Professional Documents
Culture Documents
Center Project
28 January 2022
Participants are enjoined to speak out their thoughts and opinions at the designated Question
and Answer (Q&A) segment of the program.
There will be video recording of the whole session. The recording will be solely used for
documentation purposes.
Attendees of this activity are not given due advantage on the projects. Information disclosed
are also open to all interested parties to ensure a level playing field come the bidding process.
Insights gathered will be solely used for the development of the studies for the Mariveles
Wellness Center Project.
A formal Investor's Conference will be held which will present firmer project details.
Atty. Veronica A. Santos Arch. Danilo A. Silvestre Dr. Raymond Escalona Atty. Jaime Renato B. Gatmaytan
Team Leader and Project Finance Specialist Architect Health and Wellness Operations Specialist Legal Specialist and Bid Manager
Partner, SGV & Co. Consultant, PRIMEX Consultant, PRIMEX Partner, C&G Law
Mr. Alexander E. Dacanay Ms. Marie Stephanie C. Tan-Hamed Dr. Alexis M. Fillone
Economic Specialist Team Leader Support and Project Finance Specialist Traffic Management Specialist
Consultant, SGV & Co. Partner, SGV & Co. Consultant, PRIMEX
Page 7 31 January 2022 Mariveles Wellness Center Project #SGVforABetterPhilippines
Welcome Remarks
Financing and
implementation Government borrowings
Domestic & foreign debt,
Investments in Stimulus to investment, official development
Incorporation of
transportation, food job creation, assistance (ODA)
resiliency measures
security, and social technological
infrastructure (e.g. innovations, and
(climate change, disaster delivery
risk and reduction, and
health, water and economic development
emergency situations) in mechanisms
sanitation, digital (particularly in the
infrastructure projects
connectivity, etc.) regions)
Private sector financing
Public-private
Resilient and sustainable infrastructure
partnership (PPP)
What is a PPP?
Modes of
RA 7718 NEDA Joint
Implementing
(Amended BOT Venture (JV)
Local PPP Code or procurement:
agency JV Ordinances
Law) Guidelines ▪ Solicited
▪ Unsolicited
National government
agencies ✓
Further reference
GOCC, GCE, GICP, GFI, Visit the PPP Center website
SUC (including WDs) ✓ ✓ for other pertinent laws and
issuances.
Access link:
Local government
units ✓ ✓ https://ppp.gov.ph/other-
pertinent-laws/
PPP Center of the Philippines
The PPP Center facilitates the implementation of the country’s PPP Program.
It serves as a central coordinating and monitoring agency for all PPP projects.
Health
2 IT system 1 IT system 1 (hospital facilities
and services)
Renewable energy
The health and economic crisis brought by
the covid-19 pandemic has thrust a
renewed spotlight on the urgent need to
invest in health care delivery. Responding
to this significant development, the PPP
Center has identified health as one of its
priority sectors for PPP development and
implementation.
PPP options for health infrastructure projects
Design, build, operate & maintain (DBOM) Design & build (DB) Operate & Design, build &
Engineering, maintain (O&M) maintain (DBM)
procurement and
construction (EPC)
Implementing agency: University of the Philippines Implementing agency: University of the Philippines
Project location: UP-PGH, Ermita, Metro Manila (Luzon) Project location: Diliman, Quezon City, Metro Manila (Luzon)
Status: For approval of relevant government bodies Status: For approval of relevant government bodies
Other PPP Center activities supporting development of health PPPs
PARTNERSHIPS
Bislig Bulk Water Supply and Septage UP Philippine General Hospital (PGH):
(under development) PGH Cancer Care in Manila
PGH Diliman
(under evaluation and approval)
For further information, please visit:
www.ppp.gov.ph
For inquiries, kindly e-mail:
Imari Kate S. Galvez
Project Development Service
ISGalvez@ppp.gov.ph
PPPCenter.Philippines
@PPP_Ph
Public-private-partnership-
Center-of-the-Philippines
PPPPinas
Market Sounding Activity
Objectives
Ms. Marie Stephanie C. Tan-Hamed
Team Leader Support and Project Finance
Specialist
The government intends to sound off the initial project scope What would we like to know?
and potential private sector role for the proposed construction,
operation and maintenance of the Mariveles Wellness Center. Project viability
Goals Objectives
• Provide venue for the public to better understand mental health illness and
conditions
Restoration, Construction and • Promote appreciation of the historical significance of the Lazareto de
Operations of the Lazareto de
Mariveles/ Mariveles Wellness Mariveles
Center • Restore and rehabilitate the ruins as a functional health facility
• Promote medical tourism through wellness services and safe
accommodations
Initial catchment area is the province of Bataan and may extend to Region III, NCR, CALABARZON (once the Bataan-Cavite interlink bridge is completed)
#SGVforABetterPhilippines
Project Location
To Manila
Lazareto de Proposed
Mariveles Bataan-Cavite
Interlink Bridge
Proposed
Bataan-Cavite
Lazareto de Interlink Bridge
Mariveles
Existing Layout
Type C, 2-Storey
Isolation Facility
5-Bed Isolation Facility
Male and Female
Ward Building
• The location of both buildings that will be developed in the project are within the 3.49-hectare hospital compound
• The construction and operations of the wellness center that will offer holistic mental and medical services will be at the site of the
Lazareto de Mariveles (highlighted in orange). The land area of approximately 1,400 square meters (m²)
• The Admission and Crisis Intervention Unit (ACIU), Finance and Central Records Buildings (highlighted in red) will house some of the
wellness services as well as the ancillary facilities such as accommodation rooms (for commercial rooms) and parking
Source: Taken during the initial ocular inspection conducted last August 24, 2021.
Source: Taken during the initial ocular inspection conducted last August 24, 2021.
Page 37 31 January 2022 Mariveles Wellness Center Project #SGVforABetterPhilippines
Existing Accessibility
MMWGH Location
Source: Consulting services for the Integrated Infrastructure and Investment Development Planning
for Investment Corridors in Central Luzon, NEDA, 2021
• The alignment of the BCIB is far from the MWC proposed location.
Main access are through the Mariveles-Bagac Road Hence, traffic impact will be minimal
from the West and the Roman Highway & Mariveles- • There are also other road infrastructure plans that will mitigate the
Talaga Bay Road passing Gen. Ricarte St. from the East effect of the BCIB traffic in Bataan (NEDA 2020)
400.0
15.0
13.9
14
350.0 ► Human health and social work play a significant
role in the Philippine economy in 2021 with growth
Human health and social work
250.0 4
-0.3 of 10.6% in 2019 which is the pre-COVID-19 level).
200.0
-1
-3.8 ► Government’s key strategies specific to nutrition
150.0 and health programs include “Guaranteeing care at
-6
100.0 all life stages”, “Ensuring responsive and resilient
health system”, “Sustaining equitable health
-11
50.0 financing”, and “Cross-cutting strategies”
211.5 221.7 252.5 270.2 290.1 309.3 308.3 323.3 310.9 357.6
- -16
2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
► With the objective of the Project to offer health and
Human health and social work (in PhP billion) wellness services, such as offering nonpharmacological
interventions to mental health conditions and applying
Human health and social work (% y-o-y) modes of traditional healing by local indigenous people,
the Project is envisioned to support the government’s key
strategies in nutrition and health.
Source: PSA
Note: at constant 2018 prices
1.0 ► The Philippines ranked 64th out of 141 countries in terms of Global
0.8 Competitiveness Index (GCI) wherein its health pillar ranked 102nd -
0.8 healthy life expectancy at birth of 61.0 years in 2019.
Index value
0.6
The Philippines ranked 107th out of 189 countries with 0.718 HDI Score
HDI value
►
0.6 - up four (4) places from 2018 HDI ranking.
0.4
0.4 ► The country is also one of the 25 Leading Growth Markets for Wellness
Tourism Trips from 2015 to 2017, which measures the country’s ranking
0.2 by the number of wellness visits.
0.2
► In the 2020 HCI, the Philippines’ rating was at 0.52, which meant that
0.0 0.0
children born in the country today would have a 52.0% chance of
achieving their maximum potential in terms of productivity.
WHO Special Initiative for Mental Health
HDI value Income index ► Mental health represents an estimated 2.65% of the health budget.
Life expectancy index Education index ► The Philippines has only four mental hospitals, 46 psychiatric inpatient
units, and 29 outpatient mental health facilities for the whole country.
► Increased competitiveness of the country and good performance in the HDI
may result from the Project as it will enable a more conducive business ► World Health Organization (WHO) stated that national policies for mental
environment and promote growth in the health sector, specifically improve health lay a strong groundwork for increasing access to mental
the mental health system in the Philippines. healthcare services across the country.
Source: World Bank, World Economic Forum, DBCC, ADB, IMF WEO, UNDP
►
6.7 7.3
6.7 health associates, and 68 physicians in the
15.0
%
4.6
5
region.
2.7
10.0 ► On the other hand, based on the DOH Hospitals
(0.4) Profile Report (2020) there are 891.6
-
5.0 (2.0) thousand total inpatient bed days, 590.7
thousand total outpatient visits, 87.6
14.9 15.3 18.2 20.9 22.3 23.8 23.3 25.0 24.9
0.0 (5) thousand total inpatient discharges, and 249.7
2012 2013 2014 2015 2016 2017 2018 2019 2020 thousand total emergency room (ER) visits in
Central Luzon as of 2019.
GVA in Human Health and Social Work Y-o-Y Growth Rate
Source: PSA
Note: at constant 2018 prices
Pampanga 2.9
► The region’s resilience, increasing population size, and a
supportive government strategic framework to accelerate
Bulacan 3.7 human capital development will boost the objectives of the
Millions MWC in providing quality health care facility and services as
well as contribute to the region’s economic growth.
Source: PSA
Please note that these terms are still subject to finalization and government approvals. The bidders are
still expected to conduct their own due diligence.
Managers 8.7 5.6 14.1 Cagayan Valley 3.83 3.45 2.73 3.62
Central Luzon 9.21 13.35 7.64 11.26
Professionals 5.4 3.2 9.1
CALABARZON 10.59 18.94 16.97 14.97
Technicians and associate Bicol 7.32 3.66 3.73 5.41
3.8 3.6 4.2
professionals Western Visayas 8.33 6.61 7.05 7.44
Central Visayas 7.78 6.72 7.62 7.25
Clerical support workers 5.9 4.3 8.5
Eastern Visayas 6 2.83 3.72 4.36
Service and sales workers 23.3 15.9 36.0 Zamboanga 4.84 1.99 1.72 3.35
Skilled agricultural, forestry, and Northern Mindanao 5.74 3.44 3.65 4.54
6.2 8.7 2.0
fishing workers Davao Region 5.72 4.58 3.76 5.11
Craft and related trades workers 9.1 11.9 4.2 NCR 5.91 19.04 24.87 12.9
Plant and machine operators 9.3 13.8 1.7 CAR 1.42 1.91 2.88 1.7
Elementary occupations 28.1 32.8 20.2 MIMAROPA 3.41 1.54 1.92 2.44
Armed forces occupations and Source: Computations from microdata of the 2018 Family Income and Expenditure Survey (FIES),
0.1 0.2 0.0 PSA (2019b),making use of income group typology of Albert et al.(2018a).
special occupations
Source: PSA Annual Preliminary Labor Force Survey (LFS) 2020.
Percent Distribution of Households Among Income Classes by Region in 2018
Percent Distribution of Employed Persons by Sex and Major ► Among the regions, Central Luzon is one of the regions where the middle class
Occupation (October 2020) dominantly reside.
► Service and sales workers were the largest employed group. Workers ► Similarly, Central Luzon is also one of the regions where high income class
in elementary occupations comprised the second largest group. reside.
Please note that these terms are still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
Please note that these terms are still subject to finalization and government
approvals. The bidders are still expected to conduct their own due diligence.
Diabetes Mellitus 117 15.02 Bataan 456,821 9,114 10,981 20,095 4.40
Bulacan 1,575,910 9,377 10,452 1,9829 1.26
Cerebrovascular Accident 110 14.12
Nueva Ecija 1,009,810 1,374 1,627 3,001 0.30
Pneumonia 105 13.48
Pampanga 1,148,278 14,528 12,336 26,864 2.34
Chronic obstructive pulmonary disease 102 13.09
Tarlac 683,470 16,585 25,013 41,598 6.09
Hypertension 81 10.4 Zambales 395,348 11,106 11,451 22,557 5.71
Pulmonary tuberculosis 71 9.11 Source: Field Health Services Information System, 2020 Annual Report, EB, DOH, FHSIS, DILG
Please note that these terms are still subject to finalization and government approvals. The
Source: Institute for Health Metrics and Evaluation; Johns Hopkins University bidders are still expected to conduct their own due diligence.
#SGVforABetterPhilippines
Bataan Health System Trajectory
3 Pilar
Dialysis Facilities in Bataan
Bagac 1 1 Orion Balanga 2
Orani 1
1 Limay
7 Mariveles
Source: Bataan Socio-Economic Profile. 2018.
11.3%
Healthy cooking and baking class (P2,500)
14.9%
Acupuncture (P500-800)
16.9%
Yoga and other exercise (P300)
14.7%
Mindfulness and meditation (P900)
12.2%
Chiropractic (P1,500)
17.8%
Massage Therapy (P485-600)
0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 0.0% 10.0% 20.0% 30.0% 40.0%
Please note that this is still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
• High demand: massage therapy, and acupuncture for those who are curious to try.
• Mixed demand: yoga and meditation wherein some believe it would require supervision, while
DEMAND others would rather do it by themselves using online videos.
• Low: health cooking and baking classes are seen as something they can learn through the internet
• Cost must be adjusted according to how much target market can afford
INTEGRATION • Wellness center hours ideally to be extended to accommodate more people coming from work.
Please note that this is still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
Time constraints • Could only go if clinic hours are extended because of own work schedule.
Please note that this is still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
29%
Healthy cooking and baking class (P2,500)
Herbal/supplements (P500)
71%
Acupuncture (P500-800)
92%
67%
Mindfulness and meditation (P900)
- 5 10 15 20 25
Number of FGD participants
Please note that this is still subject to finalization and government approvals.
Yes No
The bidders are still expected to conduct their own due diligence.
Source: Collinge, W. Complete Guide to Alternative Medicine. Grand Central Publishing. 2000.
Mindfulness Diagnostic/Laboratory
The mindfulness/stress center uses the The diagnostic center will house laboratory tests that
mechanisms of mind-body interaction to promote can provide quality and trusted results to help with
physical health the diagnosis and identification of systemic
imbalances amongst patients demonstrating varying
Sleep symptoms or well individuals seeking to be proactive
The sleep center aims to provide a take-home about their health.
overnight sleep diagnostic service that allows our
physicians to make a sleep diagnosis and initiate
appropriate therapy for people with sleep
disorders.
Please note that these wellness services are still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
Hemodialysis Dental
► Bataan noted a total of three dialysis centers in the ► Only 7 dental clinics available in Mariveles.
entire province.
► Facility can be built and then offer dental
► Up to 14 dialysis units can be housed in the center, practitioners at a for lease basis.
accommodating up to 56 patients daily.
Please note that these thematically related services are still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
Please note that these plans are still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
Please note that these plans are still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
Lazareto De Mariveles
~1,100 m²
Museum and Library
Commercial Space: Café by the Ruins
Wellness Service Pillar: Movement
Wellness Service Pillar: Mindfulness and Stress
Common Areas
Please note that the above features are not final and are subject
to government approvals. The bidders are still expected to
conduct their own due diligence
Please note that these plans are still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
Ground Floor
~1,740 m²
Parking (13 slots)
Commercial space
Common/ Utility Areas
8th Floor
~1,740 m²
Accommodation Rooms
Roof Garden
Common/ Utility Areas
Proposed Traffic
Proposed truck and other construction vehicle routes going in and
Circulation System
out of the MMWGH during the construction period
during and after the
construction period
• Monroe St. should be cleared of roadside parking and other
obstruction
• Warning signs should be put up regarding movement of trucks
and other construction vehicles
Please note that these plans are still subject to finalization and government approvals. The bidders are still expected
to conduct their own due diligence.
Page 76 31 January 2022 Mariveles Wellness Center Project #SGVforABetterPhilippines
Preliminary Traffic Management Plan
• Average speed (Peak Hour) will improve in the area by more than 50% throughout the design period of 25 years (12 to 14 kph) to (18 to 20 kph)
• Vehicle-Hour Traveled (VHT) will be reduced by more than 80%, meaning vehicles will be spending only 20% of the time on the road
Please note that these plans are still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
30% 32%
MMWGH admin offices 1 5th 1,740 1,740
20% Wellness Center facilities 2 6th-7th 1,740 3,480
10%
1% 12% Accommodation Rooms (for
1 8th 1,200 1,200
0% commercial use)
2023 2024 2025 2026
Roof Garden 1 8th 540 540
Financing Assumptions Rooftop 1 Rooftop 1,200 1,200
70/30 6.1%
Term of each drawdown Grace period for each drawdown
10 years 2 years Please note that these terms are still subject to finalization and government approvals. The bidders are
still expected to conduct their own due diligence.
Patients from the lifestyle consultations + Patients from the leased clinic spaces
Professional fees from the lifestyle consultations Supplementary revenues from the ancillary facilities
• PhP500/consultation • Parking fees, rental revenues from the accommodation
• 7 visits/patient/year rooms (commercial use), lease revenues from the
commercial spaces, revenues from the dialysis center,
lease revenues from the leased clinic spaces
Lease revenues from the leased clinic spaces
• PhP3,000/sqm/month Ancillary facilities key assumptions Unit Amount
Rate for day parking [PhP/day] 50
• 5 to 10 clinics leased (24sqm each) Rate for overnight parking [PhP/night] 100
Stay rate –accommodation rooms [PhP/month] 1,600
Lease market rate – commercial spaces [PhP/sqm/month] 500
Sale of goods and services from the service pillars Dialysis price per session [PhP/session] 4,500
Services include: Population % of Mariveles needing dialysis [%] 5.0%
• Heart rate variability – PhP1,500/test
• Basic blood diagnostic – PhP6,000/test
• IV nutrient therapy – PhP3,390/session
• Hyperbaric – PhP3,800/session
Please note that these terms are still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
250
-
(250)
(500)
(750)
(1,000)
Revenues - ancillary facilities Revenues - wellness center Operating cost - wellness center Operating cost - ancillary facilities
100
(100)
PhP' m
(200)
(300)
Development stage
(400)
(500)
(600)
2067
2023
2025
2027
2029
2031
2033
2035
2037
2039
2041
2043
2045
2047
2049
2051
2053
2055
2057
2059
2061
2063
2065
2069
2071
Operating cash flows Investing cash flows Please note that these terms are still subject to finalization and government
1initially approvals. The bidders are still expected to conduct their own due diligence.
computed based on maximum concession period allowed by law
Page 82 31 January 2022 Mariveles Wellness Center Project #SGVforABetterPhilippines
Operating cost assumptions
Depreciation
Repairs and maintenance Salaries – Dialysis center
5.1% Cost of goods sold
Depreciation 10.2% 1.8%
Marketing 2.4% 6.0%
20.1% 19.1% Salaries –
Other
facilities
Miscellaneous 12.1%
24.1% 10.0%
Miscellaneous 0.1%
Utilities Utilities
Possible expansion of Administrative offices on the 3rd floor from 1,740 sqm to 3,500 sqm
Additional parking requirements of one additional floor for the expanding administrative
personnel
Additional parking requirements of one additional floor to address the 800-bed capacity of
the new General Hospital
These iterations of the study have not yet been incorporated in the financials
Please note that these items are still subject to finalization and government approvals. The bidders are still expected to conduct their own due diligence.
Page 84 #SGVforABetterPhilippines
Project Structure
Support services
O&M rights
Procurement of medical and facility equipment Lease of commercial spaces Operations of the Medical service fees for service pillar:
Lease of doctor’s clinics Wellness Center Mind/Body Medicine: Movement and
Procurement of theater and museum resources
Medical service fees from Mindfulness
Operation and Maintenance of built facility and service pillars
equipment during the concession period1 Ancillary facilities related fees 1Concession period is 50 years
2The possibility of PPP project structure
providing for AP is being explored by DOH
and project team
Commercial Optional: MWC Service MMWGH 3DOH through MMWGH
Ancillary
and Clinic Thematically Pillars/Health Wellness 4Mind/Body Medicine: Movement and
facilities related services Services Services4
space for lease Mindfulness service pillars only
Location
The Project is expected to close the gap The Project is expected to generate
by providing safe, quality, and revenues and operating cash flows
complementary health care services throughout its operating period
1Q 2022 4Q 2022
Completion and Publication of
Approval of Invitation to Bid
Feasibility Study
3Q 2022
Project Approval
This material has been prepared for general informational purposes only and is
not intended to be relied upon as accounting, tax or other professional advice.
Please refer to your advisors for specific advice.
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