SMF is secondary care medical facility created to provide quality health care at an affordable price (or value for money) to the middle class Indian population. This facility is a realization of the passion of the founder to provide quality health care at affordable price to the middle income group population. The case describes in detail the organizational drivers which lead to lower health care delivery cost at SMF and hence the flexible variable pricing option. The write up provides a detailed description of the health care delivery system at SMF. Adequate information on organization structure, Medical and Para medical staff, their recruitment, compensation, use of Information Technology are included. A brief background information related to Medicare facilities in the Indian context is provided to appreciate the industry sectors. The case also presents the dilemma in maintaining the focus nature of SMF. Issues related to succession planning, ability to retain and contribute to the founder's vision are also discussed.