Offshore Health Solutions

General Franchise Description

Offshore Health Solutions is a global franchise of medical and research facilities located aboard oceangoing vessels and seasteads. Medical procedures are conducted in international waters to avoid unnecessary red tape, and to allow increased availability of health alternatives at a lower cost in an environment of practical consumer-based accountability and service.

Mission Statement

To facilitate advanced and state-of-the-art health and medical services with the highest standards of quality at a significantly lower cost by capitalizing on offshore provision, international competition, and market-based regulation.

Franchise Goals

1) Providing access to alternative care that would otherwise be highly regulated - with an initial focus on less controversial treatments and procedures. Allow the marketplace to prove itself as the best regulator.

2) Lowering the cost and increasing the quality of provision of medical services by allowing greater competition among providers. Medical tourism is driven mostly by the lower cost of foreign medical care for comparable treatment.

3) Granting insurance companies a greater role in the evolution of offshore medical practices and in directing the finance of medicine. Any factor determined to be quantitative by actuarial science is the natural basis for pricing - including lifestyle, genetics, preexisting medical conditions, demand, &c.

Franchise Objectives:

1) Complete a pilot unit on an existing vessel and cruise line within the year.

2) Initiate the franchise with three vessels (one franchise unit per vessel), one Master Franchisee, and one Area Representative within a year after the pilot.

3) Allow Master Franchisees to expand the number and scope of sub-franchisees with a maximum of two each until three Master Franchisees, and then allow additional Master Franchisees. Each will be limited to forty nine percent of the number of patients served and to twenty one percent of the total cost of each type of procedure conducted within the franchise (including follow-up, recuperation, and other settlement) after the sub-franchisee is added.

4) Support franchisees in the purchase and operation of vessels or in establishing or expanding to stationary or floating SeaSteads.

Business Philosophy:

1) Offshore Health Solutions will offer an optimum price-quality guarantee. The combined costs for any medical procedure and the entire trip will be at least ten percent lower than a comparable unsubsidized procedure done in the United States, while meeting or exceeding quantifiable quality measures for a comparable procedure.

2) Offshore Health Solutions will provide an enjoyable and seamless experience with advanced logistics, a state-of-the-art international medical informatics infrastructure, and continued follow-up.

3) Offshore Health Solutions will achieve the highest safety standards possible by accepting full financial accountability for unanticipated outcomes.

4) Offshore Health Solutions will provide an environment for cutting edge and alternative medical care at a significantly reduced cost by capitalizing on the global marketplace for the provision of medical services.

5) Offshore Health Solutions will encourage a close relationship between medical professionals and insurers in order to meet the highest standard of quality possible at competitive rates.

6) Offshore Health Solutions will provide access to certification tools and rating services in order to ensure the highest level of competence among medics.

Franchise Overview

Products and Services

1) Offshore Health Solutions will begin offering medical procedures with the widest disparity of costs such as the following:

• Heart valve replacement
• Heart bypass
• Hip and knee replacement
• Spinal fusion
• Angioplasty

The offerings will then expand into additional procedures that uphold its price/value guarantee.

2) Offshore Health Solutions will offer a variety of health solutions and coordinate on-board activities and infrastructure with the various cruise lines:

• Health food store with OHS approved products
• On-board on-call pharmacist/nutritionist
• Coordinated health and diet maintenance
• Coordinated gym and physical activities/therapies

Operational Framework

Executive Office

Training, operational support, overall vision and structure of franchise and all of its components.

CEO answerable to Las Portadas (actions and decisions may be vetoed by 40% of BOI, HLR, GCI, or CUALP)

Financial Office

Financial analyses, payment structures, marketing, pricing

Medical Informatics Office

Availability of medical records, procedures, outsourcing resources

Actuary

Advises underwriters regarding mathematical feasibility of coverages

Area Representation

Government and legal interface issues

Unit Franchisee

Limited to one vessel or stead

The Market

Strategy

Pricing

(lease valuation procedure)

Management and Organization

Professional and Advisory Support

• Management advisory board
• Legal counsel
• Financial strategist
• Insurance agencies
• Banker
• Consultants
• Mentors and key advisors

Financial Model

Fees

• Franchise fee (minimal: cost of materials and services provided times two)
• Royalty (regressive payment structure)
• A la carte charges (components available for purchase)
• Fee structure per unit
• Multi-unit fee structure( for master franchisee?)
• Advertising (appropriate venues and costs per venue)
• Etc.

Description of the financial risks and advantages of the expansion models selected

Short term

• Orthoscopic -> Heart valve replacement, &c
• On-board Health store/ Pharmacy
• Lease -> purchase of cabins/zone of ship -> ships

Long term

• Charter -> purchase of vessel -> vessels
• Acquisition of cruise line -> lines
• Participation in construction of fixed ClubStead and/or MedStead on SeaLand
• Biotech research facility

See also

• Las Portadas
• ClubStead Master Lease
• Restitution Transfer and Recoupment
• Constitution of the Autonomous Freezone of Aquia

Guiding principles

• Instead of Politics (Civilization 101) by John Frederic Kosanke