Till as recently as 2005, if you developed any kind of heart ailment in the state of Uttarakhand, you had to take a trip down to Delhi to get any kind of treatment. There was no set up of testing or treating any heart problems in the entire state.
In 2011, when the Uttarakhand government signed a memorandum of understanding for a public private partnership (PPP) with Fortis Escorts (Escorts hospital in Delhi had been bought by Fortis), things changed. Under the agreement, the government owned Coronation hospital provided the space for the heart centre and Fortis had to invest in