Teaching Hospital Unpad - GWS

PROPOSAL
Teaching Hospital
PADJADJARAN
UNIVERSITY
EXECUTIVE SUMMARY
• UNPAD Hospital is a Class A General Hospital which has a standard as a

Main Teaching Hospital. UNPAD Hospital is in the form of a State
University Hospital (RSPTN) which is owned by the Ministry of Research,
Technology and Higher Education and is managed by Padjadjaran
University (UNPAD).
• UNPAD Hospital is located in the southwest of the UNPAD Jatinangor
campus, Jl Bandung Sumedang KM 21, Sumedang Regency. UNPAD
Hospital will stand on an area of 10 hectares. The land used is land with
ownership status from the Ministry of Research, Technology and Higher
Education (Kemenristekdikti) which is managed by UNPAD. The strategic
location and location is supported by transportation access that is easily
accessible by road. The location can be accessed via toll roads and light-
rail transportation (LRT) access development plans.
• UNPAD Hospital as the Main Teaching Hospital and Class A General
Hospital performs service standards according to Permenkes no. 58 of
2014. In addition to the basic services that must be fulfilled as a class A
public hospital, UNPAD Hospital has excellent services in the field of
Oncology, Infection and Trauma.
• UNPAD Hospital was built with funding from UNPAD partners in the form
of a Building-Operational-Transfer (BOT) cooperation relationship. The
cooperation will take the form of building, capital and operational
assistance from partners, while the pre-construction preparation and
human resource development will be fully carried out by UNPAD.
• The number of university students in Jatinangor and its surroundings are
105 thousand students and more than 26 thousand new students every
year.
• Potential market UNPAD Hospital is 1,054,442 from 3 regency such as
Bandung Regency, Sumedang Regency, and Bandung City
• University Padjadjaran Hospital Future will become Oncology or Cancer
Research Centre. Oncology is a branch of medicine that deals with the
prevention, diagnosis, and treatment of cancer, Heart disease referral in
West Java Province, Brain and neurology referral in West Java Province,
and Drugs and medicines research in West Java Province
EXECUTIVE SUMMARY
• The construction of the RSP was carried out with the support of consultants
and contractors with international standards, with plans for ground breaking
to be carried out in February 2021. Construction work will be carried out in
February 2021 to March 2022. The soft opening will take place in September
2022 and the grand opening in January 2023.
• By using the concept of green-building, disabled & elderly friendly, the UNPAD
Hospital building will have three main buildings. UNPAD Hospital has various
supporting buildings including research building facilities, educational
buildings, meeting rooms, museums, dormitories, shelter houses, medical
gardens and apartments for patient families. As another support, supporting
facilities will also be provided such as canteen & restaurants, sports facilities,
mini malls, and religious facilities.
• UNPAD Hospital which has excellent services in the form of oncology,
infection and trauma services will have cutting-edge technology in cancer
management including supporting infrastructure. This hospital will have 500 –
1000 beds which will expand gradually. UNPAD Hospital uses an e-medical
records system which will integrate with partner hospitals and network
hospitals in the West Java area.
• To achieve the main concept of AHSS, several things are needed to implement
specific management strategies. UNPAD Hospital is a teaching hospital that
cannot be separated from the existence of Dr. Hasan Sadikin Bandung and
PMN Eye Hospital Cicendo Bandung. This relationship will continue to be
maintained as a source of sharing labor, facilities, educational processes and
research processes.
• The total investment is 3,48 Trillion Rupiah or USD 257,835,889.35,
consisting of construction costs of 1.579 Trillion Rupiah and supporting costs
of 1.9 Trillion Rupiah. NPV Project is Rp. 164,49 billion or USD 12,184,539.20.
Project is feasible. IRR investment is 12,76% greater than cost of capital (10%).
Project is feasible. Payback Period Project is 10 Years, 2 Months, and 16 Days.
Project is feasible.
• The cooperation mechanism with investors is Building-Operational-Transfer
(BOT) for 25 years + 5 years with a profit sharing proportional are 70% for
investors and 30% for Unpad or 80% for investors and 20%
BACKGROUND
Based on the mandate of the 1945 Constitution of the State Article 28 H

Paragraph 1, it is stated that "Everyone has the right to live in physical and
mental well-being, to have a place to live, and to have a good and healthy
living environment and the right to obtain health services." At present, the
development of the health sector in West Java is faced with several
challenges such as: the density of the population living in the province of
West Java (40% of Indonesia's total population), a high population growth
rate (1.6% per year), a low average education , the number of poor family
population (9.57% of the total population), the high number of in-migration
to the province, and the province of West Java which is now a potential land
for various commodities. At the same time, West Java Province is also dealing
with several changes such as the transition in the era of the National Health
Insurance, the transition to epidemiological disease patterns, demographic
and cultural transitions, government transitions, and the transition to
industrialized health.
Padjadjaran University (Unpad), one of the best state universities with “A”
accreditation located in West Java, has 16 different faculties, one of which is
the Faculty of Medicine, has a vision and mission to become one of the best
universities with an educational program at the same level. global. In line
with this vision and mission, Unpad as an educational institution is moved to
contribute to providing solutions to health problems in West Java. Until now,
with the capacity as an academic institution, Unpad has contributed to
producing human resources in the health sector such as general
practitioners, specialists, subspecialists, nurses and pharmacists. However, in
reality, the community is faced with the problem of a lack of quality and
quantity of health education facilities so that it impacts on health workers
who feel that their distribution is still uneven and their clinical competence is
not good enough.
BACKGROUND
The number of university students in Jatinangor and its
surroundings are 105 thousand students and more than 26
thousand new students every year, with the following details:
Padjadjaran University
25 thousand students
9,046 new students every year
Bandung Institute of Technology
University of Education Indonesia
10.707 new students every year
State Islamic University of Sunan Gunung Jati
5.950 new students every year
Institute of Domestic Government

9 thousand students
Indonesian Cooperative Institute

5 thousand students
601 new students every year
BACKGROUND
The location of the hospital from the nearest toll gate (Cileunyi)
is 3 km. Transportation plans in the Jatinangor area include:
1. Cisumdawu toll road. Cileunyi - Sumedang - Dawuan
2. Cigatas toll road. Cileunyi - Garut - Tasikmalaya
3. Indonesian China Fast Train (KCIC)
4. Train Bandung - Sumedang
5. Bandung Monorail
POTENTIAL MARKET
POTENTIAL MARKET : 1,054,442

POTENTIAL MARKET
Apartments around Padjadjaran University Hospital are as

follows:
1. Pinewood Apartments;
2. The Icon Jatinangor;
3. Skyland City Apartments;
4. Jatinangor Park;
5. Louvin's Apartment; and
6. U-District Apartments
BACKGROUND
By implementing the 2003 National Education System Law

which states that all medical institutions are required to have
clinical education facilities for their students in the form of
teaching hospitals and other health facilities. As an effort to
provide health education that is in accordance with standards
and has a significant impact on health development in West
Java, Unpad is committed to establishing Jatinangor Hospital as
an educational facility as well as a health service facility as a
form of equal distribution of health services in West Java.
The construction of the UNPAD Hospital is part of the Academic

Health Science System (AHSS) as part of the Health-System
Approach Medical Education (Health-SAME), which implements
2 main pillars: Community Health and Academic Medicine
Partnership (CHAMP) and Knowledge and Resource Sharing (
KRS). The aim of CHAMP is to improve the performance of the
health system in West Java through integrated health education
that is multilevel and multidisciplinary.
The strategic planning for the construction of the UNPAD

Hospital was made as a guide for all parties involved in
achieving one vision, mission and commitment.
VISION, MISSION,
AND
COMMITMENT
VISION
To become an international standard,
innovative and transformative academic
hospital
MISSION
1. To become a tertiary referral hospital that
has an integration between health
services, education and research.
2. To become a hospital with superior
services in the field of Oncology, Infection
and Trauma.
3. Build a service system "personalized
oncology"
VISION, MISSION,
AND
COMMITMENT
COMMITMENT
UNPAD Hospital as the Main Teaching Hospital is committed to providing
quality health services with patient satisfaction oriented. UNPAD Hospital
plays an active role in creating a healthy community environment. In carrying
out its commitment, UNPAD Hospital collaborates with insurance parties,
both BPJS, private insurance / contractors in its function to provide health
services for the general public and internal hospital staff, which includes all
lecturers, employees and students in UNPAD.
HOSPITAL CLASS
UNPAD Hospital is a Class A General Hospital which

has a standard as a Main Teaching Hospital. UNPAD
Hospital is in the form of a State University Hospital
(RSPTN) which is owned by the Ministry of Research,
Technology and Higher Education and is managed by
Padjadjaran University (UNPAD).
Jatinangor UNPAD Hospital is a sister hospital with

Dr. Hasan Sadikin Bandung and PMN Cicendo Eye
Hospital, which have served as the Main Teaching
Hospital and Affiliated Education Hospital for
Padjadjaran University.
As a Main Teaching Hospital that has high patient

safety service standards, UNPAD Hospital will be
established in accordance with KARS accreditation
standards
DEVELOPMENT
UNPAD Hospital was built with funding from UNPAD

partners in the form of a building-operational-
transfer (BOT) cooperation relationship. The
cooperation will take the form of building, capital
and operational assistance from partners, while the
pre-construction preparation and human resource
development will be fully carried out by UNPAD.
The construction of the RSP was carried out with the

support of consultants and contractors with
international standards, with plans for ground
breaking to be carried out in February 2021.
Construction work will be carried out in February
2021 to March 2022. The soft opening will take
place in September 2022 and the grand opening in
January 2023.
LOCATION
UNPAD Hospital is located in the southwest of the UNPAD

Jatinangor campus, Jl Bandung Sumedang KM 21,
Sumedang Regency. UNPAD Hospital will stand on an area
of 10 hectares. The land used is land with ownership
status from the Ministry of Research, Technology and
Higher Education (Kemenristekdikti) which is managed by
UNPAD.
The strategic location and location is supported by

transportation access that is easily accessible by road.
The location can be accessed via toll roads and light-rail
transportation (LRT) access development plans.
PRIORITY FUNCTION
UNPAD Hospital is a hospital that will play a role in services, education and
research. The priority services provided by UNPAD Hospital are:
Educational function
UNPAD Hospital will play a role in basic education for undergraduate medical
students, further education for students in medical education programs,
further education for students in specialist programs and non-deegre
education for medical and paramedical personnel.
Research function
UNPAD Hospital plays a role in the field of research involving educators and
students. The research developed is mainly translational research, clinical
epidemiology research and research related to service technology screening.
Service function
Although it plays an active role in the education and research process,
UNPAD Hospital still prioritizes service as its main function. As a class A
General Hospital, Jatinangor RSP has a position as the 3rd level health service
center (PPK-3). UNPAD Hospital is a tertiary referral center which is an
academic health science system (AHSS).
In addition, UNPAD Hospital will also provide guidance to Network Hospitals

(PPK-2) and Community Health Centers or Networking Clinics (PPK-1) in the
West Java area.
HEALTH SERVICE
PRIORITIES
UNPAD Hospital as the Main Teaching Hospital and Class A

General Hospital performs service standards according to
Permenkes no. 58 of 2014. In addition to the basic services that
must be fulfilled as a class A public hospital, UNPAD Hospital has
excellent services in the field of Oncology, Infection and Trauma.
The services available consist of:
A. General Services
UNPAD Hospital as a General Hospital provides comprehensive
general services, specialist services and subspecialist services.
The services provided include management and rehabilitation
according to high quality health service standards.
To meet public service standards, services will be divided into:
1. Emergency services
2. Outpatient services
• General practitioners
• Medical specialist
• Consultant specialist
3. Inpatient services
4. Intensive care services
5. Critical care
HEALTH SERVICE
PRIORITIES
The types of specialist services available are:
1. Internal Medicine 15. Vascular Surgery

2. Children's Health 16. Urology
3. Skin-Gender 17. Pediatric Surgery
4. Heart and Blood Vessels 18. Orthopedics
5. Psychiatry 19. Oral Surgery
6. Neurology 20. Teeth and Mouth
7. Medical Rehabilitation 21. Anesthesia and Intensive
8. Obstetrics and Gynecology Therapy
9. Ear Nose and Throat 22. Radiotherapy
10. Ophthalmology 23. Radiology
11. Neurosurgery 24. Anatomical Pathology
12. Plastic Surgery 25. Clinical Pathology
13. Surgical Oncology 26. Pharmacy
14. Digestive Surgery
HEALTH SERVICE
PRIORITIES
B. Excellent Service
In line with the increasing population and increasing life
expectancy in West Java, the incidence of malignancy tends to
increase. To answer this problem, UNPAD Hospital is committed
to providing integrated services in the fields of Oncology,
Infection and Trauma. The types of health services in the field of
oncology include:
1. Surgical oncology
2. Radiation oncology
3. Medical oncology
4. Rehabilitation and palliative therapy
EDUCATION PRIORITIES
UNPAD Hospital as an Educational Hospital plays a role in the

educational process as a vehicle for educators and students to
form strong, trustworthy and competent health service
characters. UNPAD Hospital seeks to play an active role in
producing health workers who are able to work together to
improve public health.
The education process as the main identity of UNPAD Hospital

runs in an interrelated process in a cooperative relationship
based on trust. All health workers, both medical staff and non-
medical staff, will work together to become good mentors for
students. Supervision is mainly given in terms of providing
effective services and prioritizing patient safety.
The educational process goes hand in hand with patient care

without sacrificing quality standards. The educational process
prioritizes the comfort and safety aspects of the patient. The
educational process includes the education process for general
practitioners, specialists and subspecialists. The same process
applies to nursing programs and midwifery programs. The
educational process carried out also prioritizes the interests of
the patient and the patient's family.
Priority aspects of education are:

1. Collaborative learning system
Every individual in a UNPAD Hospital has an equal
role in improving public health. To maximize this
role, every medical staff, paramedical staff and
hospital support staff must have the ability to work
together as a team.
This process will provide exposure for students in

terms of opportunities to gain collaborative
experience. In addition to internal collaboration,
UNPAD Hospital will collaborate externally with
academic partners in network hospitals and
universities to improve the structure of the learning
experience.
2. Patient involvement
The involvement of patients and families plays an
important role in improving aspects of the learning
system. Without the involvement and comfort of the
patient, the educational process becomes difficult to
develop.
3. Development of clinical practice

To support academic ability, full support is needed to
develop clinical practice skills. To be able to carry out
this method requires access to patient care, an
innovative educational work atmosphere and regular
evaluation of the educational process related to
clinical abilities
4. Human resource development

In the context of developing a continuous learning
process for all UNPAD Hospital staff, collaborations
are carried out with domestic and foreign teaching
hospitals.
5. Improving the quality of education

The educational process will be developed according
to the hospital development map. This can be
achieved by making changes to the educational
strategy development according to the hospital's
strategic plan.
RESEARCH
DEVELOPMENT
PRIORITIES
UNPAD Hospital will become a center of excellence for

research in Indonesia, especially in West Java in the field
of oncology and related fields. In accordance with the
research aspect, UNPAD Hospital will provide
infrastructure and facilities for clinical research and
translational research. The research form is service and
community based research.
The research developed is collaborative research in the

form of a team consisting of various scientific disciplines.
Research is flexible, dynamic and collaborates nationally,
regionally and internationally. UNPAD Hospital will
support research results that are real applications for the
community. The research application will be determined
as intellectual property rights (IPR) for researchers. The
results of this research are expected to develop through
tripartied development involving the government,
industrial sector and the public.
HUMAN RESOURCES
UNPAD Hospital is a health service center with

qualified doctors and consultants in their fields.
Apart from being competent in their fields, UNPAD
Hospital staff have good research activities.
To meet the needs of human resources, UNPAD

Hospital will collaborate with national institutions
such as Dr. Hasan Sadikin, PMN Cicendo Eye
Hospital, Bandung Oral and Dental Hospital,
Jatinangor Hospital also has collaborative
relationships with the Netherlands Radbound
University, Japan Juntendo University, Singapore
National Cancer Center and South Korea GIL
Institute. This collaboration is expected to improve
the ability and quality of services and research
carried out at the same time.
Based on the Regulation of the Minister of Health of

the Republic of Indonesia no. 56 of 2014 concerning
Hospital Classification and Licensing, UNPAD
Hospital will meet the requirements of a type A
hospital in accordance with applicable regulations.
EMPLOYMENT STATUS
UNPAD Hospital as a Government Hospital

owned by the Ministry of Research,
Technology and Higher Education and
managed by UNPAD has human resources
with PNS and non-PNS employment status.
This employment status is related to
UNPAD's status as a Legal Entity State
University (PTNBH) which has human
resources from the government (PNS) and
human resources who are recruited and
financed by PTNBH (non-PNS).
The category of human resources will

consist of medical, paramedic and support
personnel including administrative
personnel, cleaning personnel, and
security personnel.
BUILDINGS
AND
FACILITIES
UNPAD Hospital as a Class A Teaching Hospital is located in the

Jatinangor Campus area of Padjadjaran University, Jl. Bandung
Sumedang Km 21, Jatinangor, Sumedang which can easily be
accessed by patients and hospital staff.
By using the concept of green-building, disabled & elderly
friendly, the UNPAD Hospital building will have three main
buildings, which consist of:
Building A:
• Emergency departments
• Outpatient Installation
• Integrated Diagnostic Facility
- Laboratory
- Nuclear Medicine
- Diagnostic Radiology
- Kemoteapi facilities
- Medical Rehabilitation
- Anatomical Pathology
BUILDINGS
AND
FACILITIES
BUILDINGS
AND
FACILITIES
Building B:
• Obstetric Emergency Room
• Inpatient Installation
• Integrated Pharmacology Center
• Teeth and Mouth Building
BUILDINGS
AND
FACILITIES
Building C:
• Intensive Care Facilities
• Integrated Operating Room
SUPPORTING BUILDING
UNPAD Hospital has various supporting buildings

including research building facilities, educational
buildings, meeting rooms, museums, dormitories,
shelter houses, medical gardens and apartments for
patient families. As another support, supporting
facilities will also be provided such as canteen &
restaurants, sports facilities, mini malls, and religious
facilities.
SUPPORTING BUILDING
HEALING GARDEN
PATIENT FAMILY APARTMENT
DORMITORY
RESEARCH FACILITY
EQUIPMENT
UNPAD Hospital which has excellent services in the form of

oncology, infection and trauma services will have cutting-edge
technology in cancer management including supporting
infrastructure. This hospital will have 500 - 1000 beds which will
expand gradually. The infrastructure supports that are owned
include:
• PETscan
• Transarterial Chemo Embolization (TACE)
Intensity-modulated radiation therapy (IMRT)
• Selective Brachytherapy
• Radioablation
• Microsurgery
• Endoscopic surgery
• NGS (Next Generation Sequence)
• Thyroid Center
• Fluorescence in situ Hybridization
INFORMATION
SYSTEMS
UNPAD Hospital uses an e-medical records system

which will integrate with partner hospitals and
network hospitals in the West Java area. The system
will use a fiber optic connection to support
telemedicine and teleconferencing programs. The
development of this information system will cover
all aspects of service, starting from registration at
the registration desk to utilizing the referral system.
DEVELOPMENT STRATEGY
To achieve the main concept of AHSS, several things are needed

to implement specific management strategies. UNPAD Hospital
is a teaching hospital that cannot be separated from the
existence of Dr. Hasan Sadikin Bandung and PMN Eye Hospital
Cicendo Bandung. This relationship will continue to be
maintained as a source of sharing labor, facilities, educational
processes and research processes.
Collaboration will also be

developed among various
hospitals in West Java to create
an effective and efficient
program. Regional General
Hospital as a level 2 health
service center will have health
workers who work under the
direction of supervisors who
meet high standards.
Other development strategies

are also carried out to create a
supportive work atmosphere.
In this case, the reward system
to be developed is a fair and
appropriate remuneration
system. In addition, mapping
human resources and drafting
clear career paths are
development strategies that
are of concern.
FUTURE STRATEGY
DEVELOPMENT
University Padjadjaran Hospital

Future will become:
1. Oncology or Cancer Research
Centre. Oncology is a branch of
medicine that deals with the
prevention, diagnosis, and
treatment of cancer.
2. Heart disease referral in West
Java Province
3. Brain and neurology referral in
West Java Province
4. Drugs and medicines research in
West Java Province
INVESTMENT
(In Million Rupiah)
ITEM QTY UNIT UNIT PRICE TOTAL
A. PROJECT PLANNING 721.50
1 Feasibility Study
- Tim Analysis Direct Cost 20 Mn 20.000 400.00
- Non Direct Cost 20 Day 1.000 20.00
- Reporting 16 Set 4.500 72.00
- Communication. 30 Day 0.150 4.50
2 Material Survey 1 Ls 25.000 25.00
3 Sondir Test and Analysis 1 Ls 200.000 200.00
B. LAND PREPARATION 14,800.00

1 Project Preparation and Security 100,000 m2 0.050 5,000.00
2 Mobilization and demobilization heavy machine 1 Ls 100.000 100.00
3 Set Clearing, cut and field, conturation 45,000 m2 0.060 2,700.00
4 Land moving 100,000 m2 0.050 5,000.00
5 Location clearing 100,000 m2 0.020 2,000.00
C. MAIN BUILDING CONSTRUCTION

1. MAIN BUILDING HOSPITAL
1st to 10th Floor 805,406.25
1 Construction 45,375 m2 8.500 385,687.50
2 Architecture 45,375 m2 5.500 249,562.50
3 Mechanical Electrical 45,375 m2 3.750 170,156.25
2. Security Post 125.00

1 Construction 25 m2 2.000 50.00
2 Finishing 25 m2 3.000 75.00
3. Basement 87,337.50
1 Construction 10,275 m2 1.500 15,412.50
2 Mechanical Electrical 10,275 m2 7.000 71,925.00
4. IPAL and GWT Construction 1,300.00

1 Construction 200 m2 3.000 600.00
2 Finishing 200 m2 3.500 700.00
D. POWER PLANTS 1,750.00

1 Main Electrical Substation 1 LS 500.000 500.00
2 Mechanical Electrical 1 LS 300.000 300.00
3 Grounding 1 LS 100.000 100.00
4 PLN connection 1 LS 850.000 850.00
E. SUPPORTING BUILDINGS 120,775.00

1 Genset Room + 625 KVA Genset + Installation 1 LS 1,500.000 1,500.00
2 Clean water reservoir 20x20x4 m 2 Unit 400.000 800.00
3 Building and Maintenance Room 300 m2 4.000 1,200.00
4 Entrance Gate 1 Set 150.000 150.00
5 Main Street (Entrance) 4,000 m2 0.750 3,000.00
6 Paving Block 3,600 m2 0.750 2,700.00
7 Canteen 700 m2 2.750 1,925.00
8 Level 6 Concrete Perimeter Fence 64,000 m2 1.250 80,000.00
9 Public Street Lighting + Installation 150 Unit 20.000 3,000.00
10 Storage and Waste Management 1 Unit 25,000.000 25,000.00
11 Security post and equipment 10 Unit 150.000 1,500.00
F. EQUIPMENT & SUPPORT 206,187.50

1 Hospital Interior 45,375 m2 4.500 204,187.50
2 Hospital IT and Equipment 1 LS 2,000.000 2,000.00
TOTAL WORK FROM BEGINNING TO SUPPORTING BUILDINGS 1,238,402.75

INVESTMENT
(In Million Rupiah)

G. MISCELLANEOUS COST 340,560.76
1 Planning Consulting Services 2.5 % 1,238,402.750 30,960.07
2 MK Consulting Services 2.0 % 1,238,402.750 24,768.06
3 Mediator Fee 123,840.28
4 VAT & PPH taxes 13.0 % 1,238,402.750 160,992.36
SUB TOTAL CONSTRUCTION COSTS 1,578,964
H. PERMITS 88,625.00
1 Certificate Management 100,000 m2 0.050 5,000.00
2 Development Legality Licensing 55,650 m2 0.400 22,260.00
3 IMB Permit 55,650 m2 0.500 27,825.00
4 Reporting and Operational Licensing 55,650 m2 0.600 33,390.00
5 Transportation and Accommodation 1 LS 150.000 150.00
I. SUPPORTING EQUIPMENT 4,250.00

1 Jet Pump Installation & Installation + Permit 15 Unit 60.000 900.00
2 Inscription Making 1 LS 350.000 350.00
3 Garden & Fish Pond 1 LS 2,000.000 2,000.00
4 Greening Trees 1,000 Pcs 1.000 1,000.00
J. SUPPORT AND HOSPITAL EQUIPMENT 1,613,500.00

1 General Equipment 1 80,000 80,000.00
2 Operational Vehicles 1 30,000 30,000.00
3 Medical Devices and Equipment 1 1,500,000 1,500,000.00
4 CCTV Security & Management System 1 3,500.000 3,500.00
K. OPERATIONAL COSTS 195,446.00

1 Operating costs 6 Mn 600.000 3,600.00
2 Employee and Doctor Salary 6 Mn 14,684.583 88,107.50
3 Drugs 6 Mn 3,956.417 23,738.50
4 General Costs + Field Coordination 1 LS 50,000.000 50,000.00
5 Overhead 6 Mn 5,000.000 30,000.00
SUB TOTAL SUPPORT COSTS 1,901,821.00
TOTAL CONSTRUCTION & SUPPORT COSTS 3,480,784.51

CASH OUTFLOW
(In Million Rupiah)
OPERATIONAL COST QTY UNIT UNIT PRICE TOTAL
A. FIXED COST 356,983.00
1 Permanent Employee Salary 1 Yr 176,215.000 176,215.00
2 Electricity and water 1 Yr 10,482.000 10,482.00
3 Telecommunication 1 Yr 1,935.000 1,935.00
4 Marketing and Promotion 1 Yr 967.000 967.00
5 Administration and General 1 Yr 1,451.000 1,451.00
6 Experts and Training 1 Yr 3,386.000 3,386.00
7 General Costs 1 Yr 1,209.000 1,209.00
8 Cleaning Service Subcontractors 1 Yr 2,419.000 2,419.00
9 Security and Parking Subcontractors 1 Yr 2,419.000 2,419.00
10 Shopping for Medical Goods, Materials and Equipment 1 Yr 150,000.000 150,000.00
11 Shopping Travel 1 Yr 500.000 500.00
12 Maintenance Cost 1 Yr 6,000.000 6,000.00
B. VARIABLE COST 63,515.00

1 Expenditures for Medical and Intensive Services 1 Yr 4,500.000 4,500.00
2 Pharmaceutical Drug Costs 1 Yr 47,477.000 47,477.00
3 Patient Meal Costs 1 Yr 11,538.000 11,538.00
TOTAL OPERATIONAL COSTS 420,498.00

CASH INFLOW
(In Million Rupiah)
REVENUE QTY UNIT UNIT PRICE TOTAL

A. HOSPITALITY INCOME 724,496.26
1 Intensive Care Room 40 Day 1.250 11,862.50
2 VVIP Bedroom 10 Day 2.285 5,421.16
3 VIP Bedroom 25 Day 1.935 11,476.97
4 Class I Bedroom 150 Day 8.000 284,700.00
5 Class II Hospitality Room 125 Day 6.900 204,628.13
6 Class III Hospitality Room 150 Day 5.800 206,407.50
B. INPATIENT INCOME 148,555.00

1 Polyclinic Services 900 Day 0.440 144,540.00
2 Emergency Unit 10 Day 0.240 876.00
3 Medical Checkup (Package 1) 20 Day 0.100 730.00
4 Medical Checkup (Package 2) 10 Day 0.600 2,190.00
5 Medical Checkup (Package 3) 5 Day 0.120 219.00
TOTAL REVENUE 873,051.26

CASHFLOW PROJECTION
(In Million Rupiah)
YEAR
CASHFLOW
0 3 4 5 6 7 8
BEGINNING BALANCE - 195,446.00 589,167.33 990,902.53 1,400,797.07 1,818,998.41 2,245,656.00
INITIAL INVESTMENT 3,480,784.51
A. REVENUE 873,051.26 894,877.54 917,249.48 940,180.71 963,685.23 987,777.36
1 Hospitality Income 724,496.26 742,608.66 761,173.88 780,203.23 799,708.31 819,701.01
2 Inpatient Income 148,555.00 152,268.88 156,075.60 159,977.49 163,976.92 168,076.35
B. INVESTMENT 3,285,338.51
1 SUB TOTAL CONSTRUCTION COSTS 1,578,963.51
2 SUB TOTAL SUPPORT COSTS 1,706,375.00
B. OPERATIONAL COST 420,498.00 433,112.94 446,106.33 459,489.52 473,274.20 487,472.43

1 Fixed Cost 356,983.00 367,692.49 378,723.26 390,084.96 401,787.51 413,841.14
a Permanent Employee Salary 176,215.00 181,501.45 186,946.49 192,554.89 198,331.53 204,281.48
b Electricity and water 10,482.00 10,796.46 11,120.35 11,453.96 11,797.58 12,151.51
c Telecommunication 1,935.00 1,993.05 2,052.84 2,114.43 2,177.86 2,243.20
d Marketing and Promotion 967.00 996.01 1,025.89 1,056.67 1,088.37 1,121.02
e Administration and General 1,451.00 1,494.53 1,539.37 1,585.55 1,633.11 1,682.11
f Experts and Training 3,386.00 3,487.58 3,592.21 3,699.97 3,810.97 3,925.30
g General Costs 1,209.00 1,245.27 1,282.63 1,321.11 1,360.74 1,401.56
h Cleaning Service Subcontractors 2,419.00 2,491.57 2,566.32 2,643.31 2,722.61 2,804.28
i Security and Parking Subcontractors 2,419.00 2,491.57 2,566.32 2,643.31 2,722.61 2,804.28
j Shopping for Medical Goods, Materials and Equipment 150,000.00 154,500.00 159,135.00 163,909.05 168,826.32 173,891.11
k Shopping Travel 500.00 515.00 530.45 546.36 562.75 579.64
l Maintenance Cost 6,000.00 6,180.00 6,365.40 6,556.36 6,753.05 6,955.64
2 Variable Cost 63,515.00 65,420.45 67,383.06 69,404.56 71,486.69 73,631.29

a Expenditures for Medical and Intensive Services 4,500.00 4,635.00 4,774.05 4,917.27 5,064.79 5,216.73
b Pharmaceutical Drug Costs 47,477.00 48,901.31 50,368.35 51,879.40 53,435.78 55,038.86
c Patient Meal Costs 11,538.00 11,884.14 12,240.66 12,607.88 12,986.12 13,375.70
GROSS PROFIT 195,446.00 452,553.26 461,764.60 471,143.15 480,691.19 490,411.03 500,304.93

TAX 13% - 58,831.92 60,029.40 61,248.61 62,489.86 63,753.43 65,039.64
PROFIT/LOSS 195,446.00 393,721.33 401,735.20 409,894.54 418,201.34 426,657.59 435,265.29
ENDING BALANCE 195,446.00 589,167.33 990,902.53 1,400,797.07 1,818,998.41 2,245,656.00 2,680,921.30

CASHFLOW PROJECTION
(In Million Rupiah)
YEAR
CASHFLOW
9 10 11 12 13 14 15
BEGINNING BALANCE 2,680,921.30 3,124,947.71 3,577,890.67 4,039,907.56 4,511,157.74 4,991,802.52 5,482,005.18
INITIAL INVESTMENT
A. REVENUE 1,012,471.80 1,037,783.59 1,063,728.18 1,090,321.38 1,117,579.42 1,145,518.90 1,174,156.88
1 Hospitality Income 840,193.54 861,198.38 882,728.34 904,796.55 927,416.46 950,601.87 974,366.92
2 Inpatient Income 172,278.26 176,585.21 180,999.84 185,524.84 190,162.96 194,917.03 199,789.96
B. INVESTMENT
1 SUB TOTAL CONSTRUCTION COSTS
2 SUB TOTAL SUPPORT COSTS
B. OPERATIONAL COST 502,096.60 517,159.50 532,674.29 548,654.51 565,114.15 582,067.57 599,529.60

1 Fixed Cost 426,256.37 439,044.06 452,215.38 465,781.85 479,755.30 494,147.96 508,972.40
a Permanent Employee Salary 210,409.93 216,722.22 223,223.89 229,920.61 236,818.22 243,922.77 251,240.45
b Electricity and water 12,516.06 12,891.54 13,278.28 13,676.63 14,086.93 14,509.54 14,944.83
c Telecommunication 2,310.49 2,379.81 2,451.20 2,524.74 2,600.48 2,678.49 2,758.85
d Marketing and Promotion 1,154.65 1,189.29 1,224.97 1,261.72 1,299.57 1,338.55 1,378.71
e Administration and General 1,732.57 1,784.55 1,838.08 1,893.23 1,950.02 2,008.52 2,068.78
f Experts and Training 4,043.06 4,164.35 4,289.28 4,417.96 4,550.50 4,687.02 4,827.63
g General Costs 1,443.61 1,486.92 1,531.53 1,577.47 1,624.79 1,673.54 1,723.74
h Cleaning Service Subcontractors 2,888.41 2,975.06 3,064.32 3,156.25 3,250.93 3,348.46 3,448.92
i Security and Parking Subcontractors 2,888.41 2,975.06 3,064.32 3,156.25 3,250.93 3,348.46 3,448.92
j Shopping for Medical Goods, Materials and Equipment 179,107.84 184,481.08 190,015.51 195,715.98 201,587.46 207,635.08 213,864.13
k Shopping Travel 597.03 614.94 633.39 652.39 671.96 692.12 712.88
l Maintenance Cost 7,164.31 7,379.24 7,600.62 7,828.64 8,063.50 8,305.40 8,554.57
2 Variable Cost 75,840.23 78,115.44 80,458.90 82,872.67 85,358.85 87,919.61 90,557.20

a Expenditures for Medical and Intensive Services 5,373.24 5,534.43 5,700.47 5,871.48 6,047.62 6,229.05 6,415.92
b Pharmaceutical Drug Costs 56,690.02 58,390.72 60,142.44 61,946.72 63,805.12 65,719.27 67,690.85
c Patient Meal Costs 13,776.98 14,190.28 14,615.99 15,054.47 15,506.11 15,971.29 16,450.43
GROSS PROFIT 510,375.19 520,624.09 531,053.89 541,666.87 552,465.27 563,451.33 574,627.28

TAX 13% 66,348.78 67,681.13 69,037.01 70,416.69 71,820.49 73,248.67 74,701.55
PROFIT/LOSS 444,026.42 452,942.96 462,016.89 471,250.18 480,644.78 490,202.66 499,925.73
ENDING BALANCE 3,124,947.71 3,577,890.67 4,039,907.56 4,511,157.74 4,991,802.52 5,482,005.18 5,981,930.91

CASHFLOW PROJECTION
(In Million Rupiah)
YEAR
CASHFLOW
16 17 18 19 20 21 22
INITIAL INVESTMENT
A. REVENUE 1,203,510.80 1,233,598.57 1,264,438.53 1,296,049.50 1,328,450.73 1,361,662.00 1,395,703.55
1 Hospitality Income 998,726.09 1,023,694.24 1,049,286.60 1,075,518.76 1,102,406.73 1,129,966.90 1,158,216.07
B. INVESTMENT

1 Fixed Cost 524,241.57 539,968.82 556,167.88 572,852.92 590,038.51 607,739.66 625,971.85
g General Costs 1,775.46 1,828.72 1,883.58 1,940.09 1,998.29 2,058.24 2,119.99
k Shopping Travel 734.27 756.29 778.98 802.35 826.42 851.22 876.75
2 Variable Cost 93,273.92 96,072.14 98,954.30 101,922.93 104,980.62 108,130.04 111,373.94

GROSS PROFIT 585,995.31 597,557.62 609,316.35 621,273.65 633,431.61 645,792.31 658,357.76

TAX 13% 76,179.39 77,682.49 79,211.13 80,765.57 82,346.11 83,953.00 85,586.51
PROFIT/LOSS 509,815.92 519,875.13 530,105.23 540,508.07 551,085.50 561,839.31 572,771.26
ENDING BALANCE 6,491,746.83 7,011,621.96 7,541,727.18 8,082,235.25 8,633,320.76 9,195,160.06 9,767,931.32

CASHFLOW PROJECTION
(In Million Rupiah)
YEAR
CASHFLOW
23 24 25 26 27 28 29
INITIAL INVESTMENT
A. REVENUE 1,430,596.14 1,466,361.05 1,503,020.07 1,540,595.57 1,579,110.46 1,618,588.22 1,659,052.93
1 Hospitality Income 1,187,171.48 1,216,850.76 1,247,272.03 1,278,453.83 1,310,415.18 1,343,175.56 1,376,754.95
B. INVESTMENT

1 Fixed Cost 644,751.01 664,093.54 684,016.34 704,536.83 725,672.94 747,443.13 769,866.42
g General Costs 2,183.59 2,249.10 2,316.57 2,386.07 2,457.65 2,531.38 2,607.32
k Shopping Travel 903.06 930.15 958.05 986.79 1,016.40 1,046.89 1,078.30
2 Variable Cost 114,715.16 118,156.61 121,701.31 125,352.35 129,112.92 132,986.31 136,975.89

GROSS PROFIT 671,129.98 684,110.90 697,302.42 710,706.39 724,324.61 738,158.79 752,210.61

TAX 13% 87,246.90 88,934.42 90,649.31 92,391.83 94,162.20 95,960.64 97,787.38
PROFIT/LOSS 583,883.08 595,176.48 606,653.11 618,314.56 630,162.41 642,198.15 654,423.23
ENDING BALANCE 10,351,814.40 10,946,990.88 11,553,643.99 12,171,958.55 12,802,120.96 13,444,319.10 14,098,742.34

CASHFLOW PROJECTION
(In Million Rupiah)
YEAR
CASHFLOW
30 31 32
BEGINNING BALANCE 14,098,742.34 14,765,581.39 15,445,028.31
INITIAL INVESTMENT
A. REVENUE 1,700,529.25 1,743,042.48 1,786,618.55
1 Hospitality Income 1,411,173.82 1,446,453.17 1,482,614.50
2 Inpatient Income 289,355.43 296,589.32 304,004.05
B. INVESTMENT
B. OPERATIONAL COST 934,047.58 962,069.01 990,931.08

1 Fixed Cost 792,962.41 816,751.29 841,253.82
a Permanent Employee Salary 391,424.44 403,167.18 415,262.19
b Electricity and water 23,283.55 23,982.06 24,701.52
c Telecommunication 4,298.19 4,427.14 4,559.95
d Marketing and Promotion 2,147.99 2,212.43 2,278.80
e Administration and General 3,223.09 3,319.78 3,419.38
f Experts and Training 7,521.28 7,746.92 7,979.33
g General Costs 2,685.54 2,766.10 2,849.09
h Cleaning Service Subcontractors 5,373.30 5,534.50 5,700.53
i Security and Parking Subcontractors 5,373.30 5,534.50 5,700.53
j Shopping for Medical Goods, Materials and Equipment 333,193.35 343,189.15 353,484.83
k Shopping Travel 1,110.64 1,143.96 1,178.28
l Maintenance Cost 13,327.73 13,727.57 14,139.39
2 Variable Cost 141,085.17 145,317.73 149,677.26

a Expenditures for Medical and Intensive Services 9,995.80 10,295.67 10,604.54
b Pharmaceutical Drug Costs 105,460.14 108,623.94 111,882.66
c Patient Meal Costs 25,629.23 26,398.11 27,190.05
GROSS PROFIT 766,481.67 780,973.47 795,687.46

TAX 13% 99,642.62 101,526.55 103,439.37
PROFIT/LOSS 666,839.05 679,446.92 692,248.09
ENDING BALANCE 14,765,581.39 15,445,028.31 16,137,276.41

PROFIT SHARING
(In Million Rupiah)
Year Investor Unpad Investor Unpad

Profit Sharing 70% 30% 80% 20%
0
3 275,605 118,116 314,977.066 78,744.27
4 281,215 120,521 321,388.160 80,347.04
5 286,926 122,968 327,915.631 81,978.91
6 292,741 125,460 334,561.072 83,640.27
7 298,660 127,997 341,326.075 85,331.52
8 304,686 130,580 348,212.233 87,053.06
9 310,818 133,208 355,221.134 88,805.28
10 317,060 135,883 362,354.367 90,588.59
11 323,412 138,605 369,613.511 92,403.38
12 329,875 141,375 377,000.142 94,250.04
13 336,451 144,193 384,515.828 96,128.96
14 343,142 147,061 392,162.126 98,040.53
15 349,948 149,978 399,940.584 99,985.15
16 356,871 152,945 407,852.736 101,963.18
17 363,913 155,963 415,900.100 103,975.03
18 371,074 159,032 424,084.180 106,021.05
19 378,356 162,152 432,406.460 108,101.61
20 385,760 165,326 440,868.401 110,217.10
21 393,288 168,552 449,471.445 112,367.86
22 400,940 171,831 458,217.004 114,554.25
23 408,718 175,165 467,106.466 116,776.62
24 416,624 178,553 476,141.185 119,035.30
25 424,657 181,996 485,322.484 121,330.62
26 432,820 185,494 494,651.649 123,662.91
27 441,114 189,049 504,129.926 126,032.48
28 449,539 192,659 513,758.519 128,439.63
29 458,096 196,327 523,538.588 130,884.65
30 466,787 200,052 533,471.241 133,367.81
31 475,613 203,834 543,557.537 135,889.38
32 484,574 207,674 553,798.475 138,449.62
TOTAL REVENUE 11,159,281.28 4,782,549.12 12,753,464.33 3,188,366.08
NET PRESENT VALUE
(NPV)
(In Million Rupiah)
Year Profit Kd Present Value

Cash Flow 10%
0 (3,480,785) 1 (3,480,784.506)
3 393,721 0.7513 295,808.665
4 401,735 0.6830 274,390.547
5 409,895 0.6209 254,512.259
6 418,201 0.5645 236,063.754
7 426,658 0.5132 218,942.808
8 435,265 0.4665 203,054.470
9 444,026 0.4241 188,310.546
10 452,943 0.3855 174,629.118
11 462,017 0.3505 161,934.101
12 471,250 0.3186 150,154.829
13 480,645 0.2897 139,225.673
14 490,203 0.2633 129,085.681
15 499,926 0.2394 119,678.245
16 509,816 0.2176 110,950.798
17 519,875 0.1978 102,854.522
18 530,105 0.1799 95,344.084
19 540,508 0.1635 88,377.389
20 551,086 0.1486 81,915.348
21 561,839 0.1351 75,921.666
22 572,771 0.1228 70,362.642
23 583,883 0.1117 65,206.987
24 595,176 0.1015 60,425.648
25 606,653 0.0923 55,991.654
26 618,315 0.0839 51,879.963
27 630,162 0.0763 48,067.329
28 642,198 0.0693 44,532.171
29 654,423 0.0630 41,254.454
30 666,839 0.0573 38,215.581
31 679,447 0.0521 35,398.291
32 692,248 0.0474 32,786.559
NET PRESENT VALUE (NPV) 164,491.28
INVESTMENT
(In USD)
A. PROJECT PLANNING 53,444.44
1 Feasibility Study
- Tim Analysis Direct Cost 20 Mn 1,481.48 29,629.63
- Non Direct Cost 20 Day 74.07 1,481.48
- Reporting 16 Set 333.33 5,333.33
- Communication. 30 Day 11.11 333.33
2 Material Survey 1 Ls 1,851.85 1,851.85
3 Sondir Test and Analysis 1 Ls 14,814.81 14,814.81
B. LAND PREPARATION 1,096,296.30

1 Project Preparation and Security 100,000 m2 3.70 370,370.37
2 Mobilization and demobilization heavy machine 1 Ls 7,407.41 7,407.41
3 Set Clearing, cut and field, conturation 45,000 m2 4.44 200,000.00
4 Land moving 100,000 m2 3.70 370,370.37
5 Location clearing 100,000 m2 1.48 148,148.15
C. MAIN BUILDING CONSTRUCTION

1. MAIN BUILDING HOSPITAL
1st to 10th Floor 59,659,722.22
1 Construction 45,375 m2 629.63 28,569,444.44
2 Architecture 45,375 m2 407.41 18,486,111.11
3 Mechanical Electrical 45,375 m2 277.78 12,604,166.67
2. Security Post 9,259.26

1 Construction 25 m2 148.15 3,703.70
2 Finishing 25 m2 222.22 5,555.56
3. Basement 6,469,444.44
1 Construction 10,275 m2 111.11 1,141,666.67
2 Mechanical Electrical 10,275 m2 518.52 5,327,777.78
4. IPAL and GWT Construction 96,296.30

1 Construction 200 m2 222.22 44,444.44
2 Finishing 200 m2 259.26 51,851.85
D. POWER PLANTS 129,629.63

1 Main Electrical Substation 1 LS 37,037.04 37,037.04
2 Mechanical Electrical 1 LS 22,222.22 22,222.22
3 Grounding 1 LS 7,407.41 7,407.41
4 PLN connection 1 LS 62,962.96 62,962.96
E. SUPPORTING BUILDINGS 8,946,296.30

1 Genset Room + 625 KVA Genset + Installation 1 LS 111,111.11 111,111.11
2 Clean water reservoir 20x20x4 m 2 Unit 29,629.63 59,259.26
3 Building and Maintenance Room 300 m2 296.30 88,888.89
4 Entrance Gate 1 Set 11,111.11 11,111.11
5 Main Street (Entrance) 4,000 m2 55.56 222,222.22
6 Paving Block 3,600 m2 55.56 200,000.00
7 Canteen 700 m2 203.70 142,592.59
8 Level 6 Concrete Perimeter Fence 64,000 m2 92.59 5,925,925.93
9 Public Street Lighting + Installation 150 Unit 1,481.48 222,222.22
10 Storage and Waste Management 1 Unit 1,851,851.85 1,851,851.85
11 Security post and equipment 10 Unit 11,111.11 111,111.11
F. EQUIPMENT & SUPPORT 15,273,148.15

1 Hospital Interior 45,375 m2 333.33 15,125,000.00
2 Hospital IT and Equipment 1 LS 148,148.15 148,148.15
TOTAL WORK FROM BEGINNING TO SUPPORTING BUILDINGS 91,733,537.04

INVESTMENT
(In USD)

G. MISCELLANEOUS COST 25,226,722.69
1 Planning Consulting Services 2.5 % 91,733,537.04 2,293,338.43
2 MK Consulting Services 2.0 % 91,733,537.04 1,834,670.74
3 Mediator Fee 91,733,537.04 9,173,353.70
4 VAT & PPH taxes 13.0 % 91,733,537.04 11,925,359.81
SUB TOTAL CONSTRUCTION COSTS 116,960,260
H. PERMITS 6,564,814.81
1 Certificate Management 100,000 m2 3.70 370,370.37
2 Development Legality Licensing 55,650 m2 29.63 1,648,888.89
3 IMB Permit 55,650 m2 37.04 2,061,111.11
4 Reporting and Operational Licensing 55,650 m2 44.44 2,473,333.33
5 Transportation and Accommodation 1 LS 11,111.11 11,111.11
I. SUPPORTING EQUIPMENT 314,814.81

1 Jet Pump Installation & Installation + Permit 15 Unit 4,444.44 66,666.67
2 Inscription Making 1 LS 25,925.93 25,925.93
3 Garden & Fish Pond 1 LS 148,148.15 148,148.15
4 Greening Trees 1,000 Pcs 74.07 74,074.07
J. SUPPORT AND HOSPITAL EQUIPMENT 119,518,518.52

1 General Equipment 1 5,925,925.93 5,925,925.93
2 Operational Vehicles 1 2,222,222.22 2,222,222.22
3 Medical Devices and Equipment 1 111,111,111.11 111,111,111.11
4 CCTV Security & Management System 1 259,259.26 259,259.26
K. OPERATIONAL COSTS 14,477,481.48

1 Operating costs 6 Mn 44,444.44 266,666.67
2 Employee and Doctor Salary 6 Mn 1,087,746.91 6,526,481.48
3 Drugs 6 Mn 293,067.90 1,758,407.41
4 General Costs + Field Coordination 1 LS 3,703,703.70 3,703,703.70
5 Overhead 6 Mn 370,370.37 2,222,222.22
SUB TOTAL SUPPORT COSTS 140,875,629.63
TOTAL CONSTRUCTION & SUPPORT COSTS 257,835,889.35

CASH OUTFLOW
(In USD)
OPERATIONAL COST QTY UNIT UNIT PRICE TOTAL

A. FIXED COST 26,443,185.19
1 Permanent Employee Salary 1 Yr 13,052,962.96 13,052,962.96
2 Electricity and water 1 Yr 776,444.44 776,444.44
3 Telecommunication 1 Yr 143,333.33 143,333.33
4 Marketing and Promotion 1 Yr 71,629.63 71,629.63
5 Administration and General 1 Yr 107,481.48 107,481.48
6 Experts and Training 1 Yr 250,814.81 250,814.81
7 General Costs 1 Yr 89,555.56 89,555.56
8 Cleaning Service Subcontractors 1 Yr 179,185.19 179,185.19
9 Security and Parking Subcontractors 1 Yr 179,185.19 179,185.19
10 Shopping for Medical Goods, Materials and Equipment 1 Yr 11,111,111.11 11,111,111.11
11 Shopping Travel 1 Yr 37,037.04 37,037.04
12 Maintenance Cost 1 Yr 444,444.44 444,444.44
B. VARIABLE COST 4,704,814.81

1 Expenditures for Medical and Intensive Services 1 Yr 333,333.33 333,333.33
2 Pharmaceutical Drug Costs 1 Yr 3,516,814.81 3,516,814.81
3 Patient Meal Costs 1 Yr 854,666.67 854,666.67
TOTAL OPERATIONAL COSTS 31,148,000.00

CASH INFLOW
(In USD)
REVENUE QTY UNIT UNIT PRICE TOTAL

A. HOSPITALITY INCOME 53,666,389.35
1 Intensive Care Room 40 Day 92.59 878,703.70
2 VVIP Bedroom 10 Day 169.26 401,567.59
3 VIP Bedroom 25 Day 143.33 850,145.83
4 Class I Bedroom 150 Day 592.59 21,088,888.89
5 Class II Hospitality Room 125 Day 511.11 15,157,638.89
6 Class III Hospitality Room 150 Day 429.63 15,289,444.44
B. INPATIENT INCOME 11,004,074.07

1 Polyclinic Services 900 Day 32.59 10,706,666.67
2 Emergency Unit 10 Day 17.78 64,888.89
TOTAL REVENUE 64,670,463.43

CASHFLOW PROJECTION
(In USD)
YEAR
CASHFLOW
0 3 4 5 6 7 8
BEGINNING BALANCE - 14,477,481.48 43,642,024.66 73,400,187.62 103,762,746.04 134,740,623.05 166,344,889.25
INITIAL INVESTMENT 257,835,889.35
A. REVENUE 64,670,463.43 66,287,225.01 67,944,405.64 69,643,015.78 71,384,091.17 73,168,693.45
1 Hospitality Income 53,666,389.35 55,008,049.09 56,383,250.31 57,792,831.57 59,237,652.36 60,718,593.67
2 Inpatient Income 11,004,074.07 11,279,175.93 11,561,155.32 11,850,184.21 12,146,438.81 12,450,099.78
B. INVESTMENT 243,358,407.87
1 SUB TOTAL CONSTRUCTION COSTS 116,960,259.72
2 SUB TOTAL SUPPORT COSTS 126,398,148.15
B. OPERATIONAL COST 31,148,000.00 32,082,440.00 33,044,913.20 34,036,260.60 35,057,348.41 36,109,068.87

1 Fixed Cost 26,443,185.19 27,236,480.74 28,053,575.16 28,895,182.42 29,762,037.89 30,654,899.03
a Permanent Employee Salary 13,052,962.96 13,444,551.85 13,847,888.41 14,263,325.06 14,691,224.81 15,131,961.56
b Electricity and water 776,444.44 799,737.78 823,729.91 848,441.81 873,895.06 900,111.91
c Telecommunication 143,333.33 147,633.33 152,062.33 156,624.20 161,322.93 166,162.62
d Marketing and Promotion 71,629.63 73,778.52 75,991.87 78,271.63 80,619.78 83,038.37
e Administration and General 107,481.48 110,705.93 114,027.10 117,447.92 120,971.35 124,600.49
f Experts and Training 250,814.81 258,339.26 266,089.44 274,072.12 282,294.28 290,763.11
g General Costs 89,555.56 92,242.22 95,009.49 97,859.77 100,795.57 103,819.43
h Cleaning Service Subcontractors 179,185.19 184,560.74 190,097.56 195,800.49 201,674.50 207,724.74
i Security and Parking Subcontractors 179,185.19 184,560.74 190,097.56 195,800.49 201,674.50 207,724.74
j Shopping for Medical Goods, Materials and Equipment 11,111,111.11 11,444,444.44 11,787,777.78 12,141,411.11 12,505,653.44 12,880,823.05
k Shopping Travel 37,037.04 38,148.15 39,292.59 40,471.37 41,685.51 42,936.08
l Maintenance Cost 444,444.44 457,777.78 471,511.11 485,656.44 500,226.14 515,232.92
2 Variable Cost 4,704,814.81 4,845,959.26 4,991,338.04 5,141,078.18 5,295,310.52 5,454,169.84

a Expenditures for Medical and Intensive Services 333,333.33 343,333.33 353,633.33 364,242.33 375,169.60 386,424.69
b Pharmaceutical Drug Costs 3,516,814.81 3,622,319.26 3,730,988.84 3,842,918.50 3,958,206.06 4,076,952.24
c Patient Meal Costs 854,666.67 880,306.67 906,715.87 933,917.34 961,934.86 990,792.91
GROSS PROFIT 14,477,481.48 33,522,463.43 34,204,785.01 34,899,492.44 35,606,755.18 36,326,742.76 37,059,624.59

TAX 13% - 4,357,920.25 4,446,622.05 4,536,934.02 4,628,878.17 4,722,476.56 4,817,751.20
PROFIT/LOSS 14,477,481.48 29,164,543.18 29,758,162.96 30,362,558.42 30,977,877.01 31,604,266.20 32,241,873.39
ENDING BALANCE 14,477,481.48 43,642,024.66 73,400,187.62 103,762,746.04 134,740,623.05 166,344,889.25 198,586,762.64

CASHFLOW PROJECTION
(In USD)
YEAR
CASHFLOW
9 10 11 12 13 14 15
INITIAL INVESTMENT
A. REVENUE 74,997,910.79 76,872,858.56 78,794,680.02 80,764,547.02 82,783,660.70 84,853,252.21 86,974,583.52
2 Inpatient Income 12,761,352.28 13,080,386.08 13,407,395.74 13,742,580.63 14,086,145.15 14,438,298.77 14,799,256.24
B. INVESTMENT
B. OPERATIONAL COST 37,192,340.93 38,308,111.16 39,457,354.50 40,641,075.13 41,860,307.38 43,116,116.61 44,409,600.10

1 Fixed Cost 31,574,546.00 32,521,782.38 33,497,435.85 34,502,358.92 35,537,429.69 36,603,552.58 37,701,659.16
a Permanent Employee Salary 15,585,920.40 16,053,498.01 16,535,102.95 17,031,156.04 17,542,090.72 18,068,353.45 18,610,404.05
b Electricity and water 927,115.27 954,928.73 983,576.59 1,013,083.89 1,043,476.41 1,074,780.70 1,107,024.12
g General Costs 106,934.02 110,142.04 113,446.30 116,849.69 120,355.18 123,965.83 127,684.81
j Shopping for Medical Goods, Materials and Equipment 13,267,247.74 13,665,265.17 14,075,223.13 14,497,479.82 14,932,404.21 15,380,376.34 15,841,787.63
k Shopping Travel 44,224.16 45,550.88 46,917.41 48,324.93 49,774.68 51,267.92 52,805.96
2 Variable Cost 5,617,794.93 5,786,328.78 5,959,918.65 6,138,716.21 6,322,877.69 6,512,564.02 6,707,940.94

b Pharmaceutical Drug Costs 4,199,260.81 4,325,238.63 4,454,995.79 4,588,645.66 4,726,305.03 4,868,094.18 5,014,137.01
c Patient Meal Costs 1,020,516.70 1,051,132.20 1,082,666.16 1,115,146.15 1,148,600.53 1,183,058.55 1,218,550.30
GROSS PROFIT 37,805,569.86 38,564,747.40 39,337,325.53 40,123,471.89 40,923,353.31 41,737,135.61 42,564,983.42

TAX 13% 4,914,724.08 5,013,417.16 5,113,852.32 5,216,051.35 5,320,035.93 5,425,827.63 5,533,447.84
PROFIT/LOSS 32,890,845.77 33,551,330.24 34,223,473.21 34,907,420.55 35,603,317.38 36,311,307.98 37,031,535.57
ENDING BALANCE 231,477,608.41 265,028,938.65 299,252,411.86 334,159,832.40 369,763,149.79 406,074,457.77 443,105,993.34

CASHFLOW PROJECTION
(In USD)
YEAR
CASHFLOW
16 17 18 19 20 21 22
INITIAL INVESTMENT
A. REVENUE 89,148,948.11 91,377,671.81 93,662,113.61 96,003,666.45 98,403,758.11 100,863,852.06 103,385,448.36
B. INVESTMENT

1 Fixed Cost 38,832,708.94 39,997,690.20 41,197,620.91 42,433,549.54 43,706,556.02 45,017,752.70 46,368,285.28
b Electricity and water 1,140,234.84 1,174,441.89 1,209,675.15 1,245,965.40 1,283,344.36 1,321,844.69 1,361,500.03
g General Costs 131,515.35 135,460.81 139,524.64 143,710.38 148,021.69 152,462.34 157,036.21
2 Variable Cost 6,909,179.17 7,116,454.55 7,329,948.18 7,549,846.63 7,776,342.03 8,009,632.29 8,249,921.26

GROSS PROFIT 43,407,060.00 44,263,527.06 45,134,544.51 46,020,270.28 46,920,860.06 47,836,467.07 48,767,241.82

TAX 13% 5,642,917.80 5,754,258.52 5,867,490.79 5,982,635.14 6,099,711.81 6,218,740.72 6,339,741.44
PROFIT/LOSS 37,764,142.20 38,509,268.54 39,267,053.73 40,037,635.14 40,821,148.25 41,617,726.35 42,427,500.38
ENDING BALANCE 480,870,135.54 519,379,404.08 558,646,457.81 598,684,092.96 639,505,241.21 681,122,967.56 723,550,467.94

CASHFLOW PROJECTION
(In USD)
YEAR
CASHFLOW
23 24 25 26 27 28 29
INITIAL INVESTMENT
A. REVENUE 105,970,084.57 108,619,336.69 111,334,820.10 114,118,190.60 116,971,145.37 119,895,424.00 122,892,809.60
B. INVESTMENT

1 Fixed Cost 47,759,333.84 49,192,113.86 50,667,877.27 52,187,913.59 53,753,551.00 55,366,157.53 57,027,142.26
b Electricity and water 1,402,345.03 1,444,415.39 1,487,747.85 1,532,380.28 1,578,351.69 1,625,702.24 1,674,473.31
g General Costs 161,747.30 166,599.71 171,597.71 176,745.64 182,048.01 187,509.45 193,134.73
2 Variable Cost 8,497,418.89 8,752,341.46 9,014,911.70 9,285,359.06 9,563,919.83 9,850,837.42 10,146,362.55

GROSS PROFIT 49,713,331.83 50,674,881.37 51,652,031.12 52,644,917.96 53,653,674.54 54,678,429.05 55,719,304.80

TAX 13% 6,462,733.14 6,587,734.58 6,714,764.05 6,843,839.33 6,974,977.69 7,108,195.78 7,243,509.62
PROFIT/LOSS 43,250,598.70 44,087,146.79 44,937,267.08 45,801,078.62 46,678,696.85 47,570,233.27 48,475,795.18
ENDING BALANCE 766,801,066.64 810,888,213.42 855,825,480.50 901,626,559.12 948,305,255.97 995,875,489.25 1,044,351,284.43

CASHFLOW PROJECTION
(In USD)
YEAR
CASHFLOW
29 30 31 32
BEGINNING BALANCE 995,875,489.25 1,044,351,284.43 1,093,746,769.74 1,144,076,171.30
INITIAL INVESTMENT
A. REVENUE 122,892,809.60 125,965,129.84 129,114,258.09 132,342,114.54
1 Hospitality Income 101,981,847.96 104,531,394.16 107,144,679.02 109,823,295.99
2 Inpatient Income 20,910,961.64 21,433,735.68 21,969,579.07 22,518,818.55
B. INVESTMENT
B. OPERATIONAL COST 67,173,504.80 69,188,709.95 71,264,371.24 73,402,302.38

1 Fixed Cost 57,027,142.26 58,737,956.52 60,500,095.22 62,315,098.08
a Permanent Employee Salary 28,149,905.94 28,994,403.12 29,864,235.21 30,760,162.27
b Electricity and water 1,674,473.31 1,724,707.51 1,776,448.73 1,829,742.20
c Telecommunication 309,111.42 318,384.76 327,936.30 337,774.39
d Marketing and Promotion 154,475.83 159,110.11 163,883.41 168,799.91
e Administration and General 231,793.62 238,747.43 245,909.86 253,287.15
f Experts and Training 540,905.04 557,132.19 573,846.16 591,061.54
g General Costs 193,134.73 198,928.77 204,896.63 211,043.53
h Cleaning Service Subcontractors 386,429.21 398,022.08 409,962.74 422,261.63
i Security and Parking Subcontractors 386,429.21 398,022.08 409,962.74 422,261.63
j Shopping for Medical Goods, Materials and Equipment 23,962,125.19 24,680,988.95 25,421,418.62 26,184,061.18
k Shopping Travel 79,873.75 82,269.96 84,738.06 87,280.20
l Maintenance Cost 958,485.01 987,239.56 1,016,856.74 1,047,362.45
2 Variable Cost 10,146,362.55 10,450,753.42 10,764,276.02 11,087,204.30

a Expenditures for Medical and Intensive Services 718,863.76 740,429.67 762,642.56 785,521.84
b Pharmaceutical Drug Costs 7,584,332.12 7,811,862.08 8,046,217.95 8,287,604.48
c Patient Meal Costs 1,843,166.67 1,898,461.67 1,955,415.52 2,014,077.99
GROSS PROFIT 55,719,304.80 56,776,419.90 57,849,886.85 58,939,812.16

TAX 13% 7,243,509.62 7,380,934.59 7,520,485.29 7,662,175.58
PROFIT/LOSS 48,475,795.18 49,395,485.31 50,329,401.56 51,277,636.58
ENDING BALANCE 1,044,351,284.43 1,093,746,769.74 1,144,076,171.30 1,195,353,807.88

PROFIT SHARING
(In USD)
Year Investor Unpad Investor Unpad

Profit Sharing 70% 30% 80% 20%
0
3 20,415,180 8,749,363 23,331,634.544 5,832,908.64
4 20,830,714 8,927,449 23,806,530.368 5,951,632.59
5 21,253,791 9,108,768 24,290,046.736 6,072,511.68
6 21,684,514 9,293,363 24,782,301.607 6,195,575.40
7 22,122,986 9,481,280 25,283,412.960 6,320,853.24
8 22,569,311 9,672,562 25,793,498.711 6,448,374.68
9 23,023,592 9,867,254 26,312,676.619 6,578,169.15
10 23,485,931 10,065,399 26,841,064.188 6,710,266.05
11 23,956,431 10,267,042 27,378,778.566 6,844,694.64
12 24,435,194 10,472,226 27,925,936.437 6,981,484.11
13 24,922,322 10,680,995 28,482,653.906 7,120,663.48
14 25,417,916 10,893,392 29,049,046.384 7,262,261.60
15 25,922,075 11,109,461 29,625,228.458 7,406,307.11
16 26,434,900 11,329,243 30,211,313.761 7,552,828.44
17 26,956,488 11,552,781 30,807,414.835 7,701,853.71
18 27,486,938 11,780,116 31,413,642.982 7,853,410.75
19 28,026,345 12,011,291 32,030,108.116 8,007,527.03
20 28,574,804 12,246,344 32,656,918.600 8,164,229.65
21 29,132,408 12,485,318 33,294,181.080 8,323,545.27
22 29,699,250 12,728,250 33,942,000.307 8,485,500.08
23 30,275,419 12,975,180 34,600,478.956 8,650,119.74
24 30,861,003 13,226,144 35,269,717.430 8,817,429.36
25 31,456,087 13,481,180 35,949,813.662 8,987,453.42
26 32,060,755 13,740,324 36,640,862.898 9,160,215.72
27 32,675,088 14,003,609 37,342,957.481 9,335,739.37
28 33,299,163 14,271,070 38,056,186.620 9,514,046.65
29 33,933,057 14,542,739 38,780,636.143 9,695,159.04
30 34,576,840 14,818,646 39,516,388.250 9,879,097.06
31 35,230,581 15,098,820 40,263,521.245 10,065,880.31
32 35,894,346 15,383,291 41,022,109.265 10,255,527.32
TOTAL REVENUE 826,613,428.48 354,262,897.92 944,701,061.12 236,175,265.28
NET PRESENT VALUE
(NPV)
(In USD)
Year Profit Kd Present Value

Cash Flow 10%
0 (257,835,889) 1 (257,835,889.352)
3 29,164,543 0.7513 21,911,752.953
4 29,758,163 0.6830 20,325,225.709
5 30,362,558 0.6209 18,852,759.946
6 30,977,877 0.5645 17,486,203.980
7 31,604,266 0.5132 16,217,985.771
8 32,241,873 0.4665 15,041,071.888
9 32,890,846 0.4241 13,948,929.359
10 33,551,330 0.3855 12,935,490.224
11 34,223,473 0.3505 11,995,118.578
12 34,907,421 0.3186 11,122,579.953
13 35,603,317 0.2897 10,313,012.846
14 36,311,308 0.2633 9,561,902.276
15 37,031,536 0.2394 8,865,055.192
16 37,764,142 0.2176 8,218,577.631
17 38,509,269 0.1978 7,618,853.485
18 39,267,054 0.1799 7,062,524.767
19 40,037,635 0.1635 6,546,473.280
20 40,821,148 0.1486 6,067,803.576
21 41,617,726 0.1351 5,623,827.123
22 42,427,500 0.1228 5,212,047.591
23 43,250,599 0.1117 4,830,147.186
24 44,087,147 0.1015 4,475,973.942
25 44,937,267 0.0923 4,147,529.920
26 45,801,079 0.0839 3,842,960.245
27 46,678,697 0.0763 3,560,542.909
28 47,570,233 0.0693 3,298,679.311
29 48,475,795 0.0630 3,055,885.461
30 49,395,485 0.0573 2,830,783.803
31 50,329,402 0.0521 2,622,095.629
32 51,277,637 0.0474 2,428,634.024
NET PRESENT VALUE (NPV) 12,184,539.20
IRR
AND
PAYBACK PERIOD
IRR 12.76%
PAYBACK PERIOD 10 YEARS 2 MONTHS 16 DAYS
NPV Project is Rp. 164,49 billion or

USD 12,184,539.20 Project is feasible.
IRR investment is 12,76% greater than

cost of capital (10%). Project is
feasible.
Payback Period Project is 10 Years, 2

Months, and 16 Days. Project is
feasible.
CONCLUSION
• UNPAD Hospital is a Class A General Hospital which has a

standard as a Main Teaching Hospital. UNPAD Hospital is in
the form of a State University Hospital (RSPTN) which is
owned by the Ministry of Research, Technology and Higher
Education and is managed by Padjadjaran University
(UNPAD).
• UNPAD Hospital is located in the southwest of the UNPAD
Jatinangor campus, Jl Bandung Sumedang KM 21, Sumedang
Regency. UNPAD Hospital will stand on an area of 10
hectares. The land used is land with ownership status from
the Ministry of Research, Technology and Higher Education
(Kemenristekdikti) which is managed by UNPAD. The
strategic location and location is supported by
transportation access that is easily accessible by road. The
location can be accessed via toll roads and light-rail
transportation (LRT) access development plans.
• UNPAD Hospital as the Main Teaching Hospital and Class A
General Hospital performs service standards according to
Permenkes no. 58 of 2014. In addition to the basic services
that must be fulfilled as a class A public hospital, UNPAD
Hospital has excellent services in the field of Oncology,
Infection and Trauma.
• UNPAD Hospital was built with funding from UNPAD
partners in the form of a Building-Operational-Transfer (BOT)
cooperation relationship. The cooperation will take the form
of building, capital and operational assistance from partners,
while the pre-construction preparation and human resource
development will be fully carried out by UNPAD.

Teaching Hospital Unpad - GWS

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Teaching Hospital Unpad - GWS

Uploaded by

Copyright:

Available Formats

PROPOSAL

• UNPAD Hospital is a Class A General Hospital which has a standard as a

Based on the mandate of the 1945 Constitution of the State Article 28 H

Institute of Domestic Government

Indonesian Cooperative Institute

POTENTIAL MARKET : 1,054,442

Apartments around Padjadjaran University Hospital are as

By implementing the 2003 National Education System Law

The construction of the UNPAD Hospital is part of the Academic

The strategic planning for the construction of the UNPAD

UNPAD Hospital is a Class A General Hospital which

Jatinangor UNPAD Hospital is a sister hospital with

As a Main Teaching Hospital that has high patient

UNPAD Hospital was built with funding from UNPAD

The construction of the RSP was carried out with the

UNPAD Hospital is located in the southwest of the UNPAD

The strategic location and location is supported by

In addition, UNPAD Hospital will also provide guidance to Network Hospitals

UNPAD Hospital as the Main Teaching Hospital and Class A

The types of specialist services available are:

1. Internal Medicine 15. Vascular Surgery

UNPAD Hospital as an Educational Hospital plays a role in the

The education process as the main identity of UNPAD Hospital

The educational process goes hand in hand with patient care

Priority aspects of education are:

This process will provide exposure for students in

3. Development of clinical practice

4. Human resource development

5. Improving the quality of education

UNPAD Hospital will become a center of excellence for

The research developed is collaborative research in the

UNPAD Hospital is a health service center with

To meet the needs of human resources, UNPAD

Based on the Regulation of the Minister of Health of

UNPAD Hospital as a Government Hospital

The category of human resources will

UNPAD Hospital as a Class A Teaching Hospital is located in the

UNPAD Hospital has various supporting buildings

PATIENT FAMILY APARTMENT

UNPAD Hospital which has excellent services in the form of

UNPAD Hospital uses an e-medical records system

To achieve the main concept of AHSS, several things are needed

Collaboration will also be

Other development strategies

University Padjadjaran Hospital

B. LAND PREPARATION 14,800.00

C. MAIN BUILDING CONSTRUCTION

2. Security Post 125.00

4. IPAL and GWT Construction 1,300.00

D. POWER PLANTS 1,750.00

E. SUPPORTING BUILDINGS 120,775.00

F. EQUIPMENT & SUPPORT 206,187.50

TOTAL WORK FROM BEGINNING TO SUPPORTING BUILDINGS 1,238,402.75

ITEM QTY UNIT UNIT PRICE TOTAL

SUB TOTAL CONSTRUCTION COSTS 1,578,964

I. SUPPORTING EQUIPMENT 4,250.00

J. SUPPORT AND HOSPITAL EQUIPMENT 1,613,500.00

K. OPERATIONAL COSTS 195,446.00

SUB TOTAL SUPPORT COSTS 1,901,821.00

TOTAL CONSTRUCTION & SUPPORT COSTS 3,480,784.51

B. VARIABLE COST 63,515.00

TOTAL OPERATIONAL COSTS 420,498.00

REVENUE QTY UNIT UNIT PRICE TOTAL