Website provides public access to services• Hospital information System• promising new construction activities

• respiratory Therapy• paramedics• laboratory & Blood Bank

• Medical imaging• pharmaceutical Services• Clinical nutrition

Medical Support Service

• Social services• religious affairs• patient relations

• admission/discharge• patient registration• Medical records

Medical Support Service

IEC Jeddah - Strengths

riyadH 1 oVerVieW• ieCC management are seeking approval to establish a 149 bed long-term

care facility in riyadh

• location: King Saud University endowment• Service offering: Critical and intermediate care services for patients• operations: renovation work has begun; first patients expected to be

received in Jun’16

• refined version of the ieC Jeddah

• Cares for long term iCU patients, and intermediate care patients

• provide a comfortable environment for the family when they come.

riyadh 1 - artists Conception

• enhance the patient-family experience• improve patient Safety and Security• provide all Clinical Support Services in-House• reduce Hospital acquired infection• reduce Medical and Medication errors• enhance operational efficiency to Save Time and improve Staff Satisfaction.

The International Extended Care (IEC) facility in Riyadhis a refined version of the IEC Jeddah, which cares forlong term ICU patients, and intermediate care patientsthat are more stable but may require long termventilation. We provide a comfortable environment forthe family when they come.

ieC riyadH deSign goalS

Innovations Improve Work-Flow In ICU RoomsThere are no cables on the floor or between the medical team & the patient. Cables areinternally routed through the pendants to achieve full integration without cable clutter

We Want To Create The World’s Best long Term iCU environment

The ventilator, infusion pumps &monitor preamp are all mountedon the bed frame to keep thecables, tubes, and hoses neatlyorganized and close to thepatient. This allows freemovement around the bedwithout restriction.

Typical ICU Patient Room Layout

ieC riyadH 1 - design goals

Improved Patient Tracking & Security Measures

Each patient room has a video camera and soundsystem that allows the outside viewing of patients uponrequest.

The system allows families to communicate with theirloved ones and als ensures that all staff are treating their patientsproperly because they are being monitored.

Additionally, this system allows fortelemedicine vidoe conferencing with outsidehealthcare specialists when needed.

Fully Integrated Medical Technology with a Clinical Information SystemAll patient related equipment is integrated to provide the real-time status of the patient,plus all trends and history.

ieC riyadH 2Strategy & Positioning

• geographical expansion/diversification for ieCC into riyadh

• Shortage of supply for customers (Military Hospital and Security forces Hospital) who currently send CVU patients to private providers.

• Upcoming tenders identified for 100 beds from Military Hospital and 25 beds for Security forces Hospital.

• MoH also identified as a key customer

• Bolstering the above, proximity to prince Sultan Military Medical City

• pricing at riyadh 2 expected at a discount to current rates charged by private providers due to CVU bed operating model vs higher cost iCU beds

• project could be operational within a short timeframe

IEC Riyadh 2 - Approved Plans

All Healthcare Practitioner Courses1. fundamental of Critical Care Support2. pediatric fundamental Critical Care Support3. rapid response Team Systems4. extracorporeal Membrane oxygenation5. intensive Bedside Critical Care Course6. Home Mechanical Ventilation7. Critical Care infection Control8. adult respiratory Clinical Care application & Mechanical Ventilation 9. Basic life Support

10. advance Cardiac life Support

• Houses a wide array of educational & training activities suitable for personal and professional career growth of professionals in the clinical field.

• provide the best education and training from different clinical field such as Medicine, nursing, respiratory Therapy, rehabilitation, physiotherapy and other non-medical.

• provides ieC affiliates an experience of working at the same time learning from the expertise of professional and experienced instructors taking into account the need of their respective trainees

• provide summer training program for undergraduates who would like to pursue a career in the clinical field.

Sukoon international Training Center

Nursing Courses1. fundamental of Critical Care nursing2. fundamental of Wound Care3. fundamental of Tracheostomy Care4. Continuous renal replacement Therapy5. intravenous Therapy Course

Sukoon international Training Center

Millennium Multi Medical Company

is a Saudi and multi-national healthcare leader in operation, education and developmentcompany specializing in Critical Care operations and center for excellence.

MMM founders have experienced significant success in critical care development andoperations in the past years in the governmental and private sector which made themvisualize & form a special company for this purpose.

• MMM operates pronounced Saudi Health Care facilities.• foundation and extensive expertise in lTC operation.• Saudization of highly specialized healthcare specialties; SH2 program.

Who Are We...• Millennium Multi Medical is a Healthcare

operation Company specialized in Critical Care operation.

• founded January 2013• fast growing• 300 employees by end dec 2013• 500 employees by end dec 2014• 800 employees by end dec 2015

Missionoperate health care facilities at the two endspectrum of care; primary long term andhome care and promote the best nutritionand women health care and wellbeing byadopting the north american expertise todevelop the local resources.

VisionTo provide the best north american level ofheath care in highly specialized fields withSaudi and local expertise.

Staff• 70% Saudi• Highly specialized Jobs:• Critical Care doctors • nursing• lTC nursing • Critical Care nursing• respiratory Therapists• Critical Care dietitians• Critical Care pharmacists

• all staff goes under MMM SH2 program.• 80% retention rate.• Keeps MMM in platinum category in Mol and nitaq.

• MMM registered in Hadaf in Saudi Hr fund program.

• MMM SH2 get support from Saudi Hr fund program.

Millennium Multi Medical

Millennium academy

Louis Phillip Belle-Isle, RRT, M.Ed. Academic Dean, Millenniumlouis is a registered respiratory therapist and member of the CSrTBoard of director, has worked as a therapist and chaired therespiratory & anaesthesia program at Vanier College in Montreal forover thirty years, as well as he developed several of the respiratoryTherapy programs currently being taught in his native province inCanada. Through his connections the academy has access to thewealth of experts in the medical education.

We currently teach nursing, respiratory & advancedmedical courses for Specialty physicians & services

George Archer, M.a., M.Ba.Director General, Millennium Academy

Millennium academy is fortunate to have access to highly experiencedsenior administrators. george archer, the director general has overforty years experience in higher education in Canada, as a teacherand later as dean of the Technology programs at a major CanadianCollege, and several years as Consultant in the field of education andTraining.

Lyne de Palma, R.N. B.Sc., M.Ed. (in progress)Coordinator, Nursing Intensive Program John Abbott

lyne de palma is a registered nurse and highly experienced educatorin numerous aspects of nursing education and training. Her currentlyresponsibilities at John abbott College in Montreal, Quebec, includescoordinating the regular diploma nursing program, sub-specialtyprograms offered at the post-degree levels for local graduates andforeign trained nurses,

CURRENT PROGRAMS1. Diploma in Respiratory Therapy

• leased from ellis College, Canada• Two-year diploma• entry credential to practice respiratory Therapy in Quebec• Qualifies the graduate to sit in the national Canadian rT exam

2. Critical Care Nursing Program• developed by John abbott College (JaC)• level one (certificate) of approximately 6 months with an optional post

certificate level Two degree program with an additional 2 years of study leading to a degree of Bachelor of Science in nursing (B.Sc.n.) from a Canadian University.

3. BSc in Respiratory Therapy• leased from University of Manitoba & allows Ma a program authorized by the Saudi

Council on Higher education for use in the Kingdom.• Two possible versions

• full four-year degree with students entering from high school.• Short program leading to a degree with students entering having completed a

BSc degree from local universities.

• To provide educational solutions to existing healthcare environments • Transfer Canadian educational tools to the Kingdom of Saudi arabia with a

particular emphasis on the establishment, staffing and operation of critical care units and acute care areas.

• provide flexible, internationally recognized learning opportunities for Saudis.

Goals

offices in Canada & KSa

Majestic Millennium (2M)Smart Hospital Solutions

Smart Hospital Solutions provides:

• Medical and non-medical space planning, • Equipment planning, • Interior design services, • Tender document preparation,• Tender offer evaluation services.

• The society has experienced explosive growth since its inception and currently boasts an active membership of over 3000 members.

• The SCCS is by far the largest and most active medical society in Saudi arabia and the Middle east.

• The SCCS has partnership agreements with both the european Society of intensive Care Medicine (europe) and the Society of Critical Care Medicine (USa). These strategic partnerships will ensure that the SCCS continues to be a leader in the Middle east and asian region.

Saudi Critical Care Society

Majestic Millennium (2M)2M - Majestic Millennium

4MCQ

Who Are We• 4MCQ is a consultancy company specialized in Health care.

• We assist leadership to healthcare organizations in order to pinpoint areas for improvements that will greatly impact both patient experience and outcomes.

• We provide organizations tools to collect data.

• The data is then analyzed and recommendations are made to implement best practice. With healthcare organizations moving towards continuous quality improvement and seeking outside agency accreditations, the demand for our services is real and growing every day.

• There is no other company in the Middle east that offers our unique consultancy services.

Company Structure

Those 5000 facilities can be divided intotwo main categories.

• Private:• Hospitals• ambulatory care centers (aMB)• Medical laboratories

• Governmental:• Ministry of Health Hospitals (gov/MoH)• non-MoH Hospitals (gov/non-MoH)• primary healthcare centers (pHC)

Sample Data & Services

Business DetailsMarket position: HealthCare pro services are needed in all tertiary hospitals. Teaching hospital can benefitfrom UHC experience. There is no competition for quality indicators except for patient satisfaction and nursingquality indicators offered by Health link (owned by Binladin group)

Unique selling position: The healthcare industry is young in Saudi arabia. The national accreditation body,CBaHi, is in the process of setting a minimum number of indicators for the 408 hospitals in the Kingdom.Currently no one offers this type of service.

Anticipated demand: it will be easy to sell this type of service to teaching hospitals. pricing strategy: This is based on charges per service per year. This will give healthcare organizations theflexibility to choose services they need in areas that they identify for improvements.

Value to customer: The concept of quality improvement and need to validate level of service by accreditationis well set in the region. Since the service of bench marking is not available strong sales and marketingstrategies must be.

Growth potential: The potential for growth is unlimited. MoH is expecting numbers of beds to double by2020. The significant growth in the healthcare organization is driven by fast growth in population. overall thegCC countries is expecting to double by 2040 used.

Affiliation with reputable university or research centers must be established in order to validate tools used tomeasure indicator. The institute review Board staff will be responsible for working with research centers toestablish the guidelines to develop and validate the tools for each indicator.

Intellectual property strategy: HealthCare pro will register with Saudi Ministry of Commerce and industryfor trademarks and the Ministry of Culture and information, and will sign confidentiality agreements with eachorganization before rendering any service.

Hospital Services

• Will be established on a land of 62,000 sq. m• Will encompass a hospital, a college of medicine and health sciences,center for continuing professional development (Cpd), home care,extended health care and rehabilitation center.• 240-bed general hospital

• planning and construction will be completed within 36 months fromcommencement

• pre operational phase 2018-2020• operational phase one 2021-2024

4M projects1. Majestic resort (riyadh, alamaria) 3/4 long term villas & 1/4 weight loss chalet.

2. oasis (alkharj) ieC Hospital, ieC VillaS, Weight loss chalet.

3. MMC Hospital, ieC VillaS, Millennium collage staff housing.

4. ieC-ep

5. Ma in KSUe

Makkah Medical City

family Medicineinternal Medicinegeneral SurgeryoBS/gynpediatricspain ManagementSleep disorderCardiovascularUrology

plastic Surgeryorthopedicse.n.Tfacio dentalneurosurgerydermatologyophthalmologyWeight Managementpulmonology

VisionThe hospital will be a health promotinghospital (HpH). Besides taking care of theattending patients, it will promote healthylifestyle among patients as well as the peoplein the community. in the meantime it providestraining facility to the College of medicine andhealth Sciences students.

Makkah Medical City

4M projectsMakkah College of Medicine• To provide manpower in the health sector

• To enable the sector to provide comprehensive health services to Makkah citizens & pilgrims/Umra visitors.

Market Study Summary• The number of graduates of both mail and female in the scientific branch is

225,882 students in 1433/1434

• The number of students expected to join the medical colleges in the Kingdom is estimated at 20,867 students in 1441/1442

• There are 24 Medicine health Sciences and nursing Colleges in 1435/1436.• The number of students in the government universities reached 2400

of whom 1585 males (66.04%) and 815 female (33.96%).

• Market gap in 1436/1437 of the qualified students to be enrolled in the medical colleges is 11,756 whereas is 1441/1442 the market gap will reach 14,992 with an increase of 27% compared to 1436/1437

• The ratio of doctor to resident is 26.8: 10,000. To keep the european standards, the Kingdom will need 33 doctors for every 10000 persons.

Oaisis Resort• Has a land area of 2,000,000 square meters

• The oasis Health and Wellness resort is a combination of ecological andenvironmental initiatives blended with an extended Care facility, a Health andWellness Center, a world class physical assessment and Treatment facility, separateSpas for men and women, plus education and Counseling buildings for lifestyleeducation programs.

• The resort is designed to provide a healing environment with all the spa amenitiesthat one would expect from a world class spa, plus all of the medical tourism servicesneeded for anyone seeking better health or personal improvement.

• it will be designed to accommodate the following:• 300 Beds extended Critical Care facility (eCCf), The oaSiS eCCf will be an expanded version of the ieCC in riyadh.

• a Clinical Support Building with Medical imaging, laboratory, Blood Bank, Surgical Suites, and endoscopy procedure rooms,

• a Health assessment and Treatment facility with the latest diagnostic and Therapy equipment

• Male & female education and Counseling Buildings,• Single and family reception Buildings with retail Shops,• fitness Centers and Spas,• an upscale restaurant on the lake with a recreation area• Cafes with lounge and library• Mineral Baths with cascading waterfalls• accommodations for (300 to 388) guests

4M projectsMajestic Resort

• Has a land area of 20,000 square meters, 100 m x 200m and is located in al amaria, Jeddah

• allowed use space is 20% foot print and maximum height is 2 story buildingit will be designed to accommodate the following:

• 3 extended care Building each one approximately 1,100 square meters foot print and 2 story high.

• each building will have 24 patient rooms with a nice view.• all the buildings have easy accessibility & are green landscaped. • a small compound with 5 weight loss chalets and beautiful landscapes• a stable that can accommodate 5 horses with a long horse race track

Millennium Academy at KSUE• The land area for the academy is 30,000 square meters.• 20 classrooms for 50 students each, & male labs and 20 classrooms & female labs.• The space requirements for the class rooms and labs, bathrooms, and food court, are

as follows:

• 15,000 sq meters for the 1000 Male Students • 15,000 sq meters for the 1000 female Students

International Extended Care –Eastern Province• The land area for this project is approximately 6,000 square meters• This project is divided in 2 phases:

• Phase 1 contains the following:• 44 Therapy rooms – 22 female and 22 male• 2 Massage area – 1 female and 1 Male• 34 Shops• 3 floors with 15 apartments/floor for a total of 45 apartments.

• Phase 2 Expansion contains the following:• extra land area of 2,600 square meters• extra 40 shops• 13 clinics• 200 patient beds (combination of iCU, pediatric,isolation, and inTCU• 2 operating rooms• Medical imaging Center• laboratory, CSSd and Support Services