CNG HA X HI CH NGHA VIT NAM

c lp - T do - Hnh phc
Khnh Ha, ngy... thng...nm 2017

BIN BN KIM TRA TNH HNH TI SN BO M TIN VAY

Tn d n: Bnh vin a khoa Tm Tr Nha Trang
Ch u t: Cng ty TNHH Bnh vin a khoa Tm Tr Nha Trang
Ngun gc:
X Ti sn hnh thnh sau u t
Ti sn khc ca bn vay

Ti sn ca bn th ba

BN NHN TH CHP: QU U T PHT TRIN KHNH HA

ng (B): Phm Th t Hnh Chc v: Trng phng Tn dng
ng (B): Bi L Mai Chc v: Chuyn vin Tn dng
BN TH CHP: CNG TY TNHH BNH VIN A KHOA TM TR NHA
TRANG
ng (B): L Vit Tn Chc v: Gim c
ng (B): Trn Mai Anh Chc v: Ph trch k ton
Hm nay, ngy thng 04 nm 2017, i din cc bn tin hnh kim tra ti sn bo m
tin vay:
I. TI SN M BO TIN VAY :
Tn ti sn: Bnh vin a khoa Tm Tr Nha Trang
Hp ng th chp s: 01/2014/HTC ngy 29/04/2014
Ph lc Hp ng th chp s: 01/2014/HTC-PL ngy 31/12/2015
Tng gi tr ti sn bo m tin vay: 210.478.393.595 ng
S tin c bo m: 66.000 triu ng quy nh ti HTD s 01/2014/HTD
II. NI DUNG KIM TRA:
* Trng hp ti sn bo m tin vay l cng trnh xy dng gn lin vi quyn s

dng t
1. Ch s hu quyn s dng t: Cng ty TNHH Bnh vin a khoa Tm Tr Nha Trang
 X Khng thay i Thay i
2. Hnh thc tr tin thu t: Tr 1 ln cho ton thi gian thu
3. Thi gian thu t: n 31/5/2052
4. c im ti sn:
- Hin trng t:

a ch (tha t s, t bn ): Tha t s: 285, t bn s 59

X Khng thay i Thay i
Loi t: ................................................................................................. ...
X Khng thay i Thay i
Din tch: 5700 m2
Khng thay i Thay i
Mc ch s dng: t xy dng c s y t
X Khng thay i Thay i
- Hin trng ti sn trn t: theo Giy php xy dng s 82/GPXD ngy 27/8/2012 do S

Xy dng cp
+ Cng trnh 01 (Khi A): Khm iu tr - Phu thut Ni tr: 100 ging
Chiu cao xy dng cng trnh: 44,9m. S tng: 12 tng
Ct nn xy dng cng trnh: +0.1m
Din tch xy dng tng 1: 1.381 m2
Tng din tch sn: 16.325 m2
+ Cng trnh 02 (Khi C): Nh vnh bit K thut in X l nc thi
Chiu cao xy dng cng trnh: 5m. S tng: 01 tng
Ct nn xy dng cng trnh: +0.1m
Din tch xy dng tng 1: 213 m2
Tng din tch sn: 213 m2
+ Cng trnh 03 (Khi D): Nh oxy My bm
Chiu cao xy dng cng trnh: 4,7m. S tng: 01 tng
Ct nn xy dng cng trnh: +0.1m
Din tch xy dng tng 1: 67 m2
Tng din tch sn: 67 m2
 + Cng trnh 04: Nh bo v
Chiu cao xy dng cng trnh: 4m. S tng: 01 tng
Ct nn xy dng cng trnh: +0.1m
Din tch xy dng tng 1: 16 m2
Tng din tch sn: 16 m2
Khng thay i Thay i
Nhng thay i (nu c):................................................................................... ..
5. Gi tr ti sn th chp hin ti (theo s sch ca n v n 31/12/2016):
Gi tr ti
Gi tr ti sn
sn bo m
S bo m theo
STT Hng mc n
lng quyt ton
31/12/2016
(ng)
(ng)
I Nh ca, vt kin trc 100.590.458.873 90.408.477.421

1 Bng mica, ipp, hp n cp cu 1 70.039.970 40.022.842

Nh xe kch thc di 25m6 rng 206.584.166
2 1 252.960.211
20m6
3 Phng x-quang rng hm mt 1 139.865.670 119.870.053

4 Khi ta nh bnh vin giai on 1 1 100.127.593.022 90.042.000.360

II Ti sn c nh khc 45.992.758.222 32.097.805.244
1 Bng hiu bn ngoi bnh vin 105.600.000 60.342.856

2 H thng c in bnh vin 44.087.158.222 31.008.890.954

3 H thng x l nc thi bnh vin 1.800.000.000 1.028.571.434

6. Gim/tng gi tr (nu c) so vi thi im k kt HB:.

L do: khu hao ti sn hng nm
7. Tnh hnh mua bo him ti sn bo m tin vay:
X C Khng
Hp ng bo him s: PFM/934295
Cng ty bo him: Cng ty Bo Minh Khnh Ha
Gi tr Hp ng bo him: 210.842.073.595 VN
 Ngi th hng tin bo him: Cng ty TNHH Bnh Vin a Khoa Tm Tr Nha Trang
Thi hn hiu lc ca hp ng bo him: 25/08/2016 25/08/2017
8. Cc ni dung khc:
* Trng hp cc ti sn khc:
1. Ch s hu: Cng ty TNHH Bnh vin a khoa Tm Tr Nha Trang
X Khng thay i Thay i
2. S ng k quyn s hu, quyn s dung (nu c):.
Khng thay i Thay i
3. c im ti sn:
Tnh
S ln
Chng trng Gi tr ti sn
bo tr/ Mua
loi/ S vn bo m n
STT Hng mc Model Sa cha bo
Nhn lng hnh/ 31/12/2017
ln trong him
hiu Cng (ng)
nm
sut
My mc,
I
thit b
CT 80- lt ct
1 TOSHIBA 1
TSX-303A

H thng X
Quang k
2 1
thut s vi
chp nh nh
H thng X
3 Quang 1
TOSHIBA
H thng X
Quang chp
4 1
nh nh
TOSHIBA
My siu m
mu
5 TOSHIBA 1
(Dng cho sn
ph khoa)
My siu m
mu
6 TOSHIBA 1
(Dng cho
gng sc)
 My siu m
mu
TOSHIBA
7 1
(Dng cho
siu m tng
qut);
My o thnh
8 1
lc
Gh khm
9 1
TMH
My chp ton
10 1
hm rng
My X quang
11 1
nha
Gh nha +
12 My co vi 1
rng siu m
My o long
13 1
xng
Ni hp tit
14 trng loi 50 1
70 lt
T lnh tr
15 1
mu 250l
16 Thm thu k 1
My lm sch
17 dng c bng 1
sng siu m
B dng c
i phu 59
18 2
khon, 137
dng c
B dng c
phu thut sn
19 khoa 62 2
khon, 118
dng c
My ct t
cao tn radio
20 1
dng cho tiu
phu
My o khc
x t ng
RM-800 v
21 my sinh hin 1
vi khm mt
k thut s SL
- D2
 My o chc
22 1
nng h hp
My soi c t
cung k thut
23 s, phn mm 1
Ting Vit,
PC
My t lnh
24 2
CO2
My sy kh
25 250 C loi 1
30-35kg
T ht hi kh
26 1
c
Ni hp tit
27 trng p lc 1
cao t ng
My git vt
28 1
cng nghip
My in tim
29 5
3 cn
My theo di
30 1
tim thai i
My theo di
31 1
tim thai n
Lng p s
32 2
sinh
Ging si
33 2
m tr s sinh
My gy m
34 2
km gip th
My th cho
35 ngi ln tr 3
em
My th tr
36 1
em s sinh
My gip th
37 1
di ng
Bm truyn
38 10
dch
My ct t
39 2
cao tng
Monitor theo
di trong
40 2
phng m 6
thng s (IBP)
 Monitor theo
di bnh nhn
41 1
6 thng s
(IBP)
Monitoring 5
42 8
thng s
H thng xt
43 nghim sinh 1
ha
H thng xt
nghim min
44 1
dch hon ton
t ng
My phn tch
45 nc tiu t 1
ng
My phn tch
huyt hc t
46 ng 26 thng 1
s, 5 thnh
phn bch cu
My ng
47 mu t ng 1
hon ton
My thu nhn
48 kt qu in 1
tim 24h
My sc tim
49 1
hai pha
Phn mm
50 phn tch kt 1
qu in tim
Bn m iu
51 khin thy lc 2
in
n m treo
52 2
trn hai nhnh
My li tm
53 1
ng mu
Bn khm ph
54 2
khoa
H thng phu
thut ni soi
55 bng & ni soi 1
TMH ng
cng
 H thng ni
soi d dy -i
trng vi
56 1
ngun sng
XENON
300W
B lu in
57 ups greenpoint 1
3kva
B lu in
58 ups green 4
point 6kva
B lu in
59 ups greenpoint 1
2kva
B lu in
60 ups safe power 1
hf 30kva
B n p 3p
61 380vac, 50hz, 1
150kva
B chuyn i
in p 3p
62 200vac- 1
400vac-
200vac, 50hz
Tng la
63 checkpoint 1
1180
T in thang
64 1
my
Phng tin
II vn ti, thit
b truyn dn
Xe 7 ch ngi
1 Toyota Innova 1
G
Xe cp cu
2 Huyndai 1
Starex
3 Thang my 6
4 Ti d 1
5 Ti sch 1
Thit b qun
III
l
My ch
Server IBM
1 1
x3650M3
7945
 My ch
Server IBM
2 1
x3250M4
2583 C2A
My ch
Server IBM
3 x3250M4 1
Xeon 4C E3
1230 v2
My ch
Server IBM
4 x3250M4 1
Xeon 4C E3
1230 v2
TNG
CNG

4. Tnh hnh mua bo him ti sn bo m tin vay:

X C Khng
Hp ng bo him s: PFM/934295
Cng ty bo him: Cng ty Bo Minh Khnh Ha
Gi tr Hp ng bo him: 210.842.073.595 VN
Ngi th hng tin bo him: Cng ty TNHH Bnh Vin a Khoa Tm Tr Nha Trang
5. Cc ni dung khc:..
III. KIN NGH V KT LUN:
Bn nhn th chp:
Bn th chp: ................................................................................................ .
Kt lun: ....................................................................................................... .
Bui kim tra kt thc lc .ngy.
Cc bn thng nht vi nhng ni dung nu trn. Bin bn c lp thnh 02 bn, mi bn
gi mt bn c gi tr nh nhau.
I DIN BN TH CHP I DIN BN NHN TH CHP