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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.


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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:


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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 operationsin 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:


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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 hospitalEnhancing 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:


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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 eachlife 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, betweenmanagement 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 ideasOwnership

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.


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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 andwould 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 1 st

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.


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Department wise area allocation

S. No. Department Number Area sq. ft.

/ dept.

Total

Area sq. ft

1. General ward (8 bed each ward) 2 2500 50002. Semiprivate (2 bed each ward) 13 650 84503. Private+ deluxe (1 bed each ward) 19 445 84554. Obstetric Ward (5 bed each ward) 2 1840 36805. Pediatric Ward (5 bed each ward) 2 1424 28486. NICU (9 bed) 1 4921 49217. ICU (2 bed each ward) 5 1447 72358. OT 4 1461 58449. OPD 8 618 494210. Physiotherapy dept 1 975 975

11. Radiology 1 5005 5005

12.Other diagnostic Facilities (ECG, EEG, Stress test,

Endoscopy) 1 3380 3380

13. Laboratory 1 2425 2425

14. Blood Bank 1 1840 1840

15. Pharmacy Outlet 1 260 260

16. Pharmacy Store 1 520 520

17. MRD 1 1430 1430

18. CSSD 1 1957 195719. Laundry 1 1918 1918

20. Kitchen 1 2300 2300

21. Restaurant 1 2860 2860

22. Housekeeping 1 325 325

23. Telecommunication 1 390 390

24. PR Department 1 260 260

25. Security 1 195 195

26. Auditorium 1 1950 1950

27. Prayer Room 1 260 26028. Mortuary 1 975 975

29. Library 1 390 390

30. Manifold Room 1 390 390

31. Administration 1 2314 2314

32. A/c Department 1 780 780

33. Stores 1 2405 2405

34. EDP 1 780 780

35. Emergency Room 1 1937 1937

36. Ambulance 1 325 32537. Telephone Booth 1 260 260


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38. Shoppe 1 130 130

39. Executive health checkup 2 650 1300

40. Residents 1 15000 15000

A. Total Space for 100 beds 106611 106611

Area per bed (Current standards 800-1200 sq ft) 1066.11 1066.11

Extra B Parking Space 1 46875 46875

Extra C Electrical+ HVAC+ Water 1 4550 4550

Hostel Nursing Institute Hostel 1 20000 20000

Total A+ Extra B+ Extra C+ Hostel Area 1 178036 178036

Distribution of floor space by wards and departments

S. No Department Description Total Unit Area %

Area Per

Sq Ft.

1. Wards 46705 44% 46705

2. Diagnostic Facilities 12650 12% 12650

3. OPD+ Emergency+ Related Areas 10117 9% 10117

4. Administrative Area 11349 11% 11349

5. Service departments 10790 10% 10790

6. Residential Areas 15000 14% 15000

100%

Breakdown of Space Requirements of key departments

Area Sq ft per bed

Nursing Units 273.78

ICUs 121.56

Operation Theatres 58.44


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Radiology 50.05

Laboratory 24.25

Pharmacy 7.8

CSSD 19.57

Dietary 23

MRD 14.3

Housekeeping Dept 3.25

Laundry 19.18

Mechanical Installations 49.4

Stores 24.05

Administration 30.94

Distribution of Beds

General 16

Semi- Private (two in one) 26

Private 13Deluxe 6

ICU 10

NICU 9

Obstetric Ward 10

Paediatric 10

Total 100

Other Beds

Pre -op 4

Post op 6

Emergency 4

Allocation of Departments Floor Wise Space

G+0

OPD 4942

Emergency 1937

Radiology 5005Laundry 1918


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Kitchen 2300

Physiotherapy 975

Obstetric Ward 3680

Pharmacy outlet 260

PR Dept 260Manifold room 390

Shoppe 130

Telecommunications 390

Prayer Hall 260

Ambulance 325

Telephone booth 260

Mortuary 975

Laboratory 2425

Other Diagnostic Facilities 3380Total space 29812

G+1

Restaurant 2860

Housekeeping 325

Administration 2314

Security 195

Accounts Department 780

Executive Health Check Up 1300

Blood Bank 1840

MRD 1430

General Ward 5000

Paediatric 2848

Pharmacy Stores 520

EDP Dept 780

OT 5844

Total space 26036

G+2

CSSD 1957

Semiprivate ward + Deluxe beds 8450

Private + Deluxe ward 8455

Stores 2405

NICU 4921

Total Space 26188


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Other Areas

ICU 7235

Residential Area 15000

Library 390

Auditorium 1950

Nursing Hostel 20000

Total space 44575

Department Wise Space Plan

General Ward

Beds 16 140 2240

Nursing Station 1 200 300

Doctors room 2 200 200

Nurses room 2 200 200

Treatment room 1 100 100

Staff toilet 2 50 100

Store 2 60 120Pantry 1 60 60

Clean utility room 1 60 60

Dirty utility room 1 60 60

Toilets General 4 50 200

Waiting Area 1 206 206

Total 3846

Add 30% circulation space 1154

Total space 5000

Semi private (2 in 1)

Beds 26 175 4550

Beds deluxe 3 350 1050

Nursing station 1 200 200

Dr's room 1 100 100

Nurses rest room 1 100 100

Store 1 60 60

Pantry 1 60 60


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Toilet 1 60 60

Waiting area 1 200 200

Total 6500

Add 30% circulation space 1950Total Space 8450

Single Room\ Private

Beds 13 350 4550

Beds deluxe 3 350 1050

Nursing station 1 200 200

Dr's room 1 100 100


Store 1 60 60

Pantry 1 60 60



Toilet 1 60 60


Total 6503

add 30% circulation space 19952

Total Space 8455

ICU

Beds 8 225 1800

Beds - Isolation room 2 250 500


Equipment Room 1 250 250

Stat Lab 1 50 50Doctors Room 1 100 100

Nurses Rest room 1 100 100

Toilet (staff) 1 50 50

Toilets -General 2 50 100

Store 1 60 60

Pantry 1 60 60

Clean Utility Room 1 60 60

Dirty utility Room 1 60 60


Beds For Relatives 10 150 1500Toilets cum Bath 3 75 225


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Total 5565


Total space 7235

NICU

Open Care units 9 125 1125


Equipment store room 1 200 200



Toilets staff 2 50 100

Component milk formula room 1 50 50Feeding room 1 60 60

Nursing room 1 100 100

Toilets - General 3 50 150

Waiting Room 1 250 250

Beds for relatives 9 150 1350

Total 3785


Total space 4921

Obstetric Ward

Beds 10 120 1200




Clean utility 1 60 60

Dirty utility 1 60 60

Pantry 1 60 60Staff toilet 1 50 50

General toilets 2 50 100

Store 1 100 100

Labour rooms 2 300 600


Total 2830


Total space 3679


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Paediatric Ward

Beds 10 120 1200




Clean utility 1 60 60

Dirty utility 1 60 60

Pantry 1 60 60

Store 1 60 60

Toilet- Staff 1 50 50

Toilet- General 2 50 100


Total 2190

Add 30% circulation Space 657Total space 2847

Operation Theatre

OT rooms

General OT Room 2 450 900

Specialty OT Room 1 625 625

Scrub room 2 100 200

Instrument room 2 100 200Wash room/ Dirty utility 2 60 120

Store room 1 200 200

Chief anaesthetist room 1 100 100

Dr's room 1 150 150

OT incharge room 1 60 60

Nurse room 1 60 60

Dumbwaiters 2 20 40

Pantry 1 40 40

Equipment room 1 200 200

Trolley bay 1 150 150

Toilet 2 40 80

Change rooms 3 50 150

Reception 1 60 60

Waiting room 1 100 100

Pre operation room 4 beds 350

Post operation room 6 beds 600

Total 4495


Total Area 5844


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OPD

May I help you desk 1 50 50

Registration/billing 1 200 200

Waiting area-- Reception 1 500 500

Toilets (M&F) 8 25 200Reception and Records room 1 250 250

OPD waiting area 1 400 400

Consultants rooms (Medicine, 5 150 750

Surgery, Gyn obs, Paed & Ortho)

Sub Waiting Areas 5 50 250

Staff toilets 2 50 100

Doctors toilets 1 75 75

Trolley/ Wheelchair bay 1 200 200

Collection room 1 50 50Minor OT 1 300 300

OPD Store 1 75 75

Staff room 1 250 250

Administrators office 1 150 150

Total Area 3800


Total 4940

Other Diagnostic Facilities

ECG Room 1 300 300

EEG Room 1 350 350

2 D echo room 1 500 500

Stress Test Room 1 750 750

Endoscopy Dept

Reception 1 50 50

Waiting 1 200 200

Consultation 1 100 100

Endoscopy room 1 350 350

Total Area 2600

Add 30% circulation Space 780

Total 3380

Physiotherapy Department 1 750 750

add 30% circulation space 225

total 975


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Radiology 1 750 750

MRI 1 750 750

Ultrasound 1 350 350

Ultrasound Room

Change room

Sub Waiting

X ray- General 1 650 650

Radiography room

Control room

Change roomSub waiting

Special X ray 1 900 900

Radiography room

Control room

Change room

Toilet

Barium Preparation

Sub- Waiting

Staff room 1 100 100

Radiologist room 1 100 100


Reception 1 100 100

Technicians room 1 100 100


Records room 1 150 150

Film Store 1 150 150

Reporting room 1 100 100

3850Add 30% circulation space 1155

Total 5005

Laboratory

Reception 1 75 75

Biochemistry 1 300 300

Haematology & clinical pathology 1 200 200

Histopathology 1 200 200

Microbiology 1 200 200


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Serology 1 200 200

Sample collection 1 150 150

Toilet 1 40 40

Toilets (staff) 2 50 100

Waiting 1 100 100

Report dispatch area 1 100 100Staff room 1 100 100

Technicians 1 100 100

1865


Total 2425

Blood Bank


Examination room 1 75 75

Recovery& refreshment room 1 150 150

Bleeding room 1 150 150

Staff room 1 60 60

Blood bank in charge room 1 100 100

Component separation room 1 400 400

Toilet (staff/visitors) 2 40 80

Issue counter 1 50 50

Store room 1 150 1501415


Total 1840

Pharmacy

Store area 1 400 400

Retail area 1 200 200


Total 780

MRD

Process room 1 500 500

Office room 1 100 100

Record cum store room 1 500 500

1100


Total 1430


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CSSD

Receipt area 1 100 100

Wash room 1 200 200Gloves sterilizing room 1 75 75

Change room 1 50 50

CSSD Supervisor room 1 100 100

Clean area for packing 1 100 100

Actual sterilizing room 1 450 450

Sterile store room 1 200 200


Trolley Park 1 150 150

Dumb Waiters 2 20 40

1505


Total 1957

Laundry


Dirty area 1 150 150

Ironing/ wash area 1 400 400

Laundry incharge room 1 150 150

Toilet 1 50 50


Mending room 1 100 100

Delivery/ Distribution 1 100 100

Trolley Park 1 100 100

1350


Total 1918

Kitchen


Dietician room 1 100 100


Utensils area for storage 1 100 100

Dry area 1 150 150

Cold area 1 100 100

Preparation area 1 150 150

Cooking Area 1 350 350

Washing area 1 150 150


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Trolley park 1 150 150

Change area 1 50 50

Toilet 1 40 40

Dining room 1 200 200

Garbage room 1 50 50


Total 2301

Restaurant

Sitting area 1 1500 1500

Preparation 1 500 500

Store 1 200 200

2200


Total 2860

Housekeeping

Office 1 50 50

Store 1 200 200

250


Total 325

Telecommunication

Office 1 50 50

Cable area 1 250 250

300

Add 30% circulation space 90Total 390

Personnel Relation department

Office 1 200 200


Total 260


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Security

Office 1 150 150


Total 195

Mortuary 1 750 750


Total Space 975

Auditorium 1 1500 1500


Total 1950

Prayer room 1 200 200


Total 260

Library 1 300 300


Total 390

Electrical HVAC +Water+ Boiler + 1 3500 3500

Compressor air & Vacuum


Total 4550

Manifold room

Area 1 250 250


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Office 1 50 50

300


Total 390

Administration

MD/CEOs office 1 250 250

MS office 1 200 200

Office (secretary) 2 50 100


Manager administration 1 150 150

Clerical office 1 350 350

Nursing superintendent 1 200 200

Staff for nursing superintendent 1 200 200

Toilets

MD/CEO/MS 1 50 50

Clerical staff 2 40 80

1780


Total 2314

A/C department

Office 1 200 200

Process area 2 200 400

600


Total 780

Stores


Storage area 1 1500 1500

Office 1 250 250

1850


Total 2405


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Records & Storage 1 100 100

Toilets 2 50 100

1000


Total 1300

Parking space

Area for 1 car = 275 sq.ft

Area for parking 150 cars 41250

30 staff, 120 general

Area for I scooter = 75

Area for 75 scooters 5625

25 staff, 50 general

Total 46875


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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. Description Location/

Manufacturer

Measurement

/ Quantity

Unit Rate Amount

(Rs.)in Lac

A EXISTING

1. LAND Village Hierok,

Thoubal District

222640 Sq. Ft 135 300.52

B PROPOSED

1. SITE

DEVELOPMENT

Village Hierok,

Thoubal District

222640 Sq. Ft 25 55.65

2. BUILDING

(Ground +2)

Village Hierok,

Thoubal District

158036 Sq. Ft 400 712.14

3. Nursing Hostel 20000 Sq. Ft 650 80

C. Total B 847.79

D. Total A +C 1148.31


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B. Plant & Machinery

S. No. Description Purchase Type Quantity Unit Rate Amount

(Rs.)in Lac

1. PLANT

MACHINERY*

QUOTATION 1.00 LOT 210 210

2. EQUIPMENTS LOCAL 1.00 LOT 25 25

3. FURNITURE LOCAL 1.00 LOT 10 10

4. Residential

Furniture/ BED

LOCAL 1.00 LOT 15 15

5. Total 1+2+3 260

*Details Attached

Overall Total A. (D) + B. (5) 1408.31

Source of Funds

Financing

A. Equity Contributors Amount (Rs.) in Lac

Management Investment 300.52

Total Equity Financing 21% Rs. 300.52

B. Banks and Lenders

Term loan from Bank 1107.79

Total Debt Financing 79% Rs. 1107.79

Total Financing (Sum A + Sum B) 100% Rs. 1408.31

General Rate Assumptions

Year 2012- 13

1st

2013- 14

2nd

2014- 15

3rd

2015- 16

4th

2016- 17

5th

2017- 18

6th

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

15% 15% 15% 15% 15% 15%

Long Term Interest Rate(Base rate of bank 10% +5.5%)

15.5% 15.5% 15.5% 15.5% 15.5% 15.5%

Income Tax Rate 33.99% 33.99% 33.99% 33.99% 33.99% 33.99%

Service Tax Rate 0% 0% 0% 0% 0% 0%


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Profit and Loss Statements

7.6 Cash Flow Analysis


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7.7 Balance Sheet


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.

7.8 General Assumptions


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7.9 Business Ratios

Expanded Profit and Loss Statements


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Expanded Cash Flow Analysis


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List of Licenses, Registrations and Approvals required

License Agency

Food inspector license (storage of kitchen

items)

Municipal Authority

Storage of spirit Municipal Authority

Storage of acids, alcohols, acetone, X ray films,oxygen cylinders

Municipal Authority

LPG cylinders Central Govt.

Drug license form 12(permission to import) Prohibition and excise dept.

License for spirit Prohibition and excise dept.

License for alcohol Prohibition and excise dept.

Registration Agency

Reg. Under Shops and establishment Act Municipal Authority

FDA for blood bank Central Govt.

FDA for Pharmacy Central Govt.

Reg of vehicles(ambulances) RTO

Approval list of items Agency

Imaging dept (X ray, MRI, CT scan, Gamma

camera, RIA, Mammography)

BARC, Central govt.

Chimney for incinerator Pollution board

Electrical installations PWD, municipal authority

Lifts Municipal Authority


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Fire Fighting Chief fire Officer

Incinerator Pollution Board

Sewage treatment plant 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


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Total Nonoperating Revenue $3,159 $4,440

Excess Revenues over Expenses $10,645 $9,412

OTHER GAINS (LOSSES) DUE TO:

Extraordinary Gains (Losses) 0748

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.

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