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

Page 1 of 33
 TABLE OF CONTENTS

1. Promoter’s Background
2. Objectives of Study
3. Healthcare in India
4. Medical Tourism Scenario
5. Health Insurance Scenario
6. Location Analysis of Pune
7. SWOT Analysis
8. Proposed Hospital Profile
9. Budgetary Considerations
10. Expected Revenue and break – even Analysis.

Page 2 of 33
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.

Page 3 of 33
HEALTH CARE IN INDIA

Page 4 of 33
 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.

Page 5 of 33
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.

Page 6 of 33
MEDICAL TOURISM IN INDIA OR HEALTHCARE TOURISM
 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

Page 7 of 33
 HEALTH INSURANCE SCENARIO IN INDIA
 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.

Page 8 of 33
LOCATION ANALYSIS OF PUNE

Page 9 of 33
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 &
780
M.N.B.Cancer
Jahangir Nursing Home 300
Joshi Hospital 100
K.E.M. 550
Kamala Nehru 350
Kotbagi 350
Krishna Gen. Hospital (Stree
150
Clinic)
Leprosy 200
Lokmanya Hsp 250
Mental Hsp. 500
N.M.Wadia Cardiology 60
Naidu
Poona Hosp. & Research Center 250
Ratna Memorial 150

Page 10 of 33
Ruby Hall Nursing Home
550

ADITYA BIRLA 500

Deena Nath Manageshkar 450
Sasoon 1200

Total Population( PUNE) 33 lacs(2009

Bed ratio (present) 1.8
Total Beds Required 10,000(WHO recommendation 3 per 1000
population)
Beds Available 6000(APPROX)
Bed Deficit 4000

Page 11 of 33
–P ro s ta te

Page 12 of 33
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

Page 13 of 33
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

Page 14 of 33
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.

Page 15 of 33
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) Ortho
2) Cardiology

Page 16 of 33
 3) Gynaecology
4) Paediatrics
5) ENT
6) Sex clinic/ counselling centre
7) Rehabilitation centre
8) Psychiatry
9) Dental
10) Wellness centre
11) Ophthalmology
12) Medicine
13) Surgery

SUPER SPECIALITY

1) Liver Transplant and Digestive Diseases

2) Joint Replacement
3) Women and Child Care
4) Trans Nasal Brain Tumor Surgery
5) PELD Minimal Access Slipped Disk Surgery
6) Urology and Andrology
7) Obesity Surgery

DIAGNOSTIC SERVICESS
1
Radiology: CT scan, MRI, bone mineral densitometry, mammography, ultrasound, x‐ray
Laboratory: biochemistry, haematology, serology, microbiology, clinical pathology,
histopathology
Other support services
1 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

Page 17 of 33
  ERP solution

 Telemedicine and medical informatics

 Decision support system that improves diagnosis and treatment

 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

Page 18 of 33
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.

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

Page 19 of 33
  Library

Third Floor:-

 General Ward
 Delux- Rooms
 Suite

Fourth Floor:-

 Tele-Medecine Department
 Conference Hall
 Yoga Area
 Ayurvedic Department

ESTIMATED MANPOWER

Nurses in the Hospital Department of Laboratory Medicine

Nurses in I.C.U 12 Section Head 1
Number of Technicians for fairly
Nurses in S.C.C.U 9 6
automated lab
Number of
Nurses in I.C.C.U 0 Technicians manual/fairly 9
automated lab
Nurses in N.I.C.U 7 Senoir Technicians 1
Nurses in Special
12 Total Technicians 10
ward
Nurses in Deluxe
4 Relievers 3
ward
Nurses in Double
7 Attendants for Automated Lab 6
ward
Nurses in Single
19 Relievers for Attendants 0
ward
Nurses in General
8 Reception cum Clerk 1
ward
Nurses in Day care 4 Relievers for Clerks 0
Nurses in Operation
5
Theatre
Nurses in OPD 7 Department of Imaging Sciences
Nurses in Casualty
7 Section Head 1
ward
Nurses in Labour Number of Technicians for routine
1 2
Room X-rays,
Total Nurses in the
Special procedures like
Hospital(Including 90 4
myelography
30% of Relievers)

Page 20 of 33
 barium investigations, HSG etc.
Physiotherapy Department Relievers 1
Physiotherapists 1
Physiotherapists
0 Department of Ultra Sound
Aide/Junior Trainee
Senior
0 Number of Technicians 2
Physiotherapists
Total
1 Attendants for Ultra Sound 4
Physiotherapists
Releivers 1
Pharmacy Department
Pharmacists for Department of ECG & 2D ECHO
1
Indoor Issues
Pharmacists for OPD
2 Technicians with Echo 5
Issues
Junior Pharmacists 0 Relievers 2
Senior Pharmacist 0
Pharmcy Aide 0 Special Services
Chief Pharmacist 1 Blood Bank 0
Total Staff in
4 Health Check Up 1
Pharmacy
X-Ray 0
General Maintainence Infection Control Nurse 1
Manpower required 9 Nurse Clinical Specialist 1
Relievers 3 Total staff - special services 3
Total Staff in
General 12
Maintanence

Security Department Food Service Department

Security guards
(Including gateways 5 Dietician 1
& Special areas)
Relievers 2
Security Supervisor 5 Cook 3
Total Staff in
Security 12 Cook Helper 3
Department
Dishwasher/Attendant 3
Sterile Supply Department Storekeeper 1
Technician required
3 Total Staff in Food Service 11
including Relievers
Supervisor shift 1
Total Staff in
4
Sterile Department

Laundary Department
Laundry Opeartor 5
Laundry Orderly /
2
Assistant

Page 21 of 33
Laundry Staff 7
Relievers 2
Total Laundry Staff 9
Shift Supervisor /
1
shift

Housekeeping Department Primary Secondary Tertiary

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

Total Manpower required in Hospital 315

:

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

Page 22 of 33
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
 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

Page 23 of 33
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

2. Newspaper ads

3. Hoardings across various places in cities

4. Advertisements in local television shows

5. Sponsoring school events

6. Organising awareness camps and visiting schools

7. 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.

Page 24 of 33
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

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.

Page 25 of 33
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.

Page 26 of 33
 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

Page 27 of 33
BUDGETARY CONSIDERATIONS
Amount Amount
budgeted expenditure
(Rs.) (Rs.)
1. Land cost
Rs.
15000 Sq.Ft / * 1000 *12 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. 08,00,000
USG : 2 Rs. 8,00,000
Pathology Equipments Rs. 15,00,000
Other material & Medicines Rs. 02,00,000
Rs.
CT scan 1,00,00,000
Rs.
MRI 1,50,00,000
Rs.
CSSD 1,50,00,000
Rs.
Lab 2,00,00,000
Ambulance@ Rs.500000/*4 Rs. 20,00,000
Communication System@ Rs.2000000/1 Rs. 20,00,000
Rs.
IT system 1,00,00,000
Rs.
Total 7,40,00,000
Rs.
3. Hospital Furniture 4,50,00,000
Rs.
Civil Cost 24,00,00,000

Page 28 of 33
 Rs.
Plumbing Cost 3,00,00,000
Rs.
Electrical Cost 6,00,00,000
Rs.
Air conditioning Cost 7,80,00,000
Miscellaneous Cost Rs. 64,00,000
Rs.
Total 41,44,00,000
Rs.
Miscellaneous 1,00,00,000
Total Rs.
74,34,00,000

Budget

Amount Amount
budgeted(Monthly) expenditure(Yearly)

(Rs.) (Rs.)

1. Salaries
Rs. 60,000
NURSES @ Rs. 7000/ *90
Rs. 30,000
Physiotherapist @ 30000/*1

Pharmacist @ 12000/* 4 Rs. 48,000

Maintenance staff @ 6000/* Rs. 72,000
12
Rs. 50,000
Security staff- outsourced
Rs. 44,100
Technicians @ 7000/*63
Rs. 50,000
Housekeeping -outsourced
dietary services @ 5000/ * Rs. 55,000
11
Administrative Heads @ Rs. 4,90,000
70000 /* 7
Rs. 1,50,000
Med.Supr.
Rs. 24,000
Assit.Med. Supr.@ 40000/ * 6
Rs. 2,00,000
CEO
Administrations @ 20000 /* Rs. 2,40,000
12
Rs. 2,00,000
Admin Others @ 8000 /*20
Rs. 1,05,000
consultants @ 70000 /* 15
Rs. 1,40,000
Surgeons' Visit @20000 / *7

Page 29 of 33
 Rs. 2,70,000
RMO @ 15000/*18

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

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

Rs. 20,00,000
Disaster budget

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
revenue per revenue per
n particulars Charges
month annum
o

OPD patients(20 patients* Rs.

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

IPD patients( 4 patients * 30 Rs. Rs.

2 Rs. 60,00,000
days ) 50,000 7,20,00,000
surgery(70 surgeries per Rs. Rs.
3 Rs. 49,00,000
month ) 70,000 5,88,00,000

Page 30 of 33
 Rs.
4 Pharmacy( OPD) Rs. 30,00,000
3,60,00,000
Rs.
5 Pharmacy( IPD) Rs. 12,00,000
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

lab tests( 100 OPD tests * Rs.

9 Rs. 500 Rs. 15,00,000
30 days) 1,80,00,000
lab tests( 50 IPD tests * 30 Rs.
10 Rs. 800 Rs. 12,00,000
days) 1,44,00,000

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

Rs.
Rs.
TOTAL 26,47,80,00
2,21,10,000
0

Page 31 of 33
Page 32 of 33
Break- Even Analysis

YEAR INCREASE IN REVENUE INCREASE IN EXPENDIT PBIT## NET

REVENUE*(perce EXPENDITURE#(per URE PROFIT(ASSUMED
ntage to centage to original) )
original)
2009- 0% Rs. 0% Rs. 19803280 108032800
10 26,47,80, 6,67,47,20 0
000 0
2010- 15% 291258000 10% 73421920 21783608 87836080
11 0
2011- 30% 344214000 20% 80096640 26411736 104005360
12 0
2012- 45% 383931000 30% 86771360 29715964 120000000
13 0
2013- 60% 423648000 40% 93446080 33020192 150000000
14 0
2014- 75% 463365000 50% 100120800 36324420 200000000 <-Break
15 0% 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

Page 33 of 33