6/30/2009

PROJECT REPORT

Dr.GAYATHRIS WOMEN & CHILD CARE CENTRE

Contents
INTRODUCTION & OVERVIEW FACTS ABOUT HEALTHCARE HEALTHCARE SCENARIO IN BANGALORE EXISTING PLAYERS IN BANGALORE OBJECTIVE OF THE PROJECT NAME OF THE PROJECT PRELUDE ABOUT PROMOTERS PROMOTERS PROFILE BUSINESS PLAN PLACE OF OPERATION MARKET OF OPERATION SOCIO-ECONOMIC CLASSIFICATION COMPETITORS COMPETITOR ANALYSIS SERVICES PLANNED INFRASTRUCTURE FLOOR PLAN PLAN FOR WARDS & BEDS MAN POWER PLANNING TECHNICAL MEDICAL TECHNICAL PARAMEDICAL NONTECHNICAL ADMIN NONTECHNICAL OTHERS BIOMEDICAL COMPETENCY
2

4 4 5 5 6 6 6 6 8 8 8 8 9 10 11 12 12 13 13 13 14 14 15 16

FINANCIAL REPORT
COST OF PROJECT AND MEANS OF FINANCE MEANS OF FINANCE INVESTMENT PROFITABILITY PROVISIONAL IMPORTANT POINTS CALCULATION OF DEBT SERVICE COVERAGE RATIO PROFIT & LOSS STATEMENT PROJECTED CASH FLOW as at PROJECTED BALANCE SHEET as at ROOM REVENUE-WORKINGS DEPARTMENT REVENUE-WORKINGS 18 19 20 21 22 23 24 26 27 28 29

LIST OF SPECIALTIES ..................................................................................................................... 32 BED MATRIX:EXPENSE ESTIMATES MANPOWER PLANNING DEPARTMENT EXPENSES PROPOSED MEDICAL EQUIPMENT DETAILS REPAYMENT IN 05 YEARS WITH 6 MONTHS SEMESTER & 01 YEAR MORATORIUM DEPRECIATION SCHEDULE (BOOK) SLM BASIS TAXATION PROVISION DEPRECIATION SCHEDULE - INCOME TAX - WDV BASIS IRR Calculation: 33 34 34 36 39 42 43 45 46 47

Introduction & Overview:

Healthcare has emerged as one of largest service sectors in India. Estimates suggest that by 2012, healthcare spending could contribute to 8 per cent of GDP and employ around 9 million (million) people. From a pan-India perspective, presently there are more than half a million doctors employed in around 15,000 hospitals. Additionally there are 0.75 million nurses, who look after more than 870,000 hospital beds. Compared to the previous decade, the number of doctors has increased by 36.6 per cent. An estimated 30 per cent of medical practitioners hold specialist qualifications. Diagnostics services an integral part of Healthcare has developed into an organized & structured vertical of the Industry catering to the needs of the average Indian.

Facts about Health Care:

Particulars 2004 2005 2006 2007 2008 2009

Life expectancy average (yrs)

64

64.3

64.7

65.1

65.4

65.8

Healthcare Spending (Rs bn) Healthcare Spending (US$ bn) Healthcare Spending (% of GDP) Healthcare spending (US$ per head)

1582

1763

1967

2216

2463

2771

34.9

40.4

45.7

52.1

56

60.9

5.2

5.3

5.3

5.4

5.4

5.5

32

37

41

46

49

53

Sources: US Census Bureau; Economist Intelligence Unit.

HealthCare Scenario in Bangalore:

Health care business in Bangalore is well developed, but definitely is not in a matured and saturated state. Considering the developments in Bangalore there is still a lot of space for new players to effectively cater to the needs of the metro city. To ascertain the above said assumption an analysis has been made and factors strengthening the logic has been given below. A smooth transition from a city of 4 million to 10 million within a span of 10 years. A complete change in spending pattern and lifestyle in different socio-economic classes. Developmental transition of different socio-economic classes. Increase in lifestyle related disease, lack of information & awareness about lifestyle modification and medication. Need for newer players in existing as well as newer areas to cater to the needs of growing population. Need for newer players in existing areas considering proximity as a major factor in choosing a Healthcare centre.

Existing Players in Bangalore:

Government Jayadeva TB Centre Vanivillas Private Apollo Hospitals Fortis Hospital BGS Global Wockhardt Hospital Manipal Hospitals Columbia Asia Corporate BEL BHEL BEML HMT HAL

Objective of the Project:

To establish a general diagnostic centre with clinical focus on women & child care and a special focus on Infertility management, catering to the need of middle & upper middle class of population. The rationale behind starting a Diagnostic centre with clinical establishment is to provide preventive health to women who are the most integral part of our society.

Name of the Project:

Dr Gayathris Women & Child Care Centre

Prelude about Promoters:

The promoters has got over three decades of experience in the field of Health care and Varalaksmi Nursing Home headed by Dr MNR.Gowda and Dr Gayathri Devi has been a landmark in health care sector for the middle class in the areas of Rajaji Nagar, Malleshwaram etc., With their vast experience this new initiative by the group with Diagnostic & Women health care as focus in the geographical domain will be great boon.

Promoters Profile:
Mr. Ajay R. Gowda Qualification B.Sc., M.B.A. (Ohio University) Designation Chief Finance Officer Varalakshmi Nursing Home. Mr. Ajay is a young budding entrepreneur. He has completed his M.B.A. from Ohio University (U.S.A) in 2004. Since then he has been working in the health care industry. He is working as the chief finance officer of Varalakshmi Nursing Home since the past four years and hence garnered a lot of knowledge and experience in health care management. Apart from working as the CFO in Varalakshmi, he was also the C.E.O. of Ambika College and school of nursing. He is a hard working individual who gives his hundred percent in any task he undertakes. Now he intends to use his zeal and youthful enthusiasm in starting a new venture.

Dr. M.N.R. Gowda Qualification M.B.B.S. D.A. Designation Managing Director Varalakshmi Nursing Home.

Chairman Ambika Educational Institutions. Dr. Gowda is one of the profound names in the health care industry. He is one of the pioneers in this industry, establishing Varalakshmi Nursing Home thirty years ago when hospitals were far and few. He has been the managing director of Varalakshmi Nursing home from past thirty years and has taken the hospital from strength to strength, so much so that Varalakshmi Nursing Home is a landmark in Bangalore. Apart from being the managing Director of Varalakshmi Nursing Home, Dr. Gowda was also the Chairman of Ambika Educational Institutions, a Nursing college and school. Under his guidance the institution grew from strength to strength during the past 10 years and it is one of the most well known institutions in Bangalore. In his vast experience of 30 years in hospital and health care management Dr. Gowdas knowledge and vision in this industry is profound and now he intends to use his experience in a new venture.

Dr. Gayathri Devi R.

Qualification M.B.B.S., M.D., D.G.O. (Obstetrician & Gynaecologist) Designation Chief Obstetrician & Gynaecologist, Varalakshmi Nursing Home. Dr. Gayathri is one of the most well-known and popular obstetrician & gynaecologists in Bangalore; shes a pioneer in the women health care sector. She has been working as a obstetrician & gynaecologist since the past 30 years and today is one of the senior most gynaecologists in Bangalore. She has been working at Varalakshmi Nursing Home since the past 30 years, which is one of the most popular and oldest hospitals in Bangalore; she is the sheet anchor and the main revenue source for the hospital today. She has performed countless deliveries and other procedures in her vast experience of 30 years; she also has a vast experience in the field of infertility. She has contributed enormously to the cause of women health care and hence one of the most sought after doctors by women in Bangalore. Now she intends to use her vast experience to further help in the cause of women health care.

Business Plan:
Place of Operation: Rajaji Nagar Market of Operation:
Areas from which the customers can be expected, considering proximity as an factor of expectation: Rajaji nagar Gayathri nagar Prakash nagar Basaweshwara nagar Malleshwaram West of Chord Road Srirampura

Socio-Economic Classification:
A socio-economic classification is done in the area of operation and also in the area of coverage based on the assumptive factors such as Proximity from commercial hub of the metro Proximity from the industries in the metro Facilities available in the area Competitors Cost of essential commodities Availability of Niche & luxury products Commercial establishments Type

Brands

Based on the factors mentioned it is assumed that Population available in the area of operation is largely middle class and lower middle class groups. Population available in the area of coverage is largely upper middle class and also middle class. Class Lower Middle Class Factors Area with small petty shops and small commercial establishments Area with good departmental stores & Middle level commercial establishments Area with brand stores & corporate offices of organizations.

Middle Class

Upper Middle Class

Competitors:
Competitors information & Analysis is an important part of Business plan. An emphasis on Competitor analysis gives an additional insight about the market and also helps in creating a strategy for the project. Competitors Information: Kanva diagnostic centre Isha diagnostic centre Theresa Hospital Sughuna Hospital Panacea Hospital Ashish Hospital Gurukrupa Hospital Pristine Hospital Ananya Hospital Vatsalya Infertility Centre Ankur IVF centre 9

Competitor Analysis:

The objective to do a Competitor analysis is to determine Whether the Project would be profitable in the area of operation Whether the competitors could survive with their strategy What strategy can be made for that socio-economic group of population Whether the services planned by competitors has a gap If so whether that can be filled up by the project to cater to the need of that socio-economic group in the market of operation. Whether the Bio-Medical Competency planned is sufficient Above all to know the feasibility of the project.

To analyze the competitors and their strategy first we need to categorize them and then determine our stand. Categorization of the competitors in the market of operation is done based on the segment to which they cater. Hence competitors are categorized into Diagnostic centre, Hospitals and IVF Centre's. Diagnostic Centre: Catering to the need of all segment of patients with a focus on diagnosis. (i.e., Investigation Based) Hospitals: Catering to the need of all segment of patients with a clinical focus. (i.e., Investigation as well as treatment based) IVF Centres: Catering to the need of specific segment of infertile patients with a focus on treatment for infertility.

10

Category

Focus

Gap

Diagnostic Centre

Men, Women & Children Focus on diagnosis Men, Women & Children Focus on clinical practice

Not Specific for Women health and only diagnosis Not specific for Women health and only clinical focus

Hospitals

IVF Centres

Men & Women Focus on Infertility

Specific but only on Infertility

The common gap among the competitors is that their target customer focus is not specific towards womens health and their operational focus (i.e., focus on any particular aspect of health) is either too wide (Diagnostic & Hospitals Either only diagnosis or only treatment) or too narrow (IVF Centres). Thus we can come to a conclusion that a diagnostic centre with clinical focus on women & child health and with a special focus on Infertility management which is the objective of the project would be definitely a success.

Services Planned: Services planned below are based on the knowledge obtained from competitors
analysis with the expertise available leading to the objective of the project. Diagnostic services (For Men & Women) X-Ray Scans Bone Densitometry Biochemistry Master Health Plans (For Men, Women & Children) Clinical Services Endocrinology Gynecology Infertility Pediatric service 11

Infrastructure Plan:
Type of place Total Area Buildup Area Amenities Building Approval Business Approval Leased Premises 3098 Sq. ft 6067 Sq. ft Lift (6 Passenger), Three phase, Generator, etc., Premises Leased NA

Floor Plan:
Ground Floor Plan Enquiry Desk Reception Cash counter Consultation chambers Diagnostic area Pathology lab Biochemistry lab X-Ray Dept. Bone Densitometry Scan room Pharmacy First Floor Plan Operation Theatre Sterilization zone Preop. Preparation room Labor ward Post Operative Rehab. Room Andrology Semen Collection room Specialized scans Second Floor Plan Deluxe ward Executive Ward General Ward

12

Plan for Wards & Beds:

Room Type No. of Beds

Deluxe rooms Executive rooms General Wards Total

4 8 8 20

Man Power Planning: Technical Medical

Specialty Numbers

RMO Pathologist Radiologist Gynecologist Embryologist

1 1 1 1 2

13

Technical Para Medical:

Paramedical & Nursing Radiographers X-Ray Technician Phlebotomist Nursing Superintendent OT Nurse Nursing Station In charge Nursing Staffs Sr. Pharmacist Jr. Pharmacist Numbers 3 4 2 1 6 3 8 1 2

Non-Technical Admin.: Admin. & Marketing MD Assistant Manager Materials & IT Accountant Numbers 1 1 2 1
14

Clerical, Stores Receptionist, Front office, Billing Telephone operator PRO Marketing Manager Marketing Executive

2 4 2 1 1 3

Non-Technical Others: Non-Technical staffs Electrician Civil maintenance staff Air-Conditioner technician Plumbers Ambulance Driver Housekeeping Supervisors Housekeeping Staffs CSSD In charge CSSD asst. Numbers 2 1 1 1 2 2 20 1 1

15

Security In charge Security Guards

1 6

Bio-Medical Competency:
IVF Lab Numbers

IVF Workstation L242 ROL SMZ 800 Integra Laminar Air Flow Microscope HB Remi Malker Cl 2200 Coda

1 1 1 1 1 1 1 1 1 1 1

16

Diagnostic Lab

Numbers

Fully Auto Clinical Chem. Analyzer 5 Part Fully Auto Hematology Electrolyte System Immunoassay System Nephelometer Urine Analyzer Olympus Microscope

1 1 1 1 1 1 1

Equipments Cardiology ECG (GE MAC 1200) Echo (GE Vivid S5 Premium) Fetal Monitor Bone Density Stress Test TMT (GE MAC 5500) Surgical Equip. Boyles Apparatus Colposcope Laproscope Hystoscope

Numbers 1 1 1 1 1 1 1 1 1

17

Financial Report

IVF CENTRE PROJECT, BANGALORE

COST OF PROJECT AND MEANS OF FINANCE

Cost of Project Cost of Land Built up cost :- civil, Electrical & Interior ( medical furniture not included) Medical Equipments Non Medical - HVAC & Fire Safety (Assumed to be included in cost of construction ) Non-medical( software & hardware, Water Treatment plant and Ambulance ) Preliminary & Preoperative Expenses (@ 1.5% ) Marketing exp. Interest during Construction(IDC) Working Capital requirement margin Upfront Fee Rs.
lacs

0.00 100.00

333.88 0.00

9.00 6.64 5.00 46.50 21.61 1% 4.43 527.06

18

Financial Report

MEANS OF FINANCE

Promoters Contribution Unsecured Loan Debt

212.06 315.00 527.06

Working Capital requirement Inventory & Exp. (30 days) Sundry Debtors (30 days) Margin at 25% Bank WC Loan

45.34 41.10 86.44 21.61 64.83

19

Financial Report

INVESTMENT
SN 1 2 PARTICULARS LAND & BUILDING MEDICAL EQUIPMENTS NON-MEDICAL EQUIPMENTS PRE-OPERATIVE EXPENSES MARKETING EXPENSES. MARGIN FOR WORKING CAPITAL INTEREST DURING CONSTRUCTION PERIOD UP FRONT FEE TOTAL Rs. In Lacs 100.00 333.88

9.00

4 5

6.64 5.00

21.61 46.50 4.43 527.06

7 8

20

Financial Report

PROFITABILITY PROVISIONAL
RS. IN LACS SN PARTICULARS I
822.05 1.00 2.00 3.00 4.00 5.00 6.00 7.00 8.00 9.00 REVENUE 570.31 OPERATING COSTS 251.74 OPERATING MARGIN 44.89 FINANCIAL COST 206.85 PBDT 29.46 DEPRECIATION 177.39 PROFIT/(LOSS) BEFORE TAX 53.38 TAX 124.01 PROFIT/(LOSS) AFTER TAX 156.41 174.15 207.03 208.75 77.04 91.53 114.14 118.25 233.45 265.68 321.17 327.00 29.46 29.46 29.46 29.46 262.91 295.14 350.63 356.46 35.44 25.99 16.54 7.09 298.35 321.13 367.17 363.55 660.71 774.94 865.90 869.53

II
959.06

III
1096.07

IV
1233.07

V
1233.07

21

Financial Report

IMPORTANT POINTS
SN PARTICULARS I 26.35 1.00 CAPITAL COST PER BED II Rs. In Lacs III IV V

20 NUMBER OF BEDS

0.11 2.00 REVENUE PER BEDday

0.13

0.15

0.17

0.17

0.08 3.00 4.00 OPERATING COST PER BEDday AVERAGE LENGTH OF STAY

0.09

0.11

0.12

0.12

5.00 DAYS

Number of Beds Available Bed days in a Year Occupancy Average Length of stay No of admissions Total no of days - IP Total no of days - OP

20.00 7,300.00 100.00 5.00 1,460.00 365.00 300.00

22

22

Financial Report

Notes:
1. The cost of construction includes the HVAC system, Fire Safety. 2. Patient beds are provided for separately. 3. Non-Medical furniture is provided separately. 4. Inventory & Expenditure Description:
a. (Page 19) = (Total material consumption +variable expenses of 1st year +salaries expense +expense on printing and stationary +travel and conveyance +communication cost)/12 b. (Page 26-Projected balance sheet )= Inventory expense for 30 days =45.34 Lakhs

5. Calculation for Sundry Debtors for 30 days (Page 19)= (60% of total income from st the credit patients of 1 year)/12

CALCULATION OF DEBT SERVICE COVERAGE RATIO

Year-0 Year-1 Year-2 Year-3 Year-4 Year-5 Net Operating Income ( earnings before Interest and income tax) Debt Service ( Interest + Loan) DSCR Ratio

0 222.28 268.89 291.67 0.00 107.89 0.00 2.06 98.44 2.73 88.99 3.28

337.71 79.54 4.25

334.09 70.09 4.77

23

Financial Report

PROFIT & LOSS STATEMENT

Rs in lacs>>>>>>>> Year 1 Percentage Capacity Utilization INCOME
35.04 40.88 898.12 20.06 959.06 46.72 1,026.43 22.92 1,096.07 52.56 1,154.73 25.79 1,233.07 52.56 1,154.73 25.79 1,233.07

Year 2 70%

Year 3 80%

Year 4 90%

Year 5 90%

60%

Bed Revenue
769.82

Department/OT Revenue
17.19

Pharmacy Revenue
822.05

INCOME TOTAL(A) EXPENSES Variable Costs 163.92 Consumables 243.13 Doctors/Surgeon Fees 8.76 Food 17.94 Water, Power & medical gas
6.91 8.06 9.21 10.36 10.36

191.24 283.66 10.22 20.93

218.56 324.18 11.68 23.92

245.88 364.70 13.14 26.91

163.92 243.13 8.76 17.94

Laundry 2.39 Linen Housekeeping Waste disposal CSSD Bio-medical-AMC(5% on ME cost) Repairs & maintenance-0.5% 454.12 Sub Total Fixed Costs 72.50 Salaries & Wages 84.59 96.67 108.76 108.76 529.20 627.65 702.81 703.29 4.38 0.88 3.60 0.00 2.21 5.11 1.02 3.96 0.00 2.21 5.84 1.17 4.36
16.69

2.79

3.19

3.59 6.57 1.31 4.79

16.69

2.39 6.57 1.31 5.27

16.69

8.86

8.86

8.86

24

24

Financial Report
Printing & Stationery (Rs.25000/-Month) Travel & Conveyance (01 lac/mth) Communication Costs (Rs.20000/- month) Business Promotion Insurance
5.00 Marketing Expenses 1.33 Preliminary Exp. Written off. 10.19 IDC written Off + upfront fee 5.45 Miscellaneous (at 1% of above) 116.19 Sub-Total 570.39 EXPENSE TOTAL (B) 251.74 EBITD(A-B) 29.46 Depreciation 44.89 Interest
177.39 233.45 410.84 265.68 676.52 321.17 997.69 327.00 1,324.69

3.00 12.00 2.40 1.00 3.32

3.30 13.20 2.64 1.10 3.32

5.50 1.33 10.19 6.34 131.50 660.71 298.35

3.63 14.52 2.90 1.21 3.32

6.05 1.33 10.19 7.47 147.29 774.94 321.13

3.99 15.97 3.19 1.33 3.32

6.66 1.33 10.19 8.36 163.10 865.90 367.17

4.39 17.57 3.51 1.46 3.32

7.32 1.33 10.19 5.45 116.19 570.39 363.55

29.46 35.44

29.46 25.99

29.46 16.54

29.46 7.09

EBT
177.39

Cumulative

53.38

77.04 156.41 0.00

91.53 174.15 0.00 174.15 454.58

114.14 207.03 0.00 207.03 661.61

118.25 208.75 0.00 208.75 870.35

Less: Tax
124.01

EAT Less: Dividend paid

124.01 124.01 156.41 280.43

Cumulative Balance of EAT

15

16

16

17

17

25

Financial Report

PROJECTED CASH FLOW as at

Rs. Lacs >>>>>>

Const SOURCES OF FUNDS

0.00 OPENING CASH/BK BALANCE 0.00 NET PROFIT 0.00 Depreciation 0.00 Preliminary exp. Written off 0.00 IDC written off+ upfront fee 212.06 Promoters Contribution 315.00 Term Loans - taken/(paid) 0.00 Increase in Current Liabilities 527.06 TOTAL

Year 1
25.86 124.01 29.46 1.33 10.19 0.00 0.00 78.49 269.34

Year 2
119.90 156.41 29.46 1.33 10.19 0.00 0.00 2.28 319.57

Year 3
243.62 174.15 29.46 1.33 10.19 0.00 0.00 2.28 461.02

Year 4 Year 5
381.94 207.03 29.46 1.33 10.19 0.00 0.00 2.28 632.22 555.07 208.75 29.46 1.33 10.19 0.00 0.00 0.00 804.79

APPLICATIONS OF FUNDS
6.64 Prel Exp Paid 51.68 Interest during Construction 442.88 Fixed Assets bought 0.00 Purchase of land 0.00 Current Assets 0.00 Repayment of Term Loan 0.00 Dividends paid 501.20 25.86 Add: Closing CASH/BK BALANCE 527.06 TOTAL 269.34 319.56 461.03 632.22 804.78 149.44 119.90 75.94 243.62 79.09 381.94 77.15 555.07 63.07 741.71 0.00 0.00 0.00 0.00 0.00 63.00 63.00 63.00 63.00 63.00 86.44 12.94 16.09 14.15 0.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

26

PROJECTED BALANCE SHEET As At Rs Lacs Constn SOURCES OF FUNDS 212.06 Promoters Contribution 0.00 Reserves & surplus 315.00 Secured loans 527.06 TOTAL APPLICATIONS OF FUNDS 442.88 Fixed Assets 0.00 Cost of Land 29.46 less : Depreciation 442.88 a> 6.64 Preliminary Expenses IDC (Interest During Construction Period) less : Written off 58.32 b> Current Assets 0 Sundry Debtors 0 Inventory (30-days) 25.86 Cash & Bank 25.86 i> Less: Current Liabilities 0.00
Bank WC loan

>>>>> Year 1 212.06 124.01 252.00 588.07 Year 2 212.06 280.43 189.00 681.49 Year 3 212.06 454.58 126.00 792.64 Year 4 212.06 661.61 63.00 936.67 Year 5 212.06 870.35 0.00 1,082.41

442.88 0.00

442.88 0.00 58.92 383.96 46.81

442.88 0.00 88.38 354.50 35.29

442.88 0.00 117.84 325.04 23.78

442.88 0.00 147.30 295.58 12.26

413.42 58.32

51.68 0.00

0.00 11.51 46.81

0.00 11.51 35.29

0.00 11.51 23.78

0.00 11.51 12.26

0.00 11.51 0.75

41.10 45.34 119.90 206.34

47.95 51.42 243.62 343.00

54.80 60.66 381.94 497.41

61.65 67.96 555.07 684.69

61.65 68.04 741.71 871.40

65

65

65

65

65

27

27

Financial Report
0.00 Sundry Creditors 0.00 Provisions & Creditors 0.00 ii > Net Current Assets (i-ii) 25.86 c> 527.06 T O T A L (a + b + c ) 588.08 681.48 792.64 936.67 1082.41 127.85 262.23 414.36 599.37 786.08 78.49 80.77 83.04 85.32 85.32 0.00 0.00 0.00 0.00 0.00 13.66 15.94 18.21 20.49 20.49

ROOM REVENUE-WORKINGS
No. of In-Patient beds NO. OF DAYS CAPACITY 20 365 100%

ROOM CATEGORY

GENERAL WARD SINGLE ROOM Delux Room TOTAL YEAR-ON-YEAR ESTIMATE CAPACITY(%) ROOM REVENUE ESTIMATE @ STATED CAPACITY

NO. OF BEDS 8 8 4 20

RATE PER TOTAL REVENUE BED DAY (RS.) PY @ 100% OCCUPANCY

500 750 1500 1,460,000 2,190,000 2,190,000 5,840,000

Rs. In Lacs >>> YEAR-1 YEAR-2 60% 70%

35.04 40.88

YEAR-3 80%
46.72

YEAR-4 YEAR-5 90% 90%

52.56 52.56

28

13

Financial Report

DEPARTMENT REVENUEWORKINGS Number of Beds Available Bed days in a Year Occupancy Average Length of stay No of patients Total no of days - IP Total no of days - OP 20 7300 100 % 5 days 1460 365 300 Total income(Rs. )@ 100% capacity

Department

Yearly Productivity(Nos.) @ 100% IP OP

0 9,000

Avg Rate per case (Rs.)

Yearly Income(Rs.)

IP
0

OP
300

IP
-

OP
2,700,00 0 2,700,000

OPD Consultation

Health Check-up

0.00

450

0.00

2,000.00 -

900,000

900,000

No of patients(Admission Fees) Laboratory(Biochemistry/Haemot olo gy/Microbiology) IVF

1,460

200.00

0.00 292,000

292,000

14,600

9,000

275.00

250.00 4,015,000

2,250,000 6,265,000

0.00

60.00

0.00 60,000.00 -

3,600,000 3,600,000

ICSI

0.00

60.00

0.00 80,000.00

4,800,000 4,800,000

Radiology & Imaging

X-Ray Ultrasound Sonogram

365 146

450 3,000

220.00 770.00

200.00 80,300 700.00

90,000

170,300

29

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Financial Report
112,420 2,100,000 2,212,420

Mamography Cardiology Tests ECG 3D-ECHO Stress test Fetal Monitor Test Dressing procedure Operation Theatre Complex Normal Delivery(package) Room Rent Labour room charges Consumables(including pharmacy) Surgeon Fees LSCS(package) Room Rent OT Charges Consumables(including pharmacy)
1,095 1,095 584

600

1,000.00 -

600,000

600,000

450

275.00

250.00 160,600

112,500

273,100

730

1,500

2,750.00

2,500.00 2,007,500

3,750,000 5,757,500

365

600

2,200.00

2,000.00 803,000

1,200,000 2,003,000

600

0.00

200.00 -

120,000

120,000

600

0.00

100.00 -

60,000

60,000

20,000

0.00

6,000.00 -

6,570,000

6,570,000

6,000.00 -

6,570,000

6,570,000

8,000.00 -

8,760,000

8,760,000

40,000

0.00

8,000.00 12,000.00

8,760,000

8,760,000

30

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Financial Report
13,140,000 13,140,000

Surgeon Fees

15,000.00

16,425,000

16,425,000

Anaesthetists Charges Laproscopic surgery Surgeon's Charges

730 30,000

5,000.00

5,475,000

5,475,000

10,000.00

10,950,000

10,950,000

Anaesthetists fee

3,000.00

3,285,000

3,285,000

OT Charges

8,000.00

8,760,000

8,760,000

Consumables

9,000.00

9,855,000

9,855,000

Pharmacy Total

7,300

4,500

300

150 2,190,000
108,210,820.00

675,000
22,957,500.00

2,865,000
131,168,320.00

Rs. In Lacs>>>>> Year 1 Capacity (%) No. of admissions at stated capacity

769.82 898.12 20.06 1,026.43 22.92 1,154.73 25.79 1,154.73 25.79

Year 2 70%
1,022

Year 3 80%
1,168

Year 4 90%
1,314

Year 5 90%
1,314

60%
876

Dept./OT revenue @ stated capacity

17.19

Pharmacy

31

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Financial Report

LIST OF SPECIALTIES
OBG &Gynecology Fertility Maternity IVF LAB( IVF & ICSI) Radiology dept. X-Ray Ultrasound Mammogram Laboratory Dept: Micro- biology Immunology Bio-chemistry Cardiology Dept: ECG TMT Echo Pharmacy

Diagnostic Centres

Pharmacy

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Financial Report

BED MATRIX:BED CATEGORY WARD BREAK-UP OF BEDS GENERAL WARD SINGLE ROOM DELUX TOTAL BEDS GENERAL/MATERNITY TOTAL OT PRE/POST LABOUR PRE OPERATIVE POST OPERATIVE DELIVERY SUITE TOTAL NON COUNT BEDS NO. OF BEDS 8 8 4 20 1 1 1 1 1 1 4 % ON TOTAL BEDS 40 40 20 100

OT NON COUNT BEDS

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Financial Report

EXPENSE ESTIMATES
MANPOWER PLANNING
MONTHLY SALARY (RS.)
40,000.00 25,000.00 30,000.00 30,000.00 50,000.00 90,000.00

DESIGNATION/POSITIONS Medical Administration MD Full Time Doctors (1::4) RMOs Pathologists Radiologist Gynecologist Embrologist Nursing Nursing Superintendent OT Nurse (6 nurse for every OT ) Nursing station incharge (3 nursing stations) Nursing staffs Paramedical Radiographers Lab techincian Phlebotomist Administration Assistant Managers:-Front office & Billing/Materails/IT Accountants Clerical, Stores etc. Receptionists, Front Ofice, Billing

MONTHLY SALARY NUMBERS (RS.)

1 1 1 1 2 1 40,000 25,000 30,000 30,000 100,000 90,000

SALARY PER YEAR (RS.)

480,000.00 300,000.00 360,000.00 360,000.00 1,200,000.00 1,080,000.00

20,000.00 10,000.00 12,000.00 8,000.00

1 6 3 8

20,000 60,000 36,000 64,000

240,000.00 720,000.00 432,000.00 768,000.00

20,000.00 8,000.00 10,000.00

3.00 4.00 2.00

60,000 32,000 20,000

720,000.00 384,000.00 240,000.00

10,000.00 8,000.00 5,000.00 6,000.00

3.00 1.00 2.00 4.00

30,000 8,000 10,000 24,000

360,000.00 96,000.00 120,000.00 288,000.00

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Financial Report
Telephone Operator PRO Pharmacy Sr. Pharmacist Jr. Pharmacist Security Control Security In-charge Security guards Maintenance Electrician Civil maintenance staff Air-Conditioner technician Plumbers Drivers
8,000.00 2.00 16,000 192,000.00 5,000.00 8,000.00 2.00 1.00 10,000 8,000 120,000.00 96,000.00

15,000.00 6,000.00

1.00 2.00

15,000 12,000

180,000.00 144,000.00

12,000.00 5,000.00

1.00 6.00

12,000 30,000

144,000.00 360,000.00

6,000.00 8,000.00 12,000.00 6,000.00

2.00 1.00 1.00 1.00

12,000 8,000 12,000 6,000

144,000.00 96,000.00 144,000.00 72,000.00

Ambulance & driver pool Housekeeping Housekeeping supervisiors Housekeeping Staffs Marketing Marketing mgr Marketing executive CSSD CSSD in charge CSSD asst

5,000.00 2,000.00 25,000.00 10,000.00 8,000.00 4,000.00

2.00 20.00 1.00 3.00 1.00 1.00 97.00

10,000 40,000 25,000 30,000 8,000 4,000 1,007,000.00

120,000.00 480,000.00 300,000.00 360,000.00 96,000.00 48,000.00 12084,000.00

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Financial Report

DEPARTMENT EXPENSES Consumables Doctor's Fee % of Inco Income(Rs.) me Expense % of inc Expense
2,700,000.00 2% 54,000.00 80% 2,160,000.00

Department

Total
2,214,000.00

OPD Consultation Laboratory(Biochemistry/Haemoto logy/Microbiology) X-Ray

2,212,420.00 10% 221,242.00 20% 442,484.00 663,726.00 6,265,000.00 35% 2,192,750.00 0% 0.00 2,192,750.00

170,300.00

30%

51,090.00

0%

0.00

51,090.00

Ultrasound Sonogram
273,100.00 20% 54,620.00 0% 0.00 54,620.00

ECG
5,757,500.00 10% 575,750.00 0% 0.00 575,750.00

3D-ECHO
2,003,000.00 2% 40,060.00 0% 0.00 40,060.00

Stress test
120,000.00 0% 0.00 20% 24,000.00 24,000.00

Fetal Monitor Test

600,000.00 5% 30,000.00 20% 120,000.00 150,000.00

Mamography
900,000.00 0% 0.00 20% 180,000.00 180,000.00

Comprehensive Health Check-up

2,865,000.00 60% 1,719,000.00 0% 0.00 1,719,000.00

Pharmacy
3,600,000.00 20% 720,000.00 20% 720,000.00 1,440,000.00

IVF
4,800,000.00 20% 960,000.00 20% 960,000.00 1,920,000.00

ICSI
60,000.00 10% 6,000.00 0% 0.00 6,000.00

Dressing
6

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Financial Report

Surgeries:
0.00

LSCS
8,760,000.00

Room Rent
13,140,000.00 70% 9,198,000.00

OT charges
16,425,000.00 80% 13,140,000.00

Consumables
5,475,000.00 0.80 4,380,000.00

Surgeon Fees
0.00

Anaesthetists Charges Normal Delivery(package) Room Rent

6,570,000.00

Labour room charges

6,570,000.00 70% 4,599,000.00

Consumables
8,760,000.00 80% 7,008,000.00

Surgeon Fees Laproscopic Surgery

10,950,000.00 80% 8,760,000.00

Surgeon's Charges
3,285,000.00 80% 2,628,000.00

Anaesthetists fee
8,760,000.00 0.00

OT Charges
9,855,000.00 6,898,500.00 0.00

Consumables
27,320,012.00 40,522,484.00 67,842,496.00

Total

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Financial Report

Rs. Lacs >>>>>> Year-1 Capacity utilization considered Consumables Dr.Fees 60%
163.92 243.13

Year-2 70%
191.24 283.66

Year-3 80%
218.56 324.18

Year-4 90%
245.88 364.70

Year-5 90%
245.88 364.70

38

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Financial Report

PROPOSED MEDICAL EQUIPMENT DETAILS

S.NO DEPARTMENT 1 IVF Lab EQUIPMENT NAME IVF workstatiob L424 ROL SMZ 800 Integra Laminar air flow Microscope HB Remi Malker Cl 2200 CODA NO. Rate / unit (Rs. In lac) 1 1 1 1 1 1 1 1 1 1 1
747500 95000 225000 1750000 50000 32000 19500 15500 32000 29000 160000 Total

Total Value (Rs. In lac)

747500 95000 225000 1750000 50000 32000 19500 15500 32000 29000 160000 3155500 2912000

Diagnostic lab

Fully Auto Clinical Chem Analyzer 5 Part Fully Auto Hematology Cell Counter Electrolyte System Immunoassay System Nephelometer Urine Analyser

1 1 1 1 1 1

2912000

1664000

1664000

249600 2184000 291200 83200

249600 2184000 291200 83200

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Financial Report
olympus microscope 1
324000 Total 324000 7708000 900,000.00 900,000.00

Radiology

X - Ray (HF Advantage High Freq) Portable X-Ray Mamo - Gold seal with flash Ultrasound Voluson 730

1
250,000.00

250,000.00

1
1,950,000.00

1,950,000.00

1
3,400,000.00 Total

3,400,000.00

6,500,000.00 130,000.00

Cardiology

ECG (GE MAC 1200) Echo (GE Vivid S5 Premium) Fetal Moniter (GE Corometrics 172)
Bone Density (GE Achillies)

1
130,000.00

1
2,000,000.00

2,000,000.00

1
190,000.00

190,000.00

1 600,000.00

600,000.00 1,050,000.00

Stress Test TMT (GE MAC 5500)

1
1,050,000.00 Total

3,970,000.00 556,244.00

Surgical Equipments

Surgicals Equipments
556,244.00

Boyles Appratus Colposcope Laproscope

1
179,920.00

179,920.00

1
218,400.00

218,400.00

1
300,000.00

300,000.00

40

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Financial Report
Hystoscope 1
300,000.00 1,554,564.00 300,000.00

0T

General/Maternity
Laparascopy OT

1
1

4,500,000

4,500,000.00

2,000,000 2,000,000.00

6,500,000.00

Medical Furniture

patient beds ( normal and ICU LS beds),IV stand , medicine trolley,etc 1

2500000

2,500,000.00

CSSD

2500000 Grand Total

2,500,000.00 33,388,064.00

ME cost (lacs) Non Medical Assets Software & Hardware Furniture & Fittings Ambulance (with small ventilator and defibrillator) Total Non Medical Assets ME and NME Cost

333.88

6 3 0 9 342.88064

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Financial Report

REPAYMENT IN 05 YEARS WITH 6 MONTHS SEMESTER & 01 YEAR MORATORIUM

Rs. Lacs >>>>>>

Semester

Loan Outstanding Received

Instalment Interest Outstanding Paid 15.00 % p.a.

0.00 0.00 31.50 31.50 31.50 31.50 31.50 31.50 31.50 31.50 31.50 31.50 0.00 315.00 23.63 23.63 23.63 21.26 18.90 16.54 14.18 11.81 9.45 7.09 4.73 2.36 0.00 177.19 315.00 315.00 283.50 252.00 220.50 189.00 157.50 126.00 94.50 63.00 31.50 0.00 0.00

Total

1 2 3

315.00 315.00 315.00 283.50 252.00 220.50 189.00 157.50 126.00 94.50 63.00 31.50 0.00

23.63 23.63 55.13 52.76 50.40 48.04 45.68 43.31 40.95 38.59 36.23 33.86 0.00 492.19

year-1
4

year-1
5

year-2
6

year-2
7

year-3
8

year-3
9

year-4
10

year-4
11

year-5
12

year-5

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Financial Report

DEPRECIATION SCHEDULE (BOOK) SLM BASIS

SUMMARY Rs Lacs >>>>> Constn Total Fixed Assets 442.88 442.88 Depreciation 29.46 Cummulative Depreciation Closing Block 442.88 Constn Total Cost 100 Add: Capitalised Interest 0 Opening Block 100 Depreciation @ 5.00 % pa 100 100 100 100 100 100 100 100 100 100 Year 1 413.42 Year 2 383.96 Year 3 354.50 Year 4 325.04 Year 5 29.46 29.46 29.46 29.46 442.88 442.88 442.88 442.88 442.88 442.88 442.88 442.88 442.88 442.88 Year 1 Year 2 Year 3 Year 4 Year 5

29.46

58.92

88.38

117.84

147.30

Cummulative Depreciation Closing Block 100

5 95

10 90

15 85

20 80

25 75

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Financial Report
Equipment Rs lacs >>>>> Constn Purchase Cost 333.88 Add: Capitalised Interest 0.00 Total Fixed Assets 333.88 Depreciation @ 7.07 % pa 333.88 23.61 333.88 23.61 333.88 23.61 333.88 23.61 333.88 23.61 333.88 333.88 333.88 333.88 333.88 Year 1 Year 2 Year 3 Year 4 Year 5

Cummulative Depreciation Closing Block 333.88 Non-medical

23.61 310.28

47.21 286.67

70.82 263.06

94.42 239.46

118.03 215.85

Rs crores >>>>>

Constn Purchase Cost 9.00 Add: Capitalised Interest 0.00 Opening Block 9.00 Depreciation @ 9.50 % pa

Year 1

Year 2

Year 3

Year 4

Year 5

9.00

9.00

9.00

9.00

9.00

9.00

9.00

9.00

9.00

9.00

0.86 0.86

0.86 1.71 7.29

0.86 2.57 6.44

0.86 3.42 5.58 44

0.86 4.28 4.73

Cummulative Dep Closing Block 9.00 8.15

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Financial Report

TAXATION PROVISION
Rs.Lacs >>>>>> Tax at Normal Rates Year 1
177.39

Year 2
233.45 29.46 262.91

Year 3
265.68 29.46 295.14

Year 4
321.17 29.46 350.63

Year 5
327.00 29.46 356.46

PBT
29.46

Add: Book Depreciation

206.85

PBT + Book Dep Less : Unabsorbed Depreciation (IT) I T Depreciation (Current Yr) PBT Less I T Dep
0.00 60.98 145.87 0.00 52.38 210.54 0.00 45.01 250.12 0.00 38.70 311.93 0.00 33.29 323.17

53.38

77.04

91.53

114.14

118.25

TAX @ 36.59 % - Normal rates Unabsorbed Depreciation (IT)

(A) Rs.Lacs>>>>>> Year 1 Year 2 0.00

52.38 52.38

Year 3 0.00
45.01 45.01

Year 4 0.00
38.70 38.70

Year 5 0.00
33.29 33.29

Opening Balance I T Depreciation (Current Yr)

0.00
60.98 60.98

Less :
206.85 262.91 0.00 295.14 0.00 350.63 0.00 356.46 0.00

PBT + Book Dep

0.00

Closing Balance (c/fwd)

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Financial Report
DEPRECIATION SCHEDULE - INCOME TAX - WDV BASIS
SUMMARY Rs lacs >>>>> Constn Year 1 442.88 442.88 Opening Block 60.98 Depreciation 442.88 Closing Block Building Development Rs lacs Constn 100.00 Purchase Cost 0.00 Add: Capitalised Interest 100.00 Opening Block Depreciation @ Closing Block Equipment Rs Lacs Constn 333.88 Purchase Cost 0.00 Add: Capitalised Interest 333.88 Opening Block Depreciation @ Closing Block % 15.00 pa 333.88 50.08 283.80 42.57 241.23 36.18 205.04 30.76 174.29 26.14 148.14 333.88 283.80 241.23 205.04 174.29 >>>>> Year 2 % 10.00 pa 100.00 10.00 90.00 9.00 81.00 8.10 72.90 7.29 65.61 6.56 59.05 100.00 90.00 81.00 72.90 65.61 >>>>> Year 2 381.90 329.52 284.51 245.80 212.51 52.38 45.01 38.70 33.29 442.88 Year 2 Year 3 Year 4 Year 5

Total Fixed Assets 381.90 329.52 284.51 245.80

Year 1

Year 3

Year 4

Year 5

Year 1

Year 3

Year 4

Year 5

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Financial Report
Non-Medical including Furniture and Fittings

Rs lacs Constn 9.00 0.00

Year 1

Year 2

Year 3

Year 4

Year 5

Purchase Cost Add: Capitalised Interest 9.00 Opening Block Depreciation @ Closing Block % 10.00 pa 9.00 0.90 8.10 0.81 7.29 0.73 6.56 0.66 5.90 0.59 5.31 9.00 8.10 7.29 6.56 5.90

IRR Calculation:
Const Year 1 Year 2 Year 3 Year 4 Year 5

Earnings before int.dep.tax IRR IRR on Debt Component

(527.06)

251.74 49%

298.35

321.13

367.17

363.55

Const

Year 1 222.28 78%

Year 2 268.89

Year 3 291.67

Year 4 337.71

Year 5 334.09

Earnings Before Interest and Tax IRR IRR on Equity Earnings after tax IRR

(315.00)

(212.06)

124.01

156.41

174.15

207.03

208.75

66%

47