On June 30, 2017 a
Exhibit,Appendix
was filed
involving a dispute between
Drisonline.Com Inc,
and
Agraharkar, Mahendra,
Choudhry, Ajay,
Gomes, Andrew,
National Interventional Radiology Partners Management Llc,
Nirp Management Llc,
Nirp Pasadena Pllc,
Nirp Sugarland Pllc,
for FRAUD
in the District Court of Harris County.
Preview
Exhibit 3
Re: Business Model
Subject: Re: Business Model
From: "Andrew E. Gomes, MD"
Date: 3/10/2015, 10:03 AM
To: Sam Alam
Interventional Radiology Procedures
Angiography3 Needle Biopsy3
Arteriovenous Malformations 0 Radiofrequency Ablation 0
Balloon Angioplasty Stent/Grafts3
Biliary Drainage and Stenting 0 Thrombolysis 0
Bleeding Internally 0 TIPS (Trans Intra Porto Shunt) 0
Central Venous Access 5 Urinary Tract Obstruction 0
Chemoembolization 0 Uterine Artery Embolization 0
Embolization 0 Uterine Fibroid Erabolization 1
Gastrostomy Tube 1 Varicocele Embolization 0
Hemodialysis Access Maintenance20 Varicose Vein Treatment 3
High Blood Pressure 0 Vena Cava Filter 1
Infection
and Abscess Drainage 0 Vertebroplasty 2
Note: weekly conservative estimates.
On Tue, Mar 10, 2015 at 9:16 AM, Sam Alam
wrote:
Andrew:
“ oe
| have come up with a business model that you will love and | can get it
done. | will charge $5,000 to
get this started (not that | need the money but to make it a legal busines
s venture) and 25% equity.
If you are in agreement— send me a confirmation email and | will disclose
the business model. How
many of the following procedures you can do in an outpatient setting. Just
to get an idea of the
acuity of illness.
Interv entional Radiology Procedures
Angiography Needle Biopsy
Arteriovenous Malformations Radiofrequency Ablation
Balloon Angioplasty Stent/Grafts
Biliary Drainage and Stenting Thrombolysis
Bleeding Internally TIPS (Trans Intra Porto Shunt)
Central Venous Access Urinary Tract Obstruction
Chemoembolization Uterine Artery Embolization
Embolization Uterine Fibroid Embolization
Gastrostomy Tube Varicocele Embolization
Hemodialysis Access Maintenance Varicose Vein Treatment
High Blood Pressure Vena Cava Filter
Infectionand Abscess Drainage Vertebraplasty
AG000327
1of3
12/20/2019,
5:50
Simple Business Model for Vascular Setup
Subject: Simple Business Model for Vascular Setup
From: "Sam Alam"
Date: 3/10/2015, 12:35 PM
To: "Andrew E. Gomes, MD"
CC: "Jessica Nantz oo
Andrew:
Consistent with my email this morning and your request | disclose the business model here is the gist of it
| think, to get you up and running “soon” and yet make it scale able (into many centers and many cities) you will find
our model contemporary and unique.
Preface: Urgent Care Centers and 24 Hour ER’s business is inconsistent — especially during the day time (fixed
cost and loss of productivity). ASC’s slow down after 1pm. They want to enhance their business
(bottom line). What is the solution?
Model: 1 We set up Vascular Centers inside the Urgent Care, 24 Hour ER or ASC’s
Zz We contract with the Center in which we provide the equipment and personnel to qualify for
technical fees
We “rent” from them the space, equipment and some personnel. Buy few pieces of
equipment
Start with a company that has many ASC’s UCC and 24 Hour ER; and seek the provision of
exclusivity
One successful testimonial and we earn the right establish Vascular Centers in “all” their
centers
Benefit to UCC et.al, windfall profits, stay busy, and get ancillary revenues for other tests and
procedures
7 18-months and you will have a dozen centers - nationwide.
8. THEN you create freestanding centers !!
We will set up the entire program beginning from one center to many — in exchange for 25% of the equity. This model
is — easy to implement — high margin — low start up cost — start work in 25-30-days — sustainable, and win-win for both
you and UCC. et.al.
! also have a similar program to create Cardio-Pulmonary centers (cardiac and pulmonary rehab) in UCC and 24 Hour
ER. [see attached] | which we are seeking 67% equity.
Let me know what you think of it. The 24 hour open factor will allow you to propel the Walmart model. Now this is
genius- yea
Sam Alam
.:
ee i si
From: Andrew E. Gomes, MD [mailto:agomes@casperradiology com)
Sent: Tuesday, March 10, 2015 10:04AM
To: Sam Alam
Subject: Re> Business Model
AG001772
1of3 12/20/2019, 4:22
Document Filed Date
September 26, 2022
Case Filing Date
June 30, 2017
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