A STUDY ON THE FEASIBILITY OF A SATELLITE FACILITY LOCATED AT BRGY. MALIWALO, TARLAC CITY PURPOSE OF THE PROJECT The purpose of this project is for the facility to serve as a catch basin for patients and clients who would like to avail medical and health services in areas where such facilities do not exist. SITE LOCATION & POPULATION OF AREA This study is all about the feasibility of a satellite facility located at Brgy. Maliwalo, Tarlac City. CLDH shall lease a facility located along Sta. Rosa-Tarlac Road at Zone 3 in Brgy. Maliwalo which is 6.1 km away from CLDH. The proposed site has a total floor area of 44.32 sq.m. (6.36m L x 6.98m W) with two (2) comfort rooms. Lessor shall install the following inside the facility: white granite flooring, painted walls and ceiling, and metal roll-up. Application for utilities shall be facilitated by CLDH (lessee). CLDH shall also provide the glass partitions, furniture & fixtures and other equipment for this project.See Figure 1 for the site location and Figure 2 for the proposed layout based on our measurements in OPD. Figure 1 Actual Picture of Site Figure 2 Proposed Facility Layout The research and marketing team chose this area (Brgy. Maliwalo) because there are no medical clinics within the area and it covers seven (7) barangays (half of Matatalaib, Maliwalo, Calingcuan, San Jose, San Manuel, Amucao and Balingcanaway). The projected 2019 population of the 7 barangays are as follows: Table 1 Projected Population of 7 Barangays Barangay Matatalaib (50%) Maliwalo Calingcuan San Jose San Manuel Amucao Balingcanaway Projected Population 13,415 12,995 3,508 7,445 6,345 2,420 6,077 % Growth 2.68% 2.24% 1.12% 1.65% 0.00% 2.20% 0.48% (Note: Projected population was computed using forecasting methods based on available data from Philippine Statistics Authority) The researchers also surveyed 415 respondents which is computed using Slovin’s Formula. Tables below shows the results of the survey. Table 2 Average population per Family 1 5 5 2 17 34 3 54 162 4 89 356 Family Member 5 Total 250 1250 Average 415 1807 4 Table 3 Average Income per Family 1 5000 141 705000 2 15000 159 2385000 Income 3 4 5 6 25000 35000 45000 55000 Total Average 79 28 4 4 415 1975000 980000 180000 220000 6445000 15,530.12 Table 4 Average Frequency of Check-up per year 1 132 132 2 97 194 3 69 207 Frequency 4 Total 117 415 468 1001 Average 2 Table 5 Respondents with and without HMO HMO Meron Wala 37 378 Table 6 Preferred time of Respondents for check-up 8:00 AM 167 9:00 AM 142 10:00 AM 64 11:00 AM 5 12:00 PM 0 Time 1:00 2:00 PM PM 6 7 Table 7 3:00 PM 3 4:00 PM 5 5:00 PM 8 6:00 PM 4 7:00 PM 3 8:00 PM 1 Satelite Clinic Gusto Ayaw 415 0 Table 8 Loyalty Card Gusto Ayaw 415 0 PROJECTED COSTS AND MONTHLY EXPENSES The monthly lease for the facility is PhP 24,000.00 VAT inclusive. Table 9 shows the total project cost associated for this project with 5-year depreciation. Table 10, on the other hand shows the monthly expenses of the clinic. Table 9 Total Project Cost (Projections) Description Construction - Materials Construction - Labor Glass Door Signage Air-conditioning Unit PC with Printer Refrigerator LED TV Tables (3) Swivel Chair (3) Visitors' Table (5) Benches Patient Bed Extraction Chair Government Fees Total Projected Cost Projected Cost 50,000.00 20,000.00 20,000.00 10,000.00 50,000.00 33,000.00 9,500.00 11,500.00 9,600.00 10,680.00 7,500.00 10,000.00 17,000.00 11,000.00 50,000.00 PhP 319,780.00 Table 10 Remarks 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation 5-year depreciation Monthly Expenses (Estimates) Expense Nurses (2) Internet Fuel Expenses Electricity Water Phone bills Rent of Facility Misc Supplies Total Monthly Expenses Projected Cost 39,666.67 1,500.00 2,600.00 4,000.00 1,000.00 600.00 24,000.00 1,000.00 PhP 74,366.67 CONSULTATION FEE The consultation fee shall be pegged initially at PhP 250.00. Fifty percent (50%) shall be due to the consultant while the remaining 50% shall be due to CLDH. Eventually, the consultation fee shall increase to Php 300 to Php 350 depending on the turnout of the project after a certain number of months of operations. MINIMUM NUMBER OF PATIENTS TO BREAKEVEN In order to breakeven, all fixed costs and depreciation must be accounted for on a monthly basis other than the monthly expenses as shown in Table 11. Table 12 shows the computation for the minimum number of patients including the consultation fee due to the consultant/doctor. Table 11 Monthly Cost/Expenses (Projections) Expense Nurses (2) Internet Fuel Expenses Electricity Water Phone bills Rent of Facility Misc. Supplies Total Monthly Expenses Cost 39,666.67 1,500.00 2,600.00 4,000.00 1,000.00 600.00 24,000.00 1,000.00 74,366.67 (Note: Depreciation is 5 years for all equipment and facilities) Table 12 Minimum Number of Patients to Breakeven Consultation Fee Doctor's Fee from Consultation Income of CLDH from Consultation Monthly Operating Expense Monthly Depreciation Expense Total Expenses @250.00 125.00 125.00 74,366.67 5,329.67 79,696.33 Patient needed to breakeven/year Patient needed to breakeven/month Patient needed to breakeven/day 7,651 638 25 Take Home Pay of Doctors @300.00 150.00 150.00 74,366.67 5,329.67 79,696.33 @350.00 175.00 175.00 74,366.67 5,329.67 79,696.33 6,376 531 20 PhP 79,696.33 PhP 79,696.33 5,465 455 18 PhP 79,696.33 (Note: Total Monthly Cost of 79,696.33 was divided by 125 in order to get a result of 638 patients per month. Clinic shall operate from Monday to Saturday. Clinic hours is still to be determined) ANALYSIS OF ANCILLARY SERVICES FROM CONSULTANCY Based from the census of January-February obtained from Outpatient Department of CLDH, a number of patients availed ancillary services during their consultation. The statistics from these data shall be used to project the likelihood that patients will avail such services. This is shown in Table 6. Table 13 Percentage (%) of Ancillary Services Availed in OPD (Using January-February 2019 Census of OPD) OPD February 2019 Census CBC Creatinine Potassium Urinalysis Fecalysis X-ray ECG SOD Pregnancy DCTX BUA HDL/LDL 2,630 patients 501 39 27 119 45 106 53 25 15 17 15 11 % 19.05% 1.48% 1.03% 4.52% 1.71% 4.03% 2.02% 0.95% 0.57% 0.65% 0.57% 0.42% Cost of Test/Service 325.00 260.00 335.00 60.00 105.00 272.00 386.00 233.00 160.00 100.00 196.44 157.70 (Note: This means that out of 2,630 OPD Patients, 501 of them or about 19.05% availed the CBC Test) If we will use the computed percentage in determining the additional income that can be generated from ancillary services using the minimum number of patients to breakeven and total potential demand if patients visit the clinic twice a year, we will generate the results shown in Table 14. Table 14 Projected Additional Monthly Income from Ancillary Services for 2019 Type of Service Breakeven Breakeven Breakeven Potential 2x a year Potential 1x a year @ 638 Patients 39,472.41* @ 531 Patients 32,893.68 @ 455 Patients 28,194.58 @1919 Patients 118,821.16 @960 Patients 59,410.58 ½ Potential 1x Year @480 Patients 29,705.29 Creatinine 2,458.16 2,048.47 1,755.83 7,399.64 3,699.82 1,849.91 Potassium 2,192.71 1,827.26 1,566.22 6,600.57 3,300.28 1,650.14 Urinalysis 1,730.90 1,442.41 1,236.35 5,210.40 2,605.20 1,302.60 Fecalysis 1,145.45 954.54 818.18 3,448.06 1,724.03 862.01 X-ray 6,989.52 5,824.60 4,992.51 21,040.08 10,520.04 5,260.02 ECG 4,959.48 4,132.90 3,542.48 14,929.18 7,464.59 3,732.29 SOD 1,412.11 1,176.76 1,008.65 4,250.78 2,125.39 1,062.70 Pregnancy 581.81 484.84 415.58 1,751.39 875.70 437.85 DCTX 412.12 343.43 294.37 1,240.57 620.29 310.14 BUA 714.34 595.28 510.24 2,150.32 1,075.16 537.58 HDL/LDL 420.00 350.00 300.00 1,264.29 632.14 316.07 62,489.00 52,074.16 446,34.997 188,106.44 94,053.22 47,026.61 No. of Patients CBC Total (* PhP 39,472.41 was obtained by multiplying 638 patients by 19.05% and by multiplying it again by PhP 325.00) PROJECTED REVENUE & PROFIT FROM THE SATELLITE CLINIC Assuming that a single member of a family will visit the satellite clinic once (1) a year for checkup, Table 15 shows that a projected annual net profit can be generated amounting to PhP483K if consultation fee is pegged at 300 pesos, a profit amounting to PhP770K if consultation fee is pegged at 300 pesos, and a profit amounting to PhP 1.058M if consultation fee is pegged at 350 pesos. Table 15 Projected Revenue and Net Profit If a single member of a family visits the clinic once a year HH Population 2,959 2,867 774 1,642 1,399 534 1,340 Brgy Matatalaib (50%) Maliwalo Calingcuan San Jose San Manuel Amucao Balingcanaway Projected Revenue Less Expenses Projected Profit 250 369,885.11 358,316.01 96,776.02 205,233.90 174,902.57 66,768.02 167,545.60 1,439,427 956,356 483,071 if Consultation Fee: 300 443,862.13 429,979.21 116,131.23 246,280.69 209,883.08 80,121.62 201,054.72 1,727,313 956,356 770,957 350 517,839.15 501,642.41 135,486.43 287,327.47 244,863.59 93,475.23 234,563.84 2,015,198 956,356 1,058,842 Assuming that half of the household population will visit the satellite clinic once (1) a year for checkup, Table 16 shows that a projected annual loss in profit can be generated amounting to PhP236K if consultation fee is pegged at 250 pesos, a loss amounting to PhP 92K if consultation fee is pegged at 300 pesos, and a profit amounting to PhP 51K if consultation fee is pegged at 350 pesos. Table 16 Projected Revenue and Net Profit If only ½ of the household population visits the clinic once a year Brgy Matatalaib (50%) Maliwalo Calingcuan San Jose San Manuel Amucao Balingcanaway Projected Revenue Less Expenses Projected Profit HH Population 2,959 2,867 774 1,642 1,399 534 1,340 250 184,942.56 179,158.00 48,388.01 102,616.95 87,451.28 33,384.01 83,772.80 719,714 956,356 (236,642) if Consultation Fee: 300 221,931.07 214,989.60 58,065.61 123,140.34 104,941.54 40,060.81 100,527.36 863,656 956,356 (92,700) 350 258,919.58 250,821.20 67,743.22 143,663.73 122,431.80 46,737.61 117,281.92 1,007,599 956,356 51,243 Assuming that a member in a family will visit the satellite clinic twice (2) a year for checkup, Table 17 shows that a projected annual profit can be generated amounting to PhP 1.922M if consultation fee is pegged at 250 pesos, a profit amounting to PhP 2.498M if consultation fee is pegged at 300 pesos, and a profit amounting to PhP 3.074M if consultation fee is pegged at 350 pesos. Table 17 Projected Revenue and Net Profit If a family member visits the clinic twice a year Brgy Matatalaib (50%) Maliwalo Calingcuan San Jose San Manuel Amucao Balingcanaway Projected Revenue Less Expenses Projected Profit HH Population 2,959 2,867 774 1,642 1,399 534 1,340 250 739,770.22 716,632.01 193,552.04 410,467.81 349,805.13 133,536.04 335,091.20 2,878,854 956,356 1,922,498 if Consultation Fee: 300 887,724.26 859,958.41 232,262.45 492,561.37 419,766.16 160,243.24 402,109.44 3,454,625 956,356 2,498,269 350 1,035,678.31 1,003,284.82 270,972.86 574,654.93 489,727.18 186,950.45 469,127.68 4,030,396 956,356 3,074,040 RETURN ON INVESTMENT AND PAYBACK PERIOD The Return of Investment is computed which considers three scenarios with the proposed consultation fees. The table below shows the computed Return of investment of the study: Table 18 Return on Investment Consultation Fee If 1/2 of HH Population visits clinic once a year if HH Population visits clinic once a year if HH Population visits clinic 2x a year RETURN ON INVESTMENT 250 300 350 -87% -26% 36% 220% 343% 463% 835% 1080% 1326% (Note: The computed outcomes were obtained by adding the potential profit under the different variation of consultation fee and the different scenarios from 20192023 and dividing it to the initial investment) The length of the time required for an investment to recover its initial outlay in terms of profit is computed. The table below shows computed payback period; Table 19 Payback Period Consultation Fee If 1/2 of HH Population visits clinic once a year if HH Population visits clinic once a year if HH Population visits clinic 2x a year PAYBACK PERIOD 250 300 -1.1467 -3.8831 0.4544 0.2916 0.1198 0.0926 350 2.8010 0.2161 0.0754 (Note: The computed outcomes were obtained by dividing initial investment to annual cash inflow) To determine if a specific investment will increase the stock value in a company before undertaking the costs of the investment, the researchers uses internal rate of return to determine if an investment will create value. The table below shows the computed Internal Rate of Return: Table 20 Internal Rate of Return Year Amount 1 -729,109 2 3 4 5 507,722 532,948 558,735 585,096 Internal Rate of Return Description Amount of Invested (Potential Profit Initial Investment) Potential Profit Potential Profit Potential Profit Potential Profit Percentage -30% 27% 51% 62% (Note: The potential profit was based on the most feasible estimated payback period) We hope you find this report acceptable and in good order. DHON G. DUNGCA, PIE M’Eng’g. (SGD) Quality Manager