Company Background: Introduction

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The firm National Information Service Center (further referred to as NISC) Hospital and Nursing Institute was constituted by Sh. N. B. Singh along with Sh. E. Jiten Singh in order to construct a super specialty hospital and nursing institute. The location of proposed hospital is village Heirok part 1, District Thoubal, Manipur, India. It is proposed by NISC, registered as a society by Sh. N. B. Singh with the name of NISC (National Information Service Center), the society is registered in 26th day of march 2007. NISC will provide health and medical services that are good in quality and low in cost. The proposed name of the hospital is NISC healthcare center and nursing institute. Sh. N. B. Singh is quiet well known and influential person of Manipur and has a rich experience in social upliftment of the society. He is a businessman working in the field of social services, telecom and human resource consulting services. Total experience for Mr. Singh is more than 6 years. Sh. E. Jiten Singh, is a very well known personality in the region. He served the society as Ex .Chairperson District Planning committee Thoubal District. He is qualified as graduate home science (1993) from Gurudas college Kolkata he is currently working as social activist since past 14 years.

In order to cater to the needs of larger community of district, Sh. N.B. Singh wants to establish this Hospital and Nursing training institute. This hospital will serve the purpose of up-lifting of Medicare facilities for the district local community who have limited options available at present for the hospital. The only major hospital is currently situated at Imphal, around 22 Kms away from the district and around 28 KM away from the proposed location. Current options available for the locality are district hospital and primary health centre only which are not adequate for the population of more than 3 lakhs 65 thousands. The districts and villages nearby can also benefit from the proposed hospital along with the people from Thoubal district. The proposed location is situated hear highway and will cater to the needs of nearby and emergency situations. Sh. N. B. Singh wants to maintain hospital with complete infrastructure, trained doctors, nurses and skilled manpower, with emergency ward, ICU unit, private ward, operations theater and other necessary facilities. In order to generate better nursing staff, the proposed hospital will also start a nursing institute and training centre.

Idea for Hospital

Every day the population at Thoubal District face difficulties in case of serious diseases, accidents, or for general medical needs. The main reason for the same is unavailability of adequate medical facilities in the district. Hospital is a place where one gets the treatment of ordinary diseases, illness to a major operation. Government Hospital provides free treatment to patients but due to large crowd as well as poor maintenance of infrastructure, it is not a preferred choice and very few patients are able to take the advantage of government facilities, hence patients prefer to take treatment in private hospitals. Private hospital is required in the district to provide good infrastructure with trained doctors & staff. The idea is to keep the services affordable to the public to set a very good example in the society. This idea excited Sh. N. B. Singh who already possess requisite necessary land which is strategically situated at main Highway and is one of the biggest lands available nearby. In order to fulfil the idea of serving to the mankind, Sh. N. B. Singh is seeking funds for the proposed hospital and nursing institute.

Company Background Business Description:

Sh. N.B. Singh establishes the organization Sh. N. B. Singh established the organization NISC in 2007 for the social activities and uplifting of the society. This organization has served to the local community since inception at various occasions and needs and now is a well known name in the society. NISC is a independently working base on the improvement towards community and educational changes throughout the state of Manipur. NISC is already working in the field of traveling, communication, education, games and sports etc for the society. Sh. N. B. Singh would like the hospital to take proper care of the patients and provide proper medical facilities and assistance in time and at affordable rates. The location of proposed hospital is necessary for the success of the hospital. The proposed Hospital land is situated at national highway, a prominent locality with ease of approach. The planned hospital should be simple to located and proper boards are planned to install to guide the way. The hospital is aimed to cater best facilities where the patients should be promptly attended and taken care timely. The hospital is planned to cater simple effective and proper medical care where the patients should be promptly attended and taken care timely. A study conducted by FICCI and Ernst & Young suggests that by the end of 2025, India will need as many as 1.75 million additional beds and the public sector is expected to contribute only 1520 per cent to the $86-billion investment required. At present, India has only 860 hospital beds per million populations against a world average of 2,600 per million population. (Source: Business Standard, Mumbai June 29, 2010). The proposed hospital should have all the facilities like Lab room, Maternity ward, Children ward, Eye & Dental Ward or Burn Ward, Emergency and medical facilities etc. Modern equipments and machines such as X-Ray, ECG, Cardio unit etc are also required at the hospital. The various specialist doctors like surgeons, physicians, eye surgeons, E.N.T. specialist, Psychologists, child specialist, gynecologist must also be appointed.

Company Background- Company History:

NISC is registered Under section 7(1) of Manipur society registration act 1989 via number 214 of 2007 on the 26th day of 2007. Since inception, NISC and its members are fully integrated in the service of the society. NISC is already engaged in the field of travelling, communication, education, games and sports, and other society needs in their day to day life. The business is expanding business already serving to the society at large in the district. This hospital is however a proposed new business based on the opportunity of the local population. NISC is serving and engaged in service based activities in the above mentioned fields. The location of proposed hospital is village Heriok part 1, District Thoubal, Manipur India. The owner of land is Sh. N.B. Singh s/o (L) Bugnocha Singh. With a land size of about 2.0684 Hectares, it is ample of the land for the proposed hospital. The proposed primary office for the hospital will be located at the hospital facility itself for the coordination and administration of the hospital activities. Once established, the proposed facility is expected to operated for at least next 25 to 30 years with leadership position in the area. The proposed land for the hospital, already registered in the name of Sh. N. B. Singh via local Patta No. 514,610/642/1275 by the district tehsil. The total evaluation of current land cost is more than 3 crores. All the necessary ownership and licenses are already under possession of Mr. N. B. Singh itself. With ample work experience in the local community, the company is confident enough of the success of their proposed hospital facility. It also understand the local issues and requirements very well which can help in planning the required facility to lead to the success.

Company Background Current Position and Business Objectives:

This business, as already discussed was started at about 4 years from now with successful operations in many sections of the operations. After these successful year, diversification and expansion of business activities in the next logical healthcare and medical facilities is planned out. Hospital operations is a business start-up for NISC. Long term goals of growth with the social growth and care to the society is a core to NISC. Given below are mission, vision, goals and objectives for the organization.

Our Corporate Strategy:

In an ever changing and challenging environment for health-care, it is important for NISC Hospital to build on our reputation as one of the pre-eminent health center in the locality. In order to achieve this, we are planning to work with local community to better position ourselves to serve the community and to more clearly define our role of one stop facilities for all healthcare needs within the broader health care requirements. With an aging population and cost of rising healthcare, we want to ensure NISC Hospital is positioned for sustainability and growth in the future as well as present. Our strategy is to focus on transparency, accountability and system wide integration. We are dedicated to discovering and delivering the best patient care with the heart and values true to our heritage.

Organization Goals:

Our main goals for the proposed hospital and nursing institute are:
Patient and family-centred care. Establish our role as academic health center and teaching hospital Enhancing community health partnership. Putting patient's health first

Mission Statement:

NISC Hospital and Nursing Institute is dedicated to cater to the needs of local society by providing quality and affordable patient care with unrelenting attention to patient safety and excellence in health services to demonstrate social responsibility with the provision of highly specialized services to a broader community.

Vision Statement:

The NISC hospital vision is to create a new standard of community health care with ease of access for medical facilities to the society, through our culture of caring and commitment to provide most advanced medical technology and capabilities available to the local community. NISC also aspire to be a prominent community member meeting the healthcare needs of entire community.

Values:

Our organization works on certain principles and values which are core to the functioning of our organization. These values are: Dignity and Reverence: Each individual is inherently valued by dignity and we recognize each life as a gift from God. Trust: Trust is achieved by honest and open operations which are part of our core values Teamwork: We believe in team work which is important to achieve the hard task of providing critical care to our patients. Cooperation: Between patient and staff, between staff and management, between management and ownership, and various professionals. All such cooperation and integration is necessary to achieve our goal to serve the community. Integrity: Honest, fairness and self scrutiny in everything we do and our core ideas

Ownership

Services Introduction:
"The hand-held SmartScanner is the greatest thing to hit the custom-clothing market in the last twenty years. The product saves our salespeople time and makes it quick and easy for customers to purchase higher margin custom clothing." This quote is from Mary Smith, Custom Clothing Manager for Neiman Marcus, who tested the SmartScanner for six months in her store. IMT has received similar comments from other test participants. Additional customer testimonials are included in the appendix.

Facility Wise Space Plan and Allocation:

The space plan is made on the basis of established standards, personal interviews with hospital administrators experienced in building hospitals and also with the help of literature review and would help the architect in finalizing his plans. Hospitals are a difficult planning subject as explained earlier. The maxim Design follows function must be kept in mind while allocating space details. The area specifications may be taken as indicative as suitable alterations would have to be made by the architect to conform to the grid matrix. The total space area including all facilities is 1,06611 sq ft. This is in concurrence with modern standards of constructing hospitals which provide for an average area of 800-1200 sq ft per bed.

Floor-Wise Plan:
Key Departments like Out Patient Department, Emergency, Radiology, Laboratory would be situated on the ground floor. The Radiology dept. would be situated near the Emergency dept. (According to a study nearly 40% of cases coming to Emergency require X rays) The administration department would be located on the 1st floor along with the Blood bank and General and Paediatric wards. The Labour room, accounts, security etc are also located on the 1st floor. Blood Bank, OT and general wards are also situated at this floor level. NICU (Neonatal Intensive Care Unit) would be located on the 2nd floor along with the semi-private ward and private wards. The CSSD (central sterile supply department) would also be located on the 2nd floor with provision for dumb waiters between the CSSD and the OT (operations theatre). The private wards and deluxe wards will also be located on the 2nd floor. The OTs will not be located on the top floor to avoid the excess heating nor will they be located near the major traffic areas. The residential area for doctors will be located separately in the proposed location so a doctor can easily attend to the patient when called. Nursing institute hostel is also located separately near residential area within the main facility of proposed land. ICU is also located separately at ground floor in order to serve better to the emergency situations. 30% of the area is kept for circulation.

Department wise area allocation

S. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37.

Department General ward (8 bed each ward) Semiprivate (2 bed each ward) Private+ deluxe (1 bed each ward) Obstetric Ward (5 bed each ward) Pediatric Ward (5 bed each ward) NICU (9 bed) ICU (2 bed each ward) OT OPD Physiotherapy dept Radiology Other diagnostic Facilities (ECG, EEG, Stress test, Endoscopy) Laboratory Blood Bank Pharmacy Outlet Pharmacy Store MRD CSSD Laundry Kitchen Restaurant Housekeeping Telecommunication PR Department Security Auditorium Prayer Room Mortuary Library Manifold Room Administration A/c Department Stores EDP Emergency Room Ambulance Telephone Booth

Number 2 13 19 2 2 1 5 4 8 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

Area sq. ft. Total / dept. Area sq. ft 2500 5000 650 8450 445 8455 1840 3680 1424 2848 4921 4921 1447 7235 1461 5844 618 4942 975 975 5005 5005 3380 2425 1840 260 520 1430 1957 1918 2300 2860 325 390 260 195 1950 260 975 390 390 2314 780 2405 780 1937 325 260 3380 2425 1840 260 520 1430 1957 1918 2300 2860 325 390 260 195 1950 260 975 390 390 2314 780 2405 780 1937 325 260

38. 39. 40. A.

Shoppe Executive health checkup Residents Total Space for 100 beds Area per bed (Current standards 800-1200 sq ft)

1 2 1

130 650 15000 106611 1066.11

130 1300 15000 106611 1066.11 46875 4550 20000 178036

Extra B Extra C Hostel Total

Parking Space Electrical+ HVAC+ Water Nursing Institute Hostel A+ Extra B+ Extra C+ Hostel Area

1 1 1 1

46875 4550 20000 178036

Distribution of floor space by wards and departments

S. No 1. 2. 3. 4. 5. 6.

Department Description Wards Diagnostic Facilities OPD+ Emergency+ Related Areas Administrative Area Service departments Residential Areas

Total Unit 46705 12650 10117 11349 10790 15000

Area % 44% 12% 9% 11% 10% 14% 100%

Area Per Sq Ft. 46705 12650 10117 11349 10790 15000

Breakdown of Space Requirements of key departments

Area Nursing Units ICUs Operation Theatres

Sq ft per bed 273.78 121.56 58.44

Radiology Laboratory Pharmacy CSSD Dietary MRD Housekeeping Dept Laundry Mechanical Installations Stores Administration

50.05 24.25 7.8 19.57 23 14.3 3.25 19.18 49.4 24.05 30.94

Distribution of Beds
General Semi- Private (two in one) Private Deluxe ICU NICU Obstetric Ward Paediatric Total Other Beds Pre -op Post op Emergency 16 26 13 6 10 9 10 10 100 4 6 4

Allocation of Departments Floor Wise Space

G+0 OPD Emergency Radiology Laundry 4942 1937 5005 1918

Kitchen Physiotherapy Obstetric Ward Pharmacy outlet PR Dept Manifold room Shoppe Telecommunications Prayer Hall Ambulance Telephone booth Mortuary Laboratory Other Diagnostic Facilities Total space

2300 975 3680 260 260 390 130 390 260 325 260 975 2425 3380 29812

G+1 Restaurant Housekeeping Administration Security Accounts Department Executive Health Check Up Blood Bank MRD General Ward Paediatric Pharmacy Stores EDP Dept OT Total space 2860 325 2314 195 780 1300 1840 1430 5000 2848 520 780 5844 26036

G+2 CSSD Semiprivate ward + Deluxe beds Private + Deluxe ward Stores NICU Total Space 1957 8450 8455 2405 4921 26188

Other Areas ICU Residential Area Library Auditorium Nursing Hostel Total space 7235 15000 390 1950 20000 44575

Department Wise Space Plan

General Ward Beds Nursing Station Doctors room Nurses room Treatment room Staff toilet Store Pantry Clean utility room Dirty utility room Toilets General Waiting Area Total Add 30% circulation space Total space 16 1 2 2 1 2 2 1 1 1 4 1 140 200 200 200 100 50 60 60 60 60 50 206 2240 300 200 200 100 100 120 60 60 60 200 206 3846 1154 5000

Semi private (2 in 1) Beds Beds deluxe Nursing station Dr's room Nurses rest room Store Pantry 26 3 1 1 1 1 1 175 350 200 100 100 60 60 4550 1050 200 100 100 60 60

Clean utility room Dirty utility room Toilet Waiting area Total Add 30% circulation space Total Space

1 1 1 1

60 60 60 200

60 60 60 200 6500 1950 8450

Single Room\ Private

Beds Beds deluxe Nursing station Dr's room Nurses rest room Store Pantry Clean utility room Dirty utility room Toilet Waiting area Total add 30% circulation space Total Space

13 3 1 1 1 1 1 1 1 1 1

350 350 200 100 100 60 60 60 60 60 203

4550 1050 200 100 100 60 60 60 60 60 203 6503 19952 8455

ICU Beds Beds - Isolation room Nursing Station Equipment Room Stat Lab Doctors Room Nurses Rest room Toilet (staff) Toilets -General Store Pantry Clean Utility Room Dirty utility Room Waiting Area Beds For Relatives Toilets cum Bath 8 2 1 1 1 1 1 1 2 1 1 1 1 1 10 3 225 250 350 250 50 100 100 50 50 60 60 60 60 300 150 75 1800 500 350 250 50 100 100 50 100 60 60 60 60 300 1500 225

Total Add 30% circulation space Total space

5565 1670 7235

NICU Open Care units Nursing Station Equipment store room Doctors room Nurses rest room Toilets staff Component milk formula room Feeding room Nursing room Toilets - General Waiting Room Beds for relatives Total Add 30% circulation space Total space 9 1 1 1 1 2 1 1 1 3 1 9 125 200 200 100 100 50 50 60 100 50 250 150 1125 200 200 100 100 100 50 60 100 150 250 1350 3785 1136 4921

Obstetric Ward Beds Nursing Station Doctors room Nurses room Clean utility Dirty utility Pantry Staff toilet General toilets Store Labour rooms Waiting Area Total Add 30% circulation space Total space 10 1 1 1 1 1 1 1 2 1 2 1 120 200 100 100 60 60 60 50 50 100 300 200 1200 200 100 100 60 60 60 50 100 100 600 200 2830 849 3679

Paediatric Ward Beds Nursing Station Doctors room Nurses room Clean utility Dirty utility Pantry Store Toilet- Staff Toilet- General Waiting Area Total Add 30% circulation Space Total space 10 1 1 1 1 1 1 1 1 2 1 120 200 200 100 60 60 60 60 50 50 200 1200 200 200 100 60 60 60 60 50 100 200 2190 657 2847

Operation Theatre OT rooms General OT Room Specialty OT Room Scrub room Instrument room Wash room/ Dirty utility Store room Chief anaesthetist room Dr's room OT incharge room Nurse room Dumbwaiters Pantry Equipment room Trolley bay Toilet Change rooms Reception Waiting room Pre operation room Post operation room Total Add 30% circulation space Total Area

2 1 2 2 2 1 1 1 1 1 2 1 1 1 2 3 1 1 4 beds 6 beds

450 625 100 100 60 200 100 150 60 60 20 40 200 150 40 50 60 100

900 625 200 200 120 200 100 150 60 60 40 40 200 150 80 150 60 100 350 600 4495 1349 5844

OPD May I help you desk Registration/billing Waiting area-- Reception Toilets (M&F) Reception and Records room OPD waiting area Consultants rooms (Medicine, Surgery, Gyn obs, Paed & Ortho) Sub Waiting Areas Staff toilets Doctors toilets Trolley/ Wheelchair bay Collection room Minor OT OPD Store Staff room Administrators office Total Area Add 30% circulation space Total 1 1 1 8 1 1 5 50 200 500 25 250 400 150 50 200 500 200 250 400 750

5 2 1 1 1 1 1 1 1

50 50 75 200 50 300 75 250 150

250 100 75 200 50 300 75 250 150 3800 1140 4940

Other Diagnostic Facilities ECG Room EEG Room 2 D echo room Stress Test Room Endoscopy Dept Reception Waiting Consultation Endoscopy room Total Area Add 30% circulation Space Total 1 1 1 1 1 1 1 1 300 350 500 750 50 200 100 350 300 350 500 750 50 200 100 350 2600 780 3380

Physiotherapy Department add 30% circulation space total

750

750 225 975

Radiology MRI Ultrasound Ultrasound Room Change room Sub Waiting X ray- General Radiography room Control room Change room Sub waiting Special X ray Radiography room Control room Change room Toilet Barium Preparation Sub- Waiting Staff room Radiologist room Waiting room Reception Technicians room Staff toilets Records room Film Store Reporting room Add 30% circulation space Total

1 1 1

750 750 350

750 750 350

650

650

900

900

1 1 1 1 1 2 1 1 1

100 100 300 100 100 50 150 150 100

100 100 300 100 100 100 150 150 100 3850 1155 5005

Laboratory Reception Biochemistry Haematology & clinical pathology Histopathology Microbiology 1 1 1 1 1 75 300 200 200 200 75 300 200 200 200

Serology Sample collection Toilet Toilets (staff) Waiting Report dispatch area Staff room Technicians Add 30% circulation space Total

1 1 1 2 1 1 1 1

200 150 40 50 100 100 100 100

200 150 40 100 100 100 100 100 1865 560 2425

Blood Bank Waiting area Examination room Recovery& refreshment room Bleeding room Staff room Blood bank in charge room Component separation room Toilet (staff/visitors) Issue counter Store room Add 30% circulation space Total 1 1 1 1 1 1 1 2 1 1 200 75 150 150 60 100 400 40 50 150 200 75 150 150 60 100 400 80 50 150 1415 425 1840

Pharmacy Store area Retail area Add 30% circulation space Total MRD Process room Office room Record cum store room Add 30% circulation space Total 1 1 400 200 400 200 600 180 780

1 1 1

500 100 500

500 100 500 1100 330 1430

CSSD Receipt area Wash room Gloves sterilizing room Change room CSSD Supervisor room Clean area for packing Actual sterilizing room Sterile store room Staff toilets Trolley Park Dumb Waiters Add 30% circulation space Total 1 1 1 1 1 1 1 1 2 1 2 100 200 75 50 100 100 450 200 40 150 20 100 200 75 50 100 100 450 200 80 150 40 1505 452 1957

Laundry Receipt area Dirty area Ironing/ wash area Laundry incharge room Toilet Store room Mending room Delivery/ Distribution Trolley Park Add 30% circulation space Total 1 1 1 1 1 1 1 1 1 100 150 400 150 50 200 100 100 100 100 150 400 150 50 200 100 100 100 1350 443 1918

Kitchen Receipt area Dietician room Store room Utensils area for storage Dry area Cold area Preparation area Cooking Area Washing area 1 1 1 1 1 1 1 1 1 80 100 100 100 150 100 150 350 150 80 100 100 100 150 100 150 350 150

Trolley park Change area Toilet Dining room Garbage room Add 30% circulation space Total

1 1 1 1 1

150 50 40 200 50

150 50 40 200 50 1770 531 2301

Restaurant Sitting area Preparation Store Add 30% circulation space Total 1 1 1 1500 500 200 1500 500 200 2200 660 2860

Housekeeping Office Store Add 30% circulation space Total 1 1 50 200 50 200 250 75 325

Telecommunication Office Cable area Add 30% circulation space Total 1 1 50 250 50 250 300 90 390

Personnel Relation department Office Add 30% circulation space Total 1 200 200 60 260

Security Office Add 30% circulation space Total 1 150 150 45 195

Mortuary Add 30% circulation space Total Space

750

750 225 975

Auditorium Add 30% circulation space Total

1500

1500 450 1950

Prayer room Add 30% circulation space Total

200

200 60 260

Library Add 30% circulation space Total

300

300 90 390

Electrical HVAC +Water+ Boiler + Compressor air & Vacuum Add 30% circulation space Total

3500

3500

1050 4550

Manifold room Area 1 250 250

Office Add 30% circulation space Total

50

50 300 90 390

Administration MD/CEOs office MS office Office (secretary) Waiting room Manager administration Clerical office Nursing superintendent Staff for nursing superintendent Toilets MD/CEO/MS Clerical staff 1 1 2 1 1 1 1 1 1 2 250 200 50 200 150 350 200 200 50 40 250 200 100 200 150 350 200 200 50 80 1780 534 2314

Add 30% circulation space Total

A/C department Office Process area Add 30% circulation space Total 1 2 200 200 200 400 600 180 780

Stores Receipt area Storage area Office Add 30% circulation space Total 1 1 1 100 1500 250 100 1500 250 1850 555 2405

EDP Office Server room Add 30% circulation space Total 1 1 100 500 100 500 600 180 780

Emergency room Triage Med. Officer Nursing station Dr change room Nurse change room Toilet Minor OT Waiting area Reception Add 30% circulation space Total 4 beds 1 1 1 1 1 1 1 1 500 100 100 75 75 40 250 250 100 500 100 100 75 75 40 250 250 100 1490 447 1937

Ambulance Control room Telephone Booth Shoppe 1 2 1 250 50 100 250 100 100 450 135 585

Add 30% circulation space Total

Residential Area

15000

Executive Health Check Up Reception Waiting area Doctors rooms Collection room 1 1 3 1 100 300 150 50 100 300 450 50

Records & Storage Toilets Add 30% circulation space Total

1 2

100 50

100 100 1000 300 1300

Parking space Area for 1 car = 275 sq.ft Area for parking 150 cars 30 staff, 120 general Area for I scooter = 75 Area for 75 scooters 25 staff, 50 general Total

41250

5625

46875

Financial Assumptions:
The enclosed financials are based on several assumptions. All the projected costs are based on budgeted or estimated values. The Detailed financial analysis is as per the provisions below. The Hospital will have an annual revenue growth rate of 16% per year. The Hospital will settle most short term payables on a monthly basis.

Sensitivity Analysis
Medical practice, clinics, and hospitals are usually insulated from decreases in the overall wellness of the economy. As stated before, healthcare is an industry that is immune from shocks to the economic environment simply because people will continue to need medical treatment regardless of economic recession. This is especially true among businesses that provide hospital and emergency care treatment to the general public. Looking at the current medical facilities and proposed medical plans in the region, it is very unlikely to have any real business competition in the Heirok region. Moreover the growth potential in the coming years is immense looking at the population and growth in the region.

Financial Analysis
Cost of Project
A. Land & Building S. No. A 1. B 1. 2. 3. C. D. Description EXISTING LAND PROPOSED SITE DEVELOPMENT BUILDING (Ground +2) Nursing Hostel Location/ Manufacturer Village Hierok, Thoubal District Village Hierok, Thoubal District Village Hierok, Thoubal District Measurement / Quantity 222640 Unit Rate Amount (Rs.)in Lac 300.52

Sq. Ft

135

222640 158036 20000

Sq. Ft Sq. Ft Sq. Ft Total

25 400 650 Total B A +C

55.65 712.14 80 847.79 1148.31

B. Plant & Machinery S. No. Description Purchase Type Quantity Unit Rate Amount (Rs.)in Lac 210

1.

PLANT MACHINERY* EQUIPMENTS FURNITURE Residential Furniture/ BED

QUOTATION

1.00

LOT

210

2. 3. 4. 5.

LOCAL LOCAL LOCAL

1.00 1.00 1.00

LOT LOT LOT Total

25 10 15 1+2+3

25 10 15 260

*Details Attached Overall Total A. (D) + B. (5)

1408.31

Source of Funds
Financing
A. Equity Contributors Management Investment Total Equity Financing B. Banks and Lenders Term loan from Bank Total Debt Financing Total Financing (Sum A + Sum B) Amount (Rs.) in Lac 21% 300.52 Rs. 300.52

79% 100%

1107.79 Rs. 1107.79 Rs. 1408.31

General Rate Assumptions

Year Short Term Interest Rate
(Base rate of bank 10% +5%)

2012- 13 1st 15% 15.5% 33.99% 0%

2013- 14 2nd 15% 15.5% 33.99% 0%

2014- 15 3rd 15% 15.5% 33.99% 0%

2015- 16 4th 15% 15.5% 33.99% 0%

2016- 17 5th 15% 15.5% 33.99% 0%

2017- 18 6th 15% 15.5% 33.99% 0%

Long Term Interest Rate

(Base rate of bank 10% +5.5%)

Income Tax Rate Service Tax Rate

Profit and Loss Statements

7.6 Cash Flow Analysis

7.7 Balance Sheet

. 7.8 General Assumptions

7.9 Business Ratios

Expanded Profit and Loss Statements

Expanded Cash Flow Analysis

List of Licenses, Registrations and Approvals required

License Food inspector license (storage of kitchen items) Storage of spirit Storage of acids, alcohols, acetone, X ray films, oxygen cylinders LPG cylinders Drug license form 12(permission to import) License for spirit License for alcohol Agency Municipal Authority

Municipal Authority Municipal Authority

Central Govt. Prohibition and excise dept. Prohibition and excise dept. Prohibition and excise dept.

Registration Reg. Under Shops and establishment Act FDA for blood bank FDA for Pharmacy Reg of vehicles(ambulances)

Agency Municipal Authority Central Govt. Central Govt. RTO

Approval list of items Imaging dept (X ray, MRI, CT scan, Gamma camera, RIA, Mammography) Chimney for incinerator Electrical installations Lifts

Agency BARC, Central govt.

Pollution board PWD, municipal authority Municipal Authority

Fire Fighting Incinerator Sewage treatment plant

Chief fire Officer Pollution Board Pollution board

This list is indicative and may vary according to the local regulations.

INCOME STATEMENT (in Thousands) ` 1999 1998 OPERATING REVENUES Gross Patient Service Revenue $258,125 $263,469 Free Care 5,800 6,024 Contractuals 69,320 67,985 Net Patient Service Revenue 183,005 189,460 Other Operating Revenue 14,600 14,843 Total Operating Revenue $197,605 $204,303 OPERATING EXPENSES Depreciation 13,152 13,805 Interest 3,222 5,026 Bad Debt 5,163 6,866 Other Operating Expenses 168,585 173,634 Total Operating Expenses $190,122 $199,331 Net Operating Income $7,486 $4,972 NONOPERATING REVENUE Investment Income $2,530 $3,328 Gains/Losses 159 0 Other Income (Expenses) 470 1,112

Total Nonoperating Revenue $3,159 $4,440 Excess Revenues over Expenses $10,645 $9,412 OTHER GAINS (LOSSES) DUE TO: Extraordinary Gains (Losses) 0 748 Total Surplus/Deficit $10,645 $8,664 20 A C o m m u n i t y L e a d e r s G u i d e t o H o s p i t a l F i n a n c e n THE ACCESS PROJECT n Sources of Hospital Financial Information 21 THE ACCESS PROJECT The purpose of the income statement is to provide information on hospital performance, including how much profit the hospital makes.