1 12
Managed By
CREATIVE GROUP, MANDA, TITWALA

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If Hospital Starts Functioning One Day Earlier, We May Save Atleast One More Life.
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PROJECT REPORT OF
 SHREE MAHAGANAPATI HOSPITAL,
TITWALA

(AN INITIATIVE OF CREATIVE GROUP, MANDA, TITWALA)

PROJECT AT A GLANCE

1. Name of the Company  Creative Group, Manda, Titwala
2. Status  Charitable Society (Exempt under section 80G of Income Tax Act, 1951)
3. Date of incorporation 17th January 2001
4. Registration No. / Date    No. 9123
5. Address of Registered Office   Vijay Smruti, Near Shakuntala Vidyalaya,  Manda, Titwala (West) 421 605
6. Name of Promoters / Directors  Mr. Vikrant Bapat ( President ), Mr.  Shrikant Ingle (Secretary), Mr. Vilas Patil (Treasurer)
7. Phone No, Fax No. & E-mail   Ph. No. 9833819099, Mobile no. 9820872084, E-mail : vikrant_creative@yahoo.com, info@smghtitwala.in,
8. Website URL www.smghtitwala.in
9. Name of the Project  Shree Maha Ganapati Hospital
10. Cost of the Project  ~ Rs.280.28 Lakhs

1. INTRODUCTION

Creative group of Manda, Titwala, is a Trust registered under Public Charitable Trust Act 1950, as a charitable trust. In view of lack of proper medical facilities at Titwala and surrounding villages especially during the night time, a group of people (promoters) started a polyclinic with availability of 8-9 specialist consultants with facility of diagnostics like ECG, Nebuliser, X ray and pathology lab & dental clinic with the objective of providing secondary level care to the public at affordable rates.

The trust is now planning to build a secondary care Hospital, with around 25 beds including Operation theatre, 2 ICU beds and 4 beds in Casualty. This facility could be upgraded further to house around 50 beds in the near future. It is the intention of the promoters to provide medical care to the extent of stabilizing the patient before referring to a tertiary level hospital. It will be the endeavor of the promoters to bring a homely atmosphere with basic primary and limited secondary care facilities. 

The trust has already acquired 7100 sq.ft land approx 1.5 km near the famous Shri Mahaganpati Temple, Titwala. Part of this land is donated by Smt. Dalal, a resident of Dombivali. The Mahaganpati Temple has agreed to donate Rs. 1.05 Crores for this project.Now the Company wishes to construct the building, acquire the necessary assets & equipments for hospital and start functioning. For this purpose funds are to be raised. Hence this project Report soliciting funds for the proposed project.

2. THE OBJECTIVE


A commercially self sustainable low cost Out patient cum inpatient centre including diagnostics serving critical patients, requiring admission, in an area predominantly inhabited by families whose average monthly income is around than Rs 10,000 – 15,000/-


THE LIST OF SERVICES PLANNED TO BE PROVIDED ARE –

        • Consultation
        • Diagnostics
        • Pharmacy
        • Day Care Procedures
        • In- patient activity with OT
        • ICU care
        • Preventive checkup

LIST OF DISCIPLINES PROPOSED –

        • Orthopaedics
        • General Surgery
        • Pediatrics
        • General Medicine
        • ENT
        • Obstetrics & Gynaecology
        • Ophthalmology
        • Imaging / Ultrasound
        • Accident & Emergency
        • Dental
        • Physiotherapy
        • Dermatology
        • Psychiatry
        • Cardiology ( Non-invasive)

3. Board of Directors


The Company has currently the following Board of Directors.

Mr. Vikrant Bapat (President)

Mr. Shrikant Ingle (Secretary)

Mr. Vilas Patil (Treasurer)

Advisors to this Project -

Mr. Pramod H. Lele, CEO, P.D. Hinduja National Hospital

4. IMPORTANT DETAILS:

PROJECT AT GLANCE

S.No.

Description

Cost in Rs. Lacs

1

Land Cost

                17.39

2

Building Cost + Electrical +Plumbing + Fire

              105.00

3

Furniture Cost

                  7.50

4

Lift

                15.00

5

AC Cost

                10.90

6

IT

                  7.05

7

Solar Tx + Bore Well

                  2.82

8

Medical Gases

                  7.00

9

DG set

                  5.00

10

Vehicles

                  5.00

11

Telephones

                  4.98

12

Project Comissioning Cost

                11.52

 

Manpower Cost & Other Costs

 

13

Contingency fund

25.07

14

Medical Capex

56.05

 

Total Project Cost

280.28

 

PROJECTED CASH OUTFLOW DURING PROJECT PHASE

 

 

Year 1

Description

Cost Rs. Lakhs

I st  Qtr

II nd  Qtr

III rd  Qtr

IV th  Qtr

 

 

 

 

 

 

Land  cost

17.39

       17.39

 

 

 

Building Cost + Electrical +Plumbing + Fire

105.00

       21.00

     21.00

     31.50

          31.50

Furniture Cost

                7.50

            -  

          -  

          -  

            7.50

Lift

              15.00

            -  

          -  

       4.50

          10.50

AC Cost

              10.90

            -  

          -  

       3.27

            7.63

IT

                7.05

            -  

          -  

       2.12

            4.94

Solar Tx + Bore Well

                2.82

            -  

          -  

       0.85

            1.98

Medical Gases

                7.00

            -  

          -  

       2.10

            4.90

DG set

                5.00

            -  

          -  

       1.50

            3.50

Vehicles

                5.00

            -  

          -  

       1.50

            3.50

Telephones

                4.98

            -  

          -  

       1.49

            3.48

Project Comissioning Cost

              11.52

            -  

          -  

       3.46

            8.07

Manpower Cost & Other Costs

                   -  

 

 

 

 

Interest Cost

                   -  

 

 

 

 

Contingency fund

              25.07

 

 

 

          25.07

Medical Capex

              56.05

 

 

 

          56.05

Cash Flow

280.28

          38.39

        21.00

        52.28

           168.61

 

SPACE PLANNING



Total land parcel available – 0.163 acres (7172 sq ft)
FSI allowed – 1.0
Total area available for built up – 7172 sq ft
Area currently required for Hospital including that part which is out of FSI Plus 10% OTLA is – 10,870 sq ft
Assuming ground coverage area to be 55% of land i.e.  ~ 4000 Sq ft. Hence, we would need a building of Basement + ground+ 1st floor with space availability for future expansion subject to purchase of additional TDR. The detail space allocation for various areas is as follows-

Space Calculations

Description of Area

Sub Calculation

Total

OPD Area

 

       1,076

Diagnostics

 

       1,020

Cardiac

                    250

 

Radiography

                    770

 

Procedure Rooms

                    150

          150

IPD Area

 

       4,211

Casualty Area

                    600

 

ICU Area

                    469

 

OT Area

                    646

 

Obs & Gynae

                    150

 

CSSD

                    275

 

Wards

                 1,771

 

Toilet Area IPD ( Ladies & gents)

                    300

 

Materials Store inclu Pharmacy

                    300

 

Dining Area + Kitchen

                    500

 

Lab Area

                    200

          200

Support Service Area

                    450

          450

Other Area

                      50

       2,283

Administrative Area

                    282

          282

Overall Circulation Area (20%)

                 1,198

       1,198

TOTAL AREA (sq. ft.)

              10,870

      10,870

Area per Bed Ratio -  453 sq ft / bed

 

Beds Configuration

Category of Accommodation

%

No of Beds

 

 

 

Single Room

10%

2

Twin Sharing

0%

0

General Ward

42%

10

ICU Beds

8%

2

Labor Delivery Room

24%

6

Emergency Care - EICU

16%

4

NICU

0%

0

Paediatric ICU

0%

0

Day Care

0%

0

 # of Beds

100%

24

 

 

 

 Ward Beds

 

12

 Critical Beds

 

6

 Day care

 

0

 Labor Beds

 

6

 # of Beds

 

24

 

Year 

Yr 1

Yr 2

Yr 3

Yr 4

Yr 5

Yr 6

Yr 7

Yr 8

Yr 9

Yr 10

 Assumed Occupancy

40%

50%

55%

60%

60%

65%

70%

75%

80%

80%

Total # of OPD/ yr

9567

12034

14436

17610

20471

25347

29053

31668

33549

34575

Total # of OPD per day

32

40

48

59

68

84

97

106

112

115

 Total # of IPD

724

900

985

1070

1075

1171

1267

1364

1462

1470

 ALOS

4.85

4.87

4.89

4.92

4.89

4.87

4.85

4.82

4.80

4.77

 # of IPD / Day

2

2

3

3

3

3

3

4

4

4

 

Out Patient Consultations Statistics

 # of OPD Patients / day 

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Year 7

Year 8

Year 9

Year 10

 

 

 

 

 

 

 

 

 

 

 

 Medical Specialities

 

 

 

 

 

 

 

 

 

 

 Cardiology

      362

        450

        493

        535

        538

        585

        633

        682

        731

        735

 General Medicine

   1,520

     1,891

     2,069

     2,246

     2,258

     2,458

     2,661

     2,865

     3,071

     3,087

 Paediatrics 

   1,448

     1,801

     1,971

     2,139

     2,150

     2,341

     2,534

     2,728

     2,925

     2,940

 Dermatology

    72.4

      90.0

      98.5

     107.0

     107.5

     117.1

     126.7

     136.4

     146.2

     147.0

 Psychiatry

      900

     1,170

     1,755

     2,633

     3,686

     5,160

     6,192

     6,811

     7,151

     7,509

 Sub Total

  4,302

    5,402

    6,387

    7,660

    8,738

  10,661

  12,146

  13,223

  14,025

  14,417

 

 

 

 

 

 

 

 

 

 

 

 Surgical Specialties

 

 

 

 

 

 

 

 

 

 

 Orthopaedics

      724

        900

        985

     1,070

     1,075

     1,171

     1,267

     1,364

     1,462

     1,470

 Ophthalamology

      362

        450

        493

        535

        538

        585

        633

        682

        731

        735

 ENT

      362

        450

        493

        535

        538

        585

        633

        682

        731

        735

 Obstetrics

      724

        900

        985

     1,070

     1,075

     1,171

     1,267

     1,364

     1,462

     1,470

 Gynaecology

      434

        540

        591

        642

        645

        702

        760

        819

        877

        882

 Dental

   1,500

     1,950

     2,925

     4,388

     6,143

     8,600

   10,319

   11,351

   11,919

   12,515

 General Surgery

   1,158

     1,441

     1,577

     1,712

     1,720

     1,873

     2,027

     2,183

     2,340

     2,352

 

 

 

 

 

 

 

 

 

 

 

 Sub Total

  5,264

    6,632

    8,049

    9,950

  11,733

  14,686

  16,907

  18,445

  19,524

  20,158

 

 

 

 

 

 

 

 

 

 

 

 Grand Total 

  9,567

  12,034

  14,436

  17,610

  20,471

  25,347

  29,053

  31,668

  33,549

  34,575

 Total OPD / Day

          32

             40

             48

             59

             68

             84

             97

           106

           112

           115

 

IPD Statistics for the Project

 # of IPD Patients

 Medical Specialities

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Year 7

Year 8

Year 9

Year 10

 Cardiology

          36

          45

          49

          53

          54

          59

          63

          68

          73

          73

 General Medicine

        152

        189

        207

        225

        226

        246

        266

        286

        307

        309

 Paediatrics 

        145

        180

        197

        214

        215

        234

        253

        273

        292

        294

 Dermatology

            7

            9

          10

          11

          11

          12

          13

          14

          15

          15

 Psychiatry

            7

            9

          10

          11

          11

          12

          13

          14

          15

          15

 Total

       347

       432

       473

       513

       516

       562

       608

       655

       702

       706

 

 

 

 

 

 

 

 

 

 

 

 Surgical Specialties

 

 

 

 

 

 

 

 

 

 

 Orthopaedics

          72

          90

          99

        107

        108

        117

        127

        136

        146

        147

 Ophthalamology

          36

          45

          49

          53

          54

          59

          63

          68

          73

          73

 ENT

          36

          45

          49

          53

          54

          59

          63

          68

          73

          73

 Obstetrics

          72

          90

          99

        107

        108

        117

        127

        136

        146

        147

 Gynaecology

          43

          54

          59

          64

          65

          70

          76

          82

          88

          88

 General Surgery

        116

        144

        158

        171

        172

        187

        203

        218

        234

        235

 Total

       376

       468

       512

       556

       559

       609

       659

       709

       760

       764

 

 

 

 

 

 

 

 

 

 

 

 # of IPD Patients

       724

       900

       985

    1,070

    1,075

    1,171

    1,267

    1,364

    1,462

    1,470

 

 

 

 

 

 

 

 

 

 

 

 # of Admissions / Day

           2

           2

           3

           3

           3

           3

           3

           4

           4

           4

Balance Sheet

ASSETS

Yr 1

Yr 2

Yr 3

Yr 4

Yr 5

Yr 6

Yr 7

Yr 8

Yr 9

Yr 10

 

All figures in Rs. Lakhs

Fixed Assets

 

 

 

 

 

 

 

 

 

 

Gross Block

 256

 258

  262

  267

  273

  279

    288

    298

    309

    320

Accumulated depreciation

   42

   76

  103

  126

  147

  165

    182

    198

    214

    229

Net fixed assets

 213

 182

  159

  141

  126

  114

    107

    100

      95

      90

Total fixed assets / NET BLOCK

 213

 182

  159

  141

  126

  114

    107

    100

      95

      90

 

 

 

 

 

 

 

 

 

 

 

Current Assets

 

 

 

 

 

 

 

 

 

 

Inventories

   14

   19

    23

    29

    36

    48

      65

      89

    127

    182

Accounts receivable

     4

     6

      7

      9

    11

    14

      19

      27

      38

      55

SB A/c

   -  

   -  

    -  

    25

    25

  100

    100

    100

    200

    200

Fixed Deposits

   -  

   -  

    -  

    -  

    50

    80

    280

    600

 1,000

 1,800

Cash

     6

     4

    10

    13

    19

    37

      50

      87

    178

    313

Total current assets

   25

   29

    40

    76

  141

  279

    514

    902

 1,543

 2,549

 

 

 

 

 

 

 

 

 

 

 

Total assets

 238

 211

  199

  217

  267

  394

    621

 1,002

 1,638

 2,639

 

 

 

 

 

 

 

 

 

 

 

LIABILITIES & SHAREHOLDER'S EQUITY

 

 

 

 

 

 

 

 

 

 

Current Liabilities

 

 

 

 

 

 

 

 

 

 

Payable  to creditors

   14

   19

    23

    29

    36

    48

      65

      89

    127

    182

Total current liabilities

   14

   19

    23

    29

    36

    48

      65

      89

    127

    182

 

 

 

 

 

 

 

 

 

 

 

Loan Liabilities

 

 

 

 

 

 

 

 

 

 

Long Term Loan

   -  

   -  

    -  

    -  

    -  

    -  

      -  

      -  

      -  

      -  

Short Term Loan

   -  

   -  

    -  

    -  

    -  

    -  

      -  

      -  

      -  

      -  

Total Liabilities

   -  

   -  

    -  

    -  

    -  

    -  

      -  

      -  

      -  

      -  

 

 

 

 

 

 

 

 

 

 

 

Shareholder's equity

 

 

 

 

 

 

 

 

 

 

Equity Capital / Share Capital

 280

 280

  280

  280

  280

  280

    280

    280

    280

    280

Reserves & surplus

   -  

  (56)

   (88)

 (105)

   (93)

   (49)

      65

    276

    633

 1,231

Net Worth

 280

 224

  192

  175

  187

  231

    345

    556

    913

 1,511

 

 

 

 

 

 

 

 

 

 

 

Total liabilities

 238

 211

  199

  217

  267

  394

    621

 1,002

 1,638

 2,639

P&L Statement

Profit & Loss Account

 Yr 1

 Yr 2

 Yr 3

 Yr 4

 Yr 5

 Yr 6

 Yr 7

 Yr 8

 Yr 9

 Yr 10

 Income from operations

 

 

 

 

 

 

 

 

 

 

 OPD

          7.8

       10.1

       12.6

       16.0

       19.4

       24.9

       29.6

        33.3

        36.5

          38.9

 IPD

        77.1

     100.8

     121.7

     153.0

     186.8

     259.3

     375.9

      569.1

       900.7

     1,403.2

 Pharmacy

            -  

          -  

          -  

          -  

          -  

          -  

          -  

           -  

            -   

             -  

 OPD

        12.4

       16.4

       20.5

       26.0

       31.4

       40.6

       48.7

        55.7

        62.0

          67.0

 IPD

        21.4

       27.9

       33.7

       42.4

       51.8

       71.9

     104.3

      158.1

       250.3

        390.3

 Diagnostics

        51.0

       67.3

       84.3

     107.2

     129.9

     167.9

     201.6

      230.6

       256.6

        277.4

 Other Services

            -  

          -  

          -  

          -  

          -  

          -  

          -  

           -  

            -  

             -  

 PHC

          6.6

        8.8

       11.1

       14.2

       17.3

       22.5

       27.1

        31.0

        34.4

          37.3

 

 

 

 

 

 

 

 

 

 

 

 Total income

      176.3

    231.2

    283.8

    358.7

    436.5

    587.1

    787.1

  1,077.7

  1,540.5

    2,214.1

 

 

 

 

 

 

 

 

 

 

 

 Expenditure

 

 

 

 

 

 

 

 

 

 

 Doctor's fees - Variable Fees

        21.9

       28.6

       34.9

       44.0

       53.6

       72.8

     100.2

      142.4

       212.0

        315.6

 Employee Cost

        99.9

     119.7

     142.7

     165.3

     185.6

     210.4

     239.0

      267.0

       291.0

        321.2

 Consumables

        15.8

       20.6

       24.9

       31.2

       38.2

       53.0

       76.9

      116.5

       184.5

        287.7

 Pharmacy

        17.1

       22.4

       27.0

       33.9

       41.4

       57.5

       83.4

      126.4

       200.3

        312.2

 Electricity

          3.4

        3.6

        3.7

        3.9

        4.1

        4.3

        4.5

          4.8

          5.0

            5.2

 Generator Cost

          0.4

        0.6

        0.7

        0.9

        1.1

        1.5

        2.0

          2.7

          3.9

            5.5

 Repair & Maintenance costs

            -  

          -  

          -  

          -  

          -  

          -  

          -  

           -   

            -  

             -  

 Building

        12.6

       13.2

       13.9

       14.6

       15.3

       16.1

       16.9

        17.7

        18.6

          19.5

 Medical Equipment

            -  

          -  

        2.6

        5.3

        8.2

       13.9

       14.4

        14.9

        15.4

          16.0

 Furniture

          0.8

        0.8

        0.8

        0.9

        0.9

        1.0

        1.0

          1.1

          1.1

            1.2

 Lift

          0.8

        0.8

        0.8

        0.9

        0.9

        1.0

        1.0

          1.1

          1.1

            1.2

 AC

          0.3

        0.3

        0.3

        0.3

        0.4

        0.4

        0.4

          0.4

          0.4

            0.4

 IT

          0.7

        0.7

        0.8

        0.8

        0.9

        0.9

        0.9

          1.0

          1.0

            1.1

 Others

          1.6

        1.7

        1.8

        1.9

        2.0

        2.1

        2.2

          2.3

          2.4

            2.5

 Medical Gases

          3.8

        3.9

        4.1

        4.3

        4.6

        4.8

        5.0

          5.3

          5.5

            5.8

 Insurance Cost

          2.6

        2.7

        2.8

        3.0

        3.1

        3.3

        3.4

          3.6

          3.8

            4.0

 S&M costs

          3.5

        3.5

        2.8

        1.8

        2.2

        1.8

        2.4

          3.2

          3.9

            5.5

 Housekeeping & F&B

          1.8

        2.3

        2.8

        3.6

        4.4

        5.9

        7.9

        10.8

        15.4

          22.1

 General Administration Cost

          3.5

        4.6

        5.7

        7.2

        8.7

       11.7

       15.7

        21.6

        30.8

          44.3

 Bad Debts

            -  

          -  

          -  

          -  

          -  

          -  

          -  

           -  

            -  

             -  

 Lease rental

            -  

          -  

          -  

          -  

          -  

          -  

          -  

           -  

            -  

             -  

 Outsourcing cost

 

 

 

 

 

 

 

 

 

 

 Total Opex

      190.3

    230.0

    273.2

    323.7

    375.4

    462.2

    577.3

     742.7

      996.2

    1,371.2

 

 

 

 

 

 

 

 

 

 

 

 SB A/c

            -  

          -  

          -  

        0.4

        0.9

        2.2

        3.5

          3.5

          5.3

            7.0

 Fixed Deposits

            -  

          -  

          -  

          -  

        2.0

        5.2

       14.4

        35.2

        64.0

        112.0

 

 

 

 

 

 

 

 

 

 

 

 EBITDA

       (14.0)

        1.3

       10.6

       35.4

       64.0

     132.3

     227.7

      373.7

       613.6

        961.9

 

 

 

 

 

 

 

 

 

 

 

 EBITDA Margins

-8%

1%

4%

10%

15%

23%

29%

35%

40%

43%

 

 

 

 

 

 

 

 

 

 

 

 Depreciation

        42.5

       33.1

       27.2

       23.3

       20.4

       18.1

       17.1

        16.3

        15.8

          15.4

 

 

 

 

 

 

 

 

 

 

 

 EBIT

       (56.5)

     (31.9)

     (16.7)

       12.1

       43.6

     114.2

     210.6

      357.4

       597.8

        946.5

 

 

 

 

 

 

 

 

 

 

 

 Loan Charges

 

 

 

 

 

 

 

 

 

 

 Working Capital Loan Charges

            -  

          -  

          -  

          -  

          -  

          -  

          -  

           -  

            -  

             -  

 Financial Charges

            -  

          -  

          -  

          -  

          -  

          -  

          -  

           -  

            -  

             -  

 

 

 

 

 

 

 

 

 

 

 

 PBT

       (56.5)

     (31.9)

     (16.7)

       12.1

       43.6

     114.2

     210.6

      357.4

       597.8

        946.5

 Accumulated Loses

       (56.5)

     (88.4)

   (105.0)

     (92.9)

     (49.3)

       65.0

     275.6

      633.0

    1,230.7

     2,177.2

 Tax Paid 

            -  

          -  

          -  

          -  

          -  

          -  

          -  

           -  

            -  

             -  

 Net Profit

      (56.5)

    (31.9)

    (16.7)

      12.1

      43.6

    114.2

    210.6

     357.4

      597.8

       946.5

 

 

 

 

Revenue /bed/day

       5,032

     5,279

     5,890

     6,825

     8,305

   10,312

   12,836

     16,404

     21,982

      31,594

 

Assumptions –

# of days in a year

365

Working days p.m.

26

Inflation

Consultancy

5%

Pharmacy

5%

Diagnostics

5%

IPD & departments

5%

Cost Inflation

Salary Inflation

5%

General Inflation

5%

Financial Assumptions

Minimum Cash balance

 

Days of inventory

30

Days of creditors

30

Days of debtors / Accounts Receivables

45

ST interest rate

8%

Steady state growth rate

2%

Hurdle rate / WACC

11%

D/E ratio

0

Cost of Debt

11%

Cost of Equity

15%

% credit sales

20%

Tax rate as applicable to charitable trusts

0%

Saving bank Interest  rate

3.5%

Fixed Deposit interest rate

8%

Depreciation rates

Land

 NIl

Building

10%

Hospital equipment

25%

Specializations

25%

Departments

25%

Diagnostics

25%

Furnitures & Fixtures

15%

IT

60%

Electrical & mechanical capex

 

Lifts

20%

Generators

20%

AC

20%

Central supply

20%

Others

20%

 

^Up