28-04-2019

MedEx Healthcare ltd

Proposal of Management Services At

King Abdullah Economic City (KAEC) , Makkah Province, KSA.
Introduction

Since its existence MedEx have develop through its sites an outstanding model of
operational excellence, caring for more than 200,000 patients. It has developed
three main work lines of which it achieved highest quality outcomes. Starting with
its JCI accredited polyclinic in makkah ( AMC ) to caring for site employees through
its 34 site clinics. MedEx as well have strongly gained a reputation in hospital
management through its site in Madina transforming its footprint, to mark one of
the best in patient rights & community service in the area. The leadership in MedEx
recognizes highly the opportunity at KAEC and looks to prensent the below proposal.

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Overview

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MedEx’s Pillars of its Clinics
Cost Reduction
Billing Cycle Management
Mastering the billing cycle, especially
with insurance companies ,averaging
rejection rates of 5.2% indicates the
effeiciency and accuracy of provision.
Revision of pricing list to create and
Clinics
study elasticity of demand to enable
companies to manage thier costs
effectively.
Cost Reduction
MedEx will continue to keep a close eye
on costs of medical requirements to
reduce waste.
MedEx through clinics, prevents
unnessecary travel time and ensures the
right referral to the right doctors when
needed. This by itself reduces inefficient
times, ensures only patients transferred
are the one in need.
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Quality Aim
(JCI & CBAHI Accreditations)
Infrection Control
Keeping a close eye on patients safety ,
our aim is to gain the full patients trust
through the developing right critical
safety paths and error prevention
methodologies.
Quality
Our quality indicators do not stop in
focusing on patient areas,but as well all
the services that are complement our
offerings. Clear indicators will be put in
place to continiously monitor progress.
Accreditations
MedEx aim with its work in quality and
infection control is to develop the clinics
standards of safety followed by the
guidelines of the Joint Commision
International .
Enable Internal Capabilities
& Operation Excellence
Continious Improvement
Our approach would be to define the
processes of which are critical to patients
and critical to quality and through small
but continious increments of changes
that will reduce waste.
Monitoring & Development
Through our systems and reporting
mechanism, we evaluate on a monthly
basis clinics, we monitor and report
numbers and adjust our offerings and
execute services that required to serve
your working population.
Talent & Human Resources
Management
Talent Acquisition
MedEx continiously looks to attract
talents to serve the patients best, through
idenitfying effective hiring channles, we
look to recruit the right talent to run our
clinics. Our experience through our 70
clinics allows us to idenfitiy the right
physicians and nurses fit to the population
served.
Review & Development
Building on current clinics managment
capabilties , a constant evaluation of
clinical perofmance of staff and thier
outcomes are done regulary to ensure the
right provision of care.
 Primary Care Center Scope of Services
Service Cycle Why?
Overview
• Easy access to care
• Direct & correct referral to hospi-
Disease Manage- tal when required
ment & • Refill of chronic diseases medica-
Reporting tions
MedEx clinic services consists • Sick leave monitoring
of providing occupational health
& primary care services. Gener-
ally we provide a medical and
clinical (certified & registered) staff
according to project need or the
clients requirements.
Patient Education
Clinical Services & Preventative
Measures

Reduction of costs & • Employer provision of medical

better productivity care
• Higher employee productivity
• Containment of insurance costs

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Facts & Figures

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 Who we Work With?

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 Scope of Service

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 Manpower Commitment
Staff FTE F /P Staff FTE F/P

G/P 5 F E.N.T 1 One visit /week

Nurses 12 F
Lab technician 1 F Dental 1 One visit /week
X-Ray 1 F
Family medicine Consultant 1 F Cardiologist 1 One visit / 2 week
Pharmacist 2 F
Pediatric 1 One visit /week
Emergency specialist 1 F
Clinic Operations manager 1 F Ob/Gyn 1 One visit /week
Drivers 3 F
Insurance approval 2 F Orthopedic 1 One visit /week
Receptionist 3 F
Mental 1 One visit /2 weeks
IT support 1 F
Quality Coordinator 1 One visit /week Ophthalmology 1 One visit /week
Infection control technician 1 F
Biomedical 1 One visit /week Optometry 1 One visit /week
Educator 1 According to Schedule

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Financial Offer

Option 1

KAEC to pay Medex marginal costs on annaul basis , while Medex will manage rest of the costs and incur all expected insurance income accroding to its
forecast.

Category 2020 2021 2022 Notes

KAEC Contribution 4,000,000 SAR 4,000,000 SAR 4,000,000 SAR Paid by KAEC

Medex Contribution Rest of the costs Rest of the costs Rests of the costs Paid by Medex

2,299,096 SAR 2,600,000 SAR 3,500,000 SAR To be claimed by Medex

Insurance Contribution*

*These are our estimations regarding insurance income.

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 Option 2
KAEC to incur all costs and regain the insurance claims as its own income , while Medex Manage the clinic as an operator.

Categroy 2020 2021 2022 Notes

Fixed rate to be paid to

KAEC Cost Contribution 7,500,000 SAR 7,500,000 SAR 7,500,000 SAR
Medex

Insruance Contribution* 6,222,412 SAR 7,680,971 SAR 9,243,847 SAR To be paid all to KAEC

Net gain by KAEC (-1,277,588) SAR 180,971 SAR 1,743,847 SAR

*This was based on the study develop KAEC team.

Option 3
Insurance Based compensation

- Medex to claim insurance income to handle the clinic.

- KAEC to pay remaining costs (On monthly basis ) if monthly insurance income didn’t cover costs, with margin of 15% on remaining costs.

- Base costs will be agreed mutually prior agreeing this option.

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Terms & Conditions
Grace Period:
MedEx will be granted a grace period of 4 months to evaluate and develop primary care center plans. A period where it will be allowed to manage all activities within the clinics, study and
develop plans for its operations.

Contract Period:
MedEx proposes a period for management for 2 years. Upon expiry, parties may agree to renew MedEx’ management role for another 1 year on such terms as may be mutually agreed.

Non-Interference Disclosure:
Owners will commence MedEx and enable their staff to continue to manage the clinics agreeing on no interference. MedEx on the other hand will be held responsible for all the actions during
the contract period. MedEx will have the right to study the clinics after signing the initial agreement to evaluate and put the plans and update owners of its intentions. A yearly or quarterly
meeting will be held to update the owners of clinics performance.

Medex will have the authority to manage all Site clinics activities’ example and limited to, Hire & Fire, Adjustment and development of the clinic. Including Development of its systems and
management of resources.

Confidentiality:
MedEx agrees to maintain the confidentiality of all information relating to this indicative term sheet and the proposed engagement unless required by law or with permission from KAEC.

Payment Terms:

Consents/Approvals/Conditions precedent:
The proposed engagement is subject to satisfactory negotiation and conclusion of the definitive agreement and all relevant approvals/consents being obtained.

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Approval

First Party Second Party

Entity King Abdullah Economic City Entity MedEx Healthcare Ltd

Name Name Abdullah Amin Zaher

Date 28/ 04 /2019 Date 28 / 04 /2019

Signature Signature

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