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Sundaram Medical Foundation is 180-bed, not for profit, full service, teaching hospital located in Annanagar, Chennai, India that aims to fulfil a three-fold goal: quality care that is cost- conscious and focused on the secondary care needs of the community. I have been associated with Sundaram Medical Foundation as the Medical Director since its inception and opening to the public in 1994. Fully supported through donations from the well-known Sundaram Finance Group of companies, the hospital was envisioned by its late founder, Dr S Rangarajan, to be a model of health-care delivery that is appropriate to the needs of middle-class, urban Indians. It provides economies in care by virtue of its complete lack of loans and debt. All capital expenditures are met by donations to the Trust from the donor companies. Medical Technology used at SMF is carefully screened for cost-effectiveness before purchase. The use of tests and the recommendations for procedures and interventions are overseen and guided by a range of in-house, QA and audit processes. SMF is staffed by highly trained professionals and support personnel. At the present time, it has about 120 doctors and 750 other staff members. SMF is a post-graduate teaching hospital that is approved for training in 9 disciplines by the National Board of Examinations and has over 80 trainees in various disciplines. It is accredited by several organizations and processes: the NABH, the NABL for its laboratory standards, the ISO 9001-2008, and the ISO/IEC 27001-2005 for information systems security. All activities, medical and administrative, are supported by an extensive IT backbone that is unique.After a 22-year stint as Trustee, Medical Director and Head, Department of Surgery at Sundaram Medical Foundation, I have now handed over the reins of the hospital but continue to provide advice and insights as Advisor and Trustee.