starting up anew hospital

Proposal for a Hospital at NCC ground

BY:

Arun Mahajan 39

Pawandeep Singh 60

Vikesh Bansal 40

Kalagi Joshi 70

Sarabjit Chhina 56

Meenakshi Wasson 44

Payal Parekh 74

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TABLE OF CONTENTS

1. Promoter’s Background2. Objectives of Study3. Healthcare in India4. Medical Tourism Scenario5. Health Insurance Scenario6. Location Analysis of Pune7. SWOT Analysis8. Proposed Hospital Profile9. Budgetary Considerations

10. Expected Revenue and break – even Analysis.

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PROMOTER’S BACKGROUND

C.A. Ms Gita Patwardan an NRI presently residing in U.K. has proposed to setup a Multispeciality Hospital at NCC ground to cater to the Population of PUNE (Maharashtra)

The Group is interested in conducting a detailed exploratory market research and financial feasibility to understand the demand and supply of health care and relevant market opportunities to make a conclusion for the upcoming proposed project in Pune.

The Detailed Project Report comprises primarily of two main parts :

Market Research: understanding the need gap and requirement for a multi specialty hospital; assess the healthcare delivery systems of competitors, and a review of all stake holders on the lacunae and strengths.

Financial Feasibility: To derive the Project cost details, Income and Expenditure estimates, Break –Even Analysis and other important projections, a comprehensive Feasibility study was done.

OBJECTIVES OF STUDY

1. To perform feasibility analysis for a hospital at the NCC ground, S.B. Road, Pune.2. To give an estimate of budget required for the project.3. To calculate the expected profits and the break – even point for the project.

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HEALTH CARE IN INDIA

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Indian Healthcare Industry to Double in Value by 2012 Rising income levels

Changing demographics

Shift in disease profile from chronic to lifestyle diseases to propel the growth

The health infrastructure across Indian states is projected to grow by an average of 5.8 percent per annum between 2009-2013, taking the total expenditure in 2013 to USD 14.2 billion

Of the 32 Indian states that the report considered, the six states of Maharashtra, Rajasthan, West Bengal, Uttar Pradesh, Tamil Nadu and Andhra Pradesh are forecasted to represent approximately 50 percent of the expenditure for 2009-2013 period.

While the Indian healthcare system has grown manifold over the past few years, it has yet not been able to keep pace with the rapid rise in the population. One example of that is the availability of hospital beds in our country —against a world average of four beds per 1,000 population, India lags behind at just over 0.7 presently.” There is a growing need to deal with the issues of urban healthcare infrastructure as rural to urban migration has significantly increased the demand for these services.

The Indian healthcare industry is estimated to double in value by 2012 and more than quadruple by 2017. The main factors propelling this growth are rising income levels, changing demographics and illness profiles, with a shift from chronic to lifestyle diseases. This is likely to result in considerable infrastructure.The healthcare sector in India is undergoing a phase of reform propelled by rapid economic growth. Apart from the healthcare providers, emerging markets such as diagnostic chains and medical device manufacturers, are attracting increasing amounts of investment.

In comparison to all 32 states, Maharashtra forecasted to maintain its dominance as the state with highest cumulative healthcare infrastructure expenditure, with spend of $ 7.3 billion between 2009 - 201cture challenges and opportunities.

The Indian Healthcare Industry-An Overview

India's healthcare sector has been growing rapidly and estimated to be worth US$ 40 billion by 2012

Revenues from the healthcare sector account for 5.2 per cent of the GDP, making it the third largest growth segment in India.

The sector's growth will be driven by the country's growing middle class, which can afford quality healthcare.

.

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Growth drivers

Medical Tourism

Telemedicine

Healthcare services outsourcing

Diagnostic services

Increasing awareness

Medical insurance

Aging population

Growing urbanization

Low cost treatment

Pharmaceutical companies are going online to shorten the development and approval cycle of new drugs.

MEDICAL TOURISM IN INDIA OR HEALTHCARE TOURISM

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Indian hospitals are fast becoming the first choice for foreign patients owing to easy access to visa facilities, coupled with the best emerging medical infrastructure, which will help India earn to an extent of US$ 1.86 billion in foreign exchange by 2012. Currently, India's earnings through medical tourism annually is an estimated US$ 821.40 million.

Medical tourism can be broadly defined as the provision of 'cost effective' private medical care in collaboration with the tourism industry for patients needing surgical and other forms of specialized treatment.

Jointly facilitated by the corporate sector involved in medical and healthcare as well as the tourism industry - both private and public.

India has originated as one of the most important hubs for medical tourism.

A nice blend of top-class medical expertise at attractive prices is helping more and more Indian corporate hospitals to lure foreign patients, including patients from developed nations such as the UK and the US, for high end surgeries like Cardiac By-Pass Surgery or a Knee/Hip Replacement.

A combination of many factors has lead to the recent increase in popularity of medical tourism.

Exorbitant cost of healthcare and medical facilities in advanced countries,

ease and affordability of international travel,

favourable currency exchange rates in the global economy, rapidly improving technology and high standards of medical care in the developing countries

Salient Features

Low cost medical treatment

High quality medical care

Low wait time for critical treatments

Fluent English speaking staff

HEALTH INSURANCE SCENARIO IN INDIA

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With less than 10 per cent of the population having some sort of health insurance, the potential market for health insurance is huge.

Indian health insurance business is fast growing at 50 per cent and is expected to continue growing at this pace.

The sector is projected to grow to US$ 5.75 billion by 2010, according to a study by the New Delhi-based PHD Chamber of Commerce and Industry.

One-fifth of India's population is likely to have a medical insurance by 2015

Estimated increase in consumer spending on healthcare from US$ 2,054 per household in 2005 to US$ 3514 per household by 2015.

In some cases, the Government is partnering with the private sector to provide coverage at a low cost. The Yashaswini Insurance scheme, launched in 2002 in Karnataka by a public-private partnership.

NEED FOR MULTI SPECIALITY HOSPITALS

50 Doctors interviewed

All facilities under one roof.

Most advanced facilities.

Provides Basic Facilities at a rock bottom price with the same quality.

They can attract talent.

Indian Healthcare Industry-Growing and Innovating High Tech Area.

Change in attitude towards healthcare.

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LOCATION ANALYSIS OF PUNE

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Hospitals in Pune

HOSPITALS BED STRENGTH(APPROX)

Budhrani 200

Cantonment 350

Chest (Aundh)

Dr. Ambedkar Hsp. 100

Deen Dayal 200

Gadikhana (Clinic) 150

Hardikar Hospital 200

Inlaks & Budhrani & M.N.B.Cancer

780

Jahangir Nursing Home 300

Joshi Hospital 100

K.E.M. 550

Kamala Nehru 350

Kotbagi 350

Krishna Gen. Hospital (Stree Clinic)

150

Leprosy 200

Lokmanya Hsp 250

Mental Hsp. 500

N.M.Wadia Cardiology 60

Naidu

Poona Hosp. & Research Center 250

Ratna Memorial 150

Ruby Hall Nursing Home550

ADITYA BIRLA 500

Deena Nath Manageshkar 450

Sasoon 1200

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Total Population( PUNE) 33 lacs(2009Bed ratio (present) 1.8Total Beds Required 10,000(WHO recommendation 3 per 1000

population)Beds Available 6000(APPROX)Bed Deficit 4000

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– Prostate

Common Ailments encountered in Pune

: • Neurology • Obstetrics & Gynecology • General Medicine: – Cerebrospinal strokes – Fibroid – Respiratory Diseases – Aneurysm – Ruptured Uterus – Heart Diseases

• Neurosurgery : – Hysterectomy – Neurology

– Laproctomy – Brain & pine Tumours – Road Traffic Accidents

– Cyst & Tumours – Spinal Degenerative • General Surgery: Diseases – Infertility

– Appendicitis – Head & spine Injuries –LSCS

– Pancreatitis • Plastic Surgery : • Opthal : – Gall Bladder Infections

– Congenital Deformities – Cataract – Cellulitis – Post traumatic – Glaucoma – GI Surgery – Cosmetic Surgery – Corneal Transplant – Traumatic Ulcers – Burns – Refractory errors • Orthopedics :

• Cardiology : – Total Knee Replacement – Myocardial Infarction – Osteoporosis – Arteriosclerosis – Fractures

– Pediatrics cardiology – Rheumatoid Arthritis

– Congenital Anomalies – Joint Pains

• Nephrology – Backache

– Renal stones

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Positive Factors

81% Literate population

Densely Populated 7,214/ Km²

Majority of High and Middle income group

Good sewerage system

Huge scope for further development

Population of Pune city (2009) excluding suburbs is around 33 Lacs (approx). Total bed strengths (which includes Private and Government Hospitals ) is 6000 approx. So number of beds per 1000 population is 1.8 , but according to WHO standards it should be 3. So we are short of 4000 beds in Pune. And this shortage will increase in future.

IT Services sector remains a major driver of the economy and jobs created here, Pune's NRI Diaspora and first-generation of successful technology entrepreneurs are encouraging a renaissance of entrepreneurial activity.

Pune is emerging as a prominent location for IT and manufacturing companies to expand.

25% of income of Pune comes from IT sector.

Pune has the sixth largest metropolitan economy and the highest per capita income in the country.

Additional 2,500 additional beds in 2016

Negative Factors

Reputed hospitals like Ruby Hall, Apollo Jehangir, Aditya Birla

Market penetration difficult for newcomer

High Real estate rates

Scarcity of Trained Doctors , Specialist, Nursing staff (common problem f whole india)

Congested space around hospital premises

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http://en.wikipedia.org/wiki/Information_technology

SWOT ANALYSIS

Strengths: Pune called Oxford of East, has huge student base. Also it is hub of IT industry, thus we expect high employer base utilisation of insurance an hospital services.

Weakness: Acute shortage of skilled doctors and trained Para-medical staff and investments required to uplift the current status of the healthcare.

Opportunities: Changes in demography and socio-economic mix are altering the population's disease profile and increasing the incidence of lifestyle diseases thus increasing the demand for beds

Threats: Steep population growth with lack of proper healthcare policies, Infrastructure and accessibility to the healthcare for all is challenge in the coming days.

LAND FEASIBILITY SURVEY NCC

A Land Feasibility Study is conducted to evaluate and determine the suitability of the soils relative to a parcel of land where an on-site sewage system would be used

Erosion & Sediment The site is assessed according to its current erosion and sediment loss conditions and then a new plan is designed proposing a new topography for sediment control and erosion prevention.

Proper Water Supply

Proper Sewage System

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PROPOSED HOSPITAL

Logo:

Colour: Red signifies the colour of life and the courage to deal with emotionally disturbed customers

Mission

To serve and enrich the quality of life of patients suffering from diseases, through the efficient deployment of technology and human expertise, in a caring and nurturing environment with the greatest respect for human dignity and life.

Vision

Bliss hospitals will strive with excellence to fulfil the needs of the community in its chosen field of medical treatment and grow to be the biggest and most respected name in quality healthcare business in the country.

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BLISS HOSPITAL MULTI SPECIALITY HOSPITAL

It will be 300 bedded Research Hospital which will be accomplished in 3 phases

Rationale: - Availability of land

Availability of finances

Competitors

First Phase 100 beds; it will take one and half year to commence the Hospital after acquiring the land….( OCT 2009- MARCH 2010). Hospital + pharmaceutical company tie up( joint venture)

Pharmaceutical company has been investing 75 crores in three phases 25 crores each year into my business.

Share of Promoters invested 58 crores in phase 1.

Second Phase 100 beds

Third Phase 100 beds

Nature of the Hospital

The BLISS Hospital will be a high end hospital with the following characteristics: 250 bedded acute care tertiary healthcare facility with specialty and super specialty

services Full outpatient department, inpatient department and primary care services It will have a state of the art radiology imaging centre It will be fully digitised and paperless with all clinicians and departments using an

Electronic Patient Record system at all times It will provide an intimate, friendly and caring environment Its design and processes will be patient‐focussed High staff to patient ratios for personalised care Providing the highest standards of cleanliness, comfort, safety and convenience State of the art medical equipment and evidence based protocols

It will be staffed by selected, highly‐qualified healthcare professionals to ensure highest quality practices

THERAPEUTIC SPECIALITIES

1) Ortho2) Cardiology3) Gynaecology

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4) Paediatrics5) ENT6) Sex clinic/ counselling centre 7) Rehabilitation centre8) Psychiatry9) Dental10) Wellness centre11) Ophthalmology12) Medicine13) Surgery

SUPER SPECIALITY

1) Liver Transplant and Digestive Diseases2) Joint Replacement3) Women and Child Care4) Trans Nasal Brain Tumor Surgery5) PELD Minimal Access Slipped Disk Surgery6) Urology and Andrology7) Obesity Surgery

DIAGNOSTIC SERVICESS

Radiology: CT scan, MRI, bone mineral densitometry, mammography, ultrasound, x‐ray Laboratory: biochemistry, haematology, serology, microbiology, clinical pathology, histopathology Other support services Endoscopy, blood bank and blood components, dialysis, non‐invasive cardiology such as echo, stress testing, holter, and ECG

IT Driven tools and service

Hospital management system Billing

Inventory

Accounts management

Records management

ERP solution

Telemedicine and medical informatics

Decision support system that improves diagnosis and treatment

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Healthcare players are establishing ways to give customers easy access to pertinent information

Pharmaceutical companies are moving to speed development and delivery of new drugs

Hospital Pecularities

Micro-processor based implantable in patients.

CPU-driven technology supported by artificial intelligence.

Robotics in OTs

Robotics in Path-labs / Research.

Laser Technology in surgery

Instrumentation in medical and surgical practices.

IT tools for net-working examination, diagnostics, treatment rooms and OTs.

IT Tools along with artificial intelligence and microprocessor technologies for equipment maintenance and trouble shooting.

IT tools for generation of disease specific data.

USP

Quality healthcare services with state of the art medical facilities under one roof Well qualified staff Excellent customer patients services Easily accessible and competitively priced. Customized designs to suit the varying needs of different customers (patients) Constant interaction with the patients and strong bonding with them Promoting healthy India

JCI Accreditation:

To stay competitive in the market According to Ernst & young report quality is the most preferred attribute for patients

to choose a particular hospital To increase customer satisfaction To cater foreign patients.

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Floor Wise Design:

Basement:-

10 OPD’s Diagnostics, Lab

Ground Floor:-

Lord Ganesh Temple Reception, ADT department Billing Department Blood Bank Cafeteria Children Play Area Emergency Department Admin Department ATM machine

First Floor:-

OT SICU Labour Room NICU PICU

Second Floor:-

General Ward Twin Sharing Semi -Delux Rooms Library

Third Floor:-

General Ward Delux- Rooms Suite

Fourth Floor:-

Tele-Medecine Department Conference Hall Yoga Area Ayurvedic Department

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ESTIMATED MANPOWER

Nurses in the Hospital Department of Laboratory Medicine Nurses in I.C.U 12 Section Head 1

Nurses in S.C.C.U 9Number of Technicians for fairly automated lab

6

Nurses in I.C.C.U 0Number of Technicians manual/fairly automated lab

9

Nurses in N.I.C.U 7 Senoir Technicians 1Nurses in Special ward

12 Total Technicians 10

Nurses in Deluxe ward

4 Relievers 3

Nurses in Double ward

7 Attendants for Automated Lab 6

Nurses in Single ward

19 Relievers for Attendants 0

Nurses in General ward

8 Reception cum Clerk 1

Nurses in Day care 4 Relievers for Clerks 0Nurses in Operation Theatre

5

Nurses in OPD 7 Department of Imaging Sciences Nurses in Casualty ward

7 Section Head 1

Nurses in Labour Room

1Number of Technicians for routine X-rays,

2

Total Nurses in the Hospital(Including 30% of Relievers)

90Special procedures like myelography

4

barium investigations, HSG etc.Physiotherapy Department Relievers 1Physiotherapists 1Physiotherapists Aide/Junior Trainee

0 Department of Ultra Sound

Senior Physiotherapists

0 Number of Technicians 2

Total Physiotherapists

1 Attendants for Ultra Sound 4

Releivers 1Pharmacy Department Pharmacists for Indoor Issues

1Department of ECG & 2D ECHO

Pharmacists for OPD Issues

2 Technicians with Echo 5

Junior Pharmacists 0 Relievers 2

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Senior Pharmacist 0Pharmcy Aide 0 Special Services Chief Pharmacist 1 Blood Bank 0Total Staff in Pharmacy

4 Health Check Up 1

X-Ray 0General Maintainence Infection Control Nurse 1Manpower required 9 Nurse Clinical Specialist 1Relievers 3 Total staff - special services 3Total Staff in General Maintanence

12

Security Department Food Service Department Security guards (Including gateways & Special areas)

5 Dietician 1

Relievers 2Security Supervisor 5 Cook 3Total Staff in Security Department

12 Cook Helper 3

Dishwasher/Attendant 3Sterile Supply Department Storekeeper 1Technician required including Relievers

3 Total Staff in Food Service 11

Supervisor shift 1Total Staff in Sterile Department

4

Laundary DepartmentLaundry Opeartor 5Laundry Orderly / Assistant

2

Laundry Staff 7Relievers 2Total Laundry Staff 9Shift Supervisor / shift

1

Housekeeping Department Primary Secondary Tertiary

Staff in Housekeeping 0 0 77Total Housekeeping Staff : (Including 30% Relievers) 0 0 100

Total Manpower required in Hospital :

315

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COMPETITOR ANALYSIS:-

Deenanath mangeshkar Hospital

Department of medical genetics Clinical Genetics Cytogenetics Molecular genetics Metabolic genetics

Ayurveda/ Panchkarma Homeopathy Dentistry Clear vision clinic Voice clinic Obesity clinic Cardiology Neurology Kidney transplant Cancer treatment IVF centre Neuro Trauma Unit

Ruby Hall Clinic

Accident and Trauma Care Accupressure Clinic Anaesthesiology Button Hole Surgery for Gall Bladder removal Blood Bank Cancer Center with facilities for Radiotherapy, Surgical Oncology and Chemotherapy Cardiac Center Chest Medicine Corneal Transplants with Eye Bank facility Day Care Center Dental Center with laboratory and facilities for Maxillo Facial Surgery and Dental Implants

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Dermatology Eleven well equipped Operation Theatres including separate Operation Theatres for cardiac and neurosurgery Endocrinology and Diabetology ENT Department Gynaecology and Obstetrics Department with labour rooms I.C.U. / C.C.U. / P.I.C.U. / N.I.C.U. Intensive Care Unit for trauma and other cases Lithotripsy and Urology including Nd : YAG Surgical Laser Mobile 'C' Arm Units Neonatalogy for highly specialized infant care and Neonatal Surgery Neurology and Neurosurgery Ophthalmic Laser & Automated Perimetry Ophthalmology with facilities for radial keratotomy Orthopaedic Department Orthopaedics, Rheumatology and Physiotherapy Paediatric Intensive Care Unit Paediatrics , Paediatric Surgery and Paediatric Urology Physiotherapy Post Operative Recovery Room for Cardiac, Renal and Neurosurgical cases Psychiatry Radiation Synovectomy Reconstructive Plastic Surgery Renal Dialysis Unit Respiratory Care Unit for patients needing acute respiratory care facilities Speech Therapy with a Child Guidance Clinic Vascular Surgery Video-endoscopic Surgeries

MARKETING STRATEGIES

Communication mix

The aim of this exercise is to establish the brand in the minds of the customers so well that it becomes the first name that customers recall whenever discussing or thinking about healthcare. The product would be heavily advertised before launching and then we would involve in extensive sales promotion. The communication strategy of promoting and advertising the brand is as follows:

1. Magazines o Health

o General

o Lifestyle

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2. Newspaper ads3. Hoardings across various places in cities4. Advertisements in local television shows5. Sponsoring school events6. Organising awareness camps and visiting schools7. Mobile marketing

Public Relations and Publicity

We have chosen newspapers and magazines because of wide range of our target audience. Magazines and newspapers are always in the eye amongst public. Magazines are read for a period of a month, which brings more attention to an advertisement. We plan to advertise in

National and local newspapers Health Magazines

We further plan to utilise the non personal communications such as photographs, films and tapes showcasing the facilities of our hospital and the advantages that the local population will have by getting themselves treated at a world class hospital as compared to the local nursing homes.

Advertising

1. Internet: We would place display ads and interstitials on websites like makemytrip.com. This would target the customers who frequently visit such sites for planning their travel. Also we plan to place our advertisements on yellow pages.

Promotion activities

1. Hoardings: Visual hoardings to be placed on prime locations of the city to increase visibility among masses. Also we would place hoardings in high density residential areas, industrial areas and on city outskirts.

2. Camps: Blood donation camps and free check up camps would be arranged in schools and colleges.

3. Event Sponsorships: We would try to grab attention of the prospects by sponsoring events such as cultural events, sports events etc. We can even organize marathons.

4. Advertisements to be placed on local and short route buses.

Sales Promotion

1. Tie up with Insurance companies for devising various insurance cover plans.2. Tie ups with corporate and educational institutions for annual health contracts.

Special packages for economically backward patients, senior citizens, maternity package, annual health check up package, package for diabetic patients, physiotherapy package etc. Future Plan

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We have devised a plan which would be followed in case of future expansions. We are planning to implement a Hub and Spoke model which will help us in expanding our services to areas where we cannot currently reach due to infrastructure related issues. Issues like transportation, electricity, public sanitation facilities available in smaller towns and villages currently don’t allow us to open our super speciality hospitals in these areas. Even if these are ignored, there would be problems finding good doctors and other hospital staff who would be willingly ready to work in such areas. To circumvent these issues, we have come up with this model.

As shown in the above diagram, we will have our fully equipped super speciality hospital in the cities (Tier 2) built and working successfully as envisioned in the current expansion plan. But we would not be able to provide quality health care to smaller towns where a good number of people reside and are in need of such facilities. This would also form a part of our Corporate Social Responsibility whereby we will go one step further than just providing free care in our hospitals by reserving 10% of our capacity for such cases. Here we will establish small nursing homes with minimal facilities and having interns and other less qualified staff (but competent enough to handle minor issues like flu, fever, basic orthopaedic and other basic services). These staff would be able to give proper diagnostic facility to the villagers and to the small town people and if they feel that the patient has some major disease, he/she will refer that patient to the nearest “HUB” where the person would be treated at subsidised cost (the exact amount of subsidy that would be provided can only be decided on regional basis). We would be cross subsidising such activities with the retained earnings from our business.

These plans, would however, can be implemented only after we have attained a certain minimum level of competence and profitability which could take us few years.

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PROJECT ESTIMATION

Civil Cost 240,000,000

Plumbing Cost 30,000,000

Electrical Cost 60,000,000

Air Conditioning Cost 78,000,000

Miscellaneous Cost 6,400,000

Grand Total 414,400,000

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BUDGETARY CONSIDERATIONS

Amount budgetedAmount expenditure

(Rs.) (Rs.)1. Land cost 15000 Sq.Ft / * 1000 *12 Rs. 20,00,00,000 2. Equipment planning Echo – Colour Doppler Rs. 18, 00,000 Ventilator: 3 Rs. 24, 00,000 Cardiac Monitor (NIBP) 30 Rs. 30, 00,000 Defibrillator: 5 Rs. 10, 00,000 TMT-2 Rs. 03, 00,000 Central Line Oxygen Rs. 02, 00,000 ECG Machine : 10 Rs. 01, 00,000 Pulse Oxymetre : 5 Rs. 01,00,000 Centralized Monitor Rs. 01, 00,000 Infusion Pump : 10 Rs. 03, 00,000 Pace Maker : 05 Rs. 02,50,000 Computerized System Rs. 02,00,000 X-Ray :3 Rs. 09,00,000 Cardiac Fowler Bed Rs. 07,50,000 IITV Rs. 08,00,000USG : 2 Rs. 8,00,000 Pathology Equipments Rs. 15,00,000 Other material & Medicines Rs. 02,00,000 CT scan Rs. 1,00,00,000 MRI Rs. 1,50,00,000 CSSD Rs. 1,50,00,000 Lab Rs. 2,00,00,000 Ambulance@ Rs.500000/*4 Rs. 20,00,000 Communication System@ Rs.2000000/1 Rs. 20,00,000 IT system Rs. 1,00,00,000 Total Rs. 7,40,00,000 3. Hospital Furniture Rs. 4,50,00,000

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mailto:Ambulance@%20Rs.500000/*4

Civil Cost Rs. 24,00,00,000 Plumbing Cost Rs. 3,00,00,000 Electrical Cost Rs. 6,00,00,000 Air conditioning Cost Rs. 7,80,00,000 Miscellaneous Cost Rs. 64,00,000 Total Rs. 41,44,00,000 Miscellaneous Rs. 1,00,00,000

Total Rs. 74,34,00,000

Budget

Amount budgeted(Monthly) Amount expenditure(Yearly)

(Rs.) (Rs.)

1. Salaries

NURSES @ Rs. 7000/ *90Rs. 60,000

Physiotherapist @ 30000/*1Rs. 30,000

Pharmacist @ 12000/* 4 Rs. 48,000

Maintenance staff @ 6000/* 12Rs. 72,000

Security staff- outsourcedRs. 50,000

Technicians @ 7000/*63Rs. 44,100

Housekeeping -outsourcedRs. 50,000

dietary services @ 5000/ * 11Rs. 55,000

Administrative Heads @ 70000 /* 7Rs. 4,90,000

Med.Supr.Rs. 1,50,000

Assit.Med. Supr.@ 40000/ * 6Rs. 24,000

CEO Rs. 2,00,000

Administrations @ 20000 /* 12Rs. 2,40,000

Admin Others @ 8000 /*20Rs. 2,00,000

consultants @ 70000 /* 15Rs. 1,05,000

Surgeons' Visit @20000 / *7Rs. 1,40,000

RMO @ 15000/*18Rs. 2,70,000

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mailto:Med.Supr.@

mailto:Technicians@

Special Services @ 12000/*3 Rs. 36,000

total Rs. 22,64,100 Rs. 2,71,69,200

Disaster budget Rs. 20,00,000

marketing budget Rs. 3,00,00,000

Fuel Charges (Ambulance and Generator) @ 35 / * 30* 30 *12 Rs. 31,500 Rs. 3,78,000

Other expenses Rs. 6,00,000 Rs. 72,00,000

TOTAL Rs. 6,67,47,200

EXPECTED REVENUE AND BREAK – EVEN POINT

Revenue estimation(year 2009-10)

sr no particulars Charges

revenue per month

revenue per annum

1OPD patients(20 patients* 30 days

* 10 OPD ) Rs. 500 Rs. 30,00,000 Rs. 3,60,00,000

2 IPD patients( 4 patients * 30 days ) Rs. 50,000 Rs. 60,00,000 Rs. 7,20,00,000

3 surgery(70 surgeries per month ) Rs. 70,000 Rs. 49,00,000 Rs. 5,88,00,000

4 Pharmacy( OPD) Rs. 30,00,000 Rs. 3,60,00,000

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5 Pharmacy( IPD) Rs. 12,00,000 Rs. 1,44,00,000

6 USG( 20usg * 30 days ) Rs. 700 Rs. 4,20,000 Rs. 50,40,000

7 Xray(15 Xrays * 30 days ) Rs. 400 Rs. 1,80,000 Rs. 16,20,000

8 CT (50 CT per month ) Rs. 2,200 Rs. 1,10,000 Rs. 13,20,000

9 lab tests( 100 OPD tests * 30 days) Rs. 500 Rs. 15,00,000 Rs. 1,80,00,000

10 lab tests( 50 IPD tests * 30 days) Rs. 800 Rs. 12,00,000 Rs. 1,44,00,000

11 ECG ( 100 ECG * 30 days ) Rs. 200 Rs. 6,00,000 Rs. 72,00,000

TOTAL Rs. 2,21,10,000 Rs. 26,47,80,000

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YEAR INCREASE IN REVENUE*(percentage

to original)

REVENUE INCREASE IN EXPENDITURE#(percentage

to original)

EXPENDITURE PBIT## NET PROFIT(ASSUMED)

2009-10

0% Rs. 26,47,80,000

0% Rs. 6,67,47,200

198032800 108032800

2010-11

15% 291258000 10% 73421920 217836080 87836080

2011-12

30% 344214000 20% 80096640 264117360 104005360

2012-13

45% 383931000 30% 86771360 297159640 120000000

2013-14

60% 423648000 40% 93446080 330201920 150000000

2014-15

75% 463365000 50% 100120800 363244200% 200000000 <-Break even point

Total Rs. 76,98,74,240

* = Increase in revenue is observed because of increase in no. of patients.# = increase in expenditure is observed because of inflation

## = Profit before interest and Tax

Break- Even Analysis

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starting up anew hospital

Documents

indian healthcare system

healthcare sector

healthcare providers

feasibility analysis

indian states

proposed hospital profile

health infrastructure

multispeciality hospital