Image Source @视觉中国
The writer is good at eight o'clock, and the author, Mao Xiaoqiong, is good at eight o'clock.
"Chinese law has failed in Xi'an."
At the beginning of July, after learning of the loss of the complaint, the president of the Chinese Medicine Hospital of Nenjiang County, Heilongjiang City, Dong Xuebin came up in his mind, ``Equipment did not arrive, but we should come to pay back the money. Is that true in the world? ''
This is the aftermath of the 2018 disillusionment of the Telemetry Medical equipment Rental incident. One of the three parties to the incident is the Beijing Telemetry Group, which claims to have led the "China Medical Innovation Model." its role in the event was once bright, but it was actually the matchmaker and guarantor of the financial lease; on the other hand, it was a group of financial leasing companies, which were investors, owners and tenants of medical equipment; and first, thousands of county-level public hospitals in the country as lessees of medical equipment.
Since the end of 2017, the remote vision capital chain has broken, causing joint and several effects, which was once seen as a three-way win-win innovative medical model, like a beautiful bubble that was punctured, and litigation followed. Baoxin International Financial Leasing Co., Ltd., one of the largest financial leasing companies involved, took hundreds of them to court and asked the latter to pay for the equipment lease.
In July this year, Xi'an Intermediate People's Court issued a verdict on one of the litigation cases: ordered a number of hospitals such as Nenjiang County Hospital of Traditional Chinese Medicine to pay rent to Baoxin Leasing.
After the verdict was announced, more than 60 of the more than 100 involved hospitals spontaneously rushed to Xi'an from all over the country. Many people are old acquaintances. This time, they have a feeling of suffering. In the past two years, in the face of the pressure of the incident, they all shouldered a huge spiritual burden, and some people lost more than 30 kilograms. At the moment, they are gathering in Dong Xuebin's room to discuss countermeasures.
"some people say they want to appeal, others say they want to go to the media, others say they want to turn to the administrative court of the Supreme people's Court. There is no consensus on our views, but the same voice is that we want to protect our rights! " Dong Xuebin suddenly raised the tuning door.
The reason for the lawsuit is that it is not simple. Everything has to start from 2017.
a "a good thing" of falling from the sky
In May 2017, the Nenjiang County Chinese Medicine Hospital in the northeastern border ushered in two uninvited guests. They claim to be the staff of the remote vision. The company has an annual income of 6 billion yuan and is recognized as an industry unicorn in the industry. Subsequently, the two men introduced a new “medical cooperation model” to Dean Dong Xuebin:
Remote vision is willing to help hospitals establish advanced medical projects and provide corresponding medical equipment. The hospital only needs to provide space and check the medical projects that need to be opened, and the remote vision can send tens of millions of yuan worth of medical equipment to the hospital free of charge. Not only that, remote vision can also arrange for experts and doctors from famous hospitals in Beijing and Shanghai to personally visit, teach and operate in hospitals.
In exchange, the hospital only needs 25% of the income from the new medical project to repay the equipment, 25% of the expert fee, and 25% of the operating expenses, a total of 75%. After three to five years, the ownership of the equipment will be owned by the hospital.
Under the letter, Dong Xuebin sent a vice president of the hospital, the chairman of the labor union, and the director of the department to the model hospital of the remote vision--the second people's hospital of Xuwen County, Guangdong Province. A week later, the feedback from the subordinates was: the other party said nothing, the new model is worth a try.
As a result, after many meetings in the hospital, according to the actual needs of local patients, Dong Xuebin set up two cooperation projects: one is stroke project, the other is otolaryngology project. Among them, the MRI equipment needed for stroke project is worth 30 million yuan, and the cost of equipment involved in otolaryngology project is more than 8 million yuan.
In June 2017, the project was officially signed. During the signing process, two strange faces appeared. According to the staff of the remote vision, they are the people of Baoxin Leasing and the true owners and leasers of the two sets of equipment; while the role of the remote vision is the guarantor, that is, when the hospital’s revenue share is insufficient to cover the monthly When the device is repaid, it will be complemented by the remote view.
In the process of signing the contract between the three parties, there have been a lot of interlude. First of all, the whole contract has more than 100 pages, urged by the other side, the hospital has no time to take a closer look. Second, in this more than 100 pages of the contract, Dong Xuebin found a "equipment receipt confirmation form," and at that time, the hospital has not even seen the shadow of the equipment.
"The remote vision people repeatedly emphasized to me that this is the rule of the leasing company. If you don't sign this confirmation, the cooperation will not continue. In addition, he also let me not worry, before the equipment comes into play to generate income, they are all by them. To repay, there is no relationship with the hospital." Dong Xuebin recalled.
Confused by the huge aura of the remote vision, Dong Xuebin successively signed the lease contract for the above two sets of equipment. At first, the situation is exactly the same as in the imagination. Because the equipment has not arrived, the remote vision line will pay 1.52 million yuan to the hospital account every month according to the agreement, and the hospital will pay Baoxin lease. At the same time, because the equipment did not arrive, the experts in Beijing and Shanghai promised to have never appeared.
Until October 2017, the hospital did not wait for the remote vision to make a payment, but waited for the dunning notice of Baoxin Leasing. The hospital immediately found a remote vision, the other party's reply is preparing for listing, the funds are frozen, and the hospital can find a solution. At the beginning of 2018, the remote vision officially announced that the company's capital chain was broken and could no longer help the hospital.
In the process, the hospital never received any medical equipment, but received a paper indictment from Baoxin Leasing.
The game starts like this.
The experience of Nenjiang County traditional Chinese Medicine Hospital is not isolated. At the end of 2017, similar incidents took place in thousands of county-level public hospitals across the country after the long-range vision capital chain broke one after another. In the case of Baoxin Leasing alone, there are at least 85 hospitals with which they have signed contracts, only one has arrived, eight have received some equipment, and the rest of the hospitals have never seen any sign of equipment.
Why can a startup "play" thousands of hospital directors?
Founded in 2013, Han Chunshan, founder of Beijing Telemetry Group, has served as invited director of China Welfare Foundation for the disabled and vice president of China Pharmaceutical Materials Association. After its establishment, the remote Vision received two rounds of financing: a round of financing of 200 million yuan in January 2015 and B round of financing of 880 million yuan in June 2016.
The business model of remote vision was once regarded as a model of medical model innovation: it neither produces equipment nor invests money, but acts as a middleman to broker grass-roots hospitals and financial leasing companies to sign tripartite contracts.
In this mode, the financial leasing company, as the contributor, entrusts the remote vision to purchase medical equipment, which is then shipped to the hospital, and the hospital is divided into remote vision and financial leasing company according to the income generated by the medical project. If the operating income of the project is not sufficient to pay the rent of the equipment, the remote vision shall guarantee the advance payment.
In the tripartite agreement, the agreed price of medical equipment is often significantly higher than the market price. "A set of nuclear magnetic resonance equipment, the market price of about 15 million yuan, the price of the agreement is 30 million yuan." Dong Xuebin told eight points.
It is not difficult to understand the reason: the leasing company entrusts the remote vision to purchase equipment in large quantities, and the actual transaction price is obviously lower than the market price. The apparently high equipment price in the tripartite lease agreement is the basis for the future installment price of the lessee hospital. The price difference between the agreement price and the market price is exactly the source of the income and profits of the leasing company and the remote vision.
To some extent, this is also a "I'd like to play. I'll take it." 's agreement. The hospital does not need to pay a penny to get the equipment and open a medical fee project that is not available in the past, at the expense of twice the price in the next three to five years, and the payment of the equipment price. Some hospitals have been intimidated by twice the price spread of the equipment, leaving the "a game", but many hospitals have been tempted by the conditions of the initial "zero-cost" and on the signing platform.
The premise that this game can be played is that the hospital that rents the equipment can make money from the corresponding medical projects. The project earns money and only has cash income every month in order to pay rent to the leasing company on a monthly basis. What if the project does not make money, or if the money earned is not enough to pay rent? The remote vision repeatedly promises to the deans that they will bottom out – after all, the remote vision is the guarantor in the tripartite agreement!
It is under this commitment that Dong Xuebin signed a tripartite agreement. According to Dong Xuebin, a total of seven hospitals in Heilongjiang have signed contracts with remote vision, concentrated in the second half of 2017. In fact, at that time, there was something wrong with the remote vision funding chain, so the contracts signed by these hospitals were very large. Dong Xuebin commissioned a survey by law firms in Beijing that showed a sudden rise in financing rates for remote vision in the second half of 2017, "indicating that they have begun to maliciously circle money."
"If you don't run fast, you will be left behind. If you run fast, there will be risks."
At the beginning, why did a large number of deans choose to believe in the remote vision?
The aura of this company is really beautiful.
According to the company's publicity materials, the remote vision has achieved profitability only after one year of establishment. Three years after its founding, that is, in 2016, the company claims to have an annual income of 6 billion yuan and a net profit of 600 million yuan. In April 2017, the remote vision was rated as “Top Ten Credit Brands in the Industry” by the China Small and Medium Enterprises Association Credit Management Center and other institutions. In May of the same year, founder Han Chunshan was awarded “Outstanding Brand of Chinese Brand Building” by China Business Innovation Conference. In June of the same year, the company won the “2017 China Medical Innovation Team Award” at the China Doctors Group Conference.
It was also around 2017, when the business soared, two bosses wanted to buy remote vision news one after another. Listed halo body, public opinion publicity flowers brocade, remote vision accelerated the encirclement, a large number of hospitals into the tripartite lease agreement.
Even in September 2017, when the funds stopped, some central-level media also made a full-page report on the remote vision, saying that it "scientifically makes use of the advantages of the medical association, and provides a way of thinking and program for our country to gradually solve the problems of uneven distribution of medical resources, difficult to see a doctor, and so on."
At the end of 2017, Han Chunshan told the media that all the group's money had been used to fund the hospital, with 3.8 billion yuan for rent and 1 billion yuan for margin. This also became the long-range vision to explain to the outside world the main argument of the break of the capital chain.
One employee who has worked in television for many years recalls that the company first started as an eye demonstration project, which is also the origin of the company's name "television." The early model is a tripartite agreed financial lease: on the one hand, the company sells ophthalmic projects to a number of hospitals, provides diagnosis and treatment equipment, and promises to provide rent advance and lease guarantees for them; On the other hand, the company found another group of financial leasing companies to show them that a large number of hospitals are willing to set up ophthalmic projects, so there is a huge demand for equipment leasing, thereby persuading financial leasing companies to invest and entrust them with the purchase of ophthalmic equipment.
At first, the remote vision operation project focused on the ophthalmology, the scale expansion is not big, all aspects still can afford to live. It is said that the company's revenue in the first half of 2015 is only 1 billion yuan, but all kinds of financial data are very healthy.
"an ophthalmic project, the total cost of equipment is only three or five million, sign a lease contract for three to five years, rent less than 100000 a month, the hospital does not have the problem of not paying for it. Later, when everyone saw that the project was good, the three parties relaxed their vigilance. Starting in the second half of 2015, the variety of projects expanded rapidly, the procurement of equipment was prone to tens of millions of dollars, dozens of hospitals signed up, and the problem of the capital chain broke out. " The above employee said.
In 2018, after the collapse of the remote vision, Han Chunshan revealed similar feelings in an interview. He put it this way: "people in the rivers and lakes, can not help themselves." If you don't run fast, you may be left behind; if you run fast, there will be risks, so this measure is really not easy to grasp. "
The financial leasing model still has a large market
Nowadays, the failure of remote vision cases has long been concluded, but is the financial leasing model behind it reasonable? In the view of many market people, a large number of county-level hospitals in China are generally facing the bottleneck of development, and the demand for financial leasing of medical equipment is huge. The key lies in how to effectively and orderly meet the market demand.
Dong Xuebin, who is involved in the matter, also thought about this issue. Over the years, because local finances are weak, only retirees can be supported, and Nenjiang County Hospital of Traditional Chinese Medicine is responsible for losses. In the 1980s, the hospital was on the verge of bankruptcy because it could not make ends meet. After two generations of efforts, the hospital was able to return to life. As of today, 425 employees in the hospital have an annual average of 120,000 visits and an annual income of just 100 million yuan.
As president, how to make the hospital develop and grow is the primary task in Dong Xuebin's desk. In theory, it is difficult for a hospital to have enough patients, good enough doctors, and advanced equipment. But in fact, Dong Xuebin faces a situation a hundred times more complex than this.
First of all, in the national three-level triage system, the status of the county dimethyl hospital is very embarrassing. There are provincial and municipal top three hospitals to do the traffic center, and below sink to the community and township hospitals. For the middle of the dimethyl hospital, as the reform deepens, the patients are less, and in many places, the dimethyl hospital has become a desert, and bankruptcy or factual bankruptcy is not rare. An industry scholar is even more critical. "The problem with the secondary hospital is that the high level is not low, the business volume is shrinking, and the technical ability is also shrinking."
And when they realize the problem and are eager to improve their medical capacity, they find themselves already wearing a policy curse--though it looks more like it is for a hospital. According to the Notice of<(No. 32)issued by the National Health and Family Planning Commission in June 2015 on controlling the rapid expansion of public hospitals, the public hospitals are prohibited from borrowing new hospitals or borrowing new large-scale medical equipment.
It was at this time that the remote horizon threw an olive branch to them.
"if they can really follow the agreed pattern, of course it's good." Dong Xuebin recalled, "but we must not sign more than 1000 hospitals at once, otherwise it will not get so much money and so many expert doctors will go to so many places." If a province does a pilot project, it will be all right, and experts will be enough. "
An expert who has been working on health policy for a long time told eight points of health that he would prefer to see the "remote model" as an individual failure. "this business model is not completely impossible, otherwise it cannot explain why so many hospitals are involved. Some specialties in hospitals can introduce equipment through financial leasing and attract outside experts to help guide them. This can not only promote patients to stay at the grass-roots level to see a doctor, but also help hospitals improve their ability and increase their income. "
"But not all specialists can apply this gameplay, especially the specialties like cardiovascular, tumor, and cerebrovascular. It needs the improvement of all-round ability of the hospital. This is the medical law and will not be influenced by the business model." The above experts stressed.
In any case, Dong Xuebin and a large number of the directors are still facing the difficult dilemma: the case is in vain, the project is not set up, the equipment is not seen, but because of the promise of the remote field of view, it is not clear to sign the agreement on the agreement.
They will continue to struggle to seek justice for themselves.
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