A hospital as a health care organization has been defined in varied terms as an institution involved in preventive, curative/ameliorative, palliative or rehabilitative services. However, the definition given by WHO is quite exhaustive and exclusive, in which it is defined as, ‘an integral part of the medical and social organization which is to provide for the population complete health care, both curative and preventive; and whose out patient services reach out into the family in its home environment. The hospital is also a centre for the training of health workers and for bio-social research’.

Hospitals, these days, also provide bio-social research; teaching and training faciliyies for all members of the hospital, and a health team which includes not only doctors and nurses, but also para-professionals, paramedicals, pharmacists, etc. operationally, a hospital could be viewed as consisting of service facilities for out-patient, in-patient, general wards, emergency, special wards, Intensive Care Units, operation theatre, delivery suite; and support services, such as, pharmacy, radiology and imaging, CSSD, blood bank, laboratory, etc.

 

Few Indian Major Players are as under

·         Adani Hospitals Mundra Pvt. Ltd.

·         Alliance Medicorp (India) Ltd.

·         Alps Hospital Ltd.

·         Amri Hospitals Ltd.

·         Apollo Health & Lifestyle Ltd.

·         Apollo Hospitals Enterprise Ltd.

·         Apollo Hospitals Intl. Ltd.

·         Asian Heart Institute & Research Centre Pvt. Ltd.

·         Ayurvedagram Heritage Wellness Center Pvt. Ltd.

·         Billroth Hospitals Ltd.

·         Brahmaputra Hospitals Ltd.

·         Breach Candy Hospital Trust

·         Central Travancore Specialists Hospital Ltd.

·         Chandak Hospital & Research Insititute Ltd.

·         Chennai Meenakshi Multispeciality Hospital Ltd.

·         Crystal Hospitals Ltd.

·         Deccan Hospitals Corpn. Ltd.

·         Dr. Agarwal'S Eye Hospital Ltd.

·         Emed.Com Technologies Ltd.

·         Escorts Heart & Superspeciality Institute Ltd.

·         Escorts Hospital & Research Centre Ltd.

·         Fortis Health Mgmt. Ltd.

·         Fortis Hospital Mgmt. Ltd.

·         Galaxy Care Laparoscopy Institute Pvt. Ltd.

·         Ganga Care Hospital Ltd.

·         Gokuldas Hospitals Ltd.

·         Goodwill Hospital & Research Centre Ltd.

·         Gowri Gopal Hospitals Pvt. Ltd.

·         Harvey Health Care Ltd.

·         Hinduja Healthcare Ltd.

·         Imperial Hospital & Research Centre Ltd.

·         Indiaco Health Care Pvt. Ltd.

·         Indraprastha Medical Corpn. Ltd.

·         International Hospital Ltd.

·         Jaya Diagnostic & Research Centre Ltd.

·         Jubilant First Trust Healthcare Ltd.

·         K M C Speciality Hospitals (India) Ltd.

·         Keshlata Cancer Hospital Ltd.

·         Ketki Research Institute Of Medical Sciences Ltd.

·         Kovai Medical Center & Hospital Ltd.

·         Lakeshore Hospital & Research Centre Ltd.

·         Lotus Eye Hospital & Institute Ltd.

·         Mahalaxmi Hospital Ltd.

·         Rama Medicares Ltd.

·         Superior Medicare Ltd.

·         Visakha Hospitals & Diagnostics Ltd.

·         Westfort Hi-Tech Hospital Ltd.

·         Win Health Care Pvt. Ltd.

·         Wockhardt Hospitals Ltd.

·         Zubeda Hospitals Ltd.

 

Table of Contents

 

 

1.       District Profile & Geotechnical Site Characterization

1.1.    General

1.2.    Geography

1.3.    Map

1.4.    Demographics

1.5.    Economy

1.6.    Transport

2.       Introduction

3.       Planning the Hospital

4.       Guiding Principles in Planning Hospital Facilities and Services

4.1.    High Quality Patient Care

4.2.    Preliminary Survey

4.3.    Financial Planning

4.4.    Equipment Planning

4.5.    Permanent Hospital Organization

5.       Functional Plans for Hospital Construction

6.       Planning the Hospital Building

6.1.    General Features

7.       Laboratory Planning

7.1.    Design of Laboratory Space

7.2.    Space Allocation

7.3.    Scope of Services

7.4.    Laboratory Structural Design

7.5.    Modular Laboratory Design

8.       Hospital Services

8.1.    General Facilities

9.       Market Survey

9.1.    Medical Instruments and Accessories

9.2.    Medical Electronic Equipment

9.3.    EEG and ECG Machines

9.4.    Pace Makers and Hearing Aids

9.5.    Disposable Blood Bags and Syringes

9.6.    Cannulae and IV Fluid Sets

9.7.    X-ray Equipment and Scanners

10.   Overview of Indian Healthcare Industry in India

10.1.Structure & Segmentation of Hospital Industry

10.2.Speciality, Multi-Speciality & Super Speciality Hospital

10.3.Classification of Hospital Based on Ownership

10.4.Classification Based on System of Medicine

11.   Emerging Healthcare Industry

11.1.Growing Healthcare Demand

11.2.Emerging Trends in Indian Healthcare Sector

12.   Healthcare

12.1.Performance of healthcare industry

12.2.Positives for the Industry

12.3.Companies Financial Data in Industry

13.   Financials & Comparison of Major indian Players/Companies

13.1.About Financial Statements of CMIE Database

13.2.Profits & Appropriations

13.3.Total Liabilities

13.4.Total Assets

13.5.Net Cash Flow from Operating Activities

13.6.Section – I

13.6.1.    Name of Company with Contact Details

13.6.2.    Name of Director(S)

13.6.3.    Plant Capacity

13.6.4.    Name of Raw Material(S) Consumed with Quantity & Cost

13.7.Section – II

13.7.1.    Assets

13.7.2.    Cash Flow

13.7.3.    Cost as % Ge of Sales

13.7.4.    Forex Transaction

13.7.5.    Growth in Assets & Liabilities

13.7.6.    Growth in Income & Expenditure

13.7.7.    Income & Expenditure

13.7.8.    Liabilities

13.7.9.    Liquidity Ratios

13.7.10.       Profitability Ratio

13.7.11.       Profits

13.7.12.       Return Ratios

13.7.13.       Structure of Assets & Liabilities (%)

13.7.14.       Working Capital & Turnover Ratios

14.   B.I.S. Specification

15.   Infrastructure of the Proposed Hospital

15.1.Teaching Facilities

16.   Building Construction & Furnishing of the Hospital

16.1.General Health Amenities

16.2.Drug Situations

17.   Major Departments of the Hospital

17.1.Service Offerings

18.   Brief Description of Some Departments

18.1.Department of Laboratory Services

18.2.Intensive Care Unit (ICU)

18.3.Major Operation Theater

19.   Waste Management and Ecohealth

19.1.Radioactive Waste

19.2.Sewage Treatment

19.3.Biological Analysis of Water

19.4.Ecohealth

19.5.Green Productivity

20.   Brief Description of Some Common Hospital Equipments

21.   Modern Medical Equipment

21.1.Computer Topography

21.2.Hospital Assets

21.3.Utilities & Overheads

22.   Hospital Management Issues

22.1.Management & Commercial Plans

23.   Steps Involved in Setting up a Hospital

24.   Brief Description of Major Machinery

25.   Advertising, Marketing & Promotional Planning

26.   Hospital Accreditation

27.   Tentative Project Implementation Plan

28.   Suppliers of Medical Equipments

29.   Suppliers of Raw Material

30.   Suppliers of Hospital Equipments

31.   Suppliers of Hospital Furniture

32.   Suppliers of Hospital Laboratory Equipments

33.   Hospital Equipments & Facilities Photographs

34.   Plant Layout

 

PROJECT FINANCIALS

·         Project at a Glance

Annexure

·         Assumptions for Profitability workings ….…………………………………………....................... 1

·         Plant Economics…………………………………………………………………………….................... 2

·         Production Schedule……………………………………………………………………….................... 3

·         Land & Building…………………………………………………………………………….................... 4

§  Factory Land & Building

§  Site Development Expenses

·         Plant & Machinery………………………………………………………………………….................... 5

§  Indigenous Machineries

§  Other Machineries (Miscellaneous, Laboratory etc.)

·         Other Fixed Assets………………………………………………………………………….................... 6

§  Furniture & Fixtures

§  Pre-operative and Preliminary Expenses

§  Technical Knowhow

§  Provision of Contingencies

·         Working Capital Requirement Per Month………………………………………………................. 7

§  Raw Material

§  Packing Material

§  Lab & ETP Chemical Cost

§  Consumable Store

·         Overheads Required Per Month and Per Annum ……………………………………................. .8

§  Utilities & Overheads (Power, Water and Fuel Expenses etc.)

§  Royalty and Other Charges

§  Selling and Distribution Expenses

·         Salary and Wages ……………………………………………………………………………................. 9

·         Turnover Per Annum ………………………………………………………………………................ 10

·         Share Capital…………………………………………………………………………………................ 11

§  Equity Capital

§  Preference Share Capital

 

•        Annexure 1            ::        Cost of Project and Means of Finance

•        Annexure 2            ::        Profitability and Net Cash Accruals

§  Revenue/Income/Realisation

§  Expenses/Cost of Products/Services/Items

§  Gross Profit

§  Financial Charges    

§  Total Cost of Sales

§  Net Profit After Taxes

§  Net Cash Accruals

 

•        Annexure 3            ::        Assessment of Working Capital requirements

§  Current Assets

§  Gross Working Capital

§  Current Liabilities

§  Net Working Capital

§  Working Note for Calculation of Work-in-process

 

•        Annexure 4            ::        Sources and Disposition of Funds

•        Annexure 5            ::        Projected Balance Sheets

§  ROI (Average of Fixed Assets)

§  RONW (Average of Share Capital)

§  ROI (Average of Total Assets)

 

•        Annexure 6            ::        Profitability ratios

§  D.S.C.R

§  Earnings Per Share (EPS)

§  Debt Equity Ratio

 

•        Annexure 7            ::        Break-Even Analysis

§  Variable Cost & Expenses

§  Semi-Variable/Semi-Fixed Expenses

§  Profit Volume Ratio (PVR)

§  Fixed Expenses / Cost 

§  B.E.P

 

•        Annexure 8 to 11   ::        Sensitivity Analysis-Price/Volume

§  Resultant N.P.B.T

§  Resultant D.S.C.R

§  Resultant PV Ratio

§  Resultant DER

§  Resultant ROI

§  Resultant BEP

 

•        Annexure 12          ::        Shareholding Pattern and Stake Status

§  Equity Capital

§  Preference Share Capital

 

•        Annexure 13          ::        Quantitative Details-Output/Sales/Stocks

§  Determined Capacity P.A of Products/Services

§  Achievable Efficiency/Yield % of Products/Services/Items 

§  Net Usable Load/Capacity of Products/Services/Items   

§  Expected Sales/ Revenue/ Income of Products/ Services/ Items   

 

•        Annexure 14          ::        Product wise domestic Sales Realisation

•        Annexure 15          ::        Total Raw Material Cost

•        Annexure 16          ::        Raw Material Cost per unit

•        Annexure 17          ::        Total Lab & ETP Chemical Cost

•        Annexure 18          ::        Consumables, Store etc.

•        Annexure 19          ::        Packing Material Cost

•        Annexure 20          ::        Packing Material Cost Per Unit

•        Annexure 21          ::        Employees Expenses

•        Annexure 22          ::        Fuel Expenses

•        Annexure 23          ::        Power/Electricity Expenses

•        Annexure 24          ::        Royalty & Other Charges

•        Annexure 25          ::        Repairs & Maintenance Expenses

•        Annexure 26          ::        Other Manufacturing Expenses

•        Annexure 27          ::        Administration Expenses

•        Annexure 28          ::        Selling Expenses

•        Annexure 29          ::        Depreciation Charges – as per Books (Total)

•        Annexure 30          ::        Depreciation Charges – as per Books (P & M)

•        Annexure 31          ::        Depreciation Charges - as per IT Act WDV (Total)

•        Annexure 32          ::        Depreciation Charges - as per IT Act WDV (P & M)

•        Annexure 33          ::        Interest and Repayment - Term Loans

•        Annexure 34          ::        Tax on Profits

•        Annexure 35          ::        Projected Pay-Back Period And IRR