1. 📌 Year-1 Summary
Phase 1 (MVP)
RM 100K
6 minggu · 11 May - 21 Jun
Phase 2 (Pilot)
RM 280K
3 bulan · Jun - Sep
Phase 3 (Scale)
RM 2.01M
6 bulan · Oct - Mar 27
YEAR 1 TOTAL (P1+P2+P3 + 15% contingency + intangibles)
RM 2.85M
11 bulan ke production-ready · 100K avg break-even
Year-2 OpEx steady: ~RM 70K/bulan
Year-2 onwards: ~RM 840K/year
2. 🛠️ Capex Breakdown (one-time)
2a. AI Hardware (Mid-End → Hi-End)
| Item | Phase | Unit Cost | Qty | Subtotal |
|---|---|---|---|---|
| NVIDIA L40S 48GB GPU | P2 Mid-End | ~RM 35K | 2 | RM 70K |
| NVIDIA RTX A6000 48GB | P2 Mid-End | ~RM 22K | 1 | RM 22K |
| NVIDIA RTX 4090 24GB (multipurpose) | P2 Mid-End | ~RM 9K | 1 | RM 9K |
| Dell PowerEdge R7615 (96-core EPYC, 256GB RAM) | P2 Mid-End | ~RM 80K | 1 | RM 80K |
| Backup/replica server | P2 Mid-End | ~RM 40K | 1 | RM 40K |
| Storage (50TB Ceph nodes) | P2 Mid-End | ~RM 30K | 1 set | RM 30K |
| Network (10Gbps switch · firewall · UPS) | P2 Mid-End | — | 1 set | RM 30K |
| Rack · cabinet · cabling | P2 Mid-End | — | 1 | RM 15K |
| Mid-End subtotal | — | — | — | RM 296K |
| ─── Hi-End upgrade Phase 3 ─── | ||||
| NVIDIA H100 80GB SXM | P3 Hi-End add | ~RM 200K | 4 | RM 800K |
| NVIDIA RTX A6000 48GB add | P3 Hi-End | ~RM 22K | 3 | RM 66K |
| NVIDIA RTX 4090 add (redundant) | P3 Hi-End | ~RM 9K | 1 | RM 9K |
| Dell PowerEdge R7615 (96-core, 512GB) add | P3 Hi-End | ~RM 100K | 1 | RM 100K |
| Audit dedicated R760xs | P3 Hi-End | ~RM 50K | 1 | RM 50K |
| Storage upgrade 200TB Ceph (3-replica) | P3 Hi-End | ~RM 60K | 1 | RM 60K |
| Network upgrade 25Gbps · redundant cooling | P3 Hi-End | — | 1 set | RM 50K |
| UPS upgrade 30kW dual | P3 Hi-End | — | 1 | RM 25K |
| Hi-End upgrade subtotal | — | — | — | RM 1.16M |
| TOTAL HARDWARE CAPEX (Mid-End → Hi-End) | RM 1.456M | |||
2b. Software & Setup
| Item | Phase | Cost |
|---|---|---|
| Repo + CI/CD setup (GitHub Pro · Actions) | P0 | RM 5K/yr (subscription) |
| Vault enterprise setup | P1 | RM 10K (one-time) |
| Domain · SSL · DNS | P0 | RM 2K/yr |
| Sentry · Loki · Grafana licenses (community) | P1 | RM 0 (open-source) |
| Klinik onboarding (10 cawangan estimated) | P3 | RM 15K |
| Initial data licensing (NPRA · MOH CPG) | P0-P1 | RM 8K (one-time) |
| Penetration testing (external · annual) | P3 | RM 25K/yr |
| ISO 27001 prep audit (Year 2 prep) | P3+ | RM 30K (one-time) |
| SOFTWARE/SETUP TOTAL Y1 | ~RM 95K | |
3. 💸 OpEx Per Phase
3a. Phase 1 OpEx (6 minggu MVP)
| Item | Cost | Notes |
|---|---|---|
| Eng team 3 FTE × 1.5 bulan @ RM 16K/mth | RM 72K | 2 BE + 1 FE |
| Prompt engineer 1 FTE × 1 bulan | RM 12K | Sprint 1.2-1.3 only |
| Doc Zam consulting (advisory) | RM 15K | 4h/week × 6 weeks |
| Dev infrastructure (cloud staging) | RM 5K | AWS/CF spending |
| OpenAI API budget (testing · dev) | RM 5K | Cap RM 1K/wk |
| Misc (tooling · assets · contingency 10%) | RM 10K | — |
| PHASE 1 TOTAL | RM 119K | actual ~RM 100K target dgn discipline |
3b. Phase 2 OpEx (3 bulan Pilot)
| Item | Cost | Notes |
|---|---|---|
| Eng team 3 FTE × 3 bulan | RM 144K | — |
| Mid-End server hardware capex (allocated to P2) | RM 296K | One-time but P2 budget item |
| Colo + power + internet (3 bln) | RM 25K | ~RM 8K/bulan |
| Klinik pilot setup + training | RM 10K | Onboarding · materials |
| OpenAI API + monitoring (cloud burst) | RM 15K | Peak overflow · feature flag controlled |
| UAT incentives (test pesakit · staff) | RM 5K | Pilot incentive · NPS survey |
| Misc & contingency | RM 15K | 10% |
| PHASE 2 TOTAL | RM 510K | (of which RM 296K is hardware capex) |
3c. Phase 3 OpEx (6 bulan Scale)
| Item | Cost | Notes |
|---|---|---|
| Eng team scaled to 5 FTE × 6 bln | RM 600K | +1 BE +1 DevOps · steady-state |
| Hi-End hardware upgrade capex | RM 1.16M | 4× H100 + storage · network |
| Colo + power + internet (6 bln) | RM 60K | Hi-End scales kos colo |
| BD + marketing + legal | RM 100K | Klinik onboarding push |
| OpenAI API (residual) | RM 10K | Cloud burst minimal |
| Klinik onboarding (3-10 partners) | RM 30K | ~RM 5K each on average |
| External pen-test + compliance | RM 50K | MOH audit prep |
| Insurance/indemnity (1 yr) | RM 50K | Activate Phase 3 onwards |
| Misc & contingency 10% | RM 100K | — |
| PHASE 3 TOTAL | RM 2.16M | (of which RM 1.16M is hardware capex) |
4. 📈 5-Year Total Cost of Ownership
| Year | Capex | OpEx | Total/yr | Notes |
|---|---|---|---|---|
| Year 1 (P1+P2+P3 + contingency) | RM 1.46M | RM 1.39M | RM 2.85M | 11 bln to production-ready |
| Year 2 | RM 100K | RM 840K | RM 940K | Steady-state 5 FTE · ongoing OpEx |
| Year 3 | RM 200K | RM 950K | RM 1.15M | Hardware refresh · scale klinik 30+ |
| Year 4 | RM 100K | RM 1.05M | RM 1.15M | Team grow ke 7 FTE |
| Year 5 | RM 600K | RM 1.20M | RM 1.80M | 2nd-gen hardware refresh + Hi-End cluster expansion |
| 5-YEAR TCO | RM 2.46M | RM 5.43M | RM 7.89M | Capex 31% · OpEx 69% mix |
Note: 5-year TCO assumes steady growth ke 50-100 klinik subscribed by Year 5. Aggressive growth scenario (200 klinik · Year 5) requires 2nd Hi-End cluster +RM 1.5M capex spike.
5. 👤 Cost per Pesakit
Token assumption: 17,500 tokens/pesakit (full lifecycle). 500 pesakit/klinik/bulan baseline. OpEx only (excl. capex amortization).
| Tier | Klinik served | Pesakit/bln | OpEx/bln | Cost/pesakit |
|---|---|---|---|---|
| Low-End (Pilot) | 5-30 | ~2.5-15K | RM 8-15K | ~RM 1.30 |
| Mid-End | 30-150 | ~15-75K | RM 25-30K | ~RM 0.60 |
| Hi-End | 150-500 | ~75-250K | RM 55-70K | ~RM 0.40 |
| Hi-End Cluster | 500+ | 250K+ | RM 75-95K | ~RM 0.30 |
vs Cloud LLM (gpt-4o-mini): ~RM 4.50/pesakit (token-dependent). On-prem 7-15× lebih murah at scale. Break-even capex: ~12-15 bulan @ Mid-End full · ~15-18 bulan @ Hi-End full.
6. 💵 Revenue Model
| Tier | Modul | Subscription/klinik/bln | Best for |
|---|---|---|---|
| Path A · Starter | M1 + M4 + M9 | RM 800 | Klinik solo · GP panel |
| Path B · Growth | M1 + M3 + M7 + M8 + M9 | RM 1,500 | Group klinik · chain |
| Path C · Enterprise | Full M1-M9 | RM 3,500 | Hospital · group besar |
| Path C+ · Hospital | Full + on-prem deployment | Custom (RM 8K-15K) | Hospital korporat dgn own datacenter |
6a. Add-on Revenue
- Per-extra-cawangan (Path B): RM 200/cawangan/bln tambahan
- Patient PWA branded (white-label option): RM 500/bln
- Premium support (SLA 99.9% · 24/7): +30% subscription
- On-prem deployment service: RM 50K one-time + RM 5K/bln managed
- Data analytics export package: RM 1,500/bln
- Klinik network referral fee: 5% of subscription cross-sell
7. ⚖️ Break-even Analysis
Break-even = subscription revenue covers OpEx + capex amortization (5-year).
| Scenario | Klinik mix | MRR target | Klinik needed | Timeline |
|---|---|---|---|---|
| Y1 Operational break-even (cover OpEx only) | 50% Path A · 40% B · 10% C | RM 70K/bln | ~50 klinik | Month 9-10 (after pilot) |
| Y2 Full break-even (incl Y1 capex amortise) | 40% A · 50% B · 10% C | RM 130K/bln | ~80-100 klinik | Month 18-22 |
| Y3 Profitable | 30% A · 55% B · 15% C | RM 200K/bln | ~130-150 klinik | Year 3 |
| Y5 Profitable + reinvestment | 25% A · 55% B · 20% C | RM 350K/bln | ~220 klinik | Year 5 |
Key driver: Path B Growth tier subscription growth = highest leverage. Group klinik dgn 5-15 cawangan = sweet spot. Path A Starter funnels to Path B as klinik grows.
8. 🎲 Sensitivity Analysis
3 scenarios — adjust assumptions, see impact on Y1 TCO and break-even timing.
🟢 BEST CASE
Year-1 TCO: RM 2.4M
- GPU lead time on schedule (no premium pricing)
- Klinik pilot smooth · 0 incident
- Doc Zam champion 5+ klinik intro
- Mid-End sufficient until Month 9 (delay Hi-End)
- Cloud burst usage minimal
Break-even: Month 8 (operational) · Month 16 (full)
🔵 EXPECTED CASE
Year-1 TCO: RM 2.85M
- GPU procurement 4-6 wk lead
- Pilot 1 incident · 30-day extension
- 3-5 klinik onboard Y1
- Mid → Hi-End at Month 8 as planned
- Some cloud burst usage
Break-even: Month 10 (operational) · Month 20 (full)
🔴 WORST CASE
Year-1 TCO: RM 3.6M
- GPU lead 10+ wk · premium pricing +20%
- Pilot delayed 2x · klinik switch
- 2 klinik onboard Y1
- Cloud burst 6 months heavy use
- External compliance consultant +RM 50K
Break-even: Month 14 (operational) · Month 28 (full)
8a. Variable Sensitivity (impact on Y1 TCO)
| Variable | Range | TCO swing |
|---|---|---|
| GPU price (H100) | ±20% | ±RM 160K |
| Eng team size | 3-7 FTE | ±RM 384K |
| Cloud burst usage | 5-30% load | +RM 0 to +RM 50K |
| Pilot delay | 0-60 days | +RM 0 to +RM 100K |
| External consultant cost | 0-RM 80K | +RM 0 to +RM 80K |
| Klinik onboarded Y1 | 1-10 klinik | Revenue ±RM 60K (offsets cost) |
9. 💼 Funding Plan
| Source | Y1 Allocation | Notes |
|---|---|---|
| ALESA bootstrap (existing revenue) | RM 800K | From medix/medic/gena reserves |
| Doc Zam contribution (negotiable) | RM 500K - 1M | Equity option · clinical-IP partnership · TBD |
| Pre-pilot revenue (early adopter klinik) | RM 100K | Founding member rate · 3-5 klinik @ RM 5K/bln × 6 bln |
| MDEC/Cradle grant (potential) | RM 200-500K | HealthTech track · matching funding |
| Strategic angel/VC (Phase 3 raise) | RM 1M | Optional · post-pilot validation · only if needed |
| FUNDING POOL Y1 | RM 2.6M - 3.4M | vs RM 2.85M needed (sufficient) |
9a. Funding Tranches
- Tranche 1 (Apr 2026): RM 300K — bootstrap Phase 0 + Phase 1 MVP
- Tranche 2 (Jun 2026): RM 800K — Mid-End hardware procurement + Phase 2 pilot
- Tranche 3 (Sep 2026): RM 500K — pilot success → Phase 3 expand
- Tranche 4 (Dec 2026): RM 1.2M — Hi-End hardware upgrade + scale
- Reserve: RM 200K contingency (15% of Y1 budget)
📌 Decision needed Apr 2026: Doc Zam contribution structure — equity vs licensing vs clinical-IP retainer. Affects fundraising posture · cap table · long-term partnership terms. Discuss in Steering Committee Week 1.