LOGIC:The 45% gross margin target is ambitious, considering the post-ABDM pricing pressure where core billing automation is free. A typical Tier-2 hospital in Pune might pay INR 20,000-40,000 per month for *proven* efficiency gains in areas beyond billing, such as complex prior-authorization workflow *enhancement* rather than full replacement. However, operational costs are driven by high-skill labor; a mid-level integration engineer or customer success manager in Pune demands INR 50,000-80,000 monthly, contributing significantly to customer acquisition and retention costs. Office rent in commercial hubs like Baner or Kothrud for a small 5-person team (approx. 700 sq ft) averages INR 40,000-60,000 per month. Crucially, if the solution still requires internal human reviewers on the vendor's side (a 'BPO disguised as SaaS'), these additional salaries will erode net margins to single digits, making the unit economics unsustainable against slow hospital payment cycles often extending to 90+ days.