Marking One Million - Sankara Eye Hospital Annual Report 11… · Message from the Founder ......

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ANNUAL REPORT 2012-13

MarkingOne Million

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With the Blessings of the Sankaracharyas of Kanchi and the Almighty, we have crossed another milestone year and moved a step closer to our vision 2020.

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Sri Kanchi Kamakoti Medical Trust

Registered Office:

Sankara Eye Centre Sathy Road, Sivanandapuram Coimbatore 641035

Phone Number: 91 422 4236789 Fax Number: 91 422 2666460

Auditor

Mr. N. Ramesh Natarajan VKS Aiyer and CoMecheri Manor, No-2, SR Aiyer LayoutNear All India Radio, Trichy RoadCoimbatore - 641 045

Apex Team Members

Dr. R. V. RamaniFounder & Managing Trustee

Dr. Radha RamaniCo-Founder

Dr. Janakiraman P.Advisor-Medical administration & Technical Counsellor

Dr. Kaushik MuraliDirector-Medical Administration & Quality

Mr. Bharath BalasubramaniamDirector-Administration

Mr. Subbarao C.V.S.Director-Human Asset Mrs. Seetha ChandrasekarDirector-Partner Relations & Foundations

Mr. Sethu Madhavan U.K.Country Head – Business Development

Mr. Sriram S.Chief Financial Officer

Mr. Srivatsan C.N.Director-Projects

Bankers Central Bank of IndiaSaravanampatti BranchSathy Road, Coimbatore - 641035

Canara BankOppanakara StreetCoimbatore - 641001

AXIS Bank Ltd.RS PuramCoimbatore - 641002

Sankara Board Members

Dr. S.V. BalasubramaniamChairman

Dr. R.V. RamaniFounder & Managing Trustee

Dr. P.G. Viswanathan

Dr. M. Leela Meenakshi

Dr. S. R. Rao

Sri. N. Natraj

Dr. S. Balasubramanian

Sri. J.M. Chanrai

Sri. Murali Krishnamurthy

Sankara Board Members

Dr S.V. BalasubramaniamChairman

Dr. M. Leela Meenakshi

Dr. S. Balasubramanian

Dr. R. V. RamaniFounder

Dr. S. R. Rao

Sri. J.M. Chanrai

Dr. P.G. Viswanathan

Sri. N. Natraj

Sri. Murali Krishnamurthy

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Eradicating Curable Blindness..

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India has the largest population of blind in the world.

Over half of the causes of blindness in adults and children can be prevented or treated. Lack of awareness and access to treatment are major causes and have become the price people pay for needless blindness in India. With the support of many, Sankara has reached out to over 3 million across the country through its outreach programs.

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Shanthi, 35 yrsSalem

Shanthi, marks Sankara’smillionth free surgery

Shanthi is a 35 year old illiterate weaver from Salem, Tamil Nadu. She was identified at one of Sankara’s Outreach Camps with failing vision in her left eye. Shanti had developed cataract at a relatively young age and with a disabled husband and four children at home to support, access to treatment was crucial.

On March 4, 2013, the team at Sankara successfully removed the cataract from Shanthi’s left eye at the Coimbatore headquarters, marking the millionth free surgery for Sankara. Three days later, she went back home with 6/6 vision. Today she’s back at her weaving loom, supporting her family. She’s one among the million people touched by Sankara’s Gift of Vision program.

This is a milestone that encourages us at Sankara to reach out to many more like Shanthi, who are awaiting light to brighten their lives.

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Mission

To provide unmatched eye care through a strong service oriented team

Vision

To work towards freedom from preventable and curable blindness

Vision 2020

To create replicable and sustainable models of Sankara Eye Hospital and establish one in every state of India with the ultimate objective of achieving perfect vision for all by the year 2020.

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2012-2013Message from the Chairman

Dear Friends

Year 2012-13 has been a year of beginnings.

Year 2012-13 started on an auspicious note, with the inauguration of Sankara’s new hospital at Ludhiana. The hospital was fully functional right from day one and today, I would like to place on record our deep appreciation to the project team for their tireless efforts to complete the project in less than a year.

This year, towards our next replication, we have acquired land in Kanpur. We have also identified Rajasthan as our next replication destination.

During the year, Sankara Academy of Vision, a new vertical towards training was established to take care of capacity building, research and training activities.

The year also ended on a very happy note, with the millionth surgery being performed. Year 2013 will be known as the Year of Millionth Surgery and towards commemorating this historic event a new logo was designed.

Our commitment to provide FREE eye care services to the rural poor with the highest standards of compassion, care and quality continues and with support from all our partners we rededicate ourselves to liberate the rural people from being needlessly blind.

Dr S.V. Balasubramaniam

Chairman

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2012-2013Message from the Founder

With the Blessings of Lord Almighty and the Acharyas of Kanchi, the year 2012 -13 and more specifically March 2013 would go on record in the history of Sankara as a landmark year, the year of the Millionth free eye surgery. When Shanthi, the 35 year old housewife from a village near Salem was operated successfully at the Mission Head Quarters at Coimbatore as the Millionth Free Eye Patient, all of us at Sankara, the Doctors, Adminis-trators, the Staff and the support staff, all of us were overwhelmed with the sense of fulfillment and happiness. Words cannot explain the soul satisfy-ing experience.

On 10th March 2013, the truly life like statue of the Paramacharya Jagadgu-ru Chandrasekharendra Saraswathi Sankaracharya Swamigal was installed at the Mission Head Quarters at Coimbatore. In a solemn function, in which the famous singer Bombay Jayashree participated and Padma Murali and her disciples performed Dance Ballet titled Chartuvitha Purushartham, the idol was installed. It is a so life like, one would feel the divine presence of the Paramacharya at the Sankara campus in Coimbatore.

The year on the whole was quite eventful. Earlier in April 2012, our new Hospital, Sankara Eye Hospital at Ludhiana was inaugurated in a glittering function in which Kanchi Sankaracharya participated along with the various Punjabi and Sikh priests. A sizeable number of our team members, friends and well-wishers participated in this function. It was yet another firm step forward in the direction of Vision 20/20 by 2020.

During the year, we also finalised the Kanpur land for establishing the Sankara Eye Hospital. Construction work was initiated with the help of a local builder and this 200 bed state of-the- art eye hospital is coming up fast, scheduled for inauguration in Mid-2014. The much required human resource for Kanpur, the Vision Care Technician, Staff and others are undergoing intensive orientation and training at Coimbatore. At Kanpur, we will be trying the Dual Model for the first time , wherein the Community Eye Care Base Hospital would be built on our land located around 15 Kms away from the City, while the exclusive paying hospital has been setup on 10,000 sq.ft of a leased building in the heart of the City. We are on the lookout for the land for Jodhpur Hospital, which is going to be the next replication.

Unfortunately during the year, the Silvassa Hospital was closed down due to logistic reasons. Non- availability of enough rural patients, sparsely populated town and surrounding villages and the fact that Bhojraj Family, the promoters of the Hospital have stopped their Business Operations in Silvassa, all these factors put together have led to the inevitable closure of the Hospital. The redeeming feature is that a City Hospital with the support of the Bhojraj family is going to be set up at Mumbai shortly.

This year also, saw Sankara receiving Awards and Recognitions. Vision 2020 : Right to Sight India Award “Shri Dharamsey Nansey Oman Award” for the best Eye Hospital in India involved in Community Eye Care was given to Sankara.

Sankara Academy of Vision, the Capacity Building wing of Sankara Eye Care Institutions India also saw its birth during the year. All the academic programmes and human resource development initiatives would henceforth be developed by the Academy.

On the whole the year was a memorable and successful year for Sankara. The unstinted support from the Board of Trustees, the Doctors, Staff, Donors, Partners in Service, Volunteers, Camp Co-sponsors etc., the entire Sankara family, stood up together with unanimity of purpose.

While the Millionth free Surgery is a major milestone in our journey – Sankara’s goal is to set up 20 super speciality eye care hospitals (an additional 11 hospitals) all over India. Sankara’s next 6 hospitals are Kanpur in Uttar Pradesh, Jodhpur in Rajasthan, Indore in Madhya Pradesh, Raipur in Chattisgarh and the states of Bihar and Odisha.

By 2020 - Sankara would be able to serve over a Million rural poor every year, and perform a Million free surgeries in just 2 years.

We thank the Lord Almighty and the Acharyas of Kanchi for their blessings and guidance.

Dr R.V. Ramani Founder & Managing Trustee

Dear Visionaries,

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Humble BeginningsSankara was started in 1977 as a small outpatient medical centre volunteering services to the poor. Today, Sankara Eye Care Institutions (SECI) operates 10 super specialty eye care hospitals with presence across 10 states, Tamil Nadu, Andhra Pradesh, Karnataka, Gujarat, Punjab, Maharashtra, Uttar Pradesh, Harayana, Himachal Pradesh and Uttarakhand in India. Its mission has remained focussed on preventing and curing needless blindness across India.

Equitable Eye CareSankara was born out of a need to provide quality eye care to all, regardless of socio-economic, religious, linguistic and geographical backgrounds. Once Sankara Eye Hospital was setup in Coimbatore, exclusive outreach camps were conducted to raise awareness, screen and detect eye defects and ailments and treat these.

Outreach ProgramsThe primary goal of the Community Eye Health Programme is to fight against preventable and curable blindness. Today Sankara has a Comprehensive Community Eye Health Programme that provides holistic eye care and tailor-made services to address the needs of varied age groups and across eye defects.

AdultsThrough the Gift of Vision Programme, Sankara reaches out to patients through its network of field workers, doctors and paramedics. This outreach program covers rural areas within 300 kms of its super specialty tertiary care base hospital. Screening, investigations are done at onsite camps at the village. Patients requiring treatment and surgery are transported to the base hospital for treatment. Systematic post-operative follow-up is done back at the village.

ChildrenSankara has focused its efforts towards eradicating curable blindness in children since 1988 and is among the first in the country to take on such initiatives. Sankara recognizes that the needs of children differ based on their age and hence that the modality of screening would also differ; the institution has unique custom made programs to screen these groups. The important parameters include children screening, spectacles distribution, paediatric surgeries, training school teachers and distribution of low vision aids.

SwagathamMeaning welcome in Sanskrit, is a comprehensive Neonatal screening Programme for the new born. Here, new borns are screened for congenital defects at the hospitals. This Programme was launched on the 31st of May, 2002.

MaithriMeaning friend in Sanskrit, reaches out to underprivileged pre-schoolers between the ages of 3 and 6 years. This program screens children attending the Integrated Child Development Centres (noon-meal centres), orphanages and thereafter those suspected to have visual defects are referred to the hospital.

RainbowThis is a school screening programme, where teacher volunteers are identified and trained to do the preliminary screening. The eye care team from Sankara Eye Hospital comprising of an Ophthalmologist and/or Optometrist, visit the schools and screen children for any disease or abnormality of the eye. Children found with eye problems and requiring further treatment are referred to the Base hospital for a comprehensive examination. Children requiring prescription lenses (spectacles) are provided these free of cost.

Sankara Eye bank Sankara has been instrumental in spreading awareness on eye donations and setting up eye banks in the country. Eye donation drives and outreach camps have resulted in a large number of eye donations. Our hospitals in Coimbatore, Bengalooru, Anand, Guntur and Shimoga have eye banks. Eye banks and will be set up at other locations shortly.

Comprehensive

Eye Care Services

+ Cataract & IOL Clinic

+ Corneal & External Eye disease

+ Paediatric & Strabismus

+ Glaucoma Services

+ Vitreo Retinal Services

+ Occuloplasty & Aesthetics

+ Low Vision

+ LASIK

+ Contact Lens Clinic

+ Computer Vision Clinic

+ Ocular Oncology

Speciality services

+ Cataract

+ Glaucoma

+ Diabetic retinopathy

+ Ocular oncology

+ Cornea and refractive surgery

+ Paediatric ophthalmology

+ Eye Banking

SankaraEye Care Institutions, India

Sankara Eye Foundation - USA

From small beginnings, SEF has grown

into a big organization, with more than

200 volunteers working from different

parts of America. Through various

innovative and appealing programs

and events, funds are being raised to

support SECI in conducting eye surger-

ies, procuring/modernizing equipments

and constructing new hospitals all over

the country.

SEF, USA is playing a big role in

“Vision 20/20 by 2020”. Under this

program they are supporting the

establishment of 20 eye hospitals

spread all over the country by the

year 2020. The first such hospital

came up in Guntur, AP in 2004.

Subsequently hospitals have come up

in Krishnankoil, Bangalore, Shimoga,

Anand and Ludhiana. As a result, the

number of free eye surgeries per-

formed in India has grown exponen-

tially.

Sankara Eye Foundation- Europe

Sankara Eye Foundation Europe was

born out of the drive of a handful of

individuals based in London in 2005.

They harness support in the form of

gift and donations to set up new eye

hospitals in India as well as contribute

to the running of existing ones.

SEF aims to actively support the free

eye surgeries at Sankara Eye Centre in

India, by raising funds through events,

booths and through individual donors.

All work in the UK is entirely done by

non-paid local volunteers who donate

their time for the larger cause.

Mission for Vision Trust

Mission for Vision Trust is a major

Partner in Service with Sankara Eye

Care Institutions India participating not

only in the establishment of the new

hospitals, but also supporting the defi-

cits in the recurring expenditure.

Mission for Vision Trust and Sankara

Eye Care Institutions – India have a

common goal in front of them. They

strongly believe that “No one should

be needlessly blind”.

While stressing on the community

eye care services, Mission for Vision

Trust also lays lot of importance on the

quality outcome. Towards this, MFV

has put in place a regular ongoing

audit on the post-operative patients,

around 6 months after the surgery, not

only to enquire about their vision and

their well-being, but also to evaluate

the socio-economic benefit which has

accrued to them.

Our Esteemed Partner in service

Sankara worldwide

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Tamil Nadu

Karnataka

Gujarat

Punjab

Haryana

HimachalPradesh

Uttarakand

Uttar Pradesh

AndhraPradesh

Sankara has a network of 10 hospitals with over 2000 beds across 10 states.

Sankara Base Hospital

Vision 2020 To create replicable and

sustainable models of Sankara Eye Hospital

and establish one in every state of India with

the ultimate objective of achieving perfect

vision for all by the year 2020.

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0

10000

20000

30000

40000

50000

60000

70000

80000

90000

100000

Patient screened 89695 23306 48289 51077 49087 33856 20934 12851 44162

Surgeries performed 38439 13505 27379 19740 21300 1 1785 3210 3977 1 1223

Guntur

Guntur

Bangalore

Bangalore

Shimoga

Shimoga

Anand

Anand

Ludhiana

Ludhiana

Silvasa

Silvasa

Rishikesh

Rishikesh

Coimbatore

Coimbatore

Krishnankoil

Krishnankoil Guntur Bangalore Shimoga Anand Vijaywada City Hospital Ludhiana Silvasa RishikeshCoimbatore Krishnankoil

Free Patients Screened & Surgeries Conducted

10000

20000

30000

40000

50000

60000

70000

80000

Guntur Bangalore Shimoga Anand Vijaywada City Hospital Ludhiana Silvasa RishikeshCoimbatore Krishnankoil

PayingOutpatient & Inpatient

Outpatient

2011

2012

Inpatient

61405 37456 65894 73460 45500 20846 1 1017 17196 16845 12356 16969

4264 1386 6618 4776 3972 1871 391 587 603 1344 1000

0

20000

40000

60000

80000

100000

120000

140000

160000

Free Surgeries Paid Surgeries

Free Vs Paying

Funds generated

150558

2681220733

141696

50000000

0

100000000

150000000

200000000

250000000

300000000

350000000

400000000

450000000

500000000

Collections from patients

Donations from public

Grants from Govt. & others

335798607 269172630 71645442

457332469 287043534 56156616

2011

2012

141696 20733

150558 26812

Highlights 2012-13

0

10000

20000

30000

40000

50000

60000

70000

80000

90000

100000

Patient screened 89695 23306 48289 51077 49087 33856 20934 12851 44162

Surgeries performed 38439 13505 27379 19740 21300 1 1785 3210 3977 1 1223

Guntur

Guntur

Bangalore

Bangalore

Shimoga

Shimoga

Anand

Anand

Ludhiana

Ludhiana

Silvasa

Silvasa

Rishikesh

Rishikesh

Coimbatore

Coimbatore

Krishnankoil

Krishnankoil Guntur Bangalore Shimoga Anand Vijaywada City Hospital Ludhiana Silvasa RishikeshCoimbatore Krishnankoil

Free Patients Screened & Surgeries Conducted

10000

20000

30000

40000

50000

60000

70000

80000

Guntur Bangalore Shimoga Anand Vijaywada City Hospital Ludhiana Silvasa RishikeshCoimbatore Krishnankoil

PayingOutpatient & Inpatient

Outpatient

2011

2012

Inpatient

61405 37456 65894 73460 45500 20846 1 1017 17196 16845 12356 16969

4264 1386 6618 4776 3972 1871 391 587 603 1344 1000

0

20000

40000

60000

80000

100000

120000

140000

160000

Free Surgeries Paid Surgeries

Free Vs Paying

Funds generated

150558

2681220733

141696

50000000

0

100000000

150000000

200000000

250000000

300000000

350000000

400000000

450000000

500000000

Collections from patients

Donations from public

Grants from Govt. & others

335798607 269172630 71645442

457332469 287043534 56156616

2011

2012

141696 20733

150558 26812

22 23

QUALITY EYE CARE FOR ALLTHROUGH THE 80:20 MODEL

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80%

Sankara reaches out to India’s poor through its outreach programs

Free

20%

Sankara offers the best eye care services to urban dwellers through its city hospitals

Paid

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80:20 is a unique cross-subsidy

model wherein 80% of the

patients namely the rural poor are

provided free services with

revenues generated from 20% of

urban paid patients. This approach

enables new facilities to attain

self-sufficiency in 5 years.

Paying vs Free SurgeriesHighlights:

Equitable Eye Care

The 80:20 Approach

This cross-subsidizing model has

enabled Sankara to multiply the reach

and effectiveness of its services.

It has helped raise the bar in quality

and cut costs at the same time. Here,

20% account for paying patients and

80% for free patients.

It is a sustainable model for financial

self-sufficiency that has enabled to

scale free eye care services to the

rural poor across India. Sankara

constantly optimizes its processes to

maximize its potential through this

model.

Urban-Rural Value Chain

Free Patients

80% of Sankara’s patients get their

treatments for free. Besides being

amongst the best in Ophthalmic care,

Sankara’s outreach program today

prides itself in being one of the largest

in the country.

Over 3.7 lakh patients have been screened and over 1.5 lakh free surgeries performed through our outreach program this year.

Paying Patients

Services offered at our city hospitals

are on par with the best eye care

facilities; equipped with the finest

expertise, state-of-the-art technology

at competitive prices. Paying patients

have the luxury and comfort of well-

designed facilities, ensuring utmost

care.

Over 3.7 lakh outpatients were treated & 26 thousand paid surgeries performed across our city hospitals this year.

Self Sufficiency

Cross-subsidization of consumables

and shared resources has helped us

bring down costs, enabling us to

deliver consistent value to all, be it

paying or free patients.

Here, money saved is money earned

and we ensure every rupee goes a

long way to brighten up someone’s life

again.

This model has enabled Sankara’s facilities become self sufficient to the tune of 84% on operational expenditure this year.

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REACHING WHERE IT MATTERS MOSTTAKING EYE CARE TO RURAL INDIA

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1,64,233

2,09,023

4,56,876

50000000

0

100000000

150000000

200000000

250000000

300000000

350000000

400000000

450000000

500000000

Men Women Children

Mobilizing Quality eye care across

the country with presence in 10

states; Sankara is committed to

providing free eye care services to

the rural poor with the highest

standards of compassion, care and

quality through its outreach

programs.

Outreach Performance Highlights:

Outreach Programs

Creating Access

India has a blind population of

approximately 15 million with a large

part of them living in rural India.

Creating access to India’s rural poor

seems to be just as critical as

providing treatment.

Sankara’s Community Outreach

Program covers rural areas within

300 kms of its super speciality tertiary

care base hospital. Screening,

investigations are done at onsite

camps at the village. Patients requiring

treatment and surgery are

transported to the base hospital for

treatment. Systematic post-operative

follow-up is done back at the village.

This is an intense logistics model

which requires rigorous planning,

resource management and on field

execution.

Sankara has reached out to over 3.7 lakh of India’s rural poor, with the help of our outreach teams this year.

Overcoming Barriers

Women:

The problem of access to treatment

for women however is a little more

complex. More often than not, the

women in villages are paying a heavy

price for needless blindness. India’s

rural household women are more

marginalized than men, and the

dependency of the spouse and family

leaves her with almost no scope for

treatment, not to mention taboos and

other cultural barriers she has to

overcome. Sankara goes the extra

mile to reach out and empower these

women through counselling.

56% of patients treated through the Gift of Vision program were women this year.

Children:

With children, education and

awareness is key. Preventive eye care

programs are critical as a blind child

can suffer from many more blind years

than a blind adult. The approach to

working with children is very different

and requires a lot of effort.

Government school teachers are an

integral part of the program and help

Sankara immensely not only in the

primary screening process but also in

sustaining the effort. Our associations

with government and non-government

agencies helps widen the reach.

Over 4.5 lakh children were screened this year.

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The Gift of Vision Programme was started with the aim to reach out to the rural community and carry out timely interventions to prevent and cure blind-ness. Sankara has screened over 3,73,257 people and performed over 1,50,558 surgeries in 2012-13.

GIFT OF VISION

Total Reach:

SCREENED

27,79,688FREE SURGERIES

10,14,728

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Kuttammal, 60 yrsThiruvanamalaiTreated for cataract in both eyes

Kaliyaperumal, 64 yrsThiruthuraipoondi

Treated for cataract in both eyes

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Through our comprehensive eye care delivery we hope that no child (between ages of 0 to 18) go needlessly blind and those with irreversible blindness or low vision and should have the same rights and access to services as their sighted counterparts. Sankara has screened over 4,56,876 children and performed over 618 surgeries and have distributed over 8,658 free spectacles in 2012-13.

RAINBOW

Total Reach:

SCREENED

45,71,554FREE SPECTACLES

97,685FREE SURGERIES

5,628

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Coimbatore

24%

Krishnankoil

12%

Guntur

5%Bangalore

13%

Shimoga

10%

Anand

16%

Ludhiana

5%

Silvasa

10%

Rishikesh

5%

Coimbatore

16%

Krishnankoil 5%

Guntur25%

Bangalore

18%

Shimoga 15%

Anand7%

Vijayawada 1%

City Hospital Coimbatore 2%

Ludhiana

2%

Silvassa

5%

Rishikesh

4%

Coimbatore

26%

Krishnankoil9%

Guntur

18%Bangalore

13%

Shimoga 14%

Anand

8%

Ludhiana

2%

Silvassa

3%

Rishikesh

7%

Base HospitalsCentrewise Performance Snapshot

CAMPS CONDUCTED

2,025

PAID SURGERIES

26,812FREE SURGERIES

1,50,558

1985 SANKARA EYE CENTRE, COIMBATORE

2004 SANKARA EYE HOSPITAL, KRISHNANKOIL

2004 SANKARA EYE HOSPITAL, GUNTUR

2008 SANKARA EYE HOSPITAL, BANGALORE

Building = 1,04,769 Sq.ftNon Paying beds = 475Paying beds = 25

Building = 48,009 Sq.ftNon Paying beds = 200Paying beds = 12



Performance 2012-13

Paying Outpatients seen 61405 Paying surgeries performed 4264 Camp Patients screened 89695 Non Paying Surgeries performed 38439

Performance 2012-13

Paying Outpatients seen 37456 Paying surgeries performed 1386 Camp patients screened 23306 Non Paying Surgeries performed 13505

Performance 2012-13


Performance 2012-13


42 43

2008 SANKARA EYE HOSPITAL, SHIMOGA

2008 SANKARA EYE HOSPITAL, ANAND (GUJARAT)

2007 BHOJRAJ EYE HOSPITAL, SILVASSA

2010 NIRMAL EYE INSTITUTE, RISHIKESH





Managed by Sankara Eye Care Institutions, India

Managed by Sankara Eye Care Institutions, India

Performance 2012-13

Paying Outpatients seen 45500 Paying surgeries performed 3972 Camp Outpatients screened 49087 Non Paying Surgeries performed 21300

Performance 2012-13


Performance 2012-13


Performance 2012-13


2011 SANKARA EYE HOSPITAL, COIMBATORE CITY

2011 SANKARA EYE HOSPITAL, VIJAYWADA

2012 SANKARA EYE HOSPITAL, LUDHIANA

Building = 5,000 Sq.ftNon Paying beds = NilPaying beds = 5

Building = 7,000 Sq.ftNon Paying beds = NilPaying beds = 4


Performance 2012-13

Paying Outpatients seen 17196 Paying surgeries performed 587 Camp Patients screened NA Non Paying Surgeries performed NA

Performance 2012-13

Paying Outpatients seen 11017 Paying surgeries performed 391 Camp Patients screened NA Non Paying Surgeries performed NA

Performance 2012-13


44 45

Operational Performance 10 year data

Free

Camps Conducted 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 10 Year Total Since

Inception

Coimbatore 540 597 521 547 575 621 541 462 465 477 484 5830 7800

Krishnankoil 5 161 225 288 350 296 233 245 215 246 2264 2264

Guntur 59 64 61 67 110 145 150 138 103 897 897

Bangalore 221 239 249 256 259 1224 1224

Shimoga 26 138 181 223 197 765 765

Anand 33 175 231 253 323 1015 1015

Ludhiana 96 96 96

Silvassa 24 186 213 156 191 207 977 977

Rishikesh 54 103 110 267 267

Total 540 602 741 836 924 1062 1413 1605 1731 1856 2025 13335 15305

Patient Screened 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 10 Year Total Since

Inception

Coimbatore 123746 125318 110366 102480 104232 99517 79238 77208 77449 79378 89695 1068627 1470162

Krishnankoil 629 22622 27044 29203 31160 28237 23136 26345 25433 23306 237115 237115

Guntur 23149 26581 21353 24771 55811 53082 51701 51431 48289 356168 356168

Bangalore 25186 34367 36637 43655 51077 190922 190922

Shimoga 7767 36073 38093 51100 49087 182120 182120

Anand 7120 29472 33967 37392 33856 141807 141807

Ludhiana 20934 20934 20934

Silvassa 1069 4623 23942 26662 14662 12851 83809 83809

Rishikesh 16612 35877 44162 96651 96651

Total 123746 125947 156137 156105 154788 156517 207982 277280 307466 338928 373257 2378153 2779688

Surgeries Performed 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 10 Years Total Since

Inception

Coimbatore 40091 44858 40789 38175 38947 34942 33442 33694 34309 35255 38439 412941 522385

Krishnankoil 284 5514 7385 8950 11045 10862 10395 12649 12540 13505 93129 93129

Guntur 7202 9990 10625 12089 20799 21997 25527 27543 27379 163151 163151

Bangalore 7286 10552 13156 16302 19740 67036 67036

Shimoga 1485 8037 12617 20277 21300 63716 63716

Anand 1797 10100 11088 13257 11785 48027 48027

Ludhiana 3210 3210 3210

Silvassa 1499 3600 5988 5889 4802 3977 25755 25755

Rishikesh 5376 11720 11223 28319 28319

Total 40091 45142 53505 55550 58522 59575 79271 100763 120611 141696 150558 905284 1014728

46 47

Paying

Outpatient 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 Total

Coimbatore 40473 45413 52581 57342 63441 66496 66187 67767 70365 58403 61405 649873

Krishnankoil 4135 22688 25230 26752 28910 31112 33296 34021 33174 37456 276774

Guntur 795 19915 26270 29270 36117 38802 46477 51758 57596 65894 372894

Bangalore 489 29454 46401 64000 67271 73460 281075

Shimoga 7078 27196 37696 41269 45500 158739

Anand 6255 21115 23133 22834 20846 94183

Vijayawada 4108 11017 15125

City Hospital- Coimbatore 4360 17196 21556

Ludhiana 16845 16845

Silvassa 7301 7709 12327 12356 39693

Rishikesh 4487 13289 16969 34745

Total 40473 50343 95184 108842 119463 132012 178888 249553 293169 314631 378944 1961502

Paying Inpatient 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 Total

Coimbatore 1806 2595 2836 2941 3126 3514 3720 3892 4149 4022 4264 36865

Krishnankoil 1 441 558 558 618 692 778 1041 1167 1386 7240

Guntur 575 980 1420 2274 2586 3128 3934 4954 6618 26469

Bangalore 967 1871 2827 3567 4776 14008

Shimoga 194 1103 1948 3006 3972 10223

Anand 159 1170 1508 1875 1871 6583

Vijayawada 109 391 500

City Hospital-Coimbatore 70 587 657

Ludhiana 603 603

Silvassa 479 619 891 1344 3333

Rishikesh 463 1072 1000 2535

Total 1806 2596 3852 4479 5104 6406 8318 12421 16489 20733 26812 109016

48 49

Behind Sankara’s success is a team of 125 doctors, 600 paramedical professionals, 275 support staff who have touched the lives of over 40 million people spanning over three decades.

People Initiatives

People are our assets Performance and productivity Welfare

Sankara is a people driven

organization.Our employees are

constantly equipped with knowledge

on latest methodologies and best

practices through in-house training and

also through workshops by domain

experts.50% of our establishment costs

account for people costs, Sankara’s

most valuable assets are its people;

and we believe that valuable individu-

als make a valuable organization.

Out of 939 staff at Sanka-ra 43 % are men and 57% are women and the attrition rates are virtually nil at 1.24 %

As a people driven organization,

performance and productivity define

our growth and success and is

monitored through a performance

management system, this tool enables

us to measure productivity and informs

our decisions on appraisals and

promotions. All administrative

processes have been automated

through a web based management

system.

Productivity norms help us evaluate

individual performance and optimize

manpower requirements across units

and departments. It also helps us

analyze areas that require additional

support. New recruits are appointed

not just based on skill but on values,

emphasizing the importance of values

and organizational culture.

59 new recruits were inducted into Sankara this year.

Sankara is an equal opportunity

employer, and our HR initiatives work

towards developing and integrating

our mission with employee growth,

motivation and performance. Though a

non-profit organization, we at Sankara

ensure competitive benefits and

programs for employees on par

with opportunities that exist in the

corporate world. Sankara’s rewarding

work culture has helped us attract and

retain high calibre workforce over the

last decade with attrition rates that are

negligible.

Sankara as an organization takes great

interest in the well being of its

employees. Financial security,

support for housing, accident cover are

some of the benefits they are entitled

to. Most recently, a funeral fund for

the employees has been set up to

reimburse the expenses incurred in the

event of demise of and employee’s

family member.

50 51

At the heart of our success are our dedicated supporters. Generous and relentless support from organizations and individuals has helped us to create and expand the access to quality eye care in the country. Your generosity and support will go a long way in supporting this cause making a difference to a million lives.

Support

Capital funding will support new project’s infrastructure, building, equipment and other capital assets that are required to set-up in a new location and scale up our presence across the country.

Last year’s contribution towards infrastructure development were to the tune of Rs. 17.12 Crores.In the year 2013-2014 we plan to set foot in 3 new locations – Kanpur in Uttar Pradesh, Mumbai in Maharashtra and Jodhpur in Rajasthan.

Our model enables us to become self- sufficient on operational expenditure within 5 years of establishment of a new hospital. Recurring donations support the operational costs of newly set-up facilities in conducting camps, surgical expenditure,consumables and distribution of spectacles for the patients.Contributions towards this are accepted in the form of long term endowments, recurring or one time donations.

In 2012-13 we received long term endowments to the tune of Rs. 7.3 Lakhs and Rs. 10.98 Crores as recurring donations. This helped us to reach out to 77 Revenue districts in India, where we conducted 914 camps, screened 373,257 patients and performed 150,558 free surgeries.

Alongside scale of infrastructure, it is imperative to build the human resourcepotential. Sankara Academy of Vision was started in 2012 recognizing theneed to recruit more staff and to train the existing ones. The academy works in tandem with universities and creates courses that will create employment at the field level and also skill enhancement and specialization for staff and doctors respectively. Girls who have passed out of school final can become Optometrists by pursuing a course created by the Academy of Vision. All staff are recruit-ed locally, from the location of upcom-ing hospital creating local employment and women empowerment. Staff from the new centers are trained at our mission headquarters before they are inducted into their routine.

250 medical and paramedical staffs were trained last year.

A. Infrastructure/Capital Funding B. Recurring donations C. Training

52 53

Sankara Academy of Vision

With the world’s largest populations of the blind crying out for drastic correc-tive measures, several organizations including Sankara face a huge demand for trained eye care professionals. The need of the hour is the development of human resources such as Ophthalmologists, Optometrists, Paramedics, Technicians, Eye care Managers and Support Personnel.

The Sankara Academy of Vision was established to address this need – to train resources for both Sankara hospitals as well as other organiza-tions in India and abroad. SAV offers professional courses & programs to the entire eye care sector in India. While leveraging own experts as far as possible, outstanding external faculty/instructors/practitioners are also deployed. Excellent courseware, interactive sessions, demos, fieldwork & ‘hands-on’ (where required) and holistic evaluation are features of SAV courses/programs. An alumnus of SAV would be a satisfied and elevated professional who will remember his/hertraining experience here and benefit from it for years to come!

Our MissionTo establish a Centre of Excellence focused on holistic capacity buildingof eye care professionals to enable them to work towards freedom from preventable and curable blindness.

Our VisionTo impart value based eye care education by leveraging research &technology to build capacity towards sustainable and replicable eyecare globally.

Courses offered

Sankara College of OptometrySankara college of Optometry is one of the top 5 Optometry colleges in India and is also the most affordable in India. The 4-year BSc(Optometry) course, including compulsory internship in the fourth year, provides you with all modern theoretical and practical knowledge and skills to become a qualified and successful optometrist anywherein the world. Optometrists do far more than Opticians who supply spectacles and contact lenses. An optometric examination includes screening for signs of disease that may need medical attention. Optometrists also offer special advice and treatment to patients having low vision or binocular vision, or those requiring ‘vision training’ and those who with specific learning difficulties like dyslexia.courses / programs.

Vision CareTechnician (VCT)Training for professionals to do preliminary examination, perform basic investigations, assist surgeons and take care of patients. To meet these specific needs of eye care delivery, we run a carefully designed Vision Care Technician (VCT) course in which students will be taught the basics of Ophthalmology including the basic sciences, diseases of the eye, investigations, medical treatment and surgical procedures and patient care. A university recognized diploma is awarded on successful completion of the course.

Post-Graduation – Diplomate of the National Board, Fellowships in General Ophthalmology and Other Sub-speciality:Sankara Academy of Vision (SAV), the Training Academy of Sankara Eye Care Institutions (SECI) offers Medical Fellowships in General Ophthalmology (IOL) and in various Sub-Specialities of Ophthalmology through the units of Sankara Hospitals.

SAV also conducts Customized Workshops / Seminars on Eye Care Management.

F M F M F M F M F M F M F M Total

Sankara Academy Of Vision 1 2 1 2 3

Anand 1 2 6 1 7 3 10

Bangalore 10 2 22 20 38 1 5 5 75 27 102

Coimbatore 7 10 2 1 38 2 45 15 60

Guntur 2 4 4 2 1 2 9 18 6 24

Krishnankovil 3 1 10 13 1 14

Shimoga 1 1 2 1 2 24 29 2 31

Ludhiana 1 5 2 3 5 8

Kanpur 14 14 0 14

Total 10 15 21 14 25 21 2 0 141 1 6 10 205 61 266

Unit

Academics-

DNB

Academics- Medical

Fellowship

Academics- Optometry

Academics- Post DNB

Academics- Vision Care Technician

Faculty- Paramedical

Grand Total

54 55

Events 2012-13Guntur

Krishnankoil

8th Annual Day Celebrations

World Diabetic Rally

Independence Day Camp

Glaucoma week

Bus Donated by Bommidala Bhanumoorthy

9th Annual day 2013

Lasik Inauguration

Retired pensioners meet

Co-Sponsors meet

Canara Bank public screening

Rotary members visit

Ayutha pooja

Pradhakshana of paramacharya statue. On this auspicious day, the statue of Paramacharya was brought in pallaku to the registration. Devotional songs was given by Bombay Jayashree, Ms.Jayanthi Murthy and Mrs. Seshan & team. All the staffs of Sankara joined the function and made it an unforgettable one.

Dr. A.P.J. Abdul Kalam launches Averdeo KXL (C3R) machine

Long service award function“Shri Dharamsey Nansey Oman Award - 2012” for the best Eye Hospital in India involved in Community Eye Care, from Ministry of Health.

Coimbatore

Women’s day was celebrated Workshop on Phacoemulsification - Toric IOL Inaugration of Braile Flag for blind

Joy of Giving – 2nd – 8th Oct 2012

56 57

Co-sponsor’s Meet

Teachers Training : June – Sep 2012

Workshop on Braille

Dr. Rajkumar Trust Programme at Bidadi

Through different Eyes : Exhibition

World’s Largest Vision ChartWorld Sight Day Celebration – 11th Oct 2012

WGW Screening at HypercityTri-Nethra Inauguration

International Womens Day Street Play by SCO Students

Retinoblastoma Day - I’m a survivor

TCS World 10K Marathon

Joy of Giving 2nd – 8th Oct 2012

Bangalore

Shimoga

Ludhiana

AADHAR CARD registration was organized on for staff and their families

Inaugration of Ludhiana hospital in April 2012

Bhavsara Vision India Team Visit

Ambulance donated by the MP fund Pooja and flag off ceremony by Donors, Patrons’ & Sankara Team

Bhavsara Vision India Team Visit

Annual Day 2012

Awareness Program at Eshwari Mahila Mandali Megarvalli, Thirthahalli Taluk

TCS 10K Marathan Dr RVR intracting with Staff - 1 Million smiles celebration

ASHA Workers Training programme

Bangalore

58 59

Journals

1. Effect of short term oral valproic acid on vision and visual field in Retinitis pigmentosa,

P Mahesh Shanmugam, CK Minija Ophthalmolther (2012) 1:6

2. Is minimally invasive strabismus surgery worth the effort? K. Amitava, Richa Sharma.

IJO review completed 27.8.12 Accepted.

3. Diagnosis of polymicrobialendophthalmitis by xycton analysis - Dr. Prabhusankar, Dr. Kumar Sambhav

Journal of Clinical Ophthalmology and Research, February 2013

4. Iris claw intraocular lens: A viable option in monocular surgical aphakia

Dr. Ajita Sasidharan, Dr. Ragavendra, February 2013

Books

1. Biopsy techniques, Rajesh Ramanjulu, Mahesh P Shanmugam., Ocularonchology,

Aravind eye hospital publishers. Under publication.

2. Ciliary body tumors, Mahesh P. Shanmugam, Rajesh Ramanjulu. Ocularonchology,

Aravind eye hospital publishers. Under publication.

International Conference

1. Management of Pediatric Absorbed Cataract - Dr. Kavitha - Asia Pacific Academy of Ophthalmology

Congress, Busan-Korea, April 2012

2. Visual acuity improvement following use of low visual aids in visuall impaired children

Dr. Kavitha - Asia Pacific Academy of Ophthalmology Congress, Busan-Korea, April 2012

3. Study of 100 Cases of tropical SICS -Free paper – Dr. Mallikarjun H. - Asia Pacific Academy of

Ophthalmology Congress, Busan-Korea, April 2012

4. Pediatric Cataract Management- Unusual Situation- E poster, – Dr. Kavitha - Asia Pacific Academy of

Ophthalmology Congress, Busan-Korea, April 2012

5. Management of Corneal diseases through community outreach programme in tertiary eye case in

hospital, Dr. Kaushik and Mr. Bharath Balasubramaniam, IAPB meet, Hyderabad, September 2012

National and State Conferences

1. Clinical Presentation of OSSN in HIV, Dr. Mani Sambhav, OSKON, Chennai, July 2012

2. Management of sphenophalma with lens extation and posterior iris claw implementation,

Dr. Ajitha, Glaucoma Society of India, Coimbatore, October 2012

3. Specular MS copy of Glaucoma evaluation, Dr. Meena Gopinath, Glaucoma Society of India,

Coimbatore, October 2012

4. Management of Glaucoma, Dr. Meena Gopinath, Glaucoma Society of India, Coimbatore, October 2012

5. Retro pupillary fixation of Iris Claw IOLS :Our Experiences, Dr. Piyush Gupta, 64th DOS Annual

Conference, New Delhi

6. Sub periosteal abscess due to orbital cellulitis secondary to pansiuritis in a neonatic,

Dr. Smitha Srivastava, Fusion 2012, Hyderabad

7. Symposium-secondary IOL - Dr. Sudhakar P., Andhra Pradesh State Conference, October 2012

8. Nucleus drop management- instruction course - Dr. Madhu Kumar R., Andhra Pradesh State

Conference, October 2012

9. Techniques of SOR - instruction course - Dr. Madhu Kumar R., Andhra Pradesh State Conference,

October 2012

10. PCIOL as SFIOL versus retroppupillary fixation of claw lens - co-author Dr. Madhu Kumar R.,

Andhra Pradesh State Conference, October 2012

Awards & Accolades

Dharamsay Nansey Oman Award 2012

India NGO Award 2008

SR Jindal Prize 2011

FICCI 2009, 2010, 2011

Namma Bengaluru Award 2009

HMA 2008

Social Impact Award 2011

Publications

60 61

11. Inverse peel technique in macular hole - chief author - Dr. Madhu Kumar R., Andhra Pradesh State

Conference, October 2012

12. Subretinalcysticercosis cyst removal – video Dr. Madhu Kumar R., Andhra Pradesh State Conference,

October 2012

13. CME in CRVO - Dr. Madhu Kumar R., Karnataka Ophthalmic Association Conference

2nd to 4th Nov’12, Bijapur-Karnataka

14. Nucleus drop management - Dr. Madhu Kumar R., Karnataka Ophthalmic Association Conference

2nd to 4th Nov’12 Bijapur-Karnataka

15. Complications of laser - Dr. Madhu Kumar R., Karnataka Ophthalmic Association Conference


16. SFIOL - internal fixation - Dr. Madhu Kumar R., Karnataka Ophthalmic Association Conference


17. Miscellaneous causes of CME - Dr. Madhu Kumar R., Karnataka Ophthalmic Association Conference


18. PCIOL as SFIOL versus retropupillary fixation of claw lens - Dr. Madhu Kumar R., co-author

Karnataka Ophthalmic Association Conference-2nd to 4th Nov’12-Bijapur-Karnataka

19. Inverse peel technique in macular hole - chief author - Dr. Madhu Kumar R. - co-author

Karnataka Ophthalmic Association Conference, 2nd to 4th Nov’12-Bijapur-Karnataka

20. Standard Operating Protocol to minimize risk of post-operative infection in eye camp patients

Dr. Piyush Gupta, 3rd Annual Conference of Association of Community Ophthalmologist of India &

International Assembly of Community Ophthalmologist along with Eye India 2012 – Pune,

November 2012

21. Panel Discussion Management of PC rent - Dr. Mallikarjun, Karnataka State Ophthalmic Conference,

Bijapur November 2012

22. Symposium Management of perforated ulcers - Dr. Mallikarjun, Karnataka State Ophthalmic Conference,

Bijapur November 2012

23. Pediatric Cataract Management- Unusual Situation. Video –Dr. Kavitha, Karnataka State Ophthalmic

Conference, Bijapur, November 2012

24. Anterior Ciliary vessel Sparing extra Ocular muscle Surgery - A routine Procedure - Dr. Kavitha,

Karnataka State, Ophthalmic Conference, Bijapur, November 2012

25. Does Size really matter? Inverted IRM peeling for large macular hole. Poster - Iris Claw / 6.5 mm

PCIOL Aphalkic Rehabilitation, Dr. Rajesh R., APAO- AIOS Jan 2013

26. Phacoemulsification in bilateral true exfoliation of the lens, Dr. Mukesh Agarwal, APAO- AIOS,

Hyderabad, Jan 2013

27. Poster - Acquired iii patery in a child secondary to arachnoid cyst - Dr. Sowmya, APAO- AIOS,

Hyderabad, Jan 2013

28. Retro Pupillary Posterior Chamber Iris enclavation of Artisan model IOL for children with subluxated

lens with insufficient capsular support, Dr. Indeevar, APAO- AIOS, Hyderabad - Jan 2013

29. Short term results of Boston Keratoprothesis for cases of repeated corneal graft failure not suitable for

penetrating keratoplasty in Indian population, Dr. Smita S.K., APAO- AIOS, Hyderabad - Jan 2013

30. Enophthalmitis profile in rural population after catarct surgery in a community based tertiary centre in

south india, Dr. Smita, APAO- AIOS, Hyderabad - Jan 2013

31. Visual Outcome in Colobuma Patients following cataract surgery with intraocular lens implantation,

Dr. Sachin B.F., APAO- AIOS, Hyderabad - Jan 2013

32. Improving tolerance and effectiveness of Cyclopentolate in children with adiition on HPMC 1 %. (paper),

Dr. Kaushik Murali, APAO- AIOS, Hyderabad - Jan 2013

33. Evaluation of incisional architecture of sclerocarnialdunnel& incision with razor blade after manual

SICS using anterior segment OCT ( Poster ), Dr. Kaushik Murali, APAO- AIOS, Hyderabad, Jan 2013

34. Manual small incision cataract surgery and in the bad replacement of PCIOL without using CTR.incase of

cataract with preexistingzonular dialysis, Dr. Kumar Sambhav, APAO- AIOS, Hyderabad, Jan 2013

35. Recent advances in the management of amblyopia, Dr. Kavitha, APAO- AIOS, Hyderabad, Jan 2013

36. Study on Prevalence of undetected refractive errors among urban school children, Dr. Geetha,

APAO- AIOS, Hyderabad - Jan 2013

37. 2 Port / 3 Port Active Passive Suction / SOR methods - Dr. Divyansh K. Mishra, APAO- AIOS,

Hyderabad, Jan 2013

38. Instructions in wet Lab (Retina Levels) - Dr. Jayamadhury, APAO- AIOS, Hyderabad, Jan 2013

39. E-Poster Comparison of SF IOLvs Claw Lens - Dr. Jayamadhury, APAO- AIOS, Hyderabad, Jan 2013

62 63

Financial Report

Rs. In Crores

Financial Years 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13

Donations for Operations 6.92 5.46 2.68 3.32 4.11 7.00 5.79 6.84 9.08 12.91

Donations for projects 0.36 7.63 13.48 21.00 4.77 11.79 17.84 17.72

Hospital Income 3.98 5.05 6.15 7.46 8.37 16.04 24.62 31.02 42.37 53.28

Total Expenses 5.18 7.68 8.57 9.93 12.13 19.14 27.35 34.17 48.08 63.60

Total Assets 18.02 21.17 25.81 34.47 50.32 85.91 90.69 106.40 129.42 158.65

Total Liabilities 1.58 1.54 1.06 0.94 1.79 7.08 3.61 3.55 5.25 15.29

Net Worth 16.44 19.63 24.75 33.53 48.53 78.83 87.08 102.85 124.17 143.36

FINANCIAL PERFORMANCE SNAPSHOT FOR THE LAST 10 YEARS

64 65

Auditor’s ReportCONSOLIDATED INCOME AND EXPENDITUREACCOUNT FOR THE YEAR ENDED31st MARCH, 2013

PARTICULARS 2012-13 2011-12

INCOME

Donations from Public - Specific 177,216,549 178,364,385

Donations from Public - General 109,826,986 90,808,245

TOTAL DONATION 287,043,534 269,172,630

Less : Specific Donations Transferred to Corpus Account 176,486,549 177,799,385

Less : Endowment Donations Transferred to Endowment Account 730,000 565,000

109,826,986 90,808,245

Transferred From Corpus 19,317,560 ----Profit On Redemption Of Mutual Funds 679,217 ----Dividend Receipts - From Mutual Funds 300,805 412,604

Collection From Patients 457,332,469 335,798,607

Interest Receipts 8,822,992 9,772,357

Other Receipts 7,225,645 6,000,290

Preventive Eye Care Charges 2,250,978 41,719

RECURRING GRANT FROM :

- Govt of India -Eye Bank 543,750 237,000

- Indian Council for Medical Research Icmr 899,166 837,144

- Sri Ratan Tata Trust - support to Sankara Academy of Vision 1,283,550 ----

- District Blindness Control Society 52,880,190 70,571,298 - Others 550,000 ----

661,913,308 514,479,264

EXPENDITURE

Establishment Charges 316,530,085 241,000,562

Medicines And Lens 121,212,932 94,908,816

Cafeteria Expenses 21,721,750 16,711,199

Repairs And Maintenance 36,163,377 20,929,998

Camp Expenses 6,623,998 6,081,819

Ward Up Keep 40,539,875 28,321,198

Transportation Expenses 29,496,215 21,974,181

Training Expenses 23,169,949 19,540,291

Printing And Stationery 8,355,801 7,243,777

Marketing Expenses 5,013,505 5,948,463

Bank Interest & Financial Charges 2,716,076 597,601

Eye Bank Expenses 493,565 257,545

Administrative Expenses 23,965,514 17,268,357

636,002,641 480,783,805

EXCESS OF INCOME OVER EXPENDITURE 25,910,667 33,695,459

For SRI KANCHIKAMAKOTI MEDICAL TRUST For V K S AIYER & COCHARTERED ACCOUNTANTS

Founder & Managing Trustee N. RAMESH NATARAJAN - PartnerMembership No. 200/23443

Amount in Rs.

66 67

CONSOLIDATED BALANCE SHEET FOR THE YEAR ENDED 31ST MARCH, 2013

DESCRIPTION OF LIABILITIES SCHEDULES 2012-13 2011-12

DONATION IN CASH RECEIVED TOWARDS INITIAL CORPUS

Balance as per Last Balance Sheet 602 602

DONATION IN KIND RECEIVED TOWARDS CORPUS

Balance As Per Last Balance Sheet 91,399,173 90,241,473

Add : Received during the year 5,827,292 1,157,700

Less: Transferred to Trust Books - -

CLOSING BALANCE 97,226,465 91,399,173

GENERAL FUNDS OF THE SRI KANCHI KAMAKOTI MEDICAL TRUST


Add : Assets out of contractual agreement - -

967,849,269 815,770,593

Add : Excess of Income over Expenditure 25,910,667 33,695,459

Add : Transferred from Corpus Fund - being corpus funds applied 94,647,326 118,383,216

Add: Transferred from Other Units ---- ----

CLOSING BALANCE 1,088,407,262 967,849,268

DONATION IN CASH RECEIVED TOWARDS SPECIFIC ENDOWMENT


Add : Received during the year 730,000 565,000

Add: Transferred from Units 3,202,002 2,472,002

CLOSING BALANCE 3,202,002 2,472,002

DONATION IN CASH RECEIVED TOWARDS SPECIFIC CORPUS


Add : Received during the year 176,486,549 177,799,385

356,499,774 298,396,441

Less : Transferred to Income & Expenditure account 19,317,560 ---- Less : Applied during the year & Earlier Years transferred to General Fund 94,647,326 1 18,383,216

CLOSING BALANCE 242,534,888 180,013,225

1,431,371,219 1,241,734,271

Sri Ratan Tata Trust - Support To Sankara Academy Of Vision Fund Balance 2 ,222,971 ----

DESCRIPTION OF LIABILITIES SCHEDULES 2012-13 2011-12

IOL TRAINING - GOI

Balance As Per Last Balance Sheet (224,287) 85,279

Add : Received during the year 720,000 -----

495,713 85,279

Less : Applied during the year 315,660 309,566

CLOSING BALANCE 180,053 (224,287)

SECURED LOANS AND ADVANCES

From Banks 1 11,328,000 14,528,000

Hire Purchase Credits For Acquisition Of Vehicles 2 4,467,338 3,094,434

Deferred Credits 3 80,025,202 2,034,375

95,820,540 19,656,809

Unsecured Loans 4 6,365,106 2,500,000

1,535,959,888 1,263,666,792

DESCRIPTION OF ASSETS SCHEDULES Total with 35 AC Total with 35 AC

2012-13 2011-12

Fixed Assets 6 1,307,617,052 1,070,646,991

Investments 7 24,331,517 21,488,501

Current Assets Loans And Advances 8

1. Inventory 2,081,746 3,701,760

2. Sundry Debtors: (I.e. Bills Receivable: 25,228,617 24,965,558

3. Cash And Bank Balances: 192,520,457 95,921,014

4. Other Current Assets 104,737 69,226

5.Loans & Advances & Deposits 34,657,771 77,367,366

Current Liabilities & Provisions 254,593,328 202,024,925

Sundry Creditors 5 50,582,009 30,493,625

204,011,319 171,531,300

1,535,959,888 1,263,666,792

For SRI KANCHIKAMAKOTI MEDICAL TRUST

Founder & Managing Trustee

Amount in Rs.Amount in Rs.

For V K S AIYER & COCHARTERED ACCOUNTANTS

N. RAMESH NATARAJAN - PartnerMembership No. 200/23443

68 69

FUND FLOW STATEMENT FROM 01.04.2012 to 31.03.2013

SOURCES OF FUNDS Amount Rs.

Funds From Operations 25,910,667

Increase in Donation In Kind 5,827,292

Increase in Corpus Fund 159,391,960

Increase in Endownment Donation 730,000

Increase in Loans 80,028,837

Increase in Current Liabilities 20,088,384

Increase in IOL Training Fund 404,340

Decrease in Current Assets 44,031,040

TOTAL SOURCES OF FUNDS (A) 336,412,520

APPLICATION OF FUNDS

Increase in Fixed Assets 236,970,061

Increase in Fixed Deposits 95,650,007

Increase in Investments 2,843,016

TOTAL APPLICATION OF FUNDS (B) 335,463,084

Net Surplus / ( Deficit) 949,436

NET INCREASE IN CASH AND BANK BALANCES

Increase / ( Decrease) in Bank Balance 1,151,385

Increase / ( Decrease) in Cash Balance (201,949)

A-B 949,436

Significant Accounting Policies and Notes to the Accounts

Significant Accounting Policies:

The accounts have been prepared under the Historical Cost Convention on the basis of going concern, with revenue recognised and the expenses accounted on their accrual, in accordance with the applicable accounting standards if any.

Inventory has been valued at cost.

Foreign Currency transactions are accounted for at the exchange rates prevailing at the time of transaction.

Notes to the accounts:

SKKMT has entered into an agreement with Life Insurance Corporation of India to administer its gratuity scheme. Gratuity liability has been provided for in the books.

District Blindness Control Society is the Government of India agency for providing grants for administering free surgery scheme under the scheme. The grants actually received have been accounted as Income. Likewise, all other donations have been accounted on the receipt basis.

There are no contingent liabilities pending as on 31/3/2013 on account of (a) legal cases (b) pending income tax or any other statutory liability (c) LC discounted.

SKKMT is registered under Foreign Contribution Regulation Act and under Income tax for Sec 80G donations and 35AC donations. The necessary returns and compliances required under the act with regard to the same have been complied with during the year.

SKKMT being a trust does not provide for depreciation yearly with regard to its fixed assets. However, the loss or profit on disposal of asset is recognised in the year when the asset (s) is disposed of.

Investments have been held with banks as fixed deposits. Balances in specifically/Generally earmarked funds have been held as fixed deposits with bank and accounted as Balances in deposit accounts under cash and bank balances.

Surplus funds earmarked for specific purpose have been held as fixed deposits and accounted as fixed deposits.

Bank guarantees for Rs.17.37 lakhs have been provided for various hospital operations by marking lien on fixed deposits.

Figures have been rounded to the nearest rupee.

Previous year’s figures have been rearranged and regrouped wherever necessary so as to make them comparable with those of the current year.

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Particulars Budget 2012-2013 Actuals 2012-13

Income

Hospital collections 483,130,584 466,809,093

DBCS Grant in Aid 100,884,127 52,880,190

Other Government Grants 1,442,916

Interest on Investments - 9,803,014

Grants other than Goverments 1,833,550

TOTAL 584,014,711 532,768,763

Expenses

Medicines and Consumables 142,024,666 121,212,932

Establishment Cost - Salaries and Professional Charges 323,302,530 316,530,085

Food, Transport and camp Expenses for Non paying patients 44,688,767 57,841,963

Ward Upkeep, Repairs and Maintenance 62,265,837 76,703,252

Printing and Stationary 7,509,440 8,355,801

Eye Bank Expenses -1,109,200 493,565

Training Expenses 16,421,816 23,169,949

Administrative Expenses 41,102,544 31,695,094

TOTAL 636,206,400 636,002,641

Surplus/(Deficit) -52,191,689 -103,233,878

Donations Received towards recurring expenses - 109,826,986

Transferred from Corpus 19,317,560

Surplus after considering donations -52,191,689 25,910,667

Self Sufficiency % before considering Donations 92% 84%

BUDGET VS ACTUAL FOR THE YEAR 2012-13 Credibility Alliance Norms Compliance Report

Identity

Sri Kanchi Kamakoti Medical Trust is a registered public charitable Trust, registered vide Doc No.61 of 1982, Book 4 dated 05th February, 1982

The Trust is registered u/s12 A of the Income Tax Act , 1961 and with the CIT –I, Coimbatore u/s 80 G, valid till perpetuity

(C.No.127(73)/11-12/CIT-I/CBE /2012-13 dt 24.09.2012).

The Trust is accorded approval by the CCIT, Coimbatore u/s 10 (23C)(vi) of the Income Tax Act, 1961. (C. No. 1491(7)/2010-11/ Sec 10(23C)(via)/CCIT/CBE dated 28.07.2011

Name & Address of the Main Bankers

Central Bank of India, Saravanampatti Branch, Sathy Road, Coimbatore – 641 035

Canara Bank, Oppanakkara Street, Coimbatore – 641001

Axis Bank Ltd, R.S. Puram, Coimbatore – 641 002

Name & Address of the Auditors

Mr. N.Ramesh Natarajan, VKS Aiyer& Co, Mecherimanor, No-2, SR Aiyer Layout, Trichy Road, Coimbatore – 641 045

Vision and Impact

Vision : To work towards freedom from preventable and curable blindness

Mission : To provide unmatched eye care through a strong service oriented team.

Governance : The Trust is managed by a team of nine Trustees

Name Age Gender Position in Occupation Meetings the Board attended

Dr. S.V. Balasubramanian 72 Male Chairman Chairman & Managing Director, 3/3 Bannariamman Sugars & Annamalai Finance -Tamilnadu& Karnataka

Dr. R.V. Ramani 66 Male Founder & Having a private Clinic along with 3/3 Managing his wife Dr.(Mrs) R.V. RadhaRamani in Trustee memory of his late father Dr. A Ramanathan

Dr. Leela Meenakshi 80 Female Trustee Former Dean, Cancer Institute of 0/3 G Kuppuswamy Naidu Memorial Hospital

Dr. P. G. Viswanathan 69 Male Trustee Runs his own ENT Hospital 3/3 Specialises in micro surgery

Dr. S R Rao 65 Male Trustee Runs his own private institution- 2/3 Rao Hospital - specialized in laparoscopic surgery established by his father, late Major R S Rao, a founder member of the Trust

Sri. N Natraj 77 Male Trustee Former Managing Director 0/3 M/s Anand Kumar Mills

Dr. S Balasubramanian 68 Male Trustee Runs a Private Eye Hospital - 1/3 Specializes in Micro Surgery and Corneal Transplants

Mr. Jagdish Chanrai 64 Male Trustee Industrialist and Social Activist 2/3

Mr. Murali Krishnamurthy 54 Male Trustee Social Activist 2/3

Details of Board Members

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The Sri Kanchi Kamakoti Medical Trust Board met three times in FY 2012-13 on 03/04/2012, 07/08/2012 and 24/01/2013

Board approves programmes, budgets, annual activity reports and audited financial statements.

The Board ensures the organisation’s compliance with laws and regulations.

Apex Board Meetings

A nine member Apex Body functions under the Managing Trustee. The Apex Body consists of the Directors and Heads of

various key portfolios like Finance, Human Resource, Marketing, Technical / Medical, Training etc.

Name Designation Apex Portfolio Meetings Attended

Dr R V Ramani Founder & Managing Trustee Doctors Training 8/8

Dr Radha Ramani Co-Founder Paramedics Training 8/8

Dr Janakiraman Director - Technical Technical 8/8

Mr. Bharath National Head - OR & IS Outreach & IS 8/8

Dr Kaushik Murali Director - Technical Technical 8/8

Mr. Subba Rao Director - HR Human Resource 8/8

Mr. Sriram S Chief Financial Officer Finance & Accounts 4/8

Mr. Sethu Madhavan U.K Country Head Business Development 5/8 Business Development

Mr. C N Srivatsan Hon.Director - Projects Projects 6/8

Ms. Seetha Chandrasekar Director - Partner Relations Partner Relations and Foundations 7/8

The Apex Board met 8 times in FY 2012-13 on 12/06/2012, 19/07/2012, 30/08/2012, 21/09/2012, 22/10/2012, 15/11/2012,

25/02/2013 and 22/03/2013.

Sri Kanchi Kamakoti Medical Trust is managing Sankara Eye Hospitals across the country and the pan India group is

referred to as Sankara Eye Care Institutions – India

Sankara Eye Care Institutions (SECI) has put in an excellent Performance Measurement System (PMS) of Balance

Score Cards with Key Performance Indicators (KPIs) across 7 functions namely Technical /Medical, Marketing, Finance,

Community Outreach, HR, Training and New Projects.

Forty-seven KPIs have been identified and performances against these KPIs are tracked at all SECI hospitals and the

Balance Score cards are sent to the Central APEX Team on the first of every month for review and further interactions

with the leadership in each unit.

All the SECI units are connected through broadband for Video link which helps not only in the administration but also in

the Academics.

Accountability and Transparency

No remuneration, sitting fees or any other form of compensation has been paid since inception of the Trust, to any

Trustee. No travelling expenses have been paid to any of the Trustees to attend the Board Meeting.

No other reimbursements have been made to any Trustee.

Slab of gross salary (in Rs) plus benefits Male Staff Female Staff Total Staff paid to staff (per month)

Less than 5000 26 122 148

5,000 – 10,000 155 349 504

10,000 – 25,000 162 150 312

25,000 – 50,000 30 31 61

50,000 – 1,00,000 6 12 18

Greater than 1,00,000 2 0 2

Distribution of Staff according to salary levels (as of 31st March 2013)

** Figures specified above excludes Stipend

Facts & Figures:

1. Highest salary paid is Rs. 72,30,000 per year

2. Lowest salary paid is Rs. 60,000 per year.

Total monthly payments made to consultants (In Rs) Number of consultants

Less than 5000 7

5,000 – 10,000 2

10,000 – 25,000 9

25,000 – 50,000 22

50,000 – 1,00,000 13

Greater than 100,000 56

International travel details

Name Designation Destination Purpose Gross Sponsored Expense by external (Rs) organisation

Dr. R.V. Ramani Founder & Global Social Business Rs.2,79,249/- No Managing Trustee Europe Summit 2012

Dr. Radha Ramani Co-Founder Europe Global Social Business Rs.2,20,942/- No Summit 2013

Dr. Mr. Bharath Director, Sankara Eye Foundation Rs.1,07,408/- No Balasubramaniam Administration London Sankara Immersion Programme

Dr. Kaushik Murali Director, Milan, Italy Paediatric Ophthalmology Rs.1,49,026/- No Technical Operation Programme

Dr. Prabhushankar Assistant Director, Chicago, USA American Academy of Rs.1,28,612/- No Technical Ophthalmology Programme

Dr. Ravishankar Chief Medical Officer Chicago, USA American Academy of Rs.1,54,740/- No Shimoga Ophthalmology Programme

Dr. Kavitha Senior Consultant Busan, S. Korea 27th Asia Pacific Rs.75,000/- No Paediatric Ophthalmology Academy of Shimoga Ophthalmology

Dr. Malikarjuna Senior Consultant Busan, S. Korea 28th Asia Pacific Rs.75,000/- No Cornea Academy of Ophthalmology

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Sankara Eye Hospital Kunnur Po, Srivilliputhur TalukVirudhunagar Dist, Krishnankoil - 626190Ph : 04563-289029Mail: [email protected]

Sankara Eye Hospital Varthur Main Road, MarthahalliKundalahalli Gate, Bangalore-560037Ph : 080-28542727/28Mail: [email protected] www.sankaraeye.com

Sankara Eye Hospital Ta.Mogar, National Highway 8 Dist. Anand (Gujarat)Ph : 02692-280450Mail: [email protected]

Nirmal Ashram Eye Institute(Managed by Sankara Eye Care Institutions India)

Khairi KalanP.O Sathya Narayan DistrictDehradun-249 204Ph: 0135-2452610, 2453142 Mail: [email protected]

Sankara Eye Hospital Sree Guru Residency, Prakasam Road, Near Pushpa HotelSuryaraopet, Vijayawada-520002Ph: 0866-2434629, 1001661Mail: [email protected]

Sankara Eye Hospital Guntur-Vijayawada Expressway Pedakakani, Guntur-522 509Ph : 0863-2293903/905Mail: [email protected]

Sankara Eye Hospital Thirthahalli Road, HarakereShimoga-577202Ph : 08182-222099/100Mail: [email protected]

Sankara Eye HospitalVipul World, Village Bhanohar, Post Dhaka, Near Wadi Haveli, Ludhiana - Ferozepur Road Dist. P.O Sathya Narayan District,Ludhiana - 141 101. Ph: 0161 -2881123 / 24.Mail: [email protected]

Sankara Eye Hospital Srivari Kikani Centre(Next to Chinthamani Super Market)Krishnaswamy Mudaliar RoadR.S.Puram, Coimbatore - 641002Ph: 0422-4256789, Mail: [email protected]

Headquarters:

Sankara Eye HospitalSathy Road, Sivananda Puram, Coimbatore-641035

Ph : 0422-2666450, 4236789E-mail :[email protected]

www.sankaraeye.com

Sankara Eye Care Institutions, India Sankara Worldwide

Sankara USA Sankara Eye Foundation, USA1900 McCarthy Blvd #302Milpitas, CA 95035

www.giftofvision.org

Sankara Europe 123 Roehampton Vale, Roehampton, London SW15 3PGPhone: +44 208 780 2570

www.giftofvision.org.uk

Donations to be made in the name of ‘Sri Kanchi Kamakoti Medical Trust’ payable at Coimbatore. Donations are exempted from IT-80G / 80 GGA/35AC (100%). Online donations can be made through our website: www.sankaraeye.com

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Headquarters:

Sankara Eye HospitalSathy Road, Sivananda Puram, Coimbatore-641035

Ph : 0422-2666450, 4236789E-mail: [email protected]

www.sankaraeye.com

Sankara Eye Care Institutions

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