E Healthcare Systems Business Plan April 11 2011 Word Doc

Business Plan

January 2011

Prepared by: Thomas Schuler

Copyright © 2006, 2007, 2008, 2009 All Rights Reserved

Issued to: _________________________ Number: ____ Date: __________

This document contains confidential and proprietary informationbelonging exclusively to e-Healthcare Systems, Inc.

Confidential & Proprietary Information

This document contains confidential information. It is disclosed to you for informational purposes only. Its contents shall remain the property of e-Healthcare Systems and shall be returned to e-Healthcare Systems when requested.

This is a business plan and does not imply an offering of securities.

This Memorandum has been prepared for the e-Healthcare Systems organizers, hereafter referred to as (the “Company”) with their assistance, solely for use by those interested in the potential financing and operations described herein.

All persons who receive this memorandum agree that they will hold the contents of this memorandum, attachments, and all related documents and notes in the strictest confidence. Recipients of this memorandum agree that they will not copy, reproduce or distribute to others this memorandum or other documents in whole or in part, or utilize the contents hereof for any purpose other than to evaluate an investment in e-Healthcare Systems, and will return this memorandum in a timely manner at the request of the undersigned.

The information contained herein has been prepared to assist interested parties in making their own evaluation of the company and does not purport to contain all of the information that a prospective lender or investor may desire. In all cases, interested parties should conduct their own thorough investigation and analysis of the company and the data set forth in this memorandum. The company does not make any representation or warranty as to the accuracy or completeness of the information contained in this memorandum or made available in connection with any further investigation for the company, including any estimates or projections. No company representative shall have any liability for any representations (expressed or implied) contained in, or for any omissions from, this memorandum or any other written or oral communications transmitted to the recipient in the course of its evaluation of the company. The only information that will have any legal effect will be specifically set out in, or as part of the representation and warranties in a definitive written agreement.

The company reserves the right to negotiate with one or more prospective lenders at any time and to enter into a definitive loan agreement without prior written notice to you or other parties. Also, the company reserves the right to terminate, at any time, further participation in the investigation and proposal process by any part and to modify documentation and other procedures without notice and without assigning any reason therefore. All communication, inquiries and requests for information relating to this memorandum or to a possible transaction involving the company should be addressed to person listed below as the representative of the company.

Dr. Thomas Schuler 1231 West 540 South Orem, UT 84058

Phn: 801-615-6920

Copyright © e-Healthcare Systems, Inc. 2006-2010 All Rights Reserved 2


Email: [email protected]

In making an investment decision, investors must rely on their own examination of the persons and entities, terms of the offering, including the merits and risks involved.

See risk factors in this memorandum for a description of other factors to be considered by prospective investors.

This memorandum is submitted on a confidential basis to be used solely in connection with the consideration of obtaining financing for the e-Healthcare Systems projects. The receipt of this memorandum constitutes the agreement on the part of the recipient hereof and its representatives to maintain the confidentiality of the information contained herein. This memorandum may not be reproduced in whole or in any part and its use for any purpose other than to evaluate an investment in the financing is not authorized.

No person has been authorized to give any information or to make any representation concerning the company or the financing offered hereby other than those persons noted in this memorandum and, if given or made such other information or representation should not be relied upon as having been authorized by e-Healthcare Systems or the company.

The company has established that most any financial institution has knowledge and experience in financial and business matters so as to be capable of evaluating the merits and risks of its investment in the financing and that any such investor is able to bear the economic risks. The investor has had access to such financial and other information and has been afforded the opportunity to ask questions of the representative of the company and receive answers thereto; as such investor has deemed necessary in connection with its decision to finance the e-Healthcare Systems PROJECTS.

By acceptance of this memorandum, prospective investors recognize and accept the need to conduct their own thorough investigation and due diligence before considering an investment in financing. Representatives of the company will be available to discuss with prospective investors, on request, the information and projections contained herein.

All the Market and Industry information referred to in this memorandum are derived from, various sources, and estimates, by the e-Healthcare Systems Company. Though the company believes that such estimates are inherently inexact, it nonetheless believes that the figures contained herein are indicative of the industry.



TABLE OF CONTENTS

1.0 The Company Page 52.0 Executive Summary Page 5

2.1 A Growing Market Page 53.0 Problems and Solutions Page 54.0 Pre-Market Evaluation Page 65.0 Expected Revenue Page 66.0 Funding Requirements Page 6

6.1 Additional Funding Requirements Page 67.0 Current Management Page 68.0 Current Officers Page 79.0 Market Research Page 7

9.1 Nursing Homes Page 79.2 Open Source Software Page 89.3 Secondary Markets Page 99.4 Other Markets Page 99.5 Internet/Intranet Approach Page 9

10.0 The Products Page 1010.1 Heartbeat Overview Page 1010.2 Heartbeat Main Features Page 11

11.0 Competition Page 1111.1 List of Competitors Page 1111.2 Competitive Advantage Page 11

12.0 Marketing Plan Page 1112.1 The Marketing Plan Page 11

13.0 Team Page 1113.1 The Team Page 11

14.0 Expenses & Projections Page 1214.1 Charts for Expenses and Projections Page 12

15.0 Current & Future Expectations Page 1215.1 Expectations Page 12

16.0 Appendix Page 13 16.1 Charts Page 13



1.0 THE COMPANY

Company Name: e-Healthcare Systems, Inc.

Headquarters: 1230 West 540 SouthOrem, UT 84058Principal Contact: Dr. Tom Schuler (801-615-6920)Fax: 801-423-0126Email: [email protected]: http://www.heartbeatEMR.comWeb: http://www.e-healthcaresystems.com

Business Category: Electronic Medical Records (EMR)

2.0 EXECUTIVE SUMMARY

2.1 A GROWING MARKET

The aging of America’s populace and its extended life expectancy, results in an unprecedented and increasing demand for the growth of long term care facilities in each state.

As shown in a report by the Census Bureau, “1997 Population Profile of the United States”, the American population is projected to grow to 394 million by the year 2050, a 58 percent increase over the 1990 total. Between the 1990 census and 1997, the U.S. population has grown by almost 18 million people. Projections show that, on average, people will be much older and needing long-term care.

At present the U.S. Long Term Care Industry is comprised of more than 17,000 skilled nursing facilities with around 1.7 million beds on average. Traditional nursing home facilities provide the elderly with long term care services and these services include the automation of their clinical and financial records. In addition to the skilled nursing facilities there are other types of facilities in the thousands that provide patient care (i.e., board & care, assisted living, respite care, therapy, mental health, etc.).

In 1997 the Federal Government mandated that all nursing facilities computerize their Minimum Data Sets (MDS’s) and patient trust funds. In the past few years they mandated that the MDS’s must also be transmitted to the State and then forwarded to the Federal Government via the Internet using a secure data connection based on Internet technology (TCP/IP protocol and a browser interface). The MDS’s has since been expanded to require the calculation of Triggers, RUG III Grouping and Quality Indicators, all of which require sophisticated computer software programs. All of these calculations determine the Medicaid and Medicare reimbursement rates.

3.0 PROBLEMS AND SOLUTIONS

Problem: The Vendor Industry has become stagnant in the development of software for the LTC Industry. In the year 2010 they still produce DOS and Window solutions, the same as they have done for the past 13 years. These software programs continue to be difficult to learn, tedious, and slow in performance. The new millennium has provided the world with World Wide Web (WWW) ASP and SaaS (Software as a Service) software programs on the Internet. The growth of the Internet has spawned a revolution of software programming that can be simple yet sophisticated.

Solution:

Heartbeat will be a completely new designed Clinical Record software program for the LTC Industry. The software is being designed and programmed based exclusively on Internet/Intranet browser technology,


http://www.e-healthcaresystems.com/

mailto:[email protected]


utilizing a combination of Open Source PHP, Hyper Text Markup Language (HTML), Extended Markup Language (XML), Flash, AJAX and JAVA Script and applets.

Heartbeat will be fully scalable and will support an unlimited number of clients in an Intranet environment. It will use MySQL database technology, offering instant access and software updates via the Internet, integrated multimedia, animation and sound/speech, and an interactive help system.

Heartbeat will be an open source software program that is unique in the way it utilizes the latest advances in Internet technology. Its flexible architecture will allow for easy integration of newly mandated government regulations and facility requirements. At the present time no other software vendor offers a program of such magnitude or features. It will take years for the competitors to re-write their software platforms to compete with the Heartbeat revolutionary software program. The Heartbeat software program will never require replacement; the software will only require updating.

Heartbeat will contain all the necessary features of the Electronic Medical Records (EMR) formats and compliancy that will utilize RHIO (Regional Health Information Organizations) compatibility.

4.0 PRE-MARKET EVALUATION

e-Healthcare Systems has previously purchased booth space at the following Sate Health Care Conventions: The 1999 California State Convention (CAHF), the 2000 California State Convention (CAHF), the 2001 California State Convention (CAHF), and the 2001 Chicago Convention. Their responses were overwhelming at all three conventions. As much as this information is dated it is direction on noting that our advancements have significantly increased from that showing and is much more state of the art with the greatest depth and breadth of offerings in the industry.

Many nursing home administrators, owners and nurses have more recently looked at the software and asked questions on its technology, content and availability. In addition, several vendors inquired on the possibility of partnering with e-Healthcare Systems. The overall response by most of those who viewed the software was “AWESOM”, “just what we have been looking for” and “other vendors have been promising us this type of program but they still haven’t produced one”.

5.0 EXPECTED REVENUE

Total gross revenue projection (sales) for the first 12 months after completion of the software program is expected to exceed $643,428. In the second year projected Heartbeat Clinical software sales will rise significantly to exceed $3,447,720 and scale upwards to fifth year gross revenue of $32,407, 470. We have detailed financials worked up from our pricing model for each sale.

6.0 FUNDING REQUIREMENTS

e-Healthcare Systems is seeking a total equity investment of $250,000. This funding would be for the research, development, beta testing and initial Marketing of the Heartbeat Clinical software program.

6.1 Additional Funding Requirements

e-Healthcare Systems may be seeking another total equity investment of $2,000,000 to $5,000,000. This funding is for the aggressive marketing of the Heartbeat software program in order to gain a quick and good share of the market before our competitors jump in around 2014.

7.0 CURRENT MANAGEMENT

Dr. Thomas Schuler – CEO and Founder



Dr. Schuler possesses over 30 years working experience in the health care field. Educated at Tri-State University, Wayne State University School of Medicine, USC School of Medicine (Irvine), and Illinois Institute of Technology (IIT), he has worked for Armour Pharmaceutical Company as a chemist and medical researcher, he also worked for the Michael Reese Research Foundation as a researcher and developer of hematology and diagnostic products (Metrix Division). Dr. Schuler also worked for Sherwood Medical

Industries and headed the team that developed the “Mono-jet Vacutainer Blood Collection Tubes”. He holds several co-patents with Sherwood Medical regarding these tubes. His specialty of blood coagulation proved to be an asset that included him as one of the charter members of the “Clinical Thrombosis Society”. Dr. Schuler was also the Chief Toxicologist for Bio-Con labs. Dr. Schuler was also a consultant for the USC development for the “MR SIMS” project which was a computerized Mandroid that allowed anesthesiology students to practice their training. His most notable achievement was being in the 1992-1993 “Who’s Who in leading American executives” book. Dr. Schuler’s most recent notable development was the “ACT” Nursing Home Management Software program on which the Heartbeat Clinical Software is based. He currently holds the copyrights to both the ACT and Heartbeat software.

Paul Berney - Equity Partner

A multifunctional executive, Mr. Berney has extensive experience significantly increasing profit while implementing cost saving efficiencies. He is skilled at turning flat or under-performing operations into profitable, growing concerns. His track record of success has repeatedly been demonstrated during his tenure with such industry leaders as General Foods, Borden, Evenflo, and Cosco/Safety 1st. His current consulting practice has contributed greatly to start up clients in the development of their businesses in the medical field.

Mr. Berney is a graduate of Ryerson University in Toronto, Canada. Mr. Berney is remarried and has three daughters, ages 26, 25, and 24 living in Canada. In his free time Mr. Berney participates in big game hunting, fishing, golf, tennis, skiing, gardening and landscaping. He also enjoys playing bridge, classic cars, antiques, and collectables. He also has taken many active roles on a number of boards throughout his career. He is a past Vice Chairman of the Canada Safety Council where he was an active board member for over 15 years. His full BIO is available at www.pbassociates.biz

8.0 CURRENT OFFICERS

Owner/CEO - Dr. Thomas SchulerCPA - Annie SeelyCFO - nonePresident - noneOperations Director - noneSr. VP Marketing & Sales - Paul BerneyDoug Ware - Public Relations Chief Technical Officer - Dr. Thomas SchulerSecretary - Currently Paul Berney is acting as the SecretaryResearch & Development - Dr. Thomas SchulerIT - Alec Lebedev Legal Council - Spencer RobinsonLyn Ventura - AdvisorChad Godfrey - AdvisorMary Monroe - Advisor

9.0 MARKET RESEARCH

9.1 NURSING HOMES


http://www.pbassociates.biz/


According to the data provided by the American Health Care Association there are approximately 17,176 nursing homes in the U.S. As the population of older Americans has steadily increased, so has the cost of their care. In 1983 the Medicare Administration, faced with soaring health costs, instituted a new directive for Acute Care Hospitals to cut the length of the average hospital stay in

order to reduce costs. However, patients who were still in need of continued nursing care were routinely being discharged sooner from the acute care hospital. These patients were placed into sub-acute care (transitional care) and/or nursing homes and some even sent home still needing care, thereby increasing the burden of increased patient care and the need for a better software program to meet these challenges.

The traditional nursing home (facility) of the past was a facility that provided long term care services to the elderly. Now they include mental and rehab patients. Presently the dominant trend in the industry is to provide care to a patient population of significantly higher acuity than has traditionally been cared for in the past. Nursing home facilities are becoming an increasingly important part of the continuum of care following hospitalization by providing special medical services to patients with complex medical needs. Age no longer only defines the Long Term Care patient, yet with the aging of America it is the primary reason. Facilities also serve children who require special needs.

In 1997 the Federal Government mandated that all Nursing Homes, Sub-Acute/ Transitional care and related facilities must computerize and submit the MDS electronically. The MDS is a document that determines the level of care (acuity) of each patient. This data is then used by the Medicaid and Medicare associations in determining the reimbursement to the facility for the patient’s care.

The advent of the Medicaid Medicare programs opened a new dimension in health care. These programs, introduced in 1966, included massive regulations and the reimbursements were contingent upon the compliance of the facilities with the government directives.

This was then but now the Long Term Care Industry of today faces not only the steady and still immense challenge of compliance with most recent government regulations but also the necessary implementation of the information age methods, upgrading of information systems and integration of new technologies brought by the computer revolution. Long Term Care Providers are eager to enter the cyberspace technology now that the denial of reimbursements due to inadequate documentation has become their fiscal nightmare. In addition, the government also issues citations and fines against non-compliant facilities. In 1995, in California alone, nursing homes paid over 5 million dollars in fines.

Streamlining the billing process, minimizing staff time, maximizing cost-effective care delivery, avoiding fines and losses via the support of a highly specialized state-of-the-art software system is the formula for the future of better management and costs in the Long Term Care Industry.

In 2009 our President (Obama) has gotten both the Congress and Senate to pass a “Stimulus Bill” part of which earmarks approximately 19 billion dollars for the implementation/development of Electronic Medical Records (EMRs). The government is threatening citations and fines for non-compliancy by healthcare providers in 2014 if they do not comply.

9.2 Open Source Software

Health care leaders now are considering open source software because it allows different IT systems to operate compatibly and gives health care providers more options and flexibility. It helps healthcare providers overcome the problem of incompatible IT Systems that can disrupt the smooth exchange of information.

The potential advantages of open source software in health care are many. One of these is that it ensures correct and timely implementation of standards. The creation of technology standards that define how information is structured, defined, and exchanged is critical because successful health care information exchange depends on them.



The mandate for Health Level 7 (HL7) in electronic medical records has enabled different computer systems to work in a compatible environment. Open source software is truly compatible with HL7 for electronic medical record systems. Open source software generally supports standards whenever and wherever they are relevant.

Other benefits of open source software are the opportunity to innovate, provide higher quality, improved efficiency, and effective software for the healthcare industry.

Conditions are fertile for open source solutions to take root in health care. Awareness of open source development models has become widespread among health care providers.

It is our effort to create mature, rational, shared components that work with each other and to promote a common understanding of essential data structures in a context institutions will nurture.

Heartbeat has a built-in Quality Assurance management module to help facilities to prepare for inspections and to be in more compliance with government regulations.

9.3 SECONDARY MARKETS

Nursing Homes are only part of the health care spectrum:

1.Sub-Acute (Transitional Care) merges some of the sophisticated technology of a hospital and the skilled operation of a nursing home facility to reduce the cost of services while maintaining quality of care. Hospitals are now dedicating entire wings to provide these services. Sub-Acute care is comprehensive inpatient care designed for someone who has an acute illness, injury, or exacerbation of a disease. It is goal oriented treatment rendered immediately after, or instead of acute hospitalization.

9.4 Other Markets

1.Behavioral Health Care – These are facilities that include partial mental health care and/or full locked facilities dedicated to mental health care (Alzheimer’s, Retardation, Mental Disorders, etc.)

9.5 INTERNET/INTRANET APPROACH

The Internet is the marketplace of the future, linking everybody and everything together: Instant communications, a modular technology (plug-ins), virtually unlimited data storage, a secure networking environment and a proven and easy language developed by the military: HTML

The Health Care Industry has been traditionally slow to embrace new technologies, but this is now changing: Contemporary Long Term Care a trade magazine for the Long Term Care Industry dedicated an entire section in the October 1999 issue to the integration of new computer technologies to improve the flow of information.

Internet technology makes software easier to program and more user friendly. A browser (i.e., Microsoft Internet Explorer, Netscape Navigator, etc.) offers a familiar user interface that is easy to learn and cuts training time dramatically. Upgrades and technical support can be provided over the Internet to cut time and costs.

Heartbeat can take advantage of instant software updates through the Internet, even without user intervention, thereby eliminating installation and travel costs. Since government regulations and requirements are changing constantly, a timely update is crucial for a nursing home facility.

All vendor software will ultimately be based on Internet technology. Heartbeat is concentrating exclusively on the development of new and revolutionary software to meet these challenges.



The State and Federal Governments now use Internet technology for the transmission, storage, accuracy and interpretation of MDS data, enabling complete monitoring of patient information for the Medicaid and Medicare programs to ensure accurate reimbursement.

But there is yet another market emerging:

According to a recent survey by the AARP, senior citizens are the fastest growing segment of Internet visitors. Senior.Com one of the Internet’s most active senior web sites stating that “seniors are the fastest growing sector in the PC purchasing market”.

Nursing facilities that manage to make computers available to patients are allowing patients to keep closer contact with their relatives via e-mail on a daily basis, and to keep abreast of current events. Patients can also use the Internet to locate books they might want to read, and to play computer games. In all these cases computer technology is helping to improve the patient’s quality of life.

Heartbeat will be developing or using an integrated e-mail server running LINUX, enabling patients to connect with family and friends via the Internet.

10.0 THE PRODUCTS

10.1 Heartbeat Overview

Currently Heartbeat is an innovative EMR Clinical Record Software product for the Long Term Care Industry. The core elements (functional integration of patient records required by facilities to meet State and Federal regulations) are expected to be ready for release by September 2009. In May/June the software will be beta-tested by several facilities upon negotiated contracts. Currently 5 facilities in California have given us an LOI (Letter of Intent).

The development of the Heartbeat Financial Software programming will get underway soon. This software program will contain: Accounts Payable, Accounts Receivable, Payroll, General Ledger and Patient Trust Funding. The expected completion date would be from mid summer to early fall of 2010.

Heartbeat is mainly based on Open Source software, Hyper Text Markup Language (HTML), Extended Markup Language (XML), Flash, Java Script and/or Applets running on many different platforms and browsers. This combination makes up the uniqueness of its ability to make a revolutionary software program.

The Heartbeat software for an Intranet (a local Internet that can only be used by authorized users and is not accessible by the public) will consist of a dedicated server and by the use of MySQL (Structured Query Language) the software can be single user or multi-user compliant.

Because of Heartbeat’s Internet architecture there is no limit to the number of clients. The Flash user interface is unique in the Computer Industry. It has animation and sound to make the program navigation a pleasant user experience. An interactive Avatar help system will be available.

Heartbeat’s SaaS (Software as a Service) software program for the Internet will be an essential part of the company’s revenue.

The MDS will have the capability to be transmitted directly from within the software application, completely transparent to the end user.



Heartbeat has support for Flash streaming video and movie playback. Plans are to actually film real nursing procedures and techniques in a real nursing home setting. In addition we will be developing our own educational videos to be integrated within the software program.

Heartbeat already has a built in Quality Assurance program. This program enables the facility to more assuredly comply with State and Federal regulations.

10.2 Heartbeat’s Main Features

The average nursing home comprises of the following departments: Administration, Nursing, Dietary, Activity, Staff Development and Social Services. Heartbeat will offer the following features and programs:

1. Administration: Reports, Billing, Accounting, Payroll, Coding, Staffing, PPS, Audits, Admissions, etc.

2. Nursing: Reports, Procedures, Techniques, Documentation, Medication Orders, Treatment Orders, Restorative Orders, Lab Orders, Listings, Protocols, Staffing, Assessments, MDS, Weight Programs, Medical Records, etc.

3. Dietary: Nutritional Assessments, Food Analysis, Labeling, Protocols, Tray Cards, Menu Development, Dietary Programs, etc.

4. Activity: Evaluations, History’s, Assessments, Activity Programs, etc.

5. Staff Development: Courses, Staffing, Educational Material, Scheduling, Interactive Programs, Testing, In-service Programs, Training Programs, etc.

6. Social Services: Assessments, Histories, Documentation, Patient Relation programs, etc.

11.0 COMPETITION

11.1 List of Competitors

See appendix (page __) – A list of a few of the many competitors and their descriptive information

11.2 Competitive Advantage

e-Healthcare Systems along with e-Source has major extensive LTC experiences along with Internet, Software Design, and Networking solutions. These experience and expertise is always a recipe for success. In many ways the Heartbeat software program is not a start up or high risk endeavor.

e-Healthcare Systems will aggressively maintain pricing for its Heartbeat software so that it is competitive even though the software will be revolutionary in nature.

12.0 MARKETING PLAN

12.1 MARKETING PLAN

See e-Healthcare Systems Marketing Plan – Separate from this document

13.0 TEAM

13.1 The Team



The team required to complete the timelines for release in 2012 is partially assembled. In addition to the current management, the team will expand as needed to complete an established Management and Marketing Team that will be required to establish a solid experienced network of people.

All team members will consist of qualified personnel that have considerable expertise in their fields. e-Healthcare Systems will use consultants that have years of experience in the LTC Industry. It is essential that the use of these consultants will guide e-Healthcare Systems in up-to-date procedures and technologies and keep us abreast of the State & Federal regulations when they happen.

14.0 EXPENSES & PROJECTIONS

14.1 Charts for Expenses & Projections*1. Clinical Core Development Costs2. 5 Year Projected Revenues3. Healthcare Market Place4. 6 Month Sales Projections

* See appendix (Page __)

15.0 CURRENT & FUTURE EXPECTATIONS

15.1 Expectations

1. Going Public: It is our intention to build e-Healthcare Systems to a series of profitable years and then possibly take the company public. We will be lead by a professional who will be hired to direct us in all aspects of IPO qualifying. This approach provides the founders, investors and working personnel with the best possible road to success and financial rewards. Other exit strategies will also be reviewed.

2. Heartbeat Clinical & Financial will be developed and released on time.

3. Second Year of Operation: On-going research & Development will take place. In addition, new modules/products will be released as they are developed. Most of these developments will be in other Health Care Markets (i.e., Assisted Living, Home Health Care, Human Resources, Pharmacy, CCRC, and Adult Day Care, etc.).

4. Conclusion: e-Healthcare Systems will consist of a group of dedicated individuals who will work as a team to ensure the best possible outcome and to successfully and professionally perform the visions of the founder (Schuler). Heartbeat is a truly innovated software product that will gain a significant share of the market (3%) within three (3) years. It is the goal of e-Healthcare Systems to be the number 1 company in the field of LTC software.

5. Licensing to other entities nationally and globally. We currently have a licensing contract in place with an Argentina company where we get 20% of their gross revenue once we supply a working model and it is customized for their market and they are in revenue.



16.0 APPENDEX16.1 Charts
