First & Last Name Vital Medical Services Date: xx/xx/xxxx

Feasibility Plan

Executive Summary

A. Statement of purpose

Vital medical services (VMS) started out in 2013 with a vision to be recognized as a
leading and independent provider of on-the-site clinical and diagnostic services to the
arrestees of jails and other law enforcement agencies/institutions. Our mission is to preserve
the rights and dignity of our patients, develop and nurture a culture of peace and respect for
everyone, and ensuring compliance with the regulatory requirements through continuous
education and training of our staff.

B. Description of business

Vital Medical Services is known for providing customized services to its patients, delivering
satisfaction, anticipating the needs of state and encouraging best medical and health education
practices. We are the preference for value and time optimization and are committed to our
service through our core values of:

 Commitment: - To invoke continuous process engineering, use of sophisticated

technology and eliminating the process bottlenecks which will ultimately target lower
per-unit cost from the consumer’s end.
 Respect: - For everyone regardless of race, ethnicity, religion or creed.
 Efficiency: - To serve the patients 24/7 in time, every time.
 Loyalty: - Of our staff through quality learning, education, training and promotions.
 Dependability: - Through our ability to deliver value to our stakeholders.

We offer all of the customary pre-medical services provided by a physician together with the
services performed by a hospital’s typical emergency department. Statistics derived from
environmental scan have shown that over ninety percent of reported complaints can be handled
by our medical specialist without the patient having to utilize the hospital’s core services.

Our team of highly qualified, service oriented and experienced personnel is ready to listen to
complaints and respond as quickly as possible. The employees have gone through extensive
licensing and accreditation requirements and are certified by the state’s reputed health care
associations.

Besides, we ensure adherence with the applicable provisions and guidelines of the American
Academy of Emergency Physicians, American Medical Association and the Emergency Nurses
Association with Board Certified Emergency Physician Oversight.

Furthermore we comply with the same policies, procedures and standards as set out in Title
15 and 17 of California Code of Regulations, Physical Evidence Bulletins of the California
Department of Justice Forensic Services Bureau and both California Penal and Vehicle Codes.
First & Last Name Vital Medical Services Date: xx/xx/xxxx
Feasibility Plan

C. Products/Services

Vital medical services will serve as an integrated mobile health care service for the
detainees of state, police and other government entities. Our services covers from visiting the
jail/prison, to collecting blood samples, pre-screening, pregnancy/maternity tests, booking
the appointment and performing all those non-ancillary activities that does not necessarily
involve visit to the hospital’s first-aid room.

Our services are aimed to eliminate process bottleneck (of transporting the patient from in-
custody to public environment), reduces the risk (of exposing the criminals to sensitive public
places) and cutting the overall transportation costs of city police.

II. Market Data

A. Target Market Demographics

i. Geographic area

Vital medical services primarily operate in California. The service is only available in the
areas where VMS have pre-established contracts in place with the government agencies. Since
this is a rare practice in industry, it may have disruptive outcomes within the traditional health
care sector. Our goal, however is to create an environment that will be conducive for law
enforcement, which will be an innovation in the existing industry and create even more
diversification opportunities.

North California is a main population centre of the northern portion of the U.S. state of
california. Data of total population and reported arrests in different states are given below.

State Arrests in 2013 Total population

Alabama 14,991 4,802,740
Alaska 5,538 722,718
Arizona 39,746 6,482,505
Arkansas 11,707 2,937,979
California 214,828 37,691,912
Colorado 28,198 5,116,769
Connecticut 8,235 3,580,709
Delaware 215 907,135
District of Columbia 32 617,996
Florida 61,852 19,057,542
Georgia 25,421 9,815,210
Hawaii 5,812 1,374,810
Idaho 11,850 1,584,985
Illinois 4,909 12,869,257
Indiana 23,475 6,516,922
Iowa 14,147 3,062,309
First & Last Name Vital Medical Services Date: xx/xx/xxxx
Feasibility Plan

Kansas 13,080 2,871,238

Kentucky 2,363 4,369,356
Louisiana 7,977 4,574,836
Maine 7,270 1,328,188
Maryland 23,714 5,828,289
Massachusetts 12,941 6,587,536
Michigan 35,534 9,876,187
Minnesota 29,832 5,344,861
Mississippi 11,629 2,978,512
Missouri 34,004 6,010,688
Montana 4,240 998,199
Nebraska 13,692 1,842,641
Nevada 14,445 2,723,322
New Hampshire 4,571 1,318,194
New Jersey 24,313 8,821,155
New Mexico 9,741 2,082,224
New York 25,169 19,465,197
North Carolina 49,599 9,656,401
North Dakota 4,003 683,932
Ohio 19,088 11,544,951
Oklahoma 18,980 3,791,508
Oregon 17,015 3,871,859
Pennsylvania 53,319 12,742,886
Rhode Island 2,778 1,051,302
South Carolina 14,742 4,679,230
South Dakota 6,190 824,082
Tennessee 26,322 6,403,353
Texas 90,066 25,674,681
Utah 6,894 2,817,222
Vermont 2,647 626,431
Virginia 27,732 8,096,604
Washington 34,952 6,830,038
West Virginia 4,429 1,855,364
Wisconsin 40,549 5,711,767
Wyoming 7,159 568,158
Total 1,171,935 311,591,890

According to the statistics shown above, a total of 171,935 arrests have been reported in
2013 out of the total population of 311,591,890 citizens. This counts on an average 3201 arrests
per day.

Places such as Nevada, Yosemite Valley, Lake Tahoe, Mount Shasta and those consisting
redwood forest have traditionally been susceptible for criminal activities. The ratio of in-custody
complaints is therefore high in these areas. VMS services specially cover these sensitive places
by opening our link offices fully equipped with the necessary medical tools.
 First & Last Name Vital Medical Services Date: xx/xx/xxxx
Feasibility Plan

ii. Target Market Segments

About 125 million of American populations (42%) have some kind of chronic medical
issue. This category approximately equals 80% of the total health care spending budget and is
expected to rise by 25% over the next two decades. 1

Four most commonly reported chronic diseases are hypertension, asthma, diabetes and
other related heart disease, an increasingly considerable public health issue in California. Hyper-
tension is by far the most serious problem and often results in severe strokes and heart break-
down. Yearly health care expenses per capita for the people suffering from any chronic condition
amounts to $13,000 which is 500% more than that of the general adult population that is $2600
on an average.1

Other important findings are as under:

 California includes about 40% of adults (42% of total population) are suffering from any one
chronic condition and more than half of them have more than one chronic problems.
 Nearly 15,000,000 children in California report asthma, the most recurring chronic disease for
kids aging 1 – 18 years. Furthermore, a high number of young people having type two diabetes is
a serious concern.
 Costs of medical treatment per patient with multiple chronic diseases accounts for more than
90% of the costs incurred in the treatment of three patients having one chronic problem each. 1

Data released by NBC have shown that the population prisons of United States have went up
three times in past 25 years. With around 2.5 million U.S adults reported relying on their jailers
for health care --- American Public Health Association.

Vital medical services have a competitive edge in offering on-the-spot medical services as we
have local medical centers from where immediate transfers can be made in case of emergency.

Therefore the main target market segment for VMS will be the citizens within the age
bracket of 19 – 27 years as statistically over 70% of total arrests booked are of the people within
the mentioned age range.

This segment earns an average income of $16,236 according to the census of 2012 with
an average growth of 2.58% every year. With nearly 28% of population in this category, 370,440
(1323000*0.28) potential patients comes in this market.

The second important target segment is the kids aging 1 – 18 years since the ratio of
chronic disease is relatively high in this case. As mentioned earlier, approximately 15 million
children come in this market with an average household income of $15,000 or more.

1
California health care foundation
First & Last Name Vital Medical Services Date: xx/xx/xxxx
Feasibility Plan

B. Social Values

(i) Social Media and Healthcare

Undoubtedly social media has fundamentally transformed the traditional health care industry
practices. The platforms allowing open door policy are a source of immense opportunities for the
industry to grow on positive patient perception and build a trusted support community to actively
engage with.

Vital medical services will be viewed as a benchmark to help improve patient sentiments of
an industry which were traditionally been called skepticism and mental disorder. VMS highly
encourages social media cooperation so that negativities and skepticism can be highlighted by
proactively engaging with patients and addressing their concerns/complaints in addition to
prescribing a usual treatment.

(ii) Peace of mind

This concern has been frequently appearing in news-papers and radio/TV channels. Physical
and mental harassment is one of the most talked about issue. VMS aims to create an environment
that will minimize the fear of loss and allow the civilians to feel safe as they travel in risky areas.
Coordination of VMS such as this with the regulatory bodies will inculcate a trend of peace and
care for everyone, inviting more stakeholders on the board to be a part of a movement.

(iii) Susceptibility towards harm

The California Penal Code section 4015(c) precludes the cities from being financially
responsible for the medical treatment of arrestees. Provisions of current applicable laws are that
an arrestee cannot be placed under-custody until he/she has been through a pre-booking medical
clearance.

Traditional health care institutions are under no legal obligation to provide such a service. To
obtain medical clearances cities would have to transport all detainees to the County hospitals
which would result in significant downtime for police officers and huge transportation costs.
This will also increase the risk of harm to average citizens as newly arrested are placed in un-
controlled general public set-up.

Vital medical services staff handles all the pre-booking/pre-screening process before the
detainee is sent to the prison. Each time an arrest is reported our medical specialist from the
respective area will visit the site and complete all the preliminary procedures so that the in-
custody person can be transported to the office of sheriff for further inquiries.
 First & Last Name Vital Medical Services Date: xx/xx/xxxx
Feasibility Plan

C. Competition

i. Hybrid medical entities

Numerous healthcare entities are utilizing social media platforms to build a “namely”
team of “patient-cares” who can subsequently be used to spread good-will and build brand
confidence to help maintain trust in health care industry.

Since vital medical services offers a kind of service which is, though present, but
insignificant in existing industry. The SWOT analysis poses certain questions.

 How other entities can use this platform to initiate damage to our brand performance?
 In the past how social media has formed highly reputed health care brands a failure?

In addition, how hybrid health care entities that are also rendering services to law
enforcement agencies as well as running a private vehicle can pose a significant threat by
being proactive on social media and health care talk platforms.

It is known with certainty that an increasing number of today’s patients are accustomed to using
digital equipments as part of their usual health maintenance. A recent Pew Research Center
study said that one of three American adults have searched the internet to find out a prescription
for a medical issue! (Pew Research Center Report)

Parker’s survey reported that over 40% of total people who are the victim of any chronic disease
are of the view that social media impacts their choice of healthcare provider. Despite these
compelling stats (and many others) about the value of participating in social media what’s
surprising is that only 26% of all hospitals in the U.S. participate in social media.

Vital medical services have the advantage because its medical specialists have frequently been a
part of several media talks and forums. A very little percentage of total hospitals have identified
this tool as an untapped source. At Vital Medical Services we are always nurturing our core
competitive edge (of mobile availability) in order to stay ahead of competition.