Guide For Thesis

INCREASING AUTHORIZED BED CAPACITY FROM 25 TO 75 OF
DR. SERAPIO B. MONTAŃER, JR. MEMORIAL HOSPITAL
IN MALABANG, LANAO DEL SUR:
A FEASIBILITY STUDY
A Feasibility Study
Presented to the Faculty of
Graduate School
Saint Joseph’s College, Quezon City
In Partial Fulfilment
of the Requirements for the Degree
MASTER IN HOSPITAL MANAGEMENT
SUBMITTED BY:
ROMEO G. MONTAŇER
January 2017
i
APPROVAL SHEET
This feasibility study entitled: “INCREASING AUTHORIZED BED CAPACITY
FROM 25 TO 75 OF DR. SERAPIO B. MONTAŃER, JR. AL HAJ MEMORIAL
HOSPITAL IN MALABANG, LANAO DEL SUR” submitted by Dr. Romeo G. Montañer,
in partial fulfilment of the requirements for the degree Master IN Hospital Management has
been examined and recommended for ORAL EXAMINATION.
REYNALDO A. DE UNGRIA, MD, PPS, MAEd, MHA

Adviser
APPROVED in partial fulfilment of the requirements of the degree in Master in
Hospital Management by the ORAL EXAMINATION COMMITTEE.
JOSE PEPITO M. AMORES, MD, MHA, PhD.

Chairman
_________________ _______________________
Member Member
Comprehensive Examination: ______________
Oral Defense : _____________
SR. MARIVIC GALAMAY, SFIC
Dean, Graduate School
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ACKNOWLEDGEMENT
In the making of this feasibility study, I must manifest my undying indebtedness to my
adviser –Dr. Reynaldo A. De Ungria for his straightforward comments , detailed corrections and
intellectually sharp guidance. Kudos too, to our professors in the faculty of Master in Hospital
Management of St. Joseph College Graduate Studies for their most valuable sharings and
teachings so helpful in realizing this study. Certainly, my sincere appreciation and my proudest
salute to Chairman Dr. Jose Pepito M. Amores for his amazing lectures, simplified yet smart
presentation, his authentic intention to help me be a quality graduate of MHM and never
depreciating inspiration to make this feasibility study.
To the Almighty Allah for His unfathomable provisions enabling me to complete this
project , I am most indebted.
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TABLE OF CONTENTS Page
Title Page i
Approval Sheet ii
Acknowledgement iii
Table of Contents iv
List of Tables vi
List of Figures vii
Executive Summary 1
Chapter I Introduction 5
Objectives 6
Significance 6
Background of the Project 7
Scope and Delimitations 8
Chapter II Market Study 9

Geographical Considerations 9
Demographics 11
Psychographics 13
Target Market 14
SWOT Analysis 15
Competitive Grid 21
Porter’s Five Forces 23
Marketing Strategies 26
Positioning 26
Product 27
Price 27
Place 27
Promotions 28
Chapter III Technical Feasibility 29

Objectives of the Study 29
Machines and Equipment 29
Special Physical Requirements 30
Chapter IV Management Study 38

Form of Business and Rationale 38
Organization Structure 39
Manpower Requirements 40
Job Descriptions 40
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Chapter V Financial Study 42

Total Project Cost 42
Initial Capital Requirements 43
Sources of Financing 43
Projected Cash Flows 44
Projected Cash Inflows/Outflows 44
Internal Rate of Return 49
Discounted Payback Period 50
Profitability Index 51
Chapter VI Socioeconomic Study 53

Direct Benefits 53
Indirect Benefits 53
Chapter VII Contingency Plan 54
Chapter VIII Summary, Conclusion, Recommendations 55
REFERENCE viii
APPENDICES ix
Appendix A DOH AO 2012-0012 Annex K-1
Appendix B Financial Support Data
Appendix B-1 Financial Sources
Appendix B-2 Accumulated Depreciation of Equipment & Building
Appendix B-3 Tax expense
Appendix C Bill of Materials for Infra project
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LIST OF TABLES
Page
Table 1 Lanao del Sur District, Municipalities and

Number of Barangays 11
Table 2 Total Population 12
Table 3 Competitive Grid 23
Table 4 Hospital Equipments 30
Table 5 Manpower Requirements & Compensation 41
Table 6 Total Project Cost 42
Table 7 Initial Capital Requirements 43
Table 8 Sources of Financing 43
Table 9 Projected Cash Flows 45
Table 10 Depreciation of Building & Equipment 46
Table 11 Projected Income Statement 47
Table 12 Projected Financial Statement 47
Table 13 Internal Rate of Return 49
Table 14 Payback Period 50
Table 15 Profitability Index 51
Table 16 Liquidity Ratios 52
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LIST OF FIGURES
PAGE
Figure 1 Location Map of DSBMMH 10
Figure 2 Catchment Areas 13
Figure 3 SWOT Grid 16
Figure 4 Location Map of Competitors 22
Figure 5 Gantt Chart 28
Figure 6 Floor Plan ,Right Wing Main Hosp Building 31
Figure 6A Detailed Floor plan,Right wing ,

Main Hospital building 31
Figure 7 Floor Plan, Laboratory & X-ray Rooms 32
Figure 7A Detailed Floor plan, Lab & X-ray Rooms 32
Figure 8 Floor plan, Isolation rooms 33
Figure 8A Detailed Floor plan Isolation rooms 33
Figure 9 Floor plan, Doctor’s Rooms 34
Figure 9A Detailed Floor plan, Doctor’s Rooms 34
Figure 10 Floor plan, Administration Building 35
Figure 10A Detailed Floor plan, Admin Building 35
Figure 11 Floor plan, Prayer room 36
Figure 11A Detailed Floor plan, Prayer room 36
Figure 12 Perimeter Fence Plan 37
Figure 12A Detailed Perimeter Fence Plan 37
Figure 13 Organizational Chart 39
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EXECUTIVE SUMMARY
Dr. Serapio B. Montañer, Jr. Al Haj Memorial Hospital (DSBMMH) is a government-
owned hospital facility operating as a district hospital licensed by the Department of Health
(DOH) as a 25-bed capacity Level 1 facility. It is located in Malabang, Lanao del Sur.
DSBMMH is a DOH-ARMM-retained hospital meaning it operates directly under the Regional
Secretary of DOH-ARMM who is the alter ego of the Regional Governor of Autonomous Region
in Muslim Mindanao(ARMM)- the chief executive officer of ARMM.
DSBMMH sits on a 10,000 square meters land area with combined floor area of
2,321.square meters.
Brief Description of the Project
DSBMMH management under the leadership of Dr. Romeo G. Montañer as its Chief of
Hospital is considering the expansion project of the hospital in upgrading its bed capacity from
25 to 75. The hospital serves five municipalities in the province of Lanao del Sur. Obviously the
authorized bed capacity is way beyond its capacity to serve such catchment areas hence, the need
to upgrade to accommodate the increasing number of clients it serves is required. Increasing the
bed capacity for DSBMMH will mean improved services in terms of quality and client
satisfaction.
However, such a project cannot be done overnight because of government bureaucracy it
has to appeal to. But then again, the government has always been supportive of pro-citizen
projects thereby this study is conducted to look into the possibility and feasibility of upgrading
the capacity of the hospital it serves. The project will also open opportunities for DSBMMH to
improve its services and explore possibilities of alternative healthcare approaches through home
care management and improving out-patient services.
Market Feasibility
DSBMMH caters to the people of Municipalities of Kapatagan, Malabang, Marogong,
Balabagan and Picong. It has an estimated population of 124,231 (PPDO,2015) with average
annual population growth rate (PGR) recorded at 1.55 percent during the period 2000 to 2010
(PSA, 2013). The 2003 Human Development Project of the United Nations Development
Programme (UNDP) showed that ARMM has the lowest per capita income in the Philippines and
remains the poorest region in the country. In response to the challenges, the DOH-ARMM has
recently refocused its efforts on improving the delivery of basic health. Poverty goes hand-in-
hand with poor health status that the need to provide aggressive measures to render healthcare
services is more viable and immediate in response to such challenges. Philhealth also registered
that all indigent members will be enrolled in a government-sponsored membership. Hence, even
if the target market cannot afford the healthcare services of DSBMMH, Philhealth is an option as
the buyer of services.
Technical Feasibility
The need to put up efficient and qualified manpower, resources, facilities as well as
operating manuals and its derivatives lies in the ability of the project to determine its feasibility.
2
The checklist of assessment is provided by the Department of Health licensing arm. DSBMMH
has an identified land and building where expansion will be done. Notwithstanding the current
manpower, facilities, infrastructure, supplies and building construction, DSBMMH will identify
sources of capital funds. Mainly, projections will eventually come from government subsidies
and the self-generated income of the hospital.
Management Feasibility
The current management organization has been in operation for quite some time. The
expertise in the management abilities of the organization stems from years of operating the
hospital as well as through different seminars and trainings their positions accorded them. More
than that, DSBMMH being a government entity is regulated under the rules and provisions of
similar agencies under DOH.
Financial Feasibility
Based on the study for capital cost and the return of investment as targeted for its first
five years of operation, the project is feasible enough to survive, sustain and eventually gain
profit. The main financial resources for ROI will be the Philhealth payments and HMOs.
Socio-economic Impact
In the realization of the project, DSBMMH will not solely benefit from its success but all
the targeted municipalities and nearby areas as well. It will provide sustainable income for the
employees, lift the health status of the people, boost economy of the province and improve
quality of life for its constituents.
3
Contingency Plan
A capital fund to start the project thus needs solid sources. Cost saving measures can be
done by the hospital thru cutting expenses, enhancing out-patient services, strengthening
partnerships with Rural Health Units for home care management especially for chronic
conditions, involve the people in health management to empower them especially on preventable
diseases. The least contingency this project can do is to involve in a public-private project in
healthcare by inviting private investors and submit the project to qualify in the bid of the Public-
Private Partnership Strategic Support Fund of DBM and NEDA.
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CHAPTER I
INTRODUCTION
Mindanao marks low on many of the humanitarian and development indicators in the
Philippines. Crude death rate is worst in Maguindanao at 7.5 per 1,000 people (national average:
5.5). Under five mortality rate in ARMM is 45 per 1,000 live births (national average: 32).
ARMM has the lowest percentage (14.4%) of deaths attended by health professionals. Many of
the health facilities are non-functional due to disrepair, lack of human resources, essential
medicines, supplies and equipment. In Lanao del Sur, only 82 out of 1,068 barangays (villages),
have functioning barangay health stations. The routine disease surveillance system also requires
strengthening, as highlighted during the June 2011 flooding: communicable diseases accounted
for 30% of the deaths that could otherwise have been prevented. Poor roads and mountainous
terrain resulted in gaps in monitoring.
Although the current population of ARMM is relatively small compared to other regions
in the Philippines, its high growth rate, high fertility rate, and low contraceptive prevalence
indicate that the region’s population will grow substantially over the next several decades. The
increased population pressure has the potential to exacerbate the region’s already poor health and
low socioeconomic status. DSBMMH with its 25-authorized bed capacity is the only government
hospital catering to five municipalities within the geographical area of Lanao del Sur. Spencer
Foundation Hospital is a private hospital which the people can hardly afford to go to. The
presence of four Rural Health Centers and nine Barangay Health Stations cannot fully serve the
health needs of the people. This healthcare facility inadequacy contributes more to the deplorable
state of the communities.
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Objectives
DSBMMH aims to enhance capacity to cater quality healthcare services to the
municipalities of Kapatagan, Malabang, Marogong, Balabagan and Picong.
Specifically it aims to:
1. increase authorized bed capacity from 25 to 75 in 2017;
2. comply requirements set by the DOH licensing section in upgrading;
3. improve healthcare services through identifying venues for alternative healthcare
management brought on by increase capacity and capability; and
4. financially sustain hospital operations within the next five years.
Significance
The realization of the project will bring in much needed healthcare services to the people
of Kapatagan, Malabang, Marogong, Balabagan and Picong. The intended recipients will be able
to experience quality and effective healthcare services in their midst without having to worry
much about its costs. The administration will also be able to provide quality healthcare services
in the conduct of their duties and responsibilities. This project may contribute in reducing the
poor health and improve socioeconomic status of the municipalities. In effect, the much needed
improvement in the health status of the people from this area may intensify with the presence of
efficient and effective healthcare interventions of DSBMMH.
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Background of the Project
Dr. Serapio B. Montañer, Jr. Al Haj Memorial Hospital (DSBMMH) is a Level 1district
hospital managed by the DOH-ARMM. It has served the people of Lanao del Sur particularly the
five municipalities of Kapatagan, Malabang, Marogong, Balabagan and Picong since 1981. It is
known as Malabang District Hospital. It started as a 10-bed capacity primary facility
subsequently granted license to operate as 25-bed capacity in 1984. The hospital was initially
housed in the Rural Health Center Building in Barangay Mabul. After several years of
painstaking constructions and repairs of an almost abandoned building erected in a 20,000 square
meters area donated by the late Alejandro “Dodo” Montañer, Sr., a need for a bigger space for
the growing number of patients, the present Chief of Hospital – the author – transferred the
hospital to a safer building where it is now located at present. In recognition of former Director
of Regional Health Office 12, Dr. Serapio B. Montañer, Jr, Al Haj, in his cognizance and
unparalleled contributions in the promotion of health and upliftment of well-being of his people,
Malabang District Hospital was renamed in his memory as what it is known today.
The annual PGR of Lanao del Sur is recorded at 1.55% during the period from 2000 to
2010. If the trend continues, the population of Lanao del Sur would double in 45 years. The
fertility rate is also high due to unmet needs for family planning. Continued population growth,
poverty, overexploitation of natural resources, pollution, and reduction in biodiversity are
significant challenges for ARMM (PRB, 2008). Many factors contribute to the poverty in the
region but two of the most important are the lack of access to education and health services.
These are key challenges that must be addressed if the region’s health, development, and
environmental conditions are to improve.
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At present, bed occupancy rate as of December 2016 registered a high 218% with an
average 3.4-day length of stay(2016 Annual Statistical Reports,DSBMMH). Philhealth
provisions states that common general cases require a period of confinement of 3-4 days. This
translates to lengthier holding patient capacity of the hospital. Consequently, other challenges for
DSBMMH will be inadequate number of manpower, supplies and increased in hospital-related
illnesses. Infrastructure, hospital building and facilities will also wear out due to overuse. The
inadequacy of DSBMMH to provide quality healthcare to the people of Lanao del Sur will
contribute more to poverty, low socioeconomic status and poor health to the region.
Scope and Delimitations
This paper covers only the intent for internal expansion of the services of the hospital.
Since this is a government hospital designed to cater to the health needs of the people it serves as
a frontline in alleviating poverty and improving health outcomes, this paper cannot venture
profitable gains. However, the intent of the study is to present the sustainability, appropriateness
and capability of DSBMMH to deliver the required healthcare approach in order to lift well-
being and promote quality of life for the people it serves. Hence, its limitations will be how
much the project will cost and how long will it be able to sustain its purpose.
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CHAPTER II
MARKET STUDY
The Market
DSBMMH is located in Malabang, Lanao del Sur. It technically caters to the nearby
municipalities where it is accessible to the health consumers. However, the presentation below is
directed to look at macro geographical considerations to narrow down to the five municipalities
of the catchment areas in micro analysis of the target market.
Geographical Considerations
The province of Lanao del Sur is located at latitude 7’ 24’ 34” and nestled in
the hinterland of Mindanao at an elevation of 702 meters above sea level. It occupies the
extensive plateau of North Central Mindanao and surrounds the basin of Lake Lanao. The
province of Bukidnon bounds it on the east, on the south of it is Maguindanao and North
Cotabato, on the west is Illana Bay and on the northwest is the province of Lanao del Norte.
Lanao del Sur is well-enclosed within the Bukidnon-Lanao highland areas with a
series of plateaus, plains, highlands and basins, rolling hills and volcanoes whose mountain
ranges serve as a natural boundary from Maguindanao and Cotabato. The province has a
total land area of 13,754.24 square kilometers with 387.32 square kilometers of water area
composed of lakes and swamps.
Along the northwest portion, the province of Lanao del Sur is accessible through the
36-kilometer Iligan City-Marawi City National Highway. The province is also about 137-
kilometer from Cagayan de Oro City through a well-paved road travelled by many public
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vehicles. On the other hand, the Marawi City-Malabang-Cotabato City route, passing
through the Narciso Ramos Highway, connects the province to Maguindanao and other
southern Mindanao provinces.
Figure 1. Location Map of DSBMMH
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Lanao del Sur is currently composed of 39 municipalities and Marawi City. It consists of
1,159 barangays and is divided into two congressional districts.
Table 1. Lanao Del Sur by District, Municipality and Number of Barangays
Number of Number of

Municipality Barangays Municipality Barangays
District I District II
1. Buadipuso Buntong 33 1. Bacolod Kalawi 26
2. Bubong 36 2. Balabagan 27
3. Bumbaran 17 3. Balindong 38
4. Ditsaan-Ramain 35 4. Bayang 49
5. Kapai 20 5. Binidayan 26
6. Lumba Bayabao 38 6. Butig 17
7. Maguing 34 7. Calanogas 17
8. Marantao 34 8. Ganassi 32
9. Masiu 35 9. Kapatagan 15
10. Mulondo 26 10. Lumbatan 20
11. Piagapo 37 11. Lumbac-Unayan 9
12. Poona Bayabao 25 12. Lumbayanague 22
13. Saguiaran 30 13. Madalum 37
14. Tagoloan 19 14. Madamba 24
15. Tamparan 44 15. Malabang 37
16. Taraka 43 16. Marogong 24
17. Wao 26 17. Pagayawan 18
18. Marawi City 96 18. Pualas 23
19. Sultan Dumalondong 7
20. Sultan
Gumander(Picong) 19
21. Tubaran 21
22. Tugaya 23
18 628 22 531
Demographics of the Place
Lanao del Sur had a population of 1,045,429 per 2015 population count by the
Philippine Statistics Authority.
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Table 2. Total Population by Province, City, Municipality: as of August 1, 2015
Total Population
Province, City, Municipality
2015 POCPCEN
LANAO DEL SUR 1,045,429
BACOLOD-KALAWI (BACOLOD GRANDE) 20,841
BALABAGAN 26,819
BALINDONG (WATU) 29,180
BAYANG 23,965
BINIDAYAN 22,079
BUBONG 22,336
BUTIG 19,302
GANASSI 23,016
KAPAI 18,894
LUMBA-BAYABAO 36,151
LUMBATAN 19,105
MADALUM 23,127
MADAMBA 17,756
MALABANG 43,957
MARANTAO 32,974
MASIU 29,176
MULONDO 16,067
PAGAYAWAN (TATARIKAN) 13,139
PIAGAPO 25,440
POONA BAYABAO (GATA) 22,227
PUALAS 12,866
DITSAAN-RAMAIN 22,299
SAGUIARAN 24,619
TAMPARAN 25,874
TARAKA 23,644
TUBARAN 14,749
TUGAYA 23,814
WAO 45,862
MAROGONG 21,319
CALANOGAS 13,750
BUADIPOSO-BUNTONG 16,130
MAGUING 24,531
PICONG (SULTAN GUMANDER) 4 16,615
LUMBAYANAGUE 16,372
BUMBARAN (AMAI MANABILANG) 10,401
TAGOLOAN II 11,169
KAPATAGAN 15,521
SULTAN DUMALONDONG 11,298
LUMBACA-UNAYAN 5 7,260
MARAWI CITY (Capital) 201,785
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DSBMMH comprises the catchment areas of Balabagan with population of 26, 819;
Malabang with population of 43,957; Marogong with population of 21,319; Picong with
population of 16,615; and Kapatagan with inhabitants of 15,521 (PPDO, 2015).
Figure 2. Catchment Areas of DSBMMH
Psychographics
The people of Lanao del Sur is referred to as “Maranaw” which was derived from the
phrase “taw sa ranaw” or people of the lake. The population of the province is predominantly
muslims, comprising about 92.4% making Marawi City as the only Islamic City of the South.
The Maranaos are religious and observe daily prayers. The presence of numerous mosques in
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and outside Marawi City speaks for the strong faith Muslims are known of. Traditional Filipino
social structure is evidently changing in some parts of the country today. Customs and traditions
in terms of values have been given less important to many tribes. Despite of all changes people
are facing, the Maranaos are proud to have preserved theirs. Age or seniority is still practiced in
this side of the country. Young ones are always bound to submit themselves to the older ones,
without any condition, when it comes to decision making. This sense of seniority ties Maranao
families strong and intact. In fact, the unity within every Maranao family is shown how each
family share both glories and failures. Age of seniority has been one of the key factor in
sustaining order in the Maranao community. It is a living tradition to obey the wishes of the
elders. They are consulted in matters concerning the welfare of the family and relatives.
Although social structure is changing in some places in the country this sense of customary
values is the principle of which must not be taken for granted. Testimony of these ideals is the
practice of arranged marriage, the manifestation behind this is to protect the Maranao way of life.
Target Market
The target market is basically the people coming from the five municipalities as the
catchment areas of the project. There are 124, 231 inhabitants at present in these areas and the
annual PGR is estimated to be 1.55%. DSBMMH is the hospital of choice for these people
because of no cost involved in seeking healthcare services as well as its geographical location.
Spencer Foundation Hospital is a private hospital with 15-bed capacity. As a private entity, it can
only accommodate a maximum of 15 patients at all times. Cotabato Regional and Medical
Center (CRMC) is another government hospital with 450 bed capacity which serves as referral
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center for higher cases cannot fully serve the people from the catchment areas because of
distance.
Based on a survey by the Social Weather Station in 2006, majority of Filipinos
specifically the low income households prefer to seek treatment in a government hospital if a
family member needs confinement. Affordability is the main reason for going to a government
medical facility, while excellent service is the main reason for going to a private medical facility
(Department of Health, 2010). Per WHO recommendations, there should be 20 hospital beds per
10,000 populations. Almost all regions in the Philippines have insufficient beds relative to the
population except for NCR, Northern Mindanano, Southern Mindanao and CAR. Among the
seventeen regions, ARMM has the lowest bed to population ratio (0.17 beds per 1000
population), far lower than the national average.
SWOT ANALYSIS
Just like any industry, healthcare organizations also need to make continual adjustments
to maintain optimum functionality. To determine the areas where adjustments are needed to be
made, a SWOT analysis for DSBMMH is presented.

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STRENGTHS WEAKNESSES
- government facility - low productivity
- high rates of admissions - overworked staff
- dedicated workforce - lack of supplies, infrastructure,
equipment etc
THREATS
OPPORTUNITIES - economic & political insecurity
- growing economy - increased demand for expensive medical
- growing demand for healthcare services technology
- development of new healthcare services - government budget deficits
- venture capital - reduction in healthcare costs of PHIC and
HMOs
Figure 3. SWOT Grid
STRENGTH[ QUALIFIERS
1. Government Facility
This is strength for DSBMMH because the hospital industry is fast-changing in requirements and
qualifications to sustain. As a government facility it is not subject to stringent requirements from
Philhealth in terms of catering only to the authorized bed capacity. Private institutions are strictly
monitored on this area. In case of overbed capacity census Philhealth sanctions the private
institutions while government facilities are not. Another point to consider is the chance to offer a
Point-of-Care (POC) hospital where non-members of Philhealth can enrol upon admission and
will be covered by Philhealth in costs.

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2. High Rates of Admissions
This strength is seen in the increase reimbursements for health care costs incurred by patients
admitted in the hospital. When there are increase rates of admissions it also means higher yields
of receivable income for DSBMMH. This returns is considered as income for the hospital.
3. Dedicated workforce
Government employees rarely resign from their employment because of job security. This
scenario for DSBMMH creates dedicated workforce. The rapid turn-over of employees in any
institution creates instability of the hospital in terms of continuity of programs by unit. As a
government facility, the skills acquired by the employees through years of service can serve as
capital investment for the hospital. It does not need to train new employees every now and then.
WEAKNESS QUALIFIERS
1. Low Productivity
The increased in number of admissions is also seen as a weakness in the area of productivity of
the hospital staff. Due to an increase in workload, employee productivity is also affected. In this
aspect, DSBMMH struggles in the goal to achieve milestones for achievements as well as quality
of services delivered.
2. Overworked staff
The increase in the workload which is true to almost all government facilities poses overworked
staff thus reducing quality of services.
3. Lack of supplies, infrastructure, equipment etc.
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Due to increase in admission without increasing liquid income produces shortage in supplies,
overuse infrastructure and equipment which shortens life. While the hospital may enjoy the
strengths as POC facility with lean regulations pertaining to Philhealth requirements this
situation presents in itself a weakness also.
OPPORTUNITIES QUALIFIERS
1. Growing Economy
The current government system advocates putting more emphasis on healthcare. Due to this
trend, the hospital industry is poised to emerge as a promising and lucrative endeavour profit-
related or not. Hence, taking advantage of such situation creates opportunities for DSBMMH.
2. Growing Demand for Healthcare Services
The current Philippine healthcare system is failing in its pledge with the United Nations to
eradicate problems in healthcare through effective and efficient healthcare services for its
citizens. In light of support to fulfil its pledge numerous international organizations and
healthcare aid are pouring in from developed countries. The ability of DSBMMH to provide as
the avenue to deliver this healthcare aid to the people lies in its capability to deliver.
3. Development of New Healthcare Services
The trend of hospital industry shifting to outpatient care rather than inpatient treatment is being
developed through Philhealth and HMOs. It is less costly to manage healthcare needs on an
outpatient basis rather than inpatient admissions. DSBMMH can explore areas to develop in line
with Philhealth programs. Technology also offers wide varieties of alternative health services
done in packages.
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4. Venture capital
Exploring further opportunities to widen scope of coverage through training of staff, agreements
with other sectors that provide healthcare services where DSBMMH will not be responsible to
maintain as well as applying for higher level of services are opportunities to venture capital. It
will increase self-generated income for the hospital, boost morale of employees and create
impressive image for the hospital.
THREAT QUALIFIERS
1. Economic and political insecurity
The current trend and climate in the hospital industry is booming due to the current economic
and political advocacy. In a short span of six years, tides can turn and healthcare industry might
no longer be a priority agenda. When that happens, unfinished programs especially those that
require huge government grants and subsidies will not see fulfilment of what they have started.
DSBMMH may be favoured with its proposal this time around but the insecurity of the fast
changing administrative priorities may lag behind what it had started.
2. Increased Demand for Expensive Medical Technology
The fast pace technological development threatens the hospital industry in healthcare delivery.
New equipment and medical tools required for patient management may be too costly for the
hospital to acquire. Even it acquires said technology; the need to train qualified handlers to use
the machine entails costs. This can pose a threat to DSBMMH.
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3. Government Budget Deficits
While an Administrative Order likely is released in approval to government grants and subsidies
given to the proponent, it will forestall when the central government declares a deficit in budget
allocation.
4. Reduction in Healthcare costs of PHIC and HMOs
DSBMMH relies heavily in receivable income from these organizations. If they will create
policies on how they reimburse cases to hospitals on member-coverage ,hospitals suffer in the
end. The hospital is now at their mercy along this line.
DSBMMH is strategically poised to take advantage of the present political and economic
situation because the climate in healthcare is geared towards improving government healthcare
facilities in the quest to improve the well-being and health of the Filipino people. Health reform
in the country build upon the lessons and experiences from the past major health reform
initiatives undertaken in the last 30 years. The operational framework of health sector reforms
was adopted in 2005 and was called FOURmula One for Health (F1). The objective was to
undertake critical reforms with speed, precision and effective coordination directed at improving
the efficiency, effectiveness and equity of the Philippine health system in a manner that is felt by
the Filipinos especially the poor. The F1 organized health reform initiatives into four
implementation components, namely: financing, regulation, service delivery and governance
(DOH-AO 2005-0023). At present, the Philippine Health Reform Agenda Framework aspire to
attain sustainable development targets like financial health risk protection, better health
outcomes and responsiveness thru implementation of components known as three guarantees
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such as all life stages and triple burden of diseases providing health services to both well and
sick, service delivery network by having functional network of health facilities and universal
health insurance allowing financial freedom when accessing health services. (DOH Health
Agenda 2016-2022).
However, despite the important progress made, successive reforms have not succeeded in
adequately addressing the persistent problem of inequity.
Competitive Grid
Hospitals play an important role in the healthcare delivery system. They are healthcare
institutions that have an organized medical and other professional staff, and inpatient facilities,
and delivery medical, nursing and related services 24 hours per day, 7 days per week. Scope of
competitive rivalry of hospitals is local (within the area). The service offers of hospital are
differentiated based on type of ownership, type of cases treated and according to services
capability.
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APMC
SFGH
FACILITY MAPPING CRMC

AND REFERRAL
SYSTEM
Figure 4. Location Map of Competitors
The DOH classifies hospitals as detailed in DOH AO 2005-0295 as public which is
owned by the municipal government, city/provincial government, or the national/central
government or its relevant branches; as private which is established and operated with funds
raised or contributed through private capital, donations, or through other means by private
individuals, association, corporation, religious organization etc. Hospitals are also classified
according to service capability categorized as Level 1 – non-departmentalized hospital that
provides clinical care and management on the prevalent diseases in the locality; Level 2 –
departmentalized hospital that provides prevalent clinical care and management of prevalent
diseases in the locality, as well as particular form of treatment, surgical procedure and intensive
care; Level 3 – teaching and training hospital.

22
Table 3. Competitive Grid
Hospitals and Corresponding Bed Capacity

Hospital Category Location Ownership With Same Service Offered Distance from CS Bed Capacity
Dr. Serapio M. Montaῆer, Jr. Al-haj Memorial Hospital Secondary Lanao del Sur Government 0 75
Spencer Foundation General Hospital Secondary Brgy. Mataling, Malabang, Lanao del Sur Private Yes 8 km 15
Amai Pakpak Medical Center Tetriary Marawi City Government Yes 80 km 200
Cotabato Regional and Medical Center Tetriary Cotabato City Government Yes 78 km 400
Hospital competitive rivalry is low because there are not many hospitals in the area. If
anyone is very sick, they will be brought to the nearest hospital. Hospitalizations essentially all
cost the same price and most of the time patient is covered by insurance. Rivalries are among
hospitals offering small cluster of inpatient services within the same geographic area.
DSBMMH can fully positioned itself as advantageous with the project because it could
serve efficiently the people from its catchment areas thus reduce congestion in higher institutions
like CRMC in Cotabato City and Amai Pakpak Medical Center in Marawi City. Threat of new
entrants is low as the main barriers into the hospital industry are government regulations, high
investment costs, capital requirements needed to compete, high-switching cost etc is needed.
The combined bed capacity of all hospitals within the geographical area of DSBMMH is
still insufficient compared to the population it serves. With the projection of annual growth rate,
the ratio of bed per population will become higher if this is not given remedy now.
Porter’s Five Forces of Competitive Analysis

Hospitals face less competitive rivalry because if anyone is very sick they will be brought
to the nearest hospital. The rise of sophisticated customers, increasing globalization, and the
ageing of society that demands higher qualities of care are some factors that drives the hospital
industry change.
23
DSBMMH faces minimal rivalry in the industry. The only other hospital available in the
district is the Spencer Foundation Hospital which is privately owned with 15-bed capacity. In
terms of admission, occupancy rate registered at 138% in 2015 and as much as twice in 2016 at
218%. Other hospitals in nearby regions can be found in Cotabato City with the Cotabato
Regional and Medical Center as the largest tertiary hospital within the region with 450-bed
capacity. However, competition will not be intense in terms of geographical location.
Force 1: Barriers to Entry
The rapid growth of private hospitals mushrooming in different areas within the
catchment area as new entrants in the hospital industry is considered as moderately high. The
rapid growth of hospitals was the results of the government policy in increasing mandatory
health insurance coverage for all Filipinos as well as the lifting of moratorium in issuing
certificate of need (CON) to build new hospitals. The prospect of making money has therefore
resulted in more potential entrants under companies wanting to make fortunes in healthcare
industry.The need for adequate and qualified professionals for the operation of the hospital is
also seen as a barrier.
Force 2: Threat of Substitutes

Substitutes, or alternative health services poses a low threat since DSBMMH is offering
services for free because it is government-owned. Even though, there may be some degree of
waiting times and long queues, patient congestion, patients may still find it cheaper to go to a
government hospital than a private hospital.
24
Reduction in demand for private healthcare poses low threat. Even though prices of treatment is
high, some customers may want to have their own private doctors, and be treated at their comfort
with satisfactory service and highly qualified doctors. However, the customers at DSBMMH
come from the poorest of the poor in the region thus showing way above its bed capacity the
occupancy rate year after year.
Force 3: Bargaining Power of Buyers
Buyers of services at DSBMMH are the Philhealth and HMO which poses high threat.
The ability of management of the hospital to sustain requirements imposed by Philhealth and
HMO determine the agreement of both agencies to buy services through accreditation. If the
hospital will not suffice the requirements through submission of such, the hospital will not be
able to sell to its customers.
Force 4: Power of Customers
Customers of DSBMMH are primarily poor residents of its five catchment municipalities
who are almost all Philhealth members while only about 2% are non Philhealth members . Being
a government hospital , it is its primordial mandate to serve the public especially the
marginalized patients , hence, its customers –the poor ones are highly prioritized for hospital
services.
25
Force 5: Rivalry
Rivalry is not a threat to DSBMMH because the only other existing hospital is private which
means patients will pay from their pockets while DSBMMH as a government hospital will not
require them. Another note is that even if there will be chances of new entrants to the industry, it
is still not considered a threat because of the psychographics and demographics of the people in
the catchment area.
Marketing Strategies
The marketing strategies for full patronizing of DSBMMH services are highly considered
through positioning, product and pricing of its healthcare packages.
Positioning
DSBMMH is poise to cater to the marginalized sector of the society, those belonging to
below poverty line and suffering from poor health. It will target the demographics on women and
children in answer to the sustainability development goals of the Philippine healthcare profile.
DSBMMH targets to hire licensed professionals to satisfy healthcare worker ratio to bed
capacity. In this way, quality healthcare services will improve as this will not exhaust the staff in
performing their jobs. Procurement of equipment, adequate supplies, building and infrastructure
needs should be in place.
26
Product
Product of DSBMMH is the healthcare services outlined in the service capability
according to DOH AO 2005-0025. These services include outpatient check-up, emergency room,
laboratory, dental, dietary, pharmacy, x-ray and imaging, general surgery, OB-Gyne, general
paediatrics, general medicine, nursing service and administrative support. DSBMMH also offers
special programs like Blindness Prevention Thru Monthly Cataract Operations; BTL thru
Minilaparotomy under local anesthesia as well as minilaparotomy.
Price
DSBMMH offers minimum costs of services on out-patient laboratory tests and
registration which is PhP15.00 valid for one year of consultation services per patient. All in-
patients services are free of charge. Philhealth advocates a No Balance Billing (NBB) policy for
indigent members especially those enrolled at point-of-care (POC) facilities. This service covers
also the discharge instructions and the take-home medications to complete the treatment
regimen.
Place
DSBMMH is located at the border of Barangay Mabul and Barangay Diamaru. It is near
the national highway and accessible from all directions.
DSBMMH is 18 kilometers radius from Kapatagan;it is 8 kilometre radius from
Balabagan; It is 2 kilometres radius from proper poblacion of Malabang; It is 24 kilometres
radius from Marogong; and it is about 14 kilometers radius from Picong.
27
Promotions
Multimedia promotions are basically used in all government facility projects. DSBMMH
follows through because of procedural requirement. But then again, DSBMMH is able to elicit
patronage from its constituents even without aggressive promotions through word-of-mouth of
the people it serves. But for purposes of accurate and effective information, this project will use
the multi-media promotions effectively.
DSBMMH activities are shown in the Gantt Chart as follows.
Activities Ja Feb Ma Apr Ma Ju Jul Aug Se Oc Nov Dec

n r y n p t
Seek government grant for the project
 propose and defend project

 solicit for government grant
 bidding of the project
 groundbreaking
Apply to DOH for
 permit to construct (PTC)

 license to operate (LTO) as
75-bed
Start construction of expansion

Purchase machines, equipment and
medical supplies
Media promotions
Hire qualified and skilled workers

include outsourcing of other services
as needed
Installation of machines and

equipment
Opening Ceremony
First set of admissions and treatments
Figure 5. Gantt Chart for January to December 2017
Gantt chart predicts the activities when the project will commence and start operations. First set
of admissions and treatments will be by December 2017. This means that projected cash
revenues will start by January 2018 – Year 1 of the fiver-year payback period.
28
CHAPTER III
TECHNICAL FEASIBILITY
Objective of the Study
This study aims to propose an expansion of DSBMMH thru increasing authorized bed
capacity from 25 to 75. Specifically, it aims:
1. to apply for government grant in support of funds for the project;
2. to apply for DOH permits in expansion and operation;
3. to construct building expansion to house the additional services;
4. to purchase machines and medical equipments for use of the healthcare workers;
5. to hire qualified and skillful manpower for the expansion; and

6. to present sustainability of the operations thru effective and accurate financial
projections.
Machines and Equipments
The Department of Health provides an assessment tool for all government- or privately-
owned hospitals and facilities. It serves as a guide on what particular machines, equipment,
medical supplies and personnel ratio is required for any type of hospital or facility to function.
These machines and equipment are the tools that healthcare personnel need in order to deliver
complete and quality healthcare services. Skills and capabilities of the personnel cannot be tested
and put to use in regards to the treatment and management of patients who seek treatment at the
facility.
29
The proposed expansion also seeks assistance for essential hospital equipment which are
detailed in table below.
Table 4. Proposed Hospital Equipments for DSBMMH

Hospital Equipment
Particulars Unit Cost Total Cost
1.OR, Table Hydraulic with complete accessories, 2 units 500,000 1,000,000
2. Anesthesia Machine ,nonportable, with cardiac monitor ,oximeter, 2 vaporizers, complete accessories, 1 unit 2,000,000
3. M,ajor Operating Lights,ceiling type,High end , 2 units 1,125,000 2300000
4. Hydraulic Emergency Bed, Adjustable,made of cold-rolled steel plate & tube,
Coated by electrostatic spray two phosphatization. Steel plate bed board and Aluminum side rails.3 units
250,000 750,000
5.Automatic OR Scrubbing Unit, 1 unit 600,000 600000
6. Biomedical Safety Cabinet 1 unit 450,000 450,000
7. Intravenous Infusion Pumps , 6 units 150,000 900,000
8. Oxygen Concentrator, 3 units 100,000 300,000
9. Cesarian Set , 1 package 100,000 100,000
10. Exploratory Laparotomy Set 100,000 100,000
11. Cardiac Monitor with accessories 350,000 1,050,000
12. Hb1C machine 1 unit 30,000 30,000
13 .Laryngoscope 20,000 20,000
14. EENT Diagnostic Set 3 sets 20,000 60,000
15.Ortho Instrument Set 50,000 50,000
16. Vein Scanner 300,000 300,000
17.Prime Use Non-Standby Power Diesel Generator 100 KVA .single Phase 1,000,000 1,000,000
18 Xerox Machine, heavy Duty, reducible capacity, colored 150,000 150,000
19. Non Mercurial Baumanometer with stand pedia and adult cuff 10 units 7,000 70,000
20. Littman stethoscopes, High end, for pedia 5 units 3,500 17,500
21Littman stethoscopes, High end, for adult 10 units 3,500 35,000.00
22.Hospital beds, 3 cranks, high end 25 units 20,000 500,000
23, Lawn Mower, heavy duty, portable, diesel operated 2 units 25,000 50,000
24 Wheel Chairs, complete accessories,high end. 6 units 8,500 51000
Total 11,883,500
Special Physical Requirements
The project is based on the Planning and Design of DOH Hospitals. The floor plan,
service areas covered and others are outlined in the reference provided by the DOH. Conformity
to these specifications is a must for the hospital to be issued a required permit to operate.
30
STERILE
S TORAGE
MALE FEMALE
AREA
DOCTORS DOCTORS
O P E R A T IN G O P E R A T I N G
R O O M SCRUB -UP R O O M
( AUTOMATIC DOOR ) AREA ( AUTOMATIC DOOR )
DOCTOR'S LOUNGE
S ING ROOM
S ING ROOM
ROOM
ROOM
GARB AGE
AREA C.R. C.R. C.R. C.R.
DRESSING
DRESSING
WAS HING AREA
CLEAN NURS E
RECOVERY
S ERVING AND FOOD AS S EMBLY AREA
DRES
DRES
UP S TATION
ELEVATION : -0.13 CM
ANES THESIA ROOM
LAVATORY
OFFICE RES T AREA (no wall;
JANITOR'S
ROOM o nly co unter to p)
CLOS ET
COO KING AREA
1.65
NOTE:wa lls with bro wn hatc h PRE-OP
are Glas s Walling . AREA
PATHWAY
D IE T A R Y S TERILIZING
R O O M WORK DELIVERY
AREA
( AUTOMATIC DOOR ) VIEWING N IC U LAB OR ROOM ROOM
PATHOLOGIC AREA ( POSITIVE
LAUNDRY COLD AND DRY ROOM A=14 .30 s q.m.
AREA S TERILE ROOM PRESS URE )
ROOM INS TRUMENT
S UPPLY A=24.00 s q.m.
S TORAGE C.R.
S UPPLY AREA
AREA HANGING CABINET
T&B
JANITOR'S
T&B T&B T&B T&B T&B T&B CLOS ET C.R. C.R. C.R. C.R.
(4 Aide s )
8.05
NURSE RES T X -R A Y
2 - BED ULTRA S OUND
ROOM 2 - BED 2 - B ED R O O M
ISOLATION PHILHEALTH R O O M
4.40
3 - BED 3 - BED 3 - B ED NURS E STATION WARD ROOM
OFFICE WARD ROOM WARD ROOM ( POS ITIVE PRES SURE ) ( POS ITIVE PRESS URE )
ROOM WARD ROOM WARD ROOM WARD ROOM
MALE
C O U N TE R T O P DES K
2.00 HA LL W A Y
ELEVATION = -0.12 CM CR
14.30
14.30
ELEVATION = -0.17 CM
CR
LAB TAB LE
COUNS ELING
ISOLATION ROOM 3 - B ED
C.R.
HEAD NURSE NURSE 3 - BED
LAB TABLE
ROOM 3 - BED 3 - BED 3 - BED 3 - B ED WARD ROOM
ROOM STATION WARD ROOM
FEMALE WARD ROOM WARD ROOM WARD ROOM WARD ROOM
INFORMATION
DES K
C O R RI D O R
CR
CO UN T E R T O P DE S K
T&B T&B T&B T&B T&B T&B T&B T&B
LAB TABLE
20.69
C O U N TE R T O P
MALE FEMALE
DOCTORS DOCTORS
QUARTER QUARTER
C.R. ACCES S PAS S AGE
PHARMACY
BACKDOOR HALLWAY C.R.
2.90
DES K
RAMP SLOPE::
CORRIDOR VARRIES
RAMP SLOPE::
CR CR S UPPLY C O RRI DO R VARRIES
S UPPLY OFFICE
INFO
3.36
RES T
OFFICE (CS R)
ROOM
cabinet
CONFERENCE T&B
6.71
COUNTER
TABLE
ROOM E N TR A N CE
HALLWAY
DOCTORS
QUARTER T&B
CHIEF OF ACCESS TO THE MAIN
HOS PITAL WAITING AREA B LDG.
OFFICE 2.50
STAIR
DENTAL ROOM O.P.D. ROOM EMERGENCY ROOM
PRAYER UP RAMP SLOPE:
BILLING ROOM VARRIES
T&B
AREA
NURS E
MALE LOB BY 1.70 QUARTER
CR
cabinet
W-2
CASHIER
1.99
AREA
MEDICAL ADMINIS TRATIVE/
RECORDS AUDITOR'S
FEMALE ACCOUNTING ROOM
CR OFFICE OFFICE C.R.
ENTRANCE
S TORAGE
AREA
W A I T I N G A R E A ENTRANCE
WORKING
STAIR
AREA
UP
LANDING AREA RAMP SLOPE:
VARRIES
RAMP
S TAIRS ADMIN OFFICE
MAIN HOSPITAL
23.00
PROJECT TITLE: SUB - PROJECT TITLE: PROPONENT: DESIGNED BY: RECOMMENDING APPROVAL: APPROVED REPUBLIC ACT 545 Section 25 (4) SHEET NO.
DEPARTMENT
O OF HEALTH
T H Drawings and specifications duly signed,
revised May 13, 2014 @ DSBMMH and approved by Dr. RGM stamped or sealed as instruments of services
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
are the property and documents of the Architect,
whether the objects for which they are made is 3
DR. RME O G
. M
O
N A ÑER, AL AJ executed or not. It shall be unlawful for any person
B. MNT AÑER JR, A
L HA
J MEM
O
R AL HOSPIT L CHIEF OF HOSPITAL
without the written consent of the Architect or
Author of the said documents to duplicate or to A2 25
make copies of the said documents for use in
STRUCTURAL ENGINEER CIVIL ENGINEER PROF. ELECTRICAL ENGINEER PROJECT MANAGER - ASFPD BOD CHAIRMAN - ASFPD repetition of and for projects or buildings whether
LOCATION: BARANGAY MABUL, MALABANG LANAO DEL SURA REGIONAL SECRETARY SANITARY ENGINEER MASTER PLUMBER MECHANICAL ENGINEER partly or wholly executed.
FIRST PLAN
Figure 6. Floor Plan of Right Wing Main Building, DSBMMH
S TERILE
S TORAGE
MALE FEMALE
AREA
DOCTORS DOCTORS
O P E R A T I N G O P E R A T I N G
R O O M S CRUB-UP R O O M
DOCTOR'S LOUNGE
ING ROOM
ING ROOM
ROOM
ROOM
GARBAGE
DRESSING
DRESSING
WASHING AREA
CLEAN NURS E
RECOVERY
DRESS
DRESS
SERVING AND FOOD ASSEMBLY AREA
UP S TATION
ROOM
ANES THES IA
AREA (no wall;
LAVATORY
OFFICE REST
JANITOR'S
ROOM o nly c o unte r to p)
CLOSET
COOKING AREA
1.65
NOTE:walls with bro wn hatc h PRE-OP

PATHWAY
D I E T A R Y STERILIZING
AREA
( AUTOMATIC DOOR ) VIEWING ROOM
N IC U LABOR ROOM
PATHOLOGIC AREA ( POS ITIVE
LAUNDRY COLD AND DRY ROOM A=14.30 s q.m.
AREA STERILE ROOM PRES S URE )
ROOM INSTRUMENT
SUPPLY A=24.00 s q.m.
STORAGE C.R.
SUPPLY AREA
T&B
J ANITOR'S
T&B T&B CLOSET
(4 Aide s )
RENOVATION EXPANS ION

OF RIGHT WING BUILDING
DEPARTMENT
O OF HEALTH
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
DR. RME O G
. M
O
B. MNT AÑER JR, A
L HA
J MEM
O
R AL HOSP
IT L CHIEF OF HOSPITAL
LOCATION: BARANGAY MABUL, MALABANG LANAO DEL SUR A REGIONAL SECRETARY SANITARY ENGINEER MASTER PLUMBER MECHANICAL ENGINEER
partly or wholly executed.
FIRST PLAN
Figure 6A. Floor Plan-Renovation Expansion of the Right Wing Building,

DSBMMH
31
STERILE
STORAGE
MALE FEMALE
AREA
DOCTORS DOCTORS
O P E R A T I N G O P E R A T IN G
DOCTOR'S LOUNGE
ING ROOM
ING ROOM
ROOM
ROOM
GARBAGE
DRESSING
DRESSING
WASHING AREA
CLEAN NURS E
RECOVERY
DRESS
DRESS
S ERVING AND FOOD ASS EMBLY AREA
UP STATION
ANES THES IA ROOM
LAVATORY
OFFICE RES T AREA (no wall;
JANITOR'S
ROOM only c ounter to p)
CLOS ET
COOKING AREA
1.65
NOTE:walls with brown hatc h P RE-OP
are Glas s Walling. AREA
PATHWAY
D IE T A R Y STERILIZING
AREA
( AUTOMATIC DOOR ) VIEWING N ICU LABOR ROOM ROOM
LAUNDRY
COLD AND DRY ROOM A=14.30 s q.m.
AREA STERILE ROOM PRES SURE )
ROOM INS TRUMENT
STORAGE C.R.
S UPPLY AREA
T&B
JANITOR'S
(4 Aide s )
8.05
NURSE REST X-R A Y
ROOM 2 - BED 2 - BED R O O M
ISOLATION 3 - BED 3 - BED PHILHEALTH R O O M
4.40
3 - BED NURSE STATION WARD ROOM WARD ROOM
ROOM OFFICE WARD ROOM
WARD ROOM WARD ROOM WARD ROOM
MALE
C O U N TE R T O P DE S K
2.00 H A LL W A Y
14.30
14.30
CR
LAB TABLE
COUNS ELING
ISOLATION ROOM 3 - BED
C.R.
LAB TABLE
EXTRACTION
ROOM 3 - BED 3 - BED 3 - B ED 3 - BED WARD ROOM BLOOD BANK LABORATORY
FEMALE WARD ROOM WARD ROOM WARD ROOM
ROOM
WARD ROOM ROOM
INFORMATION
DESK
CR
C ORR IDOR
LAB TABLE
20.69
C OUNT E RT OP D E S K
MALE FEMALE
DOCTORS DOCTORS
QUARTER QUARTER
C.R. ACCESS PASSAGE
PHARMACY
2.90
RAMP SLOPE::
C ORRI DOR VARRIES
RAMP SLOPE::
CR CR SUP PLY C O R R I D OR VARRIES
SUP PLY OFFICE
INFO
3.36
RES T OFFICE
ROOM (CS R)
cabinet
CONFERENCE T&B
6.71
CO UNTER
TABLE
ROOM E NTR A N C E
HALLWAY
DOCTORS
QUARTER T&B
HOSP ITAL WAITING AREA BLDG.
OFFICE
2.50
STAIR
T&B
AREA
NURSE
MALE LOBBY 1.70 QUARTER
CR
cabinet
W-2
CASHIER
1.99
AREA
MEDICAL
ADMINISTRATIVE/ AUDITOR'S
FEMALE RECORDS ACCOUNTING
OFFICE ROOM
CR ENTRANCE OFFICE C.R.
S TO RAG E
AR EA
W A I T IN G A R E A E N TR A N CE
WORKING
STAIR
AREA
UP
VARRIES
RAMP
STAIRS ADMIN OFFICE
MAIN HOSPITAL
23.00
DEPARTMENT
O OF HEALTH
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
DR. RME O G
. M
O
B. MNTAÑER JR, A
L HA
J MEM
O
R AL HOSP
LOCATION: BARANGAY MABUL, MALABANG LANAO DEL SURA REGIONAL SECRETARY SANITARY ENGINEER MASTER PLUMBER MECHANICAL ENGINEER
FIRST PLAN
Figure 7. Floor Plan-For Imaging and Laboratory Rooms, DSBMMH
CUT
C.R. C.R.
X- R A Y ULTRA S OUND
R O O M R O O M
CR
CR
LAB TABLE
EXTRACTION
LAB TABLE
BLOOD BANK LABORATORY

ROOM
ROOM
CR
T&B T&B
LAB TABLE
FLOOR PLAN FOR LABORATORY

AND X-RAY
O
DEPARTMENT OF HEALTHT H Drawings and specifications duly signed,
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
DR. RME O G
. M
O
B. MNT AÑER JR, A
L HA
J MEM
O
R AL HOSP
Figure7A. Floor Plan for Laboratory and X –Ray rooms,DSBMMH.

32
STERILE
STORAGE
MALE FEMALE
AREA
DOCTORS DOCTORS
O P E R A T IN G O P E R A T IN G
R O O M SCRUB -UP R O O M
DOCTOR'S LOUNGE
ING ROOM
ING ROOM
ROOM
ROOM
GARBAGE
DRESSING
DRESSING
WASHING AREA
CLEAN NURS E
RECOVERY
DRESS
DRESS
UP S TATION
ANES THESIA ROOM
LAVATORY
OFFICE REST AREA (no wall;
JANITOR'S
ROOM o nly co unte r to p)
CLOSET
COOKING AREA
1.65
NOTE:walls with bro wn hatch PRE-OP
PATHWAY
D I E T A R Y STERILIZING
AREA
( AUTOMATIC DOOR ) VIEWING N ICU LABOR ROOM ROOM
LAUNDRY
COLD AND DRY ROOM A=14.30 s q.m.
AREA S TERILE ROOM P RESS URE )
ROOM INS TRUMENT
S TORAGE C. R.
SUPPLY AREA
T&B
JANITOR'S
(4 Aides )
8.05
NURSE REST X-R A Y
2 - BED ULTRA SOUND
ISOLATION 3 - BED 3 - BED P HILHEALTH R O O M
4.40
ROOM OFFICE WARD ROOM ( POSITIVE PRESSURE ) ( POSITIVE PRES SURE )
MALE
C O U N T ER TO P DESK
2.00 HA L L W A Y
14.30
14.30
CR
LAB TABLE
COUNSELING
ISOLATION ROOM 3 - BED
C.R.
HEAD NURS E NURSE 3 - BED
LAB TABLE
ROOM 3 - BED 3 - BED 3 - BED 3 - BED WARD ROOM
FEMALE WARD ROOM WARD ROOM WARD ROOM WARD ROOM
INFORMATION
DES K
CR
C ORR IDOR
C O U N TE R T O P D ES K
LAB TAB LE
20.69
MALE FEMALE
DOCTORS DOCTORS
QUARTER QUARTER
C.R. ACCESS PASS AGE
P HARMACY
2.90
RAMP SLOPE::
C OR R I D O R VARRIES
RAMP SLOPE::
CR CR SUPP LY C O R RI D O R VARRIES
SUPP LY OFFICE
INFO
3.36
REST OFFICE
ROOM (CSR)
cabinet
CONFERENCE T&B
6.71
CO UNTER
TA BLE
ROOM E N TR A N C E
HALLWAY
DOCTORS
QUARTER T&B
HOSPITAL WAITING AREA BLDG.
OFFICE
2.50
STAIR
DENTAL ROOM O.P .D. ROOM EMERGENCY ROOM
T&B
AREA
NURSE
CR
cabinet
W-2
CAS HIER
1.99
AREA
MEDICAL
OFFICE ROOM
S TOR AGE
AREA
W A I T IN G A R E A E NTRA N C E
WORKING
STAIR
AREA
UP
VARRIES
RAMP
MAIN HOSPITAL
23.00
DEPARTMENT
O OF HEALTH
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
DR. RME O G
. M
O
B. MNT AÑER JR, A

L HA
J MEM
O
R AL HOSP
FIRST PLAN
Figure 8. Floor Plan-Isolation Rooms, DSBMMH
CUT
T&B T&B
IS OLATION
ROOM
MALE
14.30
14.30
IS OLATION
ROOM
FEMALE
T&B
FLOOR PLAN FOR MALE &

FEMALE IS OLATION ROOM
O
DEPARTMENT OF HEALTHT H Drawings and specifications duly signed,
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
DR. RME O G
. M
O
B. MNT AÑER JR, A
L HA
J MEM
O
R AL HOSP
FIRST PLAN
Fig. 8A Detailed Floor Plan of Isolation Rooms , DSBMMH

33
10.17 6.03 1.20 6.00
3.50 3.50
S TERILE
STORAGE
MALE FEMALE
AREA
DOCTORS DOCTORS
O P E R A T I N G O P E R A T I N G
6.80
R O O M SCRUB-UP R O O M
DOCTOR'S LOUNGE
1.60 3.85 4.85
DRESS ING ROOM
DRESS ING ROOM

ROOM
ROOM
GARBAGE
DRESSING
DRESSING
WASHING AREA
CLEAN NURSE
RECOVERY
4.20
UP S TATION

ANES THES IA ROOM
AREA (no wall;
2.35
OFFICE RES T
JANITOR'S
ROOM o nly c o unte r to p)
CLOSET
COOKING AREA 5.00
1.65
2.25 NOTE:walls w ith brown hatc h P RE-OP
PATHWAY
D I E T A R Y S TERILIZING
13.50
( AUTOMATIC DOOR ) AREA CADAVER
VIEWING ROOM
5.00
N IC U LAB OR ROOM HOLDING
4.05
COLD AND DRY P ATHOLOGIC AREA ROOM A=14.30 s q.m. ( P OS ITIVE
LAUNDRY AREA S TERILE ROOM ROOM
INSTRUMENT
PRESS URE )
ROOM
STORAGE C.R.
SUPPLY AREA
2.50 2.83 2.40 3.00 3.53 6.00

21.40
RAMP SLOPE:
VARRIES
T&B
JANITOR'S
T&B T&B T&B T&B T&B T&B C.R. C.R. C.R.
CLOSET C.R.
(4 Aides )
8.05
NURSE REST X-R A Y
2 - BED ULTRA SOUND
IS OLATION P HILHEALTH R O O M
4.40
3 - BED 3 - BED 3 - BED NURSE S TATION WARD ROOM
ROOM OFFICE WARD ROOM WARD ROOM ( P OSITIVE PRES SURE ) ( P OS ITIVE PRES S URE )
C O U N T E R TO P DES K
2.00 H AL L W A Y
14.30
CR
LAB TAB LE
c abin e t fo r
fo r P P E
D e vic e s
COUNSELING
ROOM 3 - BED
C.R.
HEAD NURS E NURSE 3 - BED
LAB TAB LE
3 - BED 3 - BED 3 - BED 3 - B ED WARD ROOM
WARD ROOM WARD ROOM WARD ROOM WARD ROOM
MES S HALL
INFORMATION
DESK
CR
CO RRI DOR
C O U N T ER T O P DESK
LAB TAB LE
20.69
C O U N TE R T O P
MALE FEMALE
C.R. DOCTORS DOCTORS
P HARMACY QUARTER QUARTER
2.90
DES K
RAMP SLOPE::
CR CR S UP PLY C O R RI D O R VARRIES
S UP P LY OFFICE
INFO
3.36
RES T
OFFICE (CS R)
ROOM
cabinet
CONFERENCE
6.71
COU NTER
TA BLE T&B
ROOM ENTRA NC E
HALLWAY
DOCTORS
QUARTER T&B
HOS PITAL WAITING AREA BLDG.
OFFICE 2.50
STAIR
P RAYER UP RAMP SLOPE:
T&B
AREA
NURS E
MALE LOBB Y 1.70 QUARTER
CR
cabinet
W-2
CAS HIER
1.99
AREA
MEDICAL
ADMINIS TRATIVE/ AUDITOR'S
OFFICE ROOM
S TO RAG E
AR EA
W A I T I N G A R E A ENTRA NC E
WORKING
STAIR
AREA
UP
VARRIES
RAMP
MAIN HOSPITAL
23.00
O
DEPARTMENT T
OF HEALTH H Drawings and specifications duly signed,
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
DR. RME O G
. M
O
N AÑER, AL AJ executed or not. It shall be unlawful for any person
B. MNTAÑER JR, A
L HA
J MEM
O
R AL HOSP
LOCATION: BARANGAY MABUL, MALABANG LANAO DEL SUR A REGIONAL SECRETARY SANITARY ENGINEER MASTER PLUMBER MECHANICAL ENGINEER partly or wholly executed.
Figure 9. Floor Plan-Male and Female Doctor’s on Duty Rooms
NURS E 3 - BED 3 - BED

S TATION WARD ROOM WARD ROOM
T&B T&B T&B
MALE FEMALE
DOCTORS DOCTORS
QUARTER QUARTER
CORRIDOR
FLOOR PLAN FOR MALE &

FEMALE DOCTOR'S ON DUTY
ROOM
DEPARTMENT
O OF HEALTH
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
DR. RME O G
. M
O
B. MNT AÑER JR, A
L HA
J MEM
O
R AL HOSPIT L CHIEF OF HOSPITAL
A
LOCATION: BARANGAY MABUL, MALABANG LANAO DEL SUR REGIONAL SECRETARY SANITARY ENGINEER MASTER PLUMBER MECHANICAL ENGINEER partly or wholly executed.
FIRST PLAN
Figure 9A. Detailed Floor Plan-Male and Female Doctor’s on Duty Rooms
34
10.17 6.03 1.20 6.00
3.50 3.50
STERILE
STORAGE
MALE FEMALE
AREA
DOCTORS DOCTORS
6.80
DOCTOR'S LOUNGE
3.85 4.85
1.60
ING ROOM
ING ROOM
ROOM
ROOM
GARBAGE
DRESSING
DRESSING
WASHING AREA
CLEAN NURS E
RECOVERY
DRESS
DRESS
4.20
UP STATION
ANES THES IA ROOM
RES T AREA (no wall;
2.35
OFFICE
JANITOR'S
CLOS ET
COOKING AREA 5.00
1.65
2.25 NOTE:walls with brown hatc h P RE-OP
PATHWAY
13.50
AREA CADAVER
5.00
N ICU LABOR ROOM HOLDING
4.05
LAUNDRY
COLD AND DRY ROOM A=14.30 s q.m. ROOM
ROOM INS TRUMENT
STORAGE C.R.
S UPPLY AREA
2.50 2.83 2.40 3.00 3.53 6.00

21.40
RAMP SLOPE:
VARRIES
T&B
JANITOR'S
(4 Aide s )
8.05
NURSE REST X-R A Y
4.40
ROOM OFFICE WARD ROOM ( P OSITIVE P RESSURE ) ( POSITIVE PRESSURE )
2.00 H A LL W A Y
14.30
CR
LAB TABLE
c ab in et for
for P P E
De vic e s
COUNS ELING
ROOM 3 - BED
C.R.
LAB TABLE
3 - BED 3 - BED 3 - B ED 3 - BED WARD ROOM
MES S HALL
INFORMATION
DESK
CR
C ORR IDOR
LAB TABLE
20.69
MALE FEMALE
DOCTORS DOCTORS
QUARTER QUARTER
C.R. ACCESS PASSAGE
PHARMACY
2.90
RAMP SLOPE::
C ORRI DOR VARRIES
RAMP SLOPE::
SUP PLY OFFICE
INFO
3.36
RES T OFFICE
ROOM (CS R)
cabinet
CONFERENCE T&B
6.71
CO UNTER
TABLE
ROOM E NTR A N C E
HALLWAY
DOCTORS
QUARTER T&B
OFFICE
2.50
STAIR
T&B
AREA
NURSE
CR
cabinet
W-2
CASHIER
1.99
AREA
MEDICAL
OFFICE ROOM
S TO RAG E
AR EA
WORKING
STAIR
AREA
UP
VARRIES
RAMP
STAIRS ADMIN OFFICE
MAIN HOSPITAL
23.00
DEPARTMENT
O OF HEALTH
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
DR. RME O G
. M
O
B. MNTAÑER JR, A
L HA
J MEM
O
R AL HOSP
FIRST PLAN
Figure 10. Floor Plan-Administration Building, DSBMMH
20.69
BACKDOOR HALLWAY
2.90
CR CR S UPPLY
S UPPLY OFFICE
INFO
3.36
RES T OFFICE (CS R)

ROOM
CONFERENCE
6.71
COUNTER
TAB LE
ROOM
HALLWAY
CHIEF OF ACCES S TO THE MAIN

HOS PITAL WAITING AREA BLDG.
OFFICE 2.50
PRAYER
BILLING ROOM
AREA
MALE LOBBY 1.70
7.00
CR
CAS HIER
1.99
AREA
MEDICAL ADMINIS TRATIVE/
RECORDS AUDITOR'S
FEMALE ACCOUNTING ROOM
CR OFFICE
S TORAGE
ENTRANCE OFFICE C.R. 2.50
AREA
RAMP
STAIRS
FLOOR PLAN
SCALE 1:100
Drawings and specifications duly signed,

UPGRADING
E / REHABILITATION
T OF PROPOSED ADMINISTRATION BUILDING DEPARTMENT OF HEALTH
stamped or sealed as instruments of services
ARCHITECT / CIVIL ENGINEER whether the objects for which they are made is 2
DR. SRAPI O B. M
O
N A ÑER J R
., DR. KADIL M. SINOLINDING JR.,AL-HAJ,MD,DPBO MUJIV S. HATAMAN executed or not. It shall be unlawful for any person
DR. ROMEO G. MONTANER,AL-HAJ Author of the said documents to duplicate or to A-2
AL HAJ MEMORIAL HOSPITAL
REGIONAL SECRETARY REGIONAL GOVERNOR make copies of the said documents for use in
CHIEF OF HOSPITAL STRUCTURAL ENGINEER CIVIL ENGINEER PROF. ELECTRICAL ENGINEER repetition of and for projects or buildings whether
LOCATION: BARANGAY MABUL, MALABANG, LANAO DEL SUR SANITARY ENGINEER MASTER PLUMBER MECHANICAL ENGINEER
Figure 10A. Detailed Floor Plan-Administration Building, DSBMMH

35
10.17 6.03 1.20 6.00
3.50 3.50
STERILE
STORAGE
MALE FEMALE
AREA
DOCTORS DOCTORS
6.80
DOCTOR'S LOUNGE
3.85 4.85
1.60
ING ROOM
ING ROOM
ROOM
ROOM
GARBAGE
DRESSING
DRESSING
WASHING AREA
CLEAN NURS E
RECOVERY
DRESS
DRESS
4.20
UP STATION
ANES THES IA ROOM
RES T AREA (no wall;
2.35
OFFICE
JANITOR'S
CLOS ET
COOKING AREA 5.00
1.65
2.25 NOTE:walls with brown hatc h P RE-OP
PATHWAY
13.50
AREA CADAVER
5.00
N ICU LABOR ROOM HOLDING
4.05
LAUNDRY
COLD AND DRY ROOM A=14.30 s q.m. ROOM
ROOM INS TRUMENT
STORAGE C.R.
S UPPLY AREA
2.50 2.83 2.40 3.00 3.53 6.00

21.40
RAMP SLOPE:
VARRIES
T&B
JANITOR'S
(4 Aide s )
8.05
NURSE REST X-R A Y
4.40
ROOM OFFICE WARD ROOM ( P OSITIVE P RESSURE ) ( POSITIVE PRESSURE )
2.00 H A LL W A Y
14.30
CR
LAB TABLE
c ab in et for
for P P E
De vic e s
COUNS ELING
ROOM 3 - BED
C.R.
LAB TABLE
3 - BED 3 - BED 3 - B ED 3 - BED WARD ROOM
MES S HALL
INFORMATION
DESK
CR
C ORR IDOR
LAB TABLE
20.69
MALE FEMALE
DOCTORS DOCTORS
QUARTER QUARTER
C.R. ACCESS PASSAGE
PHARMACY
2.90
RAMP SLOPE::
C ORRI DOR VARRIES
RAMP SLOPE::
SUP PLY OFFICE
INFO
3.36
RES T OFFICE
ROOM (CS R)
cabinet
CONFERENCE T&B
6.71
CO UNTER
TABLE
ROOM E NTR A N C E
HALLWAY
DOCTORS
QUARTER T&B
OFFICE
2.50
STAIR
T&B
AREA
NURSE
CR
cabinet
W-2
CASHIER
1.99
AREA
MEDICAL
OFFICE ROOM
S TO RAG E
AR EA
WORKING
STAIR
AREA
UP
VARRIES
RAMP
STAIRS ADMIN OFFICE
MAIN HOSPITAL
23.00
DEPARTMENT
O OF HEALTH
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
DR. RME O G
. M
O
B. MNTAÑER JR, A
L HA
J MEM
O
R AL HOSP
FIRST PLAN
Figure 11. Floor Plan-Prayer Room, DSBMMH
C.R.
C.R.
PRAYER
ROOM
AUDITOR'S
ROOM
CUT
FLOOR PLAN FOR PRAYER ROOM
CUT
DEPARTMENT
O OF HEALTH
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I ARCHITECT
DR. RME O G
. M
O
B. MNTAÑER JR, A
L HA
J MEM
O
R AL HOSP
FIRST PLAN
Figure 11A. Detailed Floor Plan-Prayer Room, DSBMMH

36

CH
FEN
TER
ME
PRO
P ERE
ED
POS
PO
PRO
SED
PER
EM
ETE
PR
PROJECT TITLE:
OP
RF
OS
EN
ED
C E
PE
RE
ME
CE
TER
N
FE
CE ER
FEN ET
FEN
M
ETE
R RE
EM PE
ED
CE
PER OS
SED PR
OP
PO
PRO
DEPARTMENT
O OF HEALTHT H Drawings and specifications duly signed,
stamped or sealed as instruments of services
UPGRADING
O / REHABILITATION
. OF DR. SERAPIO
I are the property and documents of the Architect,
3
CONSTRUCTION OF PEREMETER FENCE DR. R ME O G
. M
O
N A ÑER, AL AJ
ARCHITECT whether the objects for which they are made is
executed or not. It shall be unlawful for any person
B. MNTAÑER JR, A
L HA
J MEM
O
R AL HOSPIT L CHIEF OF HOSPITAL MUJIV HATAMAN
STRUCTURAL ENGINEER CIVIL ENGINEER PROF. ELECTRICAL ENGINEER PROJECT MANAGER - ASFPD BOD CHAIRMAN - ASFPD repetition of and for proje cts or buildings whether
A
LOCATION: BARANGAY MABUL, MALABANG LANAO DEL SUR REGIONAL SECRETARY SANITARY ENGINEER MASTER PLUMBER MECHANICAL ENGINEER
DR. KADIL B. SINOLINDING
FIRST PLAN
DR. KADIL B. SINOLINDING
Figure 12. Plan-Perimeter Fence, DSBMMH
VALVE WIRE
CIRCULAR TUBE LIGHTING
3 .00M
. 6M
2.5M
.1 M
.4M
.3M
.5M
PERIMETER FENCH
SCALE 1:400 mtrs.
P RO JECT TITLE: SUB - PRO JE CT TITLE: PROPO NENT: DE SIGNED BY: RECOMMENDING APP RO VAL : A PPROVE D REP UBLIC ACT 545 Se ction 25 (4) SHEET NO .
Drawings and specifications duly signed,

UPGRADING
E / REHABILITATION
T OF PROPOSED PERIMETER FENCH DEPARTMENT OF HEALTH
stamped or sealed as instruments of servic es
A RCHITECT / CIVIL E NG INEER whether the objects for which they are made is 5
DR. SRAPI O B
. M
O
N A ÑER J R
., executed or not. It s hall be unlawful for any person
without the writte n c onsent of the Architect or
DR. ROMEO G. MONTANER,AL-HAJ DR. KADIL M. SINOLINDING JR.,AL-HAJ,MD,DPBO MUJIV S. HATAMAN Author of the said documents t o duplicate or to
E-5
AL HAJ MEMORIAL HOSPITAL CHIEF O F HOSPITAL S TRUCTURAL ENGINE ER CIVIL ENGINE ER PROF. ELE CTRICAL ENGINEER REGIONAL S ECRETA RY RE GIONAL GOV ERNOR
repetition of and for projec ts or buildings whether
partly or wholly execu ted.
LOCATION: BARANGA Y MABUL, MALABANG, LANA O DE L S UR SANITARY ENGINEER MASTER PLUMB ER MECHANICAL ENGINEER
Figure 12A. Detailed Perimeter Fence Plan, DSBMMH

37
Fire Safety regulations are also covered by the project as well as clearance for occupancy
safety from the Municipal Engineer’s Office need to be sought prior to opening of the project.
DSBMMH hospital wastes must also seek clearance from the Department of
Environment and Natural Resources regarding the waste management procedures.
CHAPTER IV
MANAGEMENT STUDY
Form of Business and Rationale
By virtue of Republic Act No. 4226, Malabang District Hospital was created to operate as
a 10-bed primary hospital. It was renamed as Dr. Serapio B, Montañer, Al Haj Memorial
Hospital thru Muslim Mindanao Act No. 33. Dr. Montañer, Al Haj was a former Director of
Regional Health Office No. 12. In recognition of his unparalleled contributions in the promotion
of health and upliftment of well-being of the people in Malabang, the hospital he serves was
dedicated to his memoirs thus Malabang District Hospital is now known as DSBMMH.
38
Organization Structure
The Regional Secretary of Health sits as the head of the ARMM Department of Health.
Each of ARMM’s five provinces has an Integrated Provincial Health Office (IPHO) wherein 2-5
health facilities and hospitals are further regulated. DSBMMH is regulated under the Provincial
Health Office II of Lanao del Sur. Technical and administrative control of the hospital is run by
the Chief of Hospital.
Being a Level 1 hospital, DSBMMH has four major organizational units which comprise
of the medical service, nursing service and hospital operations and patient support service
(HOPSS).
Figure 13. Organizational Chart
Regional Secretary of DOH-ARMM

Regional Secretary of DOH-ARMM
Head of Department of Health Autonomous RegioninMuslim
Head of Department of Health Autonomous RegioninMuslim
Mindanao
Mindanao
Integrated Provincial Health Office-Lanao Sur

Integrated Provincial Health Office-Lanao Sur
Provincial Health Officer II
Provincial Health Officer II
ChiefofofHospital
Hospital
Chief
Medical service Nursing service Hospital operations &

Medical service Nursing service Hospital operations &
SUPPORT SERVICES
SUPPORT SERVICES
39
Manpower Requirements
The expansion project requires additional staffing to man the extension services. The
required positions and number of personnel is reflected in the DOH assessment tool in the
appendix.
Job Descriptions
The Chief of Hospital is responsible for the overall management and administration of
the hospital. Formulation of policies, plans and programs is distributed to other units but final
approval is from the Chief of Hospital. He implements strategies for attainment of high health
standards of quality healthcare for both medical and allied health personnel. The Chief of
Hospital provides leadership and steers the organization into what it envisions itself in the next
forthcoming years.
The Medical Service is responsible for providing quality inpatient and outpatient
healthcare management for the patients. The unit assists the Chief of Hospital on management of
clinical information system. It also provides avenues of research for hospital and customer
consumption.
The Nursing Service is tasked to implement nursing care strategies in the care of all
patients who seek healthcare services at DSBBMH. It is also responsible in planning strategies to
improve nursing care, submit financial requests, provides training for both in-service seminars
and new nursing staff.
The HOPSS, formerly known as the administrative service is responsible for human
resource planning, records management, property and inventory section, engineering as well as
the accounting section of the hospital.
40
Table 5 . Manpower Requirements and Compensation
AUTHORIZED
NO.OF POSITION POSITION TITLE SALARY BASIC SAL RLIP HDMF PHIC ECIP PERA UCA SUBSISTENCE LAUNDRY PBB HAZARD 25% YEAR END CASH GIFT TOTAL
SALARY
9 MEDICAL SPECIALIST I 23 552,768.00 4,974,912.00 596,989.44 10,800.00 47,250.00 10,800.00 216000 9,000.00 162,000.00 16,200.00 2,000.00 1,243,728.00 414,576.00 9000
3 MEDICAL OFFICER IV 23 552,768.00 1,658,304.00 198,996.48 3,600.00 3,600.00 72000 3,000.00 54,000.00 5,400.00 2,000.00 414,576.00 138,192.00 3000
4 MEDICAL OFFICER I I 21 473,916.00 1,895,664.00 227,479.68 4,800.00 21,000.00 4,800.00 96000 4,000.00 72,000.00 7,200.00 2,000.00 473,916.00 157,972.00 4000
27 NURSE I 15 298,644.00 8,063,388.00 967,606.56 32,400.00 97,200.00 32,400.00 648000 27,000.00 486,000.00 48,600.00 2,000.00 2,015,847.00 671,949.00 27000
16 NURSE I 11 222,588.00 3,561,408.00 427,368.96 19,200.00 43,200.00 19,200.00 384000 16,000.00 288,000.00 28,800.00 2,000.00 890,352.00 296,784.00 16000
2 PHARMACIST I 11 222,588.00 445,176.00 53,421.12 2,400.00 2,700.00 2,400.00 48000 5,000.00 36,000.00 3,600.00 2,000.00 111,294.00 37,098.00 5000
1 RADIOLOGIC TECHNOLOGIST I 13 257,232.00 257,232.00 30,867.84 1,200.00 3,150.00 1,200.00 24000 5,000.00 18,000.00 1,800.00 2,000.00 64,308.00 21,436.00 5000
1 RADIOLOGIC TECHNOLOGIST I 11 222,588.00 222,588.00 26,710.56 1,200.00 2,700.00 1,200.00 24000 5,000.00 18,000.00 1,800.00 2,000.00 55,647.00 18,549.00 5000
4 MEDICAL TECHNOLOGIST I 11 222,588.00 890,352.00 106,842.24 4,800.00 10,800.00 4,800.00 96000 5,000.00 72,000.00 7,200.00 2,000.00 222,588.00 222,588.00 5000
5 NURSING ATTENDANT I 6 155,052.00 775,260.00 93,031.20 6,000.00 9,000.00 6,000.00 120000 5,000.00 90,000.00 9,000.00 2,000.00 193,815.00 64,605.00 5000
14 NURSING ATTENDANT I 4 155,052.00 2,170,728.00 260,487.36 16,800.00 23,100.00 16,800.00 336000 14,000.00 252,000.00 25,200.00 2,000.00 542,682.00 723,576.00 14000
1 ENGINEER I 16 322,536.00 322,536.00 38,704.32 1,200.00 3,900.00 1,200.00 24000 5,000.00 18,000.00 1,800.00 2,000.00 80,634.00 26,878.00 5000
1 ACCOUNTANT I 16 322,536.00 322,536.00 38,704.32 1,200.00 3,900.00 1,200.00 24000 5,000.00 18,000.00 1,800.00 2,000.00 80,634.00 26,878.00 5000
1 ADMINISTRATIVE OFFICER I I 14 276,528.00 276,528.00 33,183.36 1,200.00 3,450.00 1,200.00 24000 5,000.00 18,000.00 1,800.00 2,000.00 69,132.00 23,044.00 5000
1 COMPUTER MAINTENANCE TECHNOLOGIST I 11 222,588.00 222,588.00 26,710.56 1,200.00 2,700.00 1,200.00 24000 5,000.00 18,000.00 1,800.00 2,000.00 55,647.00 18,549.00 5000
1 DATA CONTROLLER I 6 155,052.00 155,052.00 18,606.24 1,200.00 1,800.00 1,200.00 24000 5,000.00 18,000.00 1,800.00 2,000.00 38,763.00 12,921.00 5000
1 SOCIAL WELFARE OFFICER I I 15 298,644.00 298,644.00 35,837.28 1,200.00 5,250.00 1,200.00 24000 5,000.00 18,000.00 1,800.00 2,000.00 74,661.00 24,887.00 5000
92 TOTAL 26,512,896.00 3,181,547.52 110,400.00 281,100.00 110,400.00 2,208,000.00 128,000.00 1,656,000.00 165,600.00 34,000.00 6,628,224.00 2,900,482.00 128,000.00 44,044,649.52
41
CHAPTER V
FINANCIAL STUDY
This section presents the viability and sustainability of increasing bed capacity of
DSBMMH from 25 bed capacity to 75.
Total Project Cost
The proposed project requires a total cost of ₱90, 374,258.25. Ninety-six percent
(96%) will be sourced out from the proposed funding institution (government grant)
amounting to ₱85,608,649.52. On the other hand, the remaining 4% will be the DSBMMH
counterpart and beginning capital on the proposed expansion amounting to ₱4,765,608.73.
Table 6. Total Project Cost

Dr. Serapio B. Montaῆer, Jr. Al-haj Memorial Hospital
Total Project Cost
To be Acquired
Particulars Existing Total
DSBMMH Gov't Fund
Building Renovation 29,680,500.00 29,680,500.00
Hospital Equipment 11,883,500.00 11,883,500.00
Additional Manpower 44,044,649.52 44,044,649.52
Subtotal 85,608,649.52 85,608,649.52
Working Capital 1,035,984.00 1,035,984.00

Operating Expenses 4,765,608.73 4,765,608.73
Subtotal 4,765,608.73 5,801,592.73
Less: Working Capital in Circulation 1,035,984.00 1,035,984.00
Net working Capital 1,035,984.00 3,729,624.73 - 4,765,608.73
Total Project Cost 1,035,984.00 3,729,624.73 85,608,649.52 90,374,258.25
42
Initial Capital Requirements
Initial capital requirement or working capital consist of the expenses monthly the
project will incur for the time period before cash is generated to sustain continuous
operation.
Table 7. Initial Capital Requirements
Requirement Amount
Building Renovation 29,680,500.00
Hospital Equipment 11,883,500.00
Manpower Salaries 44,044,649.52
Total 85,608,649.52
Table 8. Sources of Financing and Corresponding Percentage
Sources of Funds
Particulars Amount Percentage
Grant Amount 85,608,649.52 96%
Proponent's Equity 4,765,608.73 4%
Total Project Cost 90,374,258.25 100%
43
Projected Cash Flows
Assumptions
 Sales and revenue are projected to increase by 4.98% based on the
interrelation to demand. This means that as bed capacity increases at no price
cost for the consumer, patronage will increase. DSBMMH benefits on this
through Phillhealth receivables out of consumers who availed of the services.
 Salaries and wages of clinical and administrative personnel will increase by
2.50% based on the labor requirement policies of Department of Labor and
Employment (DOLE).
 Expenses are expected to increase by 2.50% based on Inflation Rate.
 Income tax expenses also considered in the project
 Depreciation expenses are computed using Straight Line Method.
 Financial Projection is up to five (5) years.
Projected Cash Inflows-Outflows
Cash Flow Statement entails periodic basis that measures the availability of
cash and determines whether cash inflows in the current year was able to sustain the cash
outflows for expenditures of proposed business. The positive result of net cash flows
below connotes that the business is stable in terms of cash and illustrates cash end
increasing trend. The result conveys that there will be enough cash to sustain the
operation.
44
Table 9. Projected Cash Flows

Projected Cashflow Statement
For the Period Ending
Particulars Pre - Expansion Year 1 Year 2 Year 3 Year 4 Year 5
Cash Inflows:
Grantt Proceeds 85,608,649.52
Cash Sales and Revenues 79,985,354.10 83,968,624.73 88,150,262.25 92,540,145.31 97,148,644.54
Additional Investment 3,729,624.73 - - - - -
Total Cash Inflows 89,338,274.25 79,985,354.10 83,968,624.73 88,150,262.25 92,540,145.31 97,148,644.54
Cash Outflows:
Building Renovation 29,680,500.00
Hospital Equipment 11,883,500.00
Payment of Operating Expenses 10,758,576.10 11,027,540.50 11,303,229.02 11,585,809.74 11,875,454.98
Payment of Manpower Salaries 44,044,649.52 45,145,765.76 46,274,409.90 47,431,270.15 48,617,051.90
Payment of Taxes - 5,110,811.10 7,402,382.54 8,223,265.38 9,095,412.72 7,692,463.16
Total Cash Outflows 41,564,000.00 59,914,036.72 63,575,688.80 65,800,904.30 68,112,492.61 68,184,970.05
Net Cashflows 47,774,274.25 20,071,317.38 20,392,935.93 22,349,357.94 24,427,652.70 28,963,674.49

Add: Cash Beginning 1,035,984.00 48,810,258.25 68,881,575.64 89,274,511.57 111,623,869.51 136,051,522.21
Cash - Ending Balance 48,810,258.25 68,881,575.64 89,274,511.57 111,623,869.51 136,051,522.21 165,015,196.70
45
Table 10: Depreciation of Building and Equipment
Depreciation Expense
Particulars Useful Life Year 1 Year 2 Year 3 Year 4 Year 5
Building 30 989,350.00 989,350.00 989,350.00 989,350.00 989,350.00
Table Hydraulic 10 100,000.00 100,000.00 100,000.00 100,000.00 100,000.00
Anesthesia Machine 10 200,000.00 200,000.00 200,000.00 200,000.00 200,000.00
Major Operating Lights 5 460,000.00 460,000.00 460,000.00 460,000.00 460,000.00
Hydraulic Emergency Bed 10 75,000.00 75,000.00 75,000.00 75,000.00 75,000.00
Automatic OR Scrubbing Unit 6 100,000.00 100,000.00 100,000.00 100,000.00 100,000.00
Biomedical Safety Cabinet 6 75,000.00 75,000.00 75,000.00 75,000.00 75,000.00
Intravenous Infusion Pumps 15 60,000.00 60,000.00 60,000.00 60,000.00 60,000.00
Oxygen Concentrator 15 20,000.00 20,000.00 20,000.00 20,000.00 20,000.00
Cesarian Set 6 16,666.67 16,666.67 16,666.67 16,666.67 16,666.67
Exploratory Laparotomy Set 5 20,000.00 20,000.00 20,000.00 20,000.00 20,000.00
Cardiac Monitor with accessories 15 70,000.00 70,000.00 70,000.00 70,000.00 70,000.00
Hb1C machine 15 2,000.00 2,000.00 2,000.00 2,000.00 2,000.00
Laryngoscope 10 2,000.00 2,000.00 2,000.00 2,000.00 2,000.00
EENT Diagnostic Set 15 4,000.00 4,000.00 4,000.00 4,000.00 4,000.00
Ortho Instrument Set 15 3,333.33 3,333.33 3,333.33 3,333.33 3,333.33
Vein Scanner 10 30,000.00 30,000.00 30,000.00 30,000.00 30,000.00
Prime Use Non-Standby Power Diesel Generator 15 66,666.67 66,666.67 66,666.67 66,666.67 66,666.67
Xerox Machine, heavy Duty, reducible capacity 15 10,000.00 10,000.00 10,000.00 10,000.00 10,000.00
Non Mercurial Baumanometer 7 10,000.00 10,000.00 10,000.00 10,000.00 10,000.00
Littman stethoscopes 8 2,187.50 2,187.50 2,187.50 2,187.50 2,187.50
Littman stethoscopes 8 4,375.00 4,375.00 4,375.00 4,375.00 4,375.00
Hospital beds 10 50,000.00 50,000.00 50,000.00 50,000.00 50,000.00
Lawn Mower 10 5,000.00 5,000.00 5,000.00 5,000.00 5,000.00
Wheel Chairs 6 8,500.00 8,500.00 8,500.00 8,500.00 8,500.00
Total 2,384,079.17 2,384,079.17 2,384,079.17 2,384,079.17 2,384,079.17
46
Table 11. Projected Income Statement
Dr. Serapio M. Montaῆer, Jr. Al-haj Memorial Hospital

Projected Income Statement
Particulars Year 1 Year 2 Year 3 Year 4 Year 5
Revenue and Sales 79,985,354.10 83,968,624.73 88,150,262.25 92,540,145.31 97,148,644.54
Less: Operating Expenses 57,187,304.79 58,557,385.43 59,961,718.08 61,401,159.06 62,876,586.05
Net Income before Income Tax 22,798,049.31 25,411,239.31 28,188,544.16 31,138,986.25 34,272,058.49
Less: Tax Expense 6,814,414.79 7,598,371.79 8,431,563.25 9,316,695.87 10,256,617.55
Net Income after Tax Expense 15,983,634.52 17,812,867.51 19,756,980.91 21,822,290.37 24,015,440.94
Table 12. Projected Financial Statement

Projected Statement of Financial Position
Particulars Pre - Expansion Year 1 Year 2 Year 3 Year 4 Year 5
Assets
Current Assets:
Cash 48,810,258.25 68,881,575.64 89,274,511.57 111,623,869.51 136,051,522.21 165,015,196.70
Total Current Assets 48,810,258.25 68,881,575.64 89,274,511.57 111,623,869.51 136,051,522.21 165,015,196.70
Non - current Assets:

Building Renovation 29,680,500.00 29,680,500.00 29,680,500.00 29,680,500.00 29,680,500.00 29,680,500.00
Hospital Equipment 11,883,500.00 11,883,500.00 11,883,500.00 11,883,500.00 11,883,500.00 11,883,500.00
Subtotal 41,564,000.00 41,564,000.00 41,564,000.00 41,564,000.00 41,564,000.00 41,564,000.00
Less: Accumulated Depreciation 2,384,079.17 4,768,158.33 7,152,237.50 9,536,316.67 11,920,395.83
Total Non - current Assets 41,564,000.00 39,179,920.83 36,795,841.67 34,411,762.50 32,027,683.33 29,643,604.17
Total Assets 90,374,258.25 108,061,496.47 126,070,353.23 146,035,632.01 168,079,205.54 194,658,800.87
Liabilities and Equity

Current Liabilities:
Tax Payable 1,703,603.70 1,899,592.95 2,107,890.81 2,329,173.97 2,564,154.39
Total Current Liabilities 1,703,603.70 1,899,592.95 2,107,890.81 2,329,173.97 2,564,154.39
Non - current Liabilities

Total Liabilities 1,703,603.70 1,899,592.95 2,107,890.81 2,329,173.97 2,564,154.39
Equity:
Capital - Beginning 1,035,984.00 90,374,258.25 106,357,892.77 124,170,760.29 143,927,741.20 168,079,205.54
Add: Net Income 15,983,634.52 17,812,867.51 19,756,980.91 21,822,290.37 24,015,440.94
Additional Investment 3,729,624.73
Grantt Proceeds 85,608,649.52 - - - - -
Capital - Ending 90,374,258.25 106,357,892.77 124,170,760.29 143,927,741.20 165,750,031.57 192,094,646.48
Total Liabilities and Equity 90,374,258.25 108,061,496.47 126,070,353.23 146,035,632.01 168,079,205.54 194,658,800.87
47
Weighted Average Cost of Capital
The weighted average cost of capital (WACC) is the rate that a company is
expected to pay on average to all its security holders to finance its assets. The WACC is
commonly referred to as the firm’s cost of capital. Importantly, it is dictated by the
external market and not by management. The WACC represents the minimum return that
a company must earn on an existing asset base to satisfy its creditors, owners, and other
providers of capital, or they will invest elsewhere.
Companies raise money from a number of sources: common stock, preferred
stock, straight debt, convertible debt, exchangeable debt, warrants, options, pension
liabilities, executive stock options, governmental subsidies, and so on. Different
securities, which represent different sources of finance, are expected to generate different
returns. The WACC is calculated taking into account the relative weights of each
component of the capital structure.
For this project, WACC is determined through IRR, discounted payback period,
profitability index and profitability ratios because it only relies investment capital on
government subsidies as well as self-generated income from the hospital itself.
48
Internal Rate of Return
Shown on the table below is the detailed computation of the internal rate of
return. Considering the time value of money, the project will have an IRR of 27.16%
after 30 years of operation. It means that, in every Php1.00 invested in the project, there
is a Php0.2716 return. This is a favorable result because it is higher than the average
inflation rate in Lanao del Sur, which is 2.50%.
Table 13. Internal Rate of Return

Internal Rate of Return
Discounted PV Factor Discounted PV Factor
Year Net Cash Inflow Discounted Cash Inflow Discounted Cash Inflow
26% 27%
1 20,071,317.38 0.7937 15,929,616.97 0.7874 15,804,186.92
2 20,392,935.93 0.6299 12,845,134.75 0.6200 12,643,645.56
3 22,349,357.94 0.4999 11,172,578.53 0.4882 10,910,732.00
4 24,427,652.70 0.3968 9,691,690.94 0.3844 9,390,027.26
5 28,963,674.49 0.3149 9,120,127.98 0.3027 8,766,677.96
6 28,963,674.49 0.2499 7,238,196.81 0.2383 6,902,896.03
7 28,963,674.49 0.1983 5,744,600.64 0.1877 5,435,351.21
8 28,963,674.49 0.1574 4,559,206.86 0.1478 4,279,804.10
9 28,963,674.49 0.1249 3,618,418.14 0.1164 3,369,924.49
10 28,963,674.49 0.0992 2,871,760.43 0.0916 2,653,483.85
11 28,963,674.49 0.0787 2,279,174.94 0.0721 2,089,357.36
12 28,963,674.49 0.0625 1,808,869.00 0.0568 1,645,163.28
13 28,963,674.49 0.0496 1,435,610.32 0.0447 1,295,404.15
14 28,963,674.49 0.0393 1,139,373.27 0.0352 1,020,003.27
15 28,963,674.49 0.0312 904,264.50 0.0277 803,152.18
16 28,963,674.49 0.0248 717,670.24 0.0218 632,403.29
17 28,963,674.49 0.0197 569,579.55 0.0172 497,955.35
18 28,963,674.49 0.0156 452,047.26 0.0135 392,090.83
19 28,963,674.49 0.0124 358,767.67 0.0107 308,732.93
20 28,963,674.49 0.0098 284,736.25 0.0084 243,096.80
21 28,963,674.49 0.0078 225,981.15 0.0066 191,414.80
22 28,963,674.49 0.0062 179,350.12 0.0052 150,720.32
23 28,963,674.49 0.0049 142,341.36 0.0041 118,677.41
24 28,963,674.49 0.0039 112,969.34 0.0032 93,446.78
25 28,963,674.49 0.0031 89,658.20 0.0025 73,580.14
26 28,963,674.49 0.0025 71,157.30 0.0020 57,937.12
27 28,963,674.49 0.0019 56,474.05 0.0016 45,619.78
28 28,963,674.49 0.0015 44,820.68 0.0012 35,921.09
29 28,963,674.49 0.0012 35,571.96 0.0010 28,284.32
30 28,963,674.49 0.0010 28,231.72 0.0008 22,271.12
840,296,800.83 93,727,980.92 89,901,961.71
Total Discounted Cash Inflow Php 93,727,980.92 Php 89,901,961.71

Less: Total Project Cost 90,374,258.25 90,374,258.25
Difference Php 3,353,722.67 Php (472,296.54)
Internal Rate of Return 27.16%
49
Discounted Pay Back Period
Payback period indicates the number of years required to recover the initial
investment. As computed, the proposed project will be able to recover the total
investment cost of ₱90,374,258.25 in approximately five (5) years and six (6) months.
Though the payback period does not reflect the time value of money, the result is still
favorable since the investment will be recovered less than the life of critical asset, which
is thirty (30) years.
This means that DSBMMH through increasing bed capacity will be able to
accommodate 75 in-patients at one time which would mean increase yield in Philhealth
revenues and DSBMMH sales. As hospital services increase, so is the capability of
DSBMMH to cater to more cases and more patients. In the course of operation,
machines, equipments and manpower will no longer increase in cost but still in full
service thus reducing maintenance costs but increases in service capability.
Table 14. Payback Period

PAYBACK PERIOD
NET INCOME + CUMULATIVE
YEAR PERIOD
DEPRECIATION TOTAL
1 18,367,713.69 18,367,713.69 1
2 20,196,946.68 38,564,660.37 1
3 22,141,060.08 60,705,720.45 1
4 24,206,369.54 84,912,089.99 1
5 26,399,520.11 111,311,610.10 1
Total 111,311,610.10 5
Total Project Cost 90,374,258.25
Less: Cumulative Total where investment is to be recovered 18,367,713.69
Total Amount to be recovered 72,006,544.57
Divided by: Net Cashflows 28,963,674.49
Quotient 2.49 5
Months 6 6
Payback Period 5 years and 6 months
50
Profitability Index
The profitability ratios pertain to the ability of the project to generate profit. Since
calculation for the net profit ratio shows an increasing result, it means that the proposed
project will be able to generate increasing income. Table shows the profitability ratios of
the Facility over the five (5) year’s projected operation.
Table 15. Profitability Ratios

Profitability Ratios
Net income 15,983,634.52 17,812,867.51 19,756,980.91 21,822,290.37 24,015,440.94
Divided by: Sales and Revenue 79,985,354.10 83,968,624.73 88,150,262.25 92,540,145.31 97,148,644.54
Return on Sales 19.98% 21.21% 22.41% 23.58% 24.72%

Gross Profit 22,798,049.31 25,411,239.31 28,188,544.16 31,138,986.25 34,272,058.49
Divided by: Net sales 79,985,354.10 83,968,624.73 88,150,262.25 92,540,145.31 97,148,644.54
Gross Profit Rate 28.50% 30.26% 31.98% 33.65% 35.28%
Liquidity ratios measure a facilities’ ability to meet its maturing short-term
obligations. In other words, can a company quickly convert its assets to cash without a
loss in value if necessary to meet its short-term obligations? Favorable liquidity ratios are
critical to a company and its creditors within a business or industry that does not provide
a steady and predictable cash flow. They are also a key predictor of a company’s ability
to make timely payments to creditors and to continue to meet obligations to lenders when
faced with an unforeseen event.
DSBMMH does not worry much on the liquidity ratio of the hospital since the
project itself is provided under government bureaucracies. It simply means that it does
not have the liberty to purchase or borrow from private entities without prior government
51
approval and bidding process. Debts incurred during the course of the project are
mainstreamed through the central office of the DOH-ARMM. Thus, liquidity ratios are
determined by the DOH-ARMM. However, for the sake of presentation, DSBMMH thus
has the ability to repay any debts from investors based on its liquidity ratios in five years
in cases of unforeseen events.
Table 16. Liquidity Ratios
Liquidity Ratios
Current Asset 68,881,575.64 89,274,511.57 111,623,869.51 136,051,522.21 165,015,196.70
Current Liabilities 1,703,603.70 1,899,592.95 2,107,890.81 2,329,173.97 2,564,154.39
40.43 47.00 52.96 58.41 64.35
52
CHAPTER VI
SOCIOECONOMIC STUDY
Direct Benefits
The project brings good tidings for the people of Lanao del Sur. Healthwise,
improvement in the overall well-being of the people within the scope of the project will
be much felt by the community. The expansion project of DSBMMH will provide much
comfort for the people in the community as well as providing satisfactory quality services
by the healthcare workers and providers. Thru this project, the inequity of poor health
services and outcomes for the people of Malabang, Marogong, Balabagan, Kapatagan and
Picong will surely be answered. Thereby, DSBMMH true to its mission can directly
uplift the well-being and quality of life for these people.
Indirect Benefits
The Province of ARMM will be boost in terms of health and economy. Manpower
who is eventually hired will have to pay personal taxes to the government. Suppliers of
medical and non-medical equipment will have increased sales and will also need to pay
taxes due to them. Healthy families will have stamina and good health to capitalize in
earning livelihood.
53
CHAPTER VII
CONTINGENCY PLAN
A capital fund to start the project thus needs solid sources.
Cost saving measures can be done by the hospital thru cutting expenses,
enhancing out-patient services, strengthening partnerships with Rural Health Units for
home care management especially for chronic conditions, involve the people in health
management to empower them especially on preventable diseases.
The least contingency this project can do is to involve in a public-private project
in healthcare by inviting private investors and submit the project to qualify in the bid of
the Public-Private Partnership Strategic Support Fund of DBM and NEDA.
54
CHAPTER VIII
SUMMARY, CONCLUSION AND RECOMMENDATIONS
Summary
The overriding purpose of the study is to measure the viability and sustainability
of the proposed expansion for DSBMMH to cater patients who seek healthcare services
with quality and satisfaction.
DSBMMH data collated for the past years of operation showed the much needed
renovation, expansion and improvement of its services in as much as it was established to
look after the health and welfare of the people coming from these municipalities. Added
to these are the non-governmental organizations as well as government agencies tasked to
survey on the general health status of people from ARMM. These reports clearly spelled
out the poor health status of the Maranaws because of inadequacy of facilities, manpower
and support.
The project proposed by the Author is long overdue in which it should be taken
into deep consideration before nothing can be repaired anymore. The forecasts of
investment against predictable revenues largely participated by Philhealth is quite
favourable since investments life is 30 years while return of investments can be covered
in five years and six months.
55
Conclusion
The proposed expansion of DSBMMH into a 75-bed capacity is both timely and
relevant to the current issues and trends. Financially, it is highly favourable to pursue
since payback period is lesser in time compared to the life of capital investments.
Socially, people will greatly benefit because they are the prime movers of patronage and
provide revenues for the hospital. Patient satisfaction will also increase because quality
service is rightfully and accurately delivered.
Recommendations
In line with the preceding results of the study, it is highly recommended that:
1. The National Government need to prioritize health needs of the people especially
the ARMM province since time and again, these areas always figure out as the
one left behind economically, socially and health wise.
2. DOH-ARMM must review the different reports conducted by different
organizations and act on the recommendations given.
3. DSBMMH must be given priority in grants because of the large catchment areas it
serves.
4. Political and social support must be enhanced in order for the project to flourish,
sustain and deliver good, quality services to the people it serves and the nearby
municipalities.
56
REFERENCE
Department of Health (2016). AO No. 2012-0012: Assessment Tool for Licensing a

Hospital: Annex K-1. Retrieved from www.doh-bhfs.com. Accessed 14
December 2016.
Dela Paz, M. C., Colson, L. (2008). Population, Health, and Environment Issues in the
Philippines: A Profile of the Autonomous Region in Muslim Mindanao. Retrieved
from http://www.prb.org. Accessed 10 December 2016.
Philippine Health Statistics Authority (2013). Recorded Population of 933 Thousand for
Lanao del Sur (Results from the 2010 Census of Population and Housing).
Retrieved from https://psa.gov.ph/content/recorded-population-933-thousand-
lanao-del-sur-results-2010-population-and-housing. Accessed 11 December 2016.
Provincial Planning and Development Office (2015). Lanao del Sur In Focus. Retrieved
from www.lanaodelsur.gov.ph. Accessed 12 December 2016.
vii
APPENDICES
Appendix A DOH AO 2012-0012 Annex K-1
Appendix B Financial Support Data
Appendix B-1: Financial Sources
Appendix B-2: Accumulated Depreciation of Equipment
Appendix B-3: Tax Expense
Appendix C Bill of Materials of Proposed Infrastructure DSBMMH
ix
Appendix A
DOH AO 2012-0012 Annex K-1

Appendix B
Financial Support Data
Appendix B-1: Financial Sources
Appendix B-2: Accumulated Depreciation of

Equipment
Appendix B-3: Tax expenses

APPendix B-1
FINANCIAL RESOURCES
Organization Self - Generated Fund Amount

Particulars
Income from Hospital Service 1,035,984.00
Income from Philhealth 29,700,800.00
Total Revenue 30,736,784.00
Government Subsidy: Amount

Personal Services 29,076,929.00
RN Salaries 2,893,600.00
MECA Salaries 2,160,000.00
Maintenance and Other Operational Expenditure (MOOE) 5,704,976.10
Subtotal 39,835,505.10
Total 70,572,289.10
APPENDIX B-2
Accumulated Depreciation
Building 989,350.00 1,978,700.00 2,968,050.00 3,957,400.00 4,946,750.00
Table Hydraulic 100,000.00 200,000.00 300,000.00 400,000.00 500,000.00
Anesthesia Machine 200,000.00 400,000.00 600,000.00 800,000.00 1,000,000.00
Major Operating Lights 460,000.00 920,000.00 1,380,000.00 1,840,000.00 2,300,000.00
Hydraulic Emergency Bed 75,000.00 150,000.00 225,000.00 300,000.00 375,000.00
Automatic OR Scrubbing Unit 100,000.00 200,000.00 300,000.00 400,000.00 500,000.00
Biomedical Safety Cabinet 75,000.00 150,000.00 225,000.00 300,000.00 375,000.00
Intravenous Infusion Pumps 60,000.00 120,000.00 180,000.00 240,000.00 300,000.00
Oxygen Concentrator 20,000.00 40,000.00 60,000.00 80,000.00 100,000.00
Cesarian Set 16,666.67 33,333.33 50,000.00 66,666.67 83,333.33
Exploratory Laparotomy Set 20,000.00 40,000.00 60,000.00 80,000.00 100,000.00
Cardiac Monitor with accessories 70,000.00 140,000.00 210,000.00 280,000.00 350,000.00
Hb1C machine 2,000.00 4,000.00 6,000.00 8,000.00 10,000.00
Laryngoscope 2,000.00 4,000.00 6,000.00 8,000.00 10,000.00
EENT Diagnostic Set 4,000.00 8,000.00 12,000.00 16,000.00 20,000.00
Ortho Instrument Set 3,333.33 6,666.67 10,000.00 13,333.33 16,666.67
Vein Scanner 30,000.00 60,000.00 90,000.00 120,000.00 150,000.00
Prime Use Non-Standby Power Diesel Generator 66,666.67 133,333.33 200,000.00 266,666.67 333,333.33
Xerox Machine, heavy Duty, reducible capacity 10,000.00 20,000.00 30,000.00 40,000.00 50,000.00
Non Mercurial Baumanometer 10,000.00 20,000.00 30,000.00 40,000.00 50,000.00
Littman stethoscopes 2,187.50 4,375.00 6,562.50 8,750.00 10,937.50
Littman stethoscopes 4,375.00 8,750.00 13,125.00 17,500.00 21,875.00
Hospital beds 50,000.00 100,000.00 150,000.00 200,000.00 250,000.00
Lawn Mower 5,000.00 10,000.00 15,000.00 20,000.00 25,000.00
Wheel Chairs 8,500.00 17,000.00 25,500.00 34,000.00 42,500.00
Total 2,384,079.17 4,768,158.33 7,152,237.50 9,536,316.67 11,920,395.83
APPENDIX B-3
Tax Expense
BIR Policy for Individual Taxpayers

If Taxable income is: Tax Due is:
Not over 10,000.00 5%
500 + 10% of the excess over 10,000
Over 30,000 but not over 70,000 2,500 + 15% of the excess over 30,000
Over 70,000 but not over 140,000 8,500 + 20%of the excess over 70,000
Over 500,000 125,000 + 32% of the excess over 500,000
Income Tax Computation

Income before Tax 22,798,049.31 25,411,239.31 28,188,544.16 31,138,986.25 34,272,058.49
Less: Additional Exemption
Basic Exemption - - - - -
Taxable Tax 22,798,049.31 25,411,239.31 28,188,544.16 31,138,986.25 34,272,058.49
Less: Base Amount 500,000.00 500,000.00 500,000.00 500,000.00 500,000.00
Excess 22,298,049.31 24,911,239.31 27,688,544.16 30,638,986.25 33,772,058.49
Multiply by: Tax Percentage 30% 30% 30% 30% 30%
Subtotal 6,689,414.79 7,473,371.79 8,306,563.25 9,191,695.87 10,131,617.55
Add: Basic Tax 125,000.00 125,000.00 125,000.00 125,000.00 125,000.00
Income Tax Due 6,814,414.79 7,598,371.79 8,431,563.25 9,316,695.87 10,256,617.55
Payment of Tax Expense - Cashflow

Income Tax Payable 6,814,414.79 7,598,371.79 8,431,563.25 9,316,695.87 10,256,617.55
Multiply by 75% 75% 75% 75% 75%
Payment of Tax 5,110,811.10 5,698,778.84 6,323,672.44 6,987,521.91 7,692,463.16
Payment of Tax Expense - SFP

Income Tax Payable 6,814,414.79 7,598,371.79 8,431,563.25 9,316,695.87 10,256,617.55
Less: Payment of Income Tax 5,110,811.10 5,698,778.84 6,323,672.44 6,987,521.91 7,692,463.16
Current Income Tax Payable 1,703,603.70 1,899,592.95 2,107,890.81 2,329,173.97 2,564,154.39
Appendix C Bill of Materials of Proposed Infrastructure for DSBMMH
BILL OF MATERIALS
Project No.: DOH
Project REHABILITATION OF DR. SERAPIO B. MONTAÑER JR., AL-HADJ

Name: MEMORIAL HOSPITAL-ADMIN BUILDING
Project Municipality of Malabang,

Location: Lanao del Sur
Costing
Date:
Costing
Center:
A.) CONSTRUCTION OF ADMINISTRATION BUILDING
Total
Scope of Works Unit Qty. Unit Cost
Cost

30,000.
I. DEMOBILIZATION/MOBILIZATION lot 1.00 30,000.00
00
-
25,000.
II. lot 1.00 30,000.00
Engineering & Design Cost 00

SITE
1.0)
WORKS
Sq. 450.
1.1) Layout of Lines & Grades
M 00

2.0) EARTHWORKS
Cu. 5,000.0
2.1) Structural Excavation 5.00 1,000.00
M 0

Cu. 22.0 22,000.

2.2) Structural Backfill 1,000.00
M 0 00
Materials:
Cu.
Reuse the Excavated Materials 5.00 -
M.
22,000.
00

Gravel Cu. 16.8

2.3)
Fill M 0
Materials:
Cu. 16.8 33,600.

Gravel 2,000.00
M. 0 00
33,600.

00

4,800.0
2.4) Soil poisonning gal 8.00 600.00
0
4,800.0

0

3.0) DEMOLITION OF floor tiles

demolition of floor tile (deform 9,555.0

lot 1.00 9,555.00
/broken tiles) 0
4,140.5
clearing of debris lot 1.00 4,140.50
0
8,695.0
Jack hammer (electric) unit 1.00 8,695.05
5
22,390.

55

CONCRETE
4.0)
WORKS
Cu. 191.
4.1) Concrete Class "A"
m. 00
Materials:
1,71 489,915
Cement Bags 285.00
9.00 .00
Cu. 167. 167,000

Washed Sand 1,000.00
M 00 .00
Cu. 84.0 168,000

Washed Gravel 2,000.00
M 0 .00
824,915

.00

MASONRY

WORKS
Sq. 160.
4.2) CHB
m. 00
Materials:
2,00 21,840.
4" CHB Pcs. 10.92
0.00 00
320. 91,200.
Cement Bags 285.00
00 00
Cu. 18.0 16,380.

Sand 910.00
M. 0 00
Cu. 4,368.0
Gravel 4.00 1,092.00
M. 0
250. 35,262.
10mm Ø Pcs. 141.05
00 50
2,366.0
Tie Wire RLS 2.00 1,183.00
0
149,576

.50
Sq. 320.
4.3) Cement Plasterer (2cm both faces)
m. 00
Materials:
96.0 27,360.
Cement Bags 285.00
0 00
Cu. 16.0 14,560.

Sand 910.00
M. 0 00
41,920.

00

REINFORCING
5.0)
BARS
5.1) Fy = 230 Mpa Kgs. -
Materials:
Reinforcement Steel Bar 16mm lengt 540. 144,963

268.45
DSB h 00 .00
Reinforcement Steel Bar 12mm lengt
-
DSB h
Reinforcement Steel Bar 10mm lengt 320. 45,136.

141.05
DSB h 00 00
10.0 12,740.
G.I. Tie Wire No. 16 Roll 1,274.00
0 00
202,839

.00

6.0) FALSEWORKS
Sq. 250.
6.1) Formworks
m. 00
Materials:
150. 116,025
1/2 Plywood Pcs. 773.50
00 .00
4,00 60,080.
Lumber 2" X 3" x16 Bdft 15.02
0.00 00
Assorted Sizes CW Nails Kegs 6.00 77.35 464.10
176,569

.10

10.0
6.2) Scaffoldings Bdft.
0
Materials:
300. 45,045.
Lumber 2" X 4" x 16 pcs 150.15
00 00
50.0 4,322.5
Assorted Sizes CW Nails Kegs 86.45
0 0
49,367.

50
Total
Cost
Sq.M 134.
7.0) CEILING WORK
. 40
7.1) Gyprex PVC Ceiling Board/Tile interior
Materials:
Pcs./. 260. 8,281.0
Cross tee 06m ( 2 feet) 31.85
6m 00 0
300. 32,760.
Main Tee 3.66 m ( 12 feet ) Pcs. 109.20
00 00
140. 13,377.
Wall angle 3.05 m ( 10 feet ) Pcs. 95.55
00 00
100. 4,323.0
Tie hanger kg 43.23
00 0
21.0 1,911.0
Assorted C.W. Nails kegs 91.00
0 0
Gyprex pvc ceiling tiles 9mm x . 560. 101,920

Pcs. 182.00
60m x 1.20m 00 .00
162,572

.00
100.
7.2) External ceiling g i. sheet sq.m.
00
Materials:
500. 22,750.
G.I sheet ceiling Kgs. 45.50
00 00
45.0 4,299.7
Wall angle 3.05 m ( 10 feet ) Pcs. 95.55
0 5
27,049.

75

8.0) FLOOR TILES
Floor Sq.
8.1) 96
Tiles m.
Materials:
20.0 5,096.0
Cement Paste Bags 254.80
0 0
Cu. 3,640.0
Washed Sand 4.00 910.00
M 0
ABC adhesive Tile Grouts 240. 108,108

Bags 450.45
25kgs./Bag 00 .00
1,20 305,760
Tile Glaze 600mm X 600mm Pcs. 254.80
0.00 .00
422,604

.00
FLOOR TILES
9.0)
repair
Floor Sq.
9.1) 672
Tiles m.
Materials:
50.0 12,740.
0 00
Cu. 3,640.0
Washed Sand 4.00 910.00
M 0
ABC adhesive Tile Grouts 372. 167,567

Bags 450.45
25kgs./Bag 00 .40
1,86 475,966
8.00 .40
659,913

.80

10.0
TILE WORKS COMFORT ROOM
)
Sq. 720.
10.1) Tile Works
m. 00
Materials:
14.0 2,293.2
0 0
Unglazed Floor Tiles 200mm x 600. 8,736.0

Pcs. 14.56
200mm 00 0
Glazed Wall Tiles 200mm x 1,80 26,208.

Pcs. 14.56
200mm 0.00 00
ABC adhesive Tile Grouts 80.0 36,036.

Bags 450.45
25kgs./Bag 0 00
73,273.

20

11.0 DOORS &

) WINDOWS
11.1) Panel Door D-1 Set 4.00
Panel Door - 1.60m x 2.10m 163,800

Set 4.00 40,950.00
Alum w/Glass/butterfly .00
2,000.0
Accessories and Related Items Unit 1.00 2,000.00
0

165,800

.00
11.2) Panel Door D2 ( Pre-fabricated ) Set 2.00
Panel Door - .80m x 2.10m alum. 31,000.

Set 2.00 15,500.00
w/glass 00
2,000.0
0

33,000.

00

11.3) Panel Door D-3A ( Pre-fabricated ) Set 6.00
wooden Panel Door - .80m x 35,490.

Set 6.00 5,915.00
2.10m 00
12,000.
00
9,000.0
door jamb set 6.00 1,500.00
0
56,490.

00

11.4) flush Door D-3A ( Pre-fabricated ) Set 6.00
wooden flush Door - .80m x 27,000.

Set 6.00 4,500.00
2.10m 00
6,000.0
0
9,000.0
door jamb set 6.00 1,500.00
0
42,000.

00

Windo 12.0
11.5 Set
w1 0
Materials:
fixed glass with framing 1.2 x 2.6 12.0 70,980.
panel 5,915.00
x 6mm 0 00
12.0 42,000.
Related Items lot 3,500.00
0 00
112,980

.00

Windo
11.6 Set 1.00
w2
Materials:
fixed glass with framing 1.2 x 2.4 5,915.0

panel 1.00 5,915.00
x 6mm 0
3,500.0
Related Items lot 1.00 3,500.00
0
9,415.0

0

Total
Cost
Windo
11.7 Set 4.00
w3
Materials:
window type window 1.2 x 1.2 x 23,660.

panel 4.00 5,915.00
6mm 00
14,000.
00
37,660.

00

Windo
11.6 Set 6.00
w4
Materials:
awning window glass with 12.0 42,000.

panel 3,500.00
framing .4x.6 0 00
12.0 42,000.
Related Items lot 3,500.00
0 00
84,000.

00

Windo
11.7 Set 1.00
w5
Materials:
5,915.0
sliding window 1.2x.6x.6 alum. set 1.00 5,915.00
0
3,500.0
0
9,415.0

0

12.0 PAINTING

) WORKS
Sq. 238.
12.1) Painting on Concrete Wall ( External )
m. 00
Materials:
15.0 4,777.5
Concrete Neutralizer Gals. 318.50
0 0
32.0 20,966.
Latex Paint Gals. 655.20
0 40
32.0 18,928.
Latex Primier Gals. 591.50
0 00
12.0 2,730.0
Body filler qrt 227.50
0 0
10.0 3,185.0
Paint Roller Brushes 7" W/Tray Pcs. 318.50
0 0
10.0
Paint Brushes 4" Pcs. 54.60 546.00
0
51,132.

90

Sq.
12.2) Painting on Steel/Metal Surfaces 5.00
m.
Materials:
Steel Primer Paint Gals. 1.00 591.50 591.50
Paint Thinner Gals. 2.00 209.30 418.60
Paint Roller Brushes 4" W/Tray Pcs. 1.00 136.50 136.50
Paint Brushes 4" Pcs. 5.00 54.60 273.00
1,310.4
paint green color Gals. 2.00 655.20
0
2,730.0

0
13.0
ELECTRICAL WORKS
)
13.1) Supply & Install Electrical Lot 1.00
Materials:
5,096.0
Panel Board Pc. 2.00 2,548.00
0
Flourescent 40 Watt with 83,720.

Pcs. 40 2,093.00
housing 00
Convinience Outlet, Duplex 3 6,916.0

Pcs. 50 138.32
gang 0
Service Entrances with Cap Pc. 2.00 455.00 910.00
20.0 2,766.4
Switches 3 gang Pcs. 138.32
0 0
20.0 2,766.4
Switches 1 gang Pcs. 138.32
0 0
1pc/ 30.0 4,504.5

1/2" PVC pipe 150.15
6m 0 0
12.0 7,098.0
Circuit Breaker Lot 591.50
0 0
cable wires 3.5mm thw 1,00 25,480.

m 25.48
( stranded ) 0.00 00
40.0
Square junction box Pcs. 22.75 910.00
0
Rectangle junction box Pcs. 50.0 22.75 1,137.5

0 0
Convinience Outlet for A/C Pcs. 5.00 109.20 546.00
Cable wires for A/C connection 150. 5,460.0

m 36.40
5.5 thw 00 0
40.0 1,019.2
electrical tape roll 25.48
0 0
50.0 9,100.0
wire stranded 25mm m 182.00
0 0
4,550.0
Related Item Lot 1.00 4,550.00
0
161,980

.00
14.0 ARCHITECTUR

) AL
148.
14.1) Wooden Baseboard x-ray and lab L.m.
00
Materials:
148. 19,124.
Baseboard (10cm) L.m. 129.22
00 56
100. 9,100.0
Assorted Sizes CW Nails Kegs 91.00
00 0
28,224.

56

15.0
SANITARY PLUMBING & ACCESSORIES
)
15.1) Sanitary Plumbing & Accessories sets 6.00
Materials:
35,490.
Water Closet w/ Complete Acc. sets 6.00 5,915.00
00
8,190.0
Lavatory w/ complete acc sets 6.00 1,365.00
0
Toilet Acc.(Tissue/Soap Holder & 5,460.0

sets 6.00 910.00
etc) 0
4,641.0
Beveled mirror 14" x 24" pcs 6.00 773.50
0
5,460.0
Misc.Materials lot 6.00 910.00
0
5,405.4
fauchet long neck pcs 6.00 900.90
0
64,646.

40

Total
Cost
16.0
WATER & SEWER LINE
)
Water
16.1)
Line
Materials:
24.0
1/2 "pvctee fitting pcs 20.02 480.48
0
12.0
1/2" plug pcs 9.10 109.20
0
4,095.0
Faucet pc 6.00 682.50
0
pc/6 10.0 1,419.6

1/2"pvc Pipe blue 141.96
m 0 0
Reducer fitting from 2" to 3/4" pc 6.00 68.25 409.50
24.0 14,196.
4" pvc pipe lengt 591.50
0 00
24.0 3,166.8
4" pvc Tee pc 131.95
0 0
12.0 1,583.4
4" pvc wye pc 131.95
0 0
12.0 2,730.0
4" pvc p-trap pc 227.50
0 0
4" pvc coupling pc 4.00 54.60 218.40
4" pvc plug pc 2.00 45.50 91.00
lengt 12.0 3,057.6

2" pvc pipe 254.80
h 0 0
24.0 1,092.0
2" pvc Tee pc 45.50
0 0
24.0 1,092.0
2" pvc wye pc 45.50
0 0
24.0 4,127.7
2" pvc p-trap pc 171.99
0 6
24.0 1,223.0
2" pvc coupling pc 50.96
0 4
12.0
2" pvc plug pc 50.96 611.52
0
1,365.0
pvc cement/solvent qrt 6.00 227.50
0
2,730.0
Related accessories lot 6.00 455.00
0
19,921.

72
17.0 Carpentry

) works
17.1) Mat'ls:
built-in cabinet lot
40.0 54,600.
plyboard 18mm sht 1,365.00
0 00
42.0 13,377.
hinges pair 318.50
0 00
2,730.0
mis. accessories lot 1.00 2,730.00
0
70,707.

00

18.0
Specialty
)
sq. 230.
m. 00
Aluminum wall cladding WITH sq. 230. 1,035,0

4,500.00
ACCESSORIES m. 00 00.00

13,000.
TEMPORARY FACILITY & SIGNAGE lot 13,000.00
B.) 1.00 00
13,000.

00

TOTAL 4,940,4

AMOUNT 92.98

A.) CONSTRUCTION OF ADMINISTRATION 4,940,4

BUILDING 92.98
13,000.
I.) TEMPORARY FACILITY & SIGNAGE
00
4,953,4
COST OF MATERIALS 92.98

6,662,4
DIRECT COST
48.06
4,953,492.
Materials Cost
98
Equipments & Transportation 148,604.79
1,560,350.
Labor Cost
29

1,837,0
INDIRECT COST
76.78
OCM 299,810.16
Contractor’s Profit 626,603.24
VAT 910,663.38
8,499,5
TOTAL PROJECT COST
24.84

PREPARED BY: NOTED BY:
MACAPAGAL L. LANGCO DR. ROMEO G. MONTAÑER
Quantity Surveyor Chief of Hospital
BILL OF MATERIALS
Project No.: DOH

Project REHABILITATION OF DR. SERAPIO B. MONTAÑER JR., AL-
Name: HADJ MEMORIAL HOSPITAL(x-ray,lab,floor tiles walls)
Project Municipality of Malabang,
Location: Lanao del Sur
Costing
Date:
Costing
Center:
A.) CONSTRUCTION/EXPANSION OF LABORATORY, X-

RAY ROOM,SUN BREAKER AND RE-TILING
Total
Cost

10,000.0
I. DEMOBILIZATION/MOBILIZATION lot 1.00 10,000.00
0
-
11,779.0
II. lot 1.00 11,779.00
Engineering & Design Cost 0

SITE
1.0)
WORKS
168.0
1.1) Layout of Lines & Grades Sq. M
0

EARTH
2.0)
WORKS
2.1) Structural Excavation Cu. M 5.00 910.00 4,550.00

20,020.0
2.2) Structural Backfill Cu. M 22.00 910.00
0
Materials:
Cu.
Reuse the Excavated Materials 5.00 -
M.
20,020.0

0

Gravel
2.3) Cu. M 16.80
Fill
Materials:
Cu. 18,200.0
Gravel 10.00 1,820.00
M. 0
18,200.0

0

2.4) Soil poisonning gal 8.00 591.50 4,732.00
4,732.00

3.0) DEMOLITION OF STRUCTURE

demolition of canopy lot 1.00 9,555.00 9,555.00
clearing of debris lot 1.00 4,140.50 4,140.50
Jack hammer (electric) unit 1.00 8,695.05 8,695.05
22,390.5

5

CONCRETE
4.0)
WORKS
Cu.
4.1) Concrete Class "A" 38.41
m.
Materials:
320.0 91,200.0
Cement Bags 285.00
0 0
37,264.5
Washed Sand Cu. M 45.00 828.10
0
14,905.8
Washed Gravel Cu. M 18.00 828.10
0
143,370.

30

MASONRY

WORKS
Sq. 160.0
4.2) CHB
m. 0
Materials:
2,000. 21,840.0
4" CHB Pcs. 10.92
00 0
250.0 71,250.0
Cement Bags 285.00
0 0
Cu. 16,380.0
Sand 18.00 910.00
M. 0
Cu.
Gravel 4.00 1,092.00 4,368.00
M.
150.0 21,157.5
10mm Ø Pcs. 141.05
0 0
Tie Wire RLS 2.00 1,183.00 2,366.00
115,521.

50
Sq. 320.0
4.3) Cement Plasterer (2cm both faces)
m. 0
Materials:
24,897.6
Cement Bags 96.00 259.35
0
Cu.
Sand 8.00 910.00 7,280.00
M.
32,177.6

0

Total
Cost
REINFORCIN
5.0)
G BARS
5.1) Fy = 230 Mpa Kgs. -
Materials:
Reinforcement Steel Bar 16mm 180.0 48,321.0
length 268.45
DSB 0 0
Reinforcement Steel Bar 12mm
length -
DSB
Reinforcement Steel Bar 10mm 220.0 31,031.0
length 141.05
DSB 0 0
G.I. Tie Wire No. 16 Roll 5.00 1,274.00 6,370.00
85,722.0

0

FALSEW
6.0)
ORKS
Form Sq. 250.0
6.1)
works m. 0
Materials:
1/2 Plywood Pcs. 50.00 773.50 38,675.0
0
1,000. 15,020.0
Lumber 2" X 3" x16 Bdft 15.02
00 0
Assorted Sizes CW Nails Kegs 50.00 77.35 3,867.50
57,562.5

0

Scaffol 1,000.
6.2) Bdft.
dings 00
Materials:
300.0 45,045.0
Lumber 2" X 4" x 16 pcs 150.15
0 0
47,206.2

5
ROOFING
7.0)
WORKS
Sq. 110.0
7.1) Roof Sheating
m. 0
Materials:
90,963.6
G.I. Color roof # 26 span 8.73 pcs 24.00 3,790.15
0
G.I. Plain Sheet # 26 for
Shts 10.00 899.08 8,990.80
Flashing
Roofing Hardwares
lot 1.00 9,100.00 9,100.00
(Leads,washer & etc.)
120.0
steel Cleats sq.m. 16.38 1,965.60
0
800.0
teks screw pcs 4.55 3,640.00
0
114,660.

00
7.2) Pre Fabricated Gutter (Gage #26) ln.m. 42.00
Materials:
17,981.6
Prefabricated Gutter pcs 20.00 899.08
0
Misc. Materials Nicolite
lot 1.00 3,185.00 3,185.00
Soldering leads & etc
Red Oxide for partials rust
gals 3.00 546.00 1,638.00
proffing
22,804.6

0

Roof Framing (Trusses,purlins & Web Sq.
7.3) 96.00
Members) m.
Materials:
21,912.8
C- Purlins 2" x 4" x 6m. (Steel ) Pcs. 28.00 782.60
0
107,016.
Angle Bar 2" x 2" x 6m. pc/6m 56.00 1,911.00
00
200.0
Assorted nuts and bolt set 9.10 1,820.00
0
Clipping Pcs. 200.0 16.38 3,276.00
0
19,110.0
Welding rod kg 50.00 382.20
0
153,134.

80
CEILING 134.4
8.0) Sq.M.
WORK 0
Gyprex PVC Ceiling Board/Tile
8.1)
interior
Materials:
Pcs./. 260.0
Cross tee 06m ( 2 feet) 31.85 8,281.00
6m 0
180.0 19,656.0
Main Tee 3.66 m ( 12 feet ) Pcs. 109.20
0 0
Wall angle 3.05 m ( 10 feet ) Pcs. 50.00 95.55 4,777.50
Tie hanger kg 50.00 43.23 2,161.50
Assorted C.W. Nails kegs 21.00 91.00 1,911.00
Gyprex pvc ceiling tiles 9mm 250.0 45,500.0
Pcs. 182.00
x .60m x 1.20m 0 0
82,287.0

0
100.0
8.2) External ceiling g i. sheet sq.m.
0
Materials:
500.0 22,750.0
G.I sheet ceiling Kgs. 45.50
0 0
Wall angle 3.05 m ( 10 feet ) Pcs. 45.00 95.55 4,299.75
27,049.7

5

Total
Cost
FLOOR TILES (LABORATORY AND X-RAY
9.0)
ROOM
Floor Sq.
9.1) 203
Tiles m.
Materials:
Cement Paste Bags 30.00 285.00 8,550.00
Washed Sand Cu. M 3.00 910.00 2,730.00
ABC adhesive Tile Grouts 37,837.8
Bags 84.00 450.45
25kgs./Bag 0
570.0 145,236.
0 00
194,353.

80

10.0 WALL TILES (LABORATORY AND X-RAY

) ROOM
Wall Sq. 17,48
10.1)
Tiles m. 9.28
Materials:
100.0 28,500.0
0 0
Washed Sand Cu. M 10.00 910.00 9,100.00
ABC adhesive Tile Grouts 1,259. 567,219.
Bags 450.45
25kgs./Bag 23 25
6,296. 1,604,25
14 6.47
2,209,07

5.72

10.0
TILE WORKS COMFORT ROOM
)
Tile Sq.
10.1) 23.76
Works m.
Materials:
Cement Paste Bags 10.00 285.00 2,850.00
Unglazed Floor Tiles 200mm x 150.0
Pcs. 14.56 2,184.00
200mm 0
Glazed Wall Tiles 200mm x 444.0
Pcs. 14.56 6,464.64
200mm 0
ABC adhesive Tile Grouts
Bags 20.00 450.45 9,009.00
25kgs./Bag
20,507.6

4

11.0 DOORS &

) WINDOWS
11.1) Panel Door D-2 ( x-ray& lab.) Set 1.00
Panel Door - 1.60m x 2.10m 25,429.0
Set 1.00 25,429.00
Alum w/Glass 0
Accessories and Related Items Unit 1.00 910.00 910.00

26,339.0

0
11.2) Panel Door D-3A ( Pre-fabricated ) Set 4.00
23,660.0
Panel Door - .80m x 2.10m Set 4.00 5,915.00
0
Accessories and Related Items Unit 4.00 910.00 3,640.00
10,192.0
Wooden door jamb set 4.00 2,548.00
0
37,492.0

0

Windo
11.3 Set 2.00
w1
Materials:
Pre-fabricated steel frame 11,830.0
set 2.00 5,915.00
(1.10m x 1.60m) 0
(1.10m x 1.60m) with Clear
set 2.00 910.00 1,820.00
Glass
Related Items lot 2.00 910.00 1,820.00
15,470.0

0

Windo
11.4 Set 1.00
w5
Materials:
2" x 6" Hard Lumber (0.550m x
set 1.00 1,001.00 1,001.00
0.60m)
Blade set 1.00 500.50 500.50
Related Items lot 1.00 910.00 910.00
2,411.50

12.0 PAINTING

) WORKS
Sq. 150.0
12.1) Painting on Concrete Wall ( External )
m. 0
Materials:
Concrete Neutralizer Pint 20.00 318.50 6,370.00
13,759.2
Latex Paint Gals. 21.00 655.20
0
12,421.5
Latex Primier Gals. 21.00 591.50
0
Body filler qrt 12.00 227.50 2,730.00
Paint Roller Brushes 7" W/Tray Pcs. 10.00 318.50 3,185.00
39,011.7

0

Total
Cost
Sq. 243.8
12.2) Painting on Wooden Surfaces
m. 0
Materials:
Flat Wall Paint Gals. 20.00 318.50 6,370.00
Gloss Paint Gals. 20.00 364.00 7,280.00
Putty Gals. 10.00 364.00 3,640.00
Sand Roll 1.00 1,365.00 1,365.00
Paint Thinner Gals. 11.00 150.15 1,651.65
23,673.6

5
Sq.
12.3) Painting on Steel/Metal Surfaces 61.15
m.
Materials:
11,830.0
Steel Primer Paint Gals. 20.00 591.50
0
Paint Thinner Gals. 10.00 209.30 2,093.00
26,208.0
paint green color Gals. 40.00 655.20
0
41,769.0

0
13.0 ELECTRICA

) L WORKS
13.1) Supply & Install Electrical Lot 1.00
Materials:
Panel Board Pc. 1.00 2,548.00 2,548.00
Flourescent 40 Watt with 37,674.0
Pcs. 18 2,093.00
housing 0
Convinience Outlet, Duplex 3
Pcs. 30 138.32 4,149.60
gang
Service Entrances with Cap Pc. 2.00 455.00 910.00
Switches 3 gang Pcs. 20.00 138.32 2,766.40
Switches 1 gang Pcs. 20.00 138.32 2,766.40
1pc/
1/2" PVC pipe 30.00 150.15 4,504.50
6m
Circuit Breaker Lot 12.00 591.50 7,098.00
cable wires 3.5mm thw 150.0
m 25.48 3,822.00
( stranded ) 0
Square junction box Pcs. 24.00 22.75 546.00
Rectangle junction box Pcs. 24.00 22.75 546.00
Convinience Outlet for A/C Pcs. 2.00 109.20 218.40
Cable wires for A/C connection 150.0
m 36.40 5,460.00
5.5 thw 0
electrical tape roll 30.00 25.48 764.40
wire stranded 25mm m 50.00 182.00 9,100.00
Related Item Lot 1.00 4,550.00 4,550.00
87,423.7

0
14.0 ARCHITECT

) URAL
148.0
14.1) Wooden Baseboard x-ray and lab L.m.
0
Materials:
148.0 19,124.5
Baseboard (10cm) L.m. 129.22
0 6
100.0
Assorted Sizes CW Nails Kegs 91.00 9,100.00
0
28,224.5

6

15.0
SANITARY PLUMBING & ACCESSORIES
)
15.1) Sanitary Plumbing & Accessories sets 1.00
Materials:
Water Closet w/ Complete Acc. sets 1.00 5,915.00 5,915.00
Lavatory w/ complete acc sets 1.00 1,365.00 1,365.00
Toilet Acc.(Tissue/Soap Holder
sets 1.00 910.00 910.00
& etc)
Beveled mirror 14" x 24" pcs 1.00 773.50 773.50
Kitchen sink double sets 2.00 4,095.00 8,190.00
Kitchen sink single sets 2.00 3,185.00 6,370.00
Misc.Materials lot 2.00 910.00 1,820.00
fauchet long neck pcs 4.00 900.90 3,603.60
28,947.1

0

16.0 WATER &

) SEWER LINE
Water
16.1)
Line
Materials:
1/2 "pvctee fitting pcs 10.00 20.02 200.20
1/2" plug pcs 6.00 9.10 54.60
Faucet pc 2.00 682.50 1,365.00
1/2"pvc Pipe blue pc/6m 10.00 141.96 1,419.60
Reducer fitting from 2" to 3/4" pc 6.00 68.25 409.50
4" pvc pipe lengt 4.00 591.50 2,366.00
4" pvc Tee pc 4.00 131.95 527.80

Total
Cost
4" pvc wye pc 4.00 131.95 527.80
4" pvc p-trap pc 1.00 227.50 227.50
4" pvc coupling pc 4.00 54.60 218.40
4" pvc plug pc 2.00 45.50 91.00
2" pvc pipe length 8.00 254.80 2,038.40
2" pvc Tee pc 8.00 45.50 364.00
2" pvc wye pc 8.00 45.50 364.00
2" pvc p-trap pc 4.00 171.99 687.96
2" pvc coupling pc 4.00 50.96 203.84
2" pvc plug pc 4.00 50.96 203.84
pvc cement/solvent qrt 3.00 227.50 682.50
Related accessories lot 3.00 455.00 1,365.00
6,974.24
Sewer
16.2)
line
4" dia. PVC pipe sch.# 40 pc/6m 4.00 591.50 2,366.00
2" dia. PVC pipe sch # 40 pc/6m 4.00 254.80 1,019.20
Floor Drain pc 2.00 54.60 109.20
Clean out plug 4" pc 2.00 333.06 666.12
PVC "Y" fitting w/ reducer 4"
pc 2.00 139.23 278.46
to 2"
PVC "Y" fitting 2" pc 4.00 45.50 182.00
PVC "Y" fitting 4" pc 4.00 131.95 527.80
PVC "T" fitting 2" pc 4.00 45.50 182.00
PVC "T" fitting 4" pc 4.00 131.95 527.80
PVC coupling 2" pc 4.00 45.50 182.00
PVC coupling 4 pc 4.00 54.60 218.40
6,258.98
17.0
SUNSHADE/sun breaker
)
17.1) Materials:
2" X 4" TUBULAR PIPE 100.0 155,000.
pc/6m 1,550.00
GAGE 26 0 00
angle bar 2x2" pc/6m 8.00 864.50 6,916.00
Welding rod kg 50.00 63.70 3,185.00
Redoxide paint gal 10.00 591.50 5,915.00
171,016.

00
18.0 Carpentry

) works
19.1) Mat'ls:
built-in cabinet lot 1.00
20,475.0
plyboard 18mm sht 15.00 1,365.00
0
hinges pair 10.00 318.50 3,185.00
mis. accessories lot 1.00 2,730.00 2,730.00
26,390.0

0

13,000.0
TEMPORARY FACILITY & SIGNAGE lot 13,000.00
B.) 1.00 0
13,000.0
0

TOTAL
3,906,32
AMOUN
8.84
T

A.) CONSTRUCTION OF X-RAY & LAB, 3,906,32
RE-TILING AND SUNBREAKER 8.84
13,000.0
I.) TEMPORARY FACILITY & SIGNAGE
0
3,919,32
COST OF MATERIALS 8.84

5,251,90
DIRECT COST
0.65
3,919,328
Materials Cost
.84
117,579.8
Equipments & Transportation
7
1,214,991
Labor Cost
.94

1,058,86
INDIRECT COST
7.20
210,076.0
OCM
3
491,577.9
Contractor’s Profit
0
357,213.2
VAT
7
6,310,76
TOTAL PROJECT COST
7.85

MACAPAGAL L. LANGCO DR. ROMEO G. MONTAÑER

Quantity Surveyor Chief of hospital
BILL OF MATERIALS
Project No.: DOH
Project Name:
REHABILITATION OF DR. SERAPIO B. MONTAÑER JR., AL-HADJ MEMORIAL HOSPITAL
Project Location:
Municipality of Malabang, Lanao del Sur
Costing Date:
Costing Center:
A.) CONSTRUCTION HOSPITAL FAÇADE
Unit Total
Scope of Works Unit Qty.
Cost Cost

DEMOBILIZAT
I. ION/MOBILIZA lot -
TION
-
Engineering & 10,0

II. lot 1.00 10,000.00
Design Cost 00.00

1.0) SITE WORKS
Layout of
1.1) Lines & Sq. M 360.00
Grades

EARTHWORK
2.0)
S
Structural
500.
2.1) Excavatio Cu. M 72.00 36,000.00
00
n
-
Structural 500.
2.2) Cu. M 72.00 36,000.00
Backfill 00
Materials:
Reuse the
Cu. 502.
Excavated 10.00 5,025.00
M. 50
Materials
41,025.00

2.3) Gravel Fill Cu. M 15.00
Materials:
Cu. 1,50
Gravel 15.00 22,500.00
M. 0.00
22,500.00

Soil
500.
2.4) poisonnin gal 4.00 2,000.00
00
g
2,000.00

CONCRETE
3.0)
WORKS
Concrete Cu.
3.1) 72.00
Class "A" m.
Materials:
298. 134,100.0
Cement Bags 450.00
00 0
1,50
Washed Sand Cu. M 63.36 95,040.00
0.00
2,50
Washed Gravel Cu. M 31.68 79,200.00
0.00
308,340.0

0

REINFORCING
4.0)
BARS
Fy = 230
4.1) Kgs. -
Mpa
Materials:
Reinforcement
261.
Steel Bar 16mm length 10.00 2,613.00
30
DSB
Reinforcement
Steel Bar 12mm length -
DSB
Reinforcement
127.
Steel Bar 10mm length -
30
DSB
G.I. Tie Wire No. 785.

Roll -
16 29
2,613.00

TOT
AL 422,478.0

AMO 0
UNT

A.)
CONSTRUCTI

ON HOSPITAL 422,478.0
FAÇADE 0
COST OF
MATERIAL 422,478.0
S 0

DIRECT 536,547.0

COST 6
422,
Materials Cost 478.0
0
Equipments & 16,8

Transportation 99.12
97,1
Labor Cost
69.94

INDIRECT 211,971.5

COST 0
37,5
OCM
58.29
132,
Contractor’s
044.2
Profit
3
VAT 42,3
68.98
748,518.5
TOTAL PROJECT COST
6


DR. ROMEO G. MONTAÑER

MACAPAGAL L. LANGCO

Chief of Hospital

Quantity Surveyor

BILL OF MATERIALS
Project No.: DOH
Project Name:
REHABILITATION OF DR. SERAPIO B. MONTAÑER JR., AL-HADJ MEMORIAL HOSPITAL
Project Location:
Costing Date:
Costing Center:
A.) CONSTRUCTIONCOVERED LIFESTYLE OUTDOOR COURT
Un Unit Total
Scope of Works Qty.
it Cost Cost

DEMOBILIZATION
I. lot -
/MOBILIZATION
-
Engineering & 30,0

II. lot 1.00 30,000.00
Design Cost 00.00

1.0) SITE WORKS
Layout of
Sq.
1.1) Lines & 110.00
M
Grades

2.0) EARTHWORKS
Structural Cu. 1,50

2.1) 20.00 30,000.00
Excavation M 0.00
-
Structural Cu. 1,50

2.2) 20.00 30,000.00
Backfill M 0.00
Materials:
Reuse the
Cu. 502.
Excavated 10.00 5,025.00
M. 50
Materials
35,025.00

Cu.
2.3) Gravel Fill 5.00
M
Materials:
Cu. 1,50
Gravel 5.00 7,500.00
M. 0.00
7,500.00

Soil 500.
2.4) gal 4.00 2,000.00
poisonning 00
2,000.00

CONCRETE
3.0)
WORKS
Cu
Concrete
3.1) . 30.00
Class "A"
m.
Materials:
Ba 298.
Cement 300.00 89,400.00
gs 00
Washed Cu. 1,50

26.40 39,600.00
Sand M 0.00
Washed Cu. 2,50
13.20 33,000.00
Gravel M 0.00
162,000.0

0
MASONRY

WORKS
Sq.
3.2) CHB 110.00
m.
Materials:
Pc 1,500.0 15.0
4" CHB 22,500.00
s. 0 0
Ba 298.
Cement 180.00 53,640.00
gs 00
Cu. 1,50
Sand 6.00 9,000.00
M. 0.00
Cu. 2,50
Gravel -
M. 0.00
Pc 127.
10mm Ø 100.00 12,730.00
s. 30
RL 729.
Tie Wire 2.00 1,458.40
S 20
76,828.40
Cement
Plasterer Sq.
3.3) 220.00
(2cm both m.
faces)
Materials:
Ba 298.
Cement 100.00 29,800.00
gs 00
Cu. 1,00
Sand 5.50 5,527.50
M. 5.00
35,327.50
Floor tiles .60

sq.
3.4) x.60 granite
m
tiles
materials:
.60 x.60
pcs -
granite tiles
Adhesive ba
-
cement gs
-

REINFORCING
4.0)
BARS
Kg
4.1) Fy = 230 Mpa -
s.
Materials:
Reinforceme
len 261.
nt Steel Bar 50.00 13,065.00
gth 30
16mm DSB
Reinforceme
len
nt Steel Bar -
gth
12mm DSB
Reinforceme
len 127.
nt Steel Bar 220.00 28,006.00
gth 30
10mm DSB
G.I. Tie Wire Rol 785.

5.00 3,926.45
No. 16 l 29
44,997.45

Un Unit Total
Scope of Works Qty.
it Cost Cost
5.0) FALSEWORKS
Sq.
5.1) Formworks 250.00
m.
Materials:
Pc 670.
1/2 Plywood 10.00 6,700.00
s. 00
Lumber 2" X Bdf 1,000.0 15.0

15,000.00
3" x16 t 0 0
Assorted
Ke 60.3
Sizes CW 50.00 3,015.00
gs 0
Nails
24,715.00

Bd 1,000.0
5.2) Scaffoldings
ft. 0
Materials:
Lumber 2" X 120.

pcs 300.00 36,000.00
4" x 16 00
Assorted
Ke 60.3
Sizes CW 25.00 1,507.50
gs 0
Nails
37,507.50
ROOFING
6.0)
WORKS
Roof Sq. 18.5

6.1) 182.00
Sheating m. 7
Materials:
G.I. Color
2,50 150,000.0
roof # 26 pcs 60.00
0.00 0
span 6.5
G.I. Plain
Sht 804.
Sheet # 26 10.00 8,040.00
s 00
for Flashing
Roofing lot 1.00 5,60 5,609.24

Hardwares 9.24
(Leads,wash
er & etc.)
sq. 20.1
steel Cleats 120.00 2,412.00
m. 0
teks screw pcs 800.00 2.81 2,248.00
168,309.2

4
Pre
Fabricated ln. 37.2
7.0) 7.1) 54.00
Gutter (Gage m. 0
#26)
Materials:
Prefabricate 2,50
pcs 38.00 95,000.00
d Gutter 0.00
Misc.
Materials
1,96
Nicolite lot 1.00 1,963.23
3.23
Soldering
leads & etc
Red Oxide
gal 336.
for partials 3.00 1,009.65
s 55
rust proffing
97,972.88
4.67
Roof Framing
(Trusses,purli Sq.
7.2) 96.00
ns & Web m.
Members)
Materials:
C- Purlins 2"
Pc 900.
x 3" x 6m. 54.00 48,600.00
s. 00
(Steel )
Angle Bar 2" pc/ 2,80 224,000.0

80.00
x 2" x 6m. 6m 0.00 0
Assorted
set 120.00 5.61 673.20
nuts and bolt
Pc 10.1
Clipping 80.00 808.00
s. 0
5k
500.
Welding rod g/b 5.00 2,500.00
00
ox
276,581.2

0
Sq.
8.0) CEILING WORK 25.00
M.
8.1) Insulation
Materials:
Fiber 250.
m 120.00 30,000.00
insulation 00
Insulation 120.
roll 50.00 6,000.00
tape 00
-
36,000.00
PAINTING
9.0)
WORKS
Painting on
Sq.
9.1) Concrete Wall 200.00
m.
( External )
Materials:
Concrete Pin 196.

20.00 3,926.40
Neutralizer t 32
Gal 900.
Latex Paint 35.00 31,500.00
s. 00
Latex Gal 950.

35.00 33,250.00
Primier s. 00
140.
Body filler qrt 12.00 1,682.76
23
Paint Roller
Pc 196.
Brushes 7" 10.00 1,963.20
s. 32
W/Tray
Paint Pc 190.
10.00 1,900.00
Brushes 4" s. 00
74,222.36
Painting on
Sq.
9.2) Steel/Metal 61.15
m.
Surfaces
Materials:
Steel Primer Gal 900.
15.00 13,500.00
Paint s. 00
Paint Gal 450.

10.00 4,500.00
Thinner s. 00
Paint Roller
Pc 196.
Brushes 4" 4.00 785.28
s. 32
W/Tray
Paint Pc 33.6
4.00 134.60
Brushes 4" s. 5
paint green Gal 900.

-
color s. 00
18,919.88
Supply &
10.0
10.1) Install Lot 1.00
)
Electrical
Materials:
1,87
Panel Board Pc. 1.00 1,876.00
6.00
DOWN
Pc 1,67
LIGHT(PEN 16 26,800.00
s. 5.00
LIGHT)
Convinience
Outlet, Pc 97.1
12 1,165.80
Duplex 3 s. 5
gang
Service
280.
Entrances Pc. 1.00 280.48
48
with Cap
Switches 3 Pc 150.
1.00 150.00
gang s. 00
Switches 1 Pc 150.
1.00 150.00
gang s. 00
1p
1/2" PVC 95.1
c/ 15.00 1,427.10
pipe 4
6m
Circuit 435.
Lot 12.00 5,226.00
Breaker 50
cable wires
45.0
3.5mm thw m 50.00 2,250.00
0
( stranded )
Square Pc 16.7
12.00 201.00
junction box s. 5
Rectangle Pc 40.0
12.00 480.00
junction box s. 0
Convinience
Pc 40.0
Outlet for 2.00 80.00
s. 0
A/C
Cable wires
for A/C 50.0
m 50.00 2,500.00
connection 0
5.5 thw
electrical 25.0
roll 30.00 750.00
tape 0
wire
45.0
stranded m 100.00 4,500.00
0
3.55mm
3,04
Related Item Lot 1.00 3,048.50
8.50
50,884.88
Un Unit Total
Scope of Works Qty.
it Cost Cost

TOT
AL 1,173,463.

AMO 79
UNT

A.)
CONSTRUCTION
COVERED

LIFESTYLE
OUTDOOR 1,173,463.
COURT 79
COST OF 1,173,463.

MATERIALS 79

DIRECT 1,724,991.

COST 77
1,17
Materials
3,463
Cost
.79
Equipments
& 82,1

Transportati 42.47
on
469,
Labor Cost 385.5
2

INDIRECT 998,728.8

COST 4
206,
OCM 999.0
1
637,
Contractor’s
556.9
Profit
6
154,
VAT 172.8
6
2,723,720.
TOTAL PROJECT COST
61

NOTED BY:
PREPARED BY:


MACAPAGAL L. LANGCO

BILL OF MATERIALS
DOH
Project No.:
REHABILITATION OF DR. SERAPIO B.

MONTAÑER JR., AL-HADJ MEMORIAL
Project Name: HOSPITAL
Municipality of
Malabang, Lanao del
Sur
Location:
Costing Date:
Costing Center:
A.) CONSTRUCTION OF PEREMETER FENCE
Total
Cost

DEMOBILIZATIO
I. lot -
N/MOBILIZATION
-
Engineering &
II. lot 1.00 10,000.00 10,000.00
Design Cost

1.0
SITE WORKS
)
Layout of
Sq.
1.1) Lines & 50.00
M
Grades

2.0
EARTHWORKS
)
Structural Cu.
2.1) 9.00 1,500.00 13,500.00
Excavation M
-
Structural Cu.
2.2) 9.00 1,500.00 13,500.00
Backfill M
Materials:
Reuse the Excavated Cu.

5.00 550.00 2,750.00
Materials M.
16,250.00

Cu.
2.3) Gravel Fill 9.00
M
Materials:
Cu.
Gravel 10.00 1,005.00 10,050.00
M.
10,050.00

Soil
2.4) gal 4.00 364.60 1,458.40
poisonning
1,458.40

3.0 CONCRETE

) WORKS
Concrete Cu.
3.1) 24.00
Class "A" m.
Materials:
216.0
Cement Bags 199.66 43,126.56
0
Cu.
Washed Sand 21.12 1,500.00 31,680.00
M
Cu.
Washed Gravel 10.56 1,500.00 15,840.00
M
90,646.56
MASONRY

WORKS
3.2) CHB Sq. 640.0

m. 0
Materials:
8,000. 120,000.0
4" CHB Pcs. 15.00
00 0
400.0
Cement Bags 199.66 79,864.00
0
Cu.
Sand 30.00 1,500.00 45,000.00
M.
Cu.
Gravel 1,340.00 -
M.
300.0
10mm Ø Pcs. 127.30 38,190.00
0
Tie Wire RLS 2.00 729.20 1,458.40
164,512.4

0
Cement
Plasterer Sq. 1,280.
3.3)
(2cm both m. 00
faces)
Materials:
300.0
Cement Bags 199.66 59,898.00
0
Cu.
Sand 32.00 1,005.00 32,160.00
M.
92,058.00

4.0 REINFORCING

) BARS
Fy = 230
4.1) Kgs. -
Mpa
Materials:
Reinforcement Steel Bar lengt

-
16mm DSB h
Reinforcement Steel Bar lengt 148.0

260.00 38,480.00
12mm DSB h 0
Reinforcement Steel Bar lengt

90.00 127.30 11,457.00
10mm DSB h
G.I. Tie Wire No. 16 Roll 5.00 785.29 3,926.45
53,863.45
5.0
FALSEWORKS
)
Sq.
5.1) Formworks 8.00
m.
Materials:
1/2 Plywood Pcs. 10.00 1,200.00 12,000.00
1,000.
Lumber 2" X 3" x16 Bdft 15.00 15,000.00
00
31,500.00

Scaffolding 1,000.
5.2) Bdft.
s 00
Materials:
300.0
Lumber 2" X 4" x 16 pcs 15.00 4,500.00
0
6,750.00

TOTAL 398,530.8

AMOUNT 1

A.)
CONSTRUCTION

OF peremeter 398,530.8
fence 1
COST OF
MATERIAL 398,530.8
S 1

DIRECT 585,840.2

COST 9
398,530.8
Materials Cost
1
Equipments &
27,897.16
Transportation
159,412.3
Labor Cost
2

INDIRECT 413,954.7
COST 5
OCM 87,876.04
269,486.5
Contractor’s Profit
3
VAT 56,592.17
999,795.0
TOTAL PROJECT COST
4


MACAPAGAL L. LANGCO

Chief of Hospital

Quantity Surveyor
BILL OF MATERIALS
DOH
Project No.:
BILL OF MATERIALS
Project No.: DOH
Project Name:
REHABILITATION OF DR. SERAPIO B. MONTAÑER JR., AL-HADJ MEMORIAL

HOSPITAL
Project Location:
A.) CONSTRUCTION PRAYER ROOM
Uni Unit
Scope of Works Qty. Total Cost
t Cost

DEMOBILIZ
I. ATION/MOBI lot -
LIZATION
-
Engineering
II. & Design lot 1.00 5,000.00 5,000.00
Cost

SITE
1.0)
WORKS
Layout of
Sq. 50.0
1.1) Lines &
M 0
Grades

EARTHWOR
2.0)
KS
Structural Cu.
2.1) 5.00 1,500.00 7,500.00
Excavation M
-
2.2) Structural Cu. 10.0 1,500.00 15,000.00

Backfill M 0
Materials:
Reuse the Excavated Cu.

5.00 750.00 3,750.00
Materials M.
18,750.00

Cu. 45.0
2.3) Gravel Fill
M 0
Materials:
Cu. 10.0
Gravel 1,500.00 15,000.00
M. 0
15,000.00

Soil
2.4) gal 4.00 544.18 2,176.72
poisonning
2,176.72

CONCRETE
3.0)
WORKS
Concrete Class Cu. 24.2

3.1)
"A" m. 5
Materials:
Ba 220.
Cement 298.00 65,560.00
gs 00
Cu. 21.3
Washed Sand 1,500.00 32,015.81
M 4
Cu. 10.6
Washed Gravel 2,000.00 21,343.87
M 7
118,919.68
MASONRY

WORKS
Sq. 66.3
3.2) CHB
m. 6
Materials:
Pcs 900.
4" CHB 15.00 13,500.00
. 00
Ba 220.
Cement 298.00 65,560.00
gs 00
Cu.
Sand 6.00 1,500.00 9,000.00
M.
Cu.
Gravel 2,000.00 -
M.
Pcs 50.0
10mm Ø 190.00 9,500.00
. 0
RL
Tie Wire 2.00 1,088.36 2,176.72
S
86,236.72
Cement
Sq. 140.
3.3) Plasterer (2cm
m. 00
both faces)
Materials:
Ba 50.0
Cement 298.00 14,900.00
gs 0
Cu.
Sand 3.50 1,500.00 5,250.00
M.
20,150.00
Floor tiles .60 sq.

4.4)
x.60 granite tiles m
materials:
100.
.60 x.60 granite tiles pcs 169.00 16,900.00
00
bag 35.0
Adhesive cement 280.00 9,800.00
s 0
26,700.00

REINFORCI
4.0)
NG BARS
Kg
4.1) Fy = 230 Mpa -
s.
Materials:
Reinforcement Steel len 60.0 390.00 23,400.00

Bar 16mm DSB gth 0
Reinforcement Steel len

-
Bar 12mm DSB gth
Reinforcement Steel len 200.

190.00 38,000.00
Bar 10mm DSB gth 00
Rol
G.I. Tie Wire No. 16 5.00 1,172.08 5,860.40
l
67,260.40

Uni Unit
t Cost
FALSEWOR
5.0)
KS
Sq. 250.
5.1) Formworks
m. 00
Materials:
Pcs 40.0
1/2 Plywood 1,000.00 40,000.00
. 0
Lumber 2" X Bdf 1,00

16.00 16,000.00
3" x16 t 0.00
Assorted
Ke 50.0
Sizes CW 90.00 4,500.00
gs 0
Nails
60,500.00

Bdf 1,00
5.2) Scaffoldings
t. 0.00
Materials:
Lumber 2" X 300.

pcs 16.00 4,800.00
4" x 16 00
Assorted
Ke 25.0
Sizes CW 90.00 2,250.00
gs 0
Nails
7,050.00
ROOFING
6.0)
WORKS
Sq. 110.
6.1) Roof Sheating
m. 00
Materials:
G.I. Color roof

28.0
# 26 span pcs 4,200.00 117,600.00
0
8.73
G.I. Plain
Sht 10.0
Sheet # 26 for 1,200.00 12,000.00
s 0
Flashing
Roofing
Hardwares
lot 1.00 8,372.00 8,372.00
(Leads,washe
r & etc.)
sq. 120.
steel Cleats 30.00 3,600.00
m. 00
800.
teks screw pcs 4.19 3,352.00
00
144,924.00
Pre Fabricated
ln. 16.0
7.2) Gutter (Gage
m. 0
#26)
Materials:
Prefabricated
pcs 6.00 1,500.00 9,000.00
Gutter
Misc.
Materials
Nicolite lot 1.00 2,930.20 2,930.20
Soldering
leads & etc
Red Oxide for
gal
partials rust 3.00 502.32 1,506.96
s
proffing
13,437.16

Roof Framing
(Trusses,purlin Sq. 96.0
7.3)
s & Web m. 0
Members)
Materials:
C- Purlins 2"
Pcs 12.0
x 3" x 6m. 900.00 10,800.00
. 0
(Steel )
Angle Bar 2" pc/ 12.0

2,500.00 30,000.00
x 2" x 6m. 6m 0
Assorted nuts 60.0

set 8.37 502.20
and bolt 0
Pcs 30.0
Clipping 15.07 452.10
. 0
5kg
Welding rod /bo 3.00 351.62 1,054.86
x
42,809.16
CEILING Sq. 134.

8.0)
WORK M. 40
Gyprex PVC
Ceiling
8.1)
Board/Tile
interior
Materials:
Pcs
Cross tee 150.
./.6 45.00 6,750.00
06m ( 2 feet) 00
m
Main Tee
Pcs 50.0
3.66 m ( 12 120.00 6,000.00
. 0
feet )
Wall angle
Pcs 30.0
3.05 m ( 10 120.00 3,600.00
. 0
feet )
Tie hanger kg 4.00 50.00 200.00

Assorted keg
4.00 90.00 360.00
C.W. Nails s
Gyprex pvc
ceiling tiles Pcs 50.0
200.00 10,000.00
9mm x .60m x . 0
1.20m
26,910.00
External
sq. 100.
8.2) ceiling g i.
m. 00
sheet
Materials:
G.I sheet
150.
ceiling lms 62.00 9,300.00
00
spanflex
Wall angle
Pcs 45.0
3.05 m ( 10 87.91 3,955.95
. 0
feet )
13,255.95

DOORS &
9.0)
WINDOWS
Panel Door D-2

9.1) Set 2.00
( x-ray& lab.)
Panel Door -
1.60m x 23,394.6
Set 2.00 46,789.36
2.10m Alum 8
w/Glass
Accessories
Uni
and Related 2.00 837.20 1,674.40
t
Items

48,463.76

9.2 Window 1 Set 2.00
Materials:
Pre-fabricated
steel frame
set 2.00 5,441.80 10,883.60
(1.10m x
1.60m)
(1.10m x
1.60m) with set 2.00 837.20 1,674.40
Clear Glass
Related Items lot 2.00 837.20 1,674.40
14,232.40

Uni Unit
t Cost
PAINTING
10.0)
WORKS
Painting on
Sq. 150.
10.1) Concrete Wall (
m. 00
External )
Materials:
Concrete Pin 20.0

293.02 5,860.40
Neutralizer t 0
Gal 21.0
Latex Paint 602.78 12,658.38
s. 0
Gal 21.0
Latex Primier 544.18 11,427.78
s. 0
Body filler qrt 12.0 209.30 2,511.60

0
Paint Roller
Pcs 10.0
Brushes 7" 293.02 2,930.20
. 0
W/Tray
Paint Brushes Pcs 10.0

50.23 502.30
4" . 0
35,890.66

Painting on
Sq. 132.
10.2) Wooden
m. 00
Surfaces
Materials:
Flat Wall Gal

9.00 293.02 2,637.18
Paint s.
Gal
Gloss Paint 9.00 334.88 3,013.92
s.
Gal
Putty 6.00 334.88 2,009.28
s.
Rol
Sand 1.00 1,255.80 1,255.80
l
Gal
Paint Thinner 5.00 138.14 690.70
s.
Paint Roller
Pcs
Brushes 7" 4.00 293.02 1,172.08
.
W/Tray
Paint Brushes Pcs

4.00 50.23 200.92
4" .
10,979.88
Painting on
Sq. 61.1
10.3) Steel/Metal
m. 5
Surfaces
Materials:
Steel Primer Gal

5.00 544.18 2,720.90
Paint s.
Gal 10.0
Paint Thinner 192.56 1,925.60
s. 0
Paint Roller
Pcs
Brushes 4" 4.00 125.58 502.32
.
W/Tray
Paint Brushes Pcs
4.00 50.23 200.92
4" .
paint green Gal

602.78 -
color s.
5,349.74
Supply &
11.o) 10.1) Install Lot 1.00
Electrical
Materials:
Panel Board Pc. 1.00 2,800.00 2,800.00
DOWN
Pcs
LIGHT(PEN 16 2,500.00 40,000.00
.
LIGHT)
Convinience
Pcs
Outlet, Duplex 12 145.00 1,740.00
.
3 gang
Service
Entrances Pc. 1.00 418.60 418.60
with Cap
Switches 3 Pcs
1.00 145.00 145.00
gang .
Switches 1 Pcs
1.00 145.00 145.00
gang .
1pc
15.0
1/2" PVC pipe / 142.00 2,130.00
0
6m
Circuit 12.0
Lot 650.00 7,800.00
Breaker 0
cable wires
50.0
3.5mm thw m 23.44 1,172.00
0
( stranded )
Square Pcs 12.0

25.00 300.00
junction box . 0
Rectangle Pcs 12.0

2.00 24.00
junction box . 0
Convinience Pcs
2.00 25.00 50.00
Outlet for A/C .
Cable wires m 50.0 50.00 2,500.00

for A/C 0
connection
5.5 thw
30.0
electrical tape roll 24.00 720.00
0
wire stranded 12.0

m 220.00 2,640.00
25mm 0
Related Item Lot 1.00 4,550.00 4,550.00
67,134.60
Uni Unit
t Cost

Carpentry
12.0)
works
12.1) Mat'ls:
built-in
lot 1.00
cabinet
plyboard 15.0
sht 1,365.00 20,475.00
18mm 0
12.0
hinges pair 318.50 3,822.00
0
mis.
lot 1.00 2,730.00 2,730.00
accessories
27,027.00

TOTAL
865,507.83
AMOUNT

A.)
CONSTRUC
TION OF
PRAYER
ROOM 865,507.83
COST OF

MATERIALS 865,507.83

1,040,773.1
DIRECT COST
7
Materials 865,507.
Cost 83
Equipments &
19,473.9
Transportatio
3
n
155,791.
Labor Cost
41

INDIRECT
209,174.59
COST
31,223.1
OCM
9
Contractor’s 107,199.

Profit 64
70,751.7
VAT
6
1,249,947.7
TOTAL PROJECT COST
6



MACAPAGAL L. LANGCO
Chief of Hospital

Quantity Surveyor

Guide For Thesis

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INCREASING AUTHORIZED BED CAPACITY FROM 25 TO 75 OF

DR. SERAPIO B. MONTAŃER, JR. MEMORIAL HOSPITAL

IN MALABANG, LANAO DEL SUR:

Presented to the Faculty of

Saint Joseph’s College, Quezon City

of the Requirements for the Degree

MASTER IN HOSPITAL MANAGEMENT

This feasibility study entitled: “INCREASING AUTHORIZED BED CAPACITY

FROM 25 TO 75 OF DR. SERAPIO B. MONTAŃER, JR. AL HAJ MEMORIAL

HOSPITAL IN MALABANG, LANAO DEL SUR” submitted by Dr. Romeo G. Montañer,

been examined and recommended for ORAL EXAMINATION.

REYNALDO A. DE UNGRIA, MD, PPS, MAEd, MHA

APPROVED in partial fulfilment of the requirements of the degree in Master in

Hospital Management by the ORAL EXAMINATION COMMITTEE.

JOSE PEPITO M. AMORES, MD, MHA, PhD.

Comprehensive Examination: ______________

Oral Defense : _____________

SR. MARIVIC GALAMAY, SFIC

Dean, Graduate School

In the making of this feasibility study, I must manifest my undying indebtedness to my

depreciating inspiration to make this feasibility study.

project , I am most indebted.

Chapter II Market Study 9

Chapter III Technical Feasibility 29

Chapter IV Management Study 38

Chapter V Financial Study 42

Chapter VI Socioeconomic Study 53

Chapter VII Contingency Plan 54

Chapter VIII Summary, Conclusion, Recommendations 55

Appendix A DOH AO 2012-0012 Annex K-1

Appendix B Financial Support Data

Appendix B-1 Financial Sources

Appendix B-2 Accumulated Depreciation of Equipment & Building

Appendix B-3 Tax expense

Appendix C Bill of Materials for Infra project

Table 1 Lanao del Sur District, Municipalities and

Table 2 Total Population 12

Table 3 Competitive Grid 23

Table 4 Hospital Equipments 30

Table 5 Manpower Requirements & Compensation 41

Table 6 Total Project Cost 42

Table 7 Initial Capital Requirements 43

Table 8 Sources of Financing 43

Table 9 Projected Cash Flows 45

Table 10 Depreciation of Building & Equipment 46

Table 11 Projected Income Statement 47

Table 12 Projected Financial Statement 47

Table 13 Internal Rate of Return 49

Table 14 Payback Period 50

Table 15 Profitability Index 51

Table 16 Liquidity Ratios 52

Figure 2 Catchment Areas 13

Figure 3 SWOT Grid 16

Figure 4 Location Map of Competitors 22

Figure 5 Gantt Chart 28

Figure 6 Floor Plan ,Right Wing Main Hosp Building 31

Figure 6A Detailed Floor plan,Right wing ,

Figure 7 Floor Plan, Laboratory & X-ray Rooms 32

Figure 7A Detailed Floor plan, Lab & X-ray Rooms 32

Figure 8 Floor plan, Isolation rooms 33

Figure 8A Detailed Floor plan Isolation rooms 33

Figure 9 Floor plan, Doctor’s Rooms 34

Figure 9A Detailed Floor plan, Doctor’s Rooms 34