BPH As An Economic Enterprise

Republic of the Philippines
PROVINCE OF BATANGAS
PROVINCIAL PLANNING AND DEVELOPMENT OFFICE

Capitol Compound, Batangas City
Tel. Nos.(043)706-1085/4654/4655 / (043)-702-2994
TeleFax No. 043-722-2359
Email Address: planning_batangas@yahoo.com
PROJECT TITLE : BATANGAS MEDICAL ECONOMIC ENTERPRISE
PROJECT PROPONENT : Provincial Government of Batangas
Contact Persons : Dr. Rosvilinda M. Ozaeta

Provincial Health Officer
Batangas
Tel # 043-723-0894
Mr. Benjamin I. Bausas

PGDH- PPDC
043-723-3286 / 043-786-0568
planning_batangas@yahoo.com
Dr. Danilo Aguilera

Chief of Hospital
Batangas Provincial Hospital
Profile of the LGU
Batangas is one of the five (5) Region 4A provinces located in the southwestern part of Luzon in the
CALABARZON Region (Cavite, Laguna, Batangas, Rizal and Quezon). It is bordered by the provinces of Cavite
and Laguna to the north and Quezon to the east, is bounded on the north by the province of Cavite; on the east
and northeast by Laguna and Quezon, in the west by the South China Sea and in the south by the Verde Strait.
The Province of Batangas is situated at the intersection of 14 north latitude and 121 east longitude in
southwestern Luzon in the midst of the Southern Tagalog Region.
One hundred twenty (120) kilometers south of Manila, it is only a two hour-drive from Ninoy Aquino International
Airport, and one and a half hours from Makati. Its strategic location southwest of the Philippines’ biggest island
of Luzon, makes it accessible by land, water transportation or private air craft, with frequent entry points to the
province’s capital, Batangas City which also serves as feasible gateway to other destinations.
The total land area of the province including the three cities is 316,581 hectares or 3,165.81 square kilometers.
Thirty-one (31) municipalities and three (3) cities comprise the province, with Batangas City as the provincial
capital. There are 1078 barangays including the 105, 72, and 48 barangays of Batangas City, Lipa City and
Tanauan City, respectively.
As of 2015 NSO Census, the population of Batangas Province registered at 2,694,335 that was about 18.69
percent of the total population of CALABARZON Region of 14,414,774 or 2.67 percent of the Philippine
population of 100,981,437 or 100.99 million people.
PHO as LEE Page 1 of 34

In support of the HELP program of HONARABLE GOVERNOR HERMILANDO I. MANDANAS, the
Sangguniang Panlalawigan headed by HONORABLE VICE GOVERNOR SOFRONIO JR. LEONARDO C. ONA
helps enhance service delivery through timely and expedient legislative actions.
VISION :
RICH BATANGAS: A model of economic development, a home to compassionate, dynamic, responsive, and
God-centered Batangueños, governed by committed, dignified and transparent leadership in an adaptive,
resilient, ecologically sustained and peaceful environment.
MISSION :
To develop the leadership required for growth and development with integrity, competence, compassion,
credibility and dedication;
To motivate all the Batangueños to actualize their potentials, to raise their goals, to concretize their hopes, to
encourage their efforts, and to persevere in their endeavors;
To harness all the GOD-given resources of Batangas: an industrious and motivated people, fertile land, rich
waters, beautiful shorelines, deep water port areas, friendly climate, and strategic location;
To provide the required infrastructure: schools, hospitals, communications, roads, power, water, etc.;
To attract and encourage private sector participation in local development;
To strengthen the faith and to nurture the hope of the youth in the future development of the country in general
and of Batangas in particular;
To uplift the dignity of the Batangueños by giving a strong sense of self-reliance, being self-sufficient in their
basic needs: livelihood, housing, food, clothing and etc.
THE PROVINCIAL GOVERNMENT
THE EXECUTIVE BRANCH
Governor : Honorable Hermilando I. Mandanas
Provincial Chief of Staff : Ms. Ma. Isabel B. Bejasa

Provincial Administrator : Mr. Librado G. Dimaunahan
Provincial Planning & Development Coordinator : Mr. Benjamin I. Bausas
Provincial Human Resource & Management Officer (OIC) : Dr. Rolando A. Tumambing
Provincial Accountant : Ms. Marites S. Castillo
Provincial Agriculturist : Engr. Pablito A. Balantac
Provincial Assessor : Engr. Eduardo B. Cedo, Jr.
Provincial Assistance for Community Development Officer : Dr. Amante A. Moog
Provincial Legal Officer : Fiscal Cesar L. Castor, Sr.
Provincial Budget Officer : Ms. Victoria B. Culiat
Provincial Cooperative, Livelihood and Enterprise Devt. Officer : Ms. Celia L. Atienza
Provincial Engineer : Engr. Gilbert P. Gatdula
PG-Environment and Natural Resources Officer : Mr. Luis A. Awitan
Provincial General Services Officer : Ms. Paulita M. Maňeja
Provincial Health Officer : Dr. Rosvilinda M. Ozaeta
Provincial Public Order and Safety Officer : Atty. Genaro S. Cabral

Provincial Social Welfare & Development Officer : Ms. Joselyn R. Montalbo
Provincial Treasurer : Ms. Fortunata G. Lat
Provincial Veterinarian : Dr. Romelito R. Marasigan
Provincial Tourism & Cultural Affairs Officer : Atty. Sylvia M. Marasigan
Sangguniang Panlalawigan Secretary : Mr. Benjamin DJ Nepales
Provincial Information Officer (OIC) : Ms. Jenelyn A. Aguilera
Provincial Jail Warden : Col. Aniceto S. Malapitan
Provincial Disaster Risk Reduction Management Officer : Mr. Lito M. Castro
Provincial Prosecutor : Atty. Lourdes R. Zapanta
THE LEGISLATIVE BRANCH
Vice Governor : Honorable Sofronio Jr. Leonardo C. Ona

Board Members :
1st District : Hon. Carlo Roman G. Rosales
Hon. Ramon I. Bausas
2nd District : Hon. Wilson Leandro T. Rivera
Hon. Arlina B. Magboo
3rd District : Hon Divina G. Balba
Hon. Alfredo C. Corona
4th District : Hon. Jonas Patrick M. Gozos
Hon. Jesus H. De Veyra
5th District : Hon. Maria Claudette U. Ambida-Alday
Hon. Arthur G. Blanco
6th District : Hon. Rowena S. Africa
Hon. Lydio A. Lopez
ABC Representative : Hon. Wilfredo M. Maliksi
Councilors’ League : Hon. Mildred B. Sanchez
MEMBERS OF HOUSE OF REPRESENTATIVES :
1st District : Hon. Elenita Milagros E. Buhain

2nd District : Hon Raneo E. Abu
3rd District : Hon. Ma. Theresa V. Collantes
4th District : Hon. Lianda B. Bolilia
5th District : Hon. Mario Vittorio A. Mariňo
6th District : Hon. Rosa Vilma S. Recto
Anchored in the HELP Program of the Provincial Government are the development thrusts geared towards the
attainment of goals that are in conformity with both the national and global aspirations. Under the HELP
umbrella are PPAs that equate responsiveness towards enhanced productivity and improved lives of
Batangueños by providing an economically progressive, safe, peaceful and healthy environment for them.
The PPAs have been classified under this Program, and each categorically stands for its acronym such as : H-
for Health, E-for Education, L-for Livelihood, and P-for Protection of Life, Environment and Properties.
These Programs, Projects and Activities echo the province’s mission, and serve as approaches for the
identified DIGOTS, ( Development Issues Goals, Objectives, Targets and Strategies in the PDPFP 2014-2022),
and those that are enumerated in the PDIP ( Provincial Development Investment Program 2017-
2022).“Transforming the Batangas Provincial Hospital as an Economic Enterprise, as one of the projects under
the Healthcare Development Program of the Provincial Government is within in both of the mentioned develop-

lopment plans and considered to assist in the intensification of social services, as embodied in the
Province’s mission.
Major Sources of Revenue
Internal Revenue Allotment is the major source of income for the province followed by the collection on real
property and other taxes. It accounts to about 81.21 % of the total receipts of the Province. Table below states
the 2016 Report of Revenue and Receipts from the Provincial Treasurer’s Office and the corresponding
percentage of each cash receipt account as against the total revenue.
Table 1: Report of Revenue And Receipts For CY 2016
Percentage to
Particulars Amount
Total Revenue
TAX REVENUE 318,108,356.67 11.7714
RPT 223,879,148.83 8.2845
Tax on Printing & Publication 17,530.92 0.0006
Franchise Tax 27,781,477.06 1.0280
Sand & Gravel Tax 1,676,309.04 0.0620
Amusement Tax 335,898.83 0.0124
Annual Fixed Tax 0.0000
Transfer Tax 63,533,211.62 2.3510
Professional Tax 884,780.37 0.0327
Occupation Tax
NON-TAX REVENUE 181,321,315.80 6.7097
Permit Fees 636,140.20 0.0235
Certification fees 215,150.00 0.0080
Fines & Penalties 4,590,097.64 0.1699
Grants & Donations
Rent Income 550,131.20 0.0204
Hospital Fees 163,760,602.61 6.0599
Sales Revenue 217,807.00 0.0081
Land & Parking Fees
Interest Income 3,563,458.44 0.1319
Miscellaneous 7,787,928.71 0.2882
TOTAL 499,429,672.47 18.4811
SHARE FROM NATIONAL COLLECTION 2,194,460,584.00 81.2049

INTERNAL REVENUE ALLOTMENT 2,194,460,584.00 81.2049
SHARE FR. UTILIZATION OF
NATIONAL WEALTH
EXTRA ORDINARY RECEIPTS/other taxes 8,483,688.99 0.3139

SHARE FROM PCSO / PAGCOR 8,483,688.99 0.3139
TOTAL 2,702,373,945.46 100.0000
Data Source : Provincial Treasurer's Office, 2017

Legal Basis to Transform Batangas Provincial Hospital into an Economic Enterprise
The Manual on the Setting Up and Operation of Local Economic Enterprises 2016 issued by the Department
of Budget and Management (DBM) enumerates the policy framework that serves as basis for the creation
and operation of LEEs primarily of which is the Local Government Code of 1991 (LGC )including related
circulars intended to strengthen compliance to the relevant provisions of the LGC and related national laws.
The policies that guide the creation and operation of LEEs are Sections 3(b), 3(f), 3(l), 15, 17(a), 17(j),17(g),
and 22(d) of the LGC.
Section 3(b) emphasizes the responsibilities of LGUs to set up appropriate service delivery structures and
mechanisms to meet the basic needs of its constituents, to quote:
“Section 3(b). “There shall be established in every local government unit an accountable, efficient, and
dynamic organizational structure and operating mechanism that will meet the priority needs and service
requirements of its communities.”
Section 3(f) provides for inter-LGU partnerships in the provision of services and facilities including joint
ventures in LEEs, to quote:
“Section 3(f). Local government units may group themselves, consolidate or coordinate their efforts,
services, and resources commonly beneficial to them.”
The importance of private sector participation in LGU service delivery structures and mechanisms including
LEEs is underscored in Section 3(l), to quote:
“Section 3(l). The participation of the private sector in local governance, particularly in the delivery of basic
services, shall be encouraged to ensure the viability of local autonomy as an alternative strategy for
sustainable development.”
Section 15 lays down the basic functions of LGUs, to wit: (i) political subdivision of the national government
of the Republic of the Philippines; and (ii) as a corporate body representing its constituency. As a corporate
body, it can undertake business enterprises as a mode of production and delivery of goods and services to
its constituents.
“Section 15. Political and Corporate Nature of Local Government Units. Every local government unit created
or recognized under this Code is a body politic and corporate endowed with powers to be exercised by it in
conformity with law. As such, it shall exercise powers as a political subdivision of the national government
and as a corporate entity representing the inhabitants of its territory.”
Pursuant to the above-quoted Section 17(a), the creation of LEEs can be considered as part of the exercise
of LGU powers incidental to the efficient and effective provision of basic services and facilities. Under the
basic operating principle of self-reliance, said Section also lays down basic LGU performance requisites for
service delivery – efficiency and effectiveness.
“Section 17(a). Local government units shall endeavor to be self-reliant and shall continue exercising the
powers and discharging the duties and functions currently vested upon them. xxx xxx xxx Local government
units shall likewise exercise such other powers and discharge such other functions and responsibilities as
are necessary, appropriate, or incidental to efficient and effective provision of the basic services and
facilities enumerated herein.”

Section 17(j) further empowers the LGU to sell, lease, encumber, or dispose of economic enterprises to the
private sector. It also provides for various forms of private sector participation in LEEs – as creditor, investor,
lessor/operator, property buyer, etc. At the same time, it allows LGU divestment of LEEs. The section also
allows “service or facility” cost recovery via fees and charges for LEEs. Thus, both capital (including
financing cost) and operating costs may be recovered through user charges.
“Section 17(j). To ensure the active participation of the private sector in local governance, local government
units may, by ordinance, sell, lease, encumber, or otherwise dispose of public economic enterprises owned
by them in their proprietary capacity.”
Section 17(g) coupled with Section 17(j) implies that the LGU can subsidize LEEs as long as the services
and facilities provided are covered under Section 17(b) and the LGU opts not to charge for the delivery for
basic services and facilities.
“Section 17(g) xxx xxx xxx Any fund or resource available for the use of local government units shall be first
allocated for the provision of basic services or facilities enumerated in subsection (b) hereof before applying
the same for other purposes, unless otherwise provided in this Code.”
Provided for under this Section (17 iv) are the basic services and the facilities of the province ; to wit :
“Subject to the provisions of Title V, Book I of this Code, health services which include hospitals and other
tertiary health services.”
Project Location / Project Site :
Lemery is a first class municipality in the Province of Batangas and has a total area of 10,155 hectares,
which is equivalent to 3.21% of the total land area of the Province of Batangas. It is located in the
Northwestern part of the province and is bounded on the North by the Municipality of Calaca; on the East by
the Municipality of Agoncillo; on the South by the Municipality of Taal and on the West by Balayan Bay. It
belongs to the First Congressional District and is composed of 46 barangays; 16 of which are classified as
urban and 30 as rural.
It is about 113 kilometers south of Manila, 35 kilometers from Tagaytay City, 33 kilometers from Lipa City
and 26 kilometers from Batangas City, the Provincial Capital. By its outskirts are the municipalities of
Calaca, Taal, Agoncillo, San Luis and Sta. Teresita.
It can be reached by land transportation through three (3) alternate routes going to Lemery from Manila : via
the City of Lipa in the south; via Tagaytay City in the north using the R. Diokno Highway and via Agoncillo in
the east using Agoncillo-Laurel Road. This accessibility is intensified by good road networks. It can also be
accessed via sea craft through Balayan Bay.
Batangas Provincial Hospital (BPH) is located along Lemery National Road and junction at Barangay
Palanas, Lemery, Batangas.
Basic Statistics of the LGU Location:
Land Area - 10,155 hectares
Demography :
Total Population as of 2015 Census - 93,157

Population Density - 8.48/hectare

Annual Population Growth Rate
2000-2010 - 2.09%
2000-2015 - 2.23%
2010-2015 - 2.50%
Projected Population
2018 - 96,559
2019 - 98,578
2020 - 100,639
Projected Number of Households
2018 - 19,495
2019 - 19,887
2020 - 20,287
Total No. of Barangays - 46

Urban - 16
Rural - 30
Other Support Infrastructures
 Number of Land Transportation Terminals - 17
 Electricity is provided by BATELEC I Electric Cooperative where 90.36% of households

are served
 Water supply is solely distributed by Lemery Water District to 30 barangays. Water

sources for the rest of the barangays are either serviced by Barangay Water Works or
through shallow wells (Level I) especially those low land barangays.
 Communications and Mass Media- the municipality is within the communication grid of
three (3) telephone companies, Globe and Western Batangas Telephone System (WBTS) as
well as cell sites for mobile phone subscribers of Globe, Smart and Sun Cellular

Figure 1 : Location Map : Batangas Province Map

Figure 2 :Project Site : Map of Lemery, Batangas

Project Benefits / Beneficiaries
As the increased population growth rates lead to higher demand for diverse types of services and facilities, the dire
need to provide full access to quality health care services to urban and rural communities is indispensable. As a
strategy in ensuring the availability, affordability and acceptability of guided health care services in the Province,
especially in the areas in proximity of the project’s site, transforming BPH to an economic enterprise is considered as
a helpful means in attaining these intents.
Though BPH caters mostly to patients from Lemery and Taal which constitute 5.6% of the total population of the
Province of Batangas; it also serves patients from the First Congressional District which include the western
municipalities of Calaca, Balayan, Tuy, Nasugbu, Lian and Calatagan, the Municipality of San Luis in the Second
District and Third District municipalities of Agoncillo, San Nicolas, and Sta. Teresita which collectively constitute
about 21.33% of the total population of the province. Moreover, the hospital occasionally receives and provides
services to patients from Batangas City, Lobo, Talisay, Sto. Tomas, and other municipalities of the province, mostly
thru referrals of BPH doctors.
Transformation of the facility as an economic enterprise also evokes a more engaged hospital / health care service-
oriented, especially when there is an availability of specialized health and medical practitioners. Likewise,
opportunities for employment to medical, allied medical and administrative positions will be opened to Batangueňos,
especially those residing in Lemery and adjacent municipalities / cities. Following are the issues, goals and
objectives in relation to the project .
Issues Goals Objectives

Population and Settlements Sector
 Increased growth rates in population  Safe and resilient rural and  To cope to the high
lead to higher demand for different urban communities that have demands for different
kinds of services and facilities full access to quality public kinds of services and
services and facilities facilities of the increasing
population
 To develop, adopt and

promote climate change-
adaptive human
settlements and services
 To enhance health and

social protection delivery
systems to communities
towards increased
responsiveness and
adaptation to climate
change and risks
 To provide services and

facilities needed by
community groups

Health Sector
 Number of malnourished /  Uplift and improve the  To uplift and improve the
underweight children needs to be health status of health status of
reduced / lessened; Prevalence of Batangueños thru the Batangueňos
underweight children availability, accessibility,
affordability and  To improve the nutritional
acceptability of guided status of underweight pre-
health care services school children
 Pre-eclampsia and post-partum  To improve maternal and

bleeding are the most common child health
causes of maternal death for the past
five-years  To enhance and improve
 Stillbirth, congenital malformations, hospital facilities and service
pneumonia, prematurity and  To prevent and control
septicemia are among the top five maternal and child deaths
causes of infant deaths thru strengthened
implementation of programs,
projects and activities
relative to maternal and
child health care
 Lifestyle-related diseases (such as  To reduce morbidity and

heart failure, cardiac arthymias, mortality incidence caused
ischemic heart disease, and by tuberculosis, heart
hypertensive cardiovascular disease) diseases/hypertensive
are among the top leading causes of cardiovascular diseases,
mortality non-communicable disease
such as cancer, and
degenerative/life-style-
related diseases
 Vector and disease-transmitting  To prevent the spread of

organisms causing sickness like vector and disease-
dengue, malaria, typhoid, etc. need transmitting organisms
to be eradicated causing sickness like
dengue, malaria, typhoid,
etc.
 To be able to provide not

only curative but also
preventive medical
strategies to Batanguenos to
curb the increasing trend of
non-communicable disease
such as cancer,
degenerative/life-style-
related diseases

Health Sector
 Uplift and improve the  To provide 100 percent

health status of accessiblequality public
Batangueños thru the health services to all
availability, accessibility, Batangueños
affordability and
acceptability of guided  To provide access to quality
health care services Health care service
coverage to indigents
 Need to address issues regarding and volunteers
sexually-transmitted diseases (STI
/ HIV-AIDS) and other diseases  To prevent and control the
(leprosy, etc.) spread of sexually
transmitted and other
communicable diseases
 Fast turn-over of resident physician
noted in the district hospitals /
shortage of doctors accredited in  To augment shortage of
specific field of medicine medical practitioners in
various field of specialization
 Despite the emphasis on / competencies
environmental health and
sanitation, complications of  To prevent the spread of
diarrheal diseases are still included common environmental
in the leading causes of morbidity related diseases like
diarrhea by reinforcing
environmental health and
 Need to strengthen and maximize sanitation regulations
the implementation of health and
protection delivery system in
response to climate change and
disaster risks
Project Background
Batangas Provincial Hospital (BPH) is a Level 1 hospital operated by the Provincial Government of Batangas (PGoB).
It was constructed in 1962, more than 55 years ago in the one-hectare lot it now occupies. The hospital is
geographically lo cated in Palanas and Ilustre Avenue in the Municipality of Lemery. It is accessible by any form of
public and land transportation plying the routes of Western Batangas’ municipalities of Calaca, Balayan, Tuy, Lian,
Nasugbu and Calatagan. It is also near the bypass road going to the municipalities of Agoncillo, San Nicolas, San
Luis, Taal, Sta. Teresita, Alitagtag, Cuenca and San Jose and the City of Lipa. It is also easily accessed from the
Municipality of Bauan of the 2nd District and the City of Batangas of the 5th District. On the other hand, the
Muncipalities of Laurel, Talisay and Santo Tomas and the City of Tanauan as well as Tagaytay City in Cavite and
the Province of Laguna can be reached through the Diokno Highway.
At present, the combined number of bed capacity of 373 for the nine (9) hospitals in Lemery and Taal oftentimes do
not suffice. For BPH alone, the actual / implementing bed capacity has reached up to 120 in 2016. From its
authorized capacity of 50, it has constantly implemented up to 110 bed capacity from 2012 to 2015; and 120 in 2016.
Whereas, BPH is classified as a Level 1 hospital with authorized bed capacity of 50, its implementing bed capacity
still exceeds that of a Level 2 hospital (100 bed capacity) for several years.
Table 3: Combined Number of Hospitals and Hospital Bed Capacities (Lemery and Taal)
Service Nature of Bed

Name of Hospital Location Classification
Capability Ownership Capacity
Salazar Polyclinic Lemery Level 1 Private General 15
Little Angels Medical Hospital Lemery Level 1 Private General 20
Lemery Doctors Medical Center Lemery Level 2 Private General 40
Metro Lemery Medical Center Lemery Level 2 Private General 72
Our Lady of Caysasay Medical Center Lemery Level 2 Private General 100
Assumpta Medical Hospital Taal Level 1 Private General 12
Taal Polymedic Hospital & Medical Center Taal Level 2 Private General 64
Batangas Provincial Hospital Lemery Level 1 Government General 50
Total Bed Capacity 373
Data Source: PPDO, SEPP 2017
As it is the objective of the government to provide the much needed healthcare services, both in the national and
local levels, the Provincial Government of Batangas (PGoB), in its end has been aggressive in addressing various
issues / concerns of the health sector by earmarking the biggest chunk of its budget on health care.
As reflected in Table 4, BPH has been allocated a total of P179.61 M for its Personal Services, Maintenance and
Other Operating Expenses (MOOE) for the three-year period (2014-2016). No Capital Outlay was expended by the
facility for the said three-year period; since this account is shouldered by the Provincial Health Office.
Table 4 : Budget Appropriated to BPH 2014-2016
EXPENDITURES 2014 2015 2016 3 Yr. Total

Personal Services 43,076,808.35 46,909,517.29 51,002,141.67 140,988,467.31
Maintenance and Other Operating Expenses 9,865,207.60 13,773,054.16 14,977,838.46 38,616,100.22
Capital Outlay
Total 52,942,015.95 60,682,571.45 65,979,980.13 179,604,567.53
Data Source: Provincial Budget Office
Similarly, based on the foregoing table, at least 78.5% average of the total budget was appropriated to personal
services; however, it may be noted that with reference to the existing staffing pattern of BPH, there are established
gaps (deficiencies and overstaffing) in some positions.
Based on the Hospital’s (BPH) 5-Year Info/Statistical Report 2012-2016 (copy of which is attached), there is an
average to 232.52% for its Bed Occupancy Rate (BOR) based on Authorized Bed Capacity while its BOR based on
the actual implementing bed capacity is placed at an average of 108.73%.
The 5-year in-patient statistics of BPH shows an annual average growth rate of 3.42%, and highest number of in-
patient statistics was posted in 2016; where also the average length of stay on in-patients is 3.5 days.
As for Patient Type per Accommodation, the highest number was recorded in the Service or Charity Ward from 2012
to 2014; but this figure was overtaken by Philhealth members hospitalized in the years 2015 and 2016. The decline
for Charity Ward patients was recorded at 56.51%. Patients wtih Philhealth coverage has incredibly increased to
7,419 in 2016 from 3,935 figure in 2012 or a total of 3,484 patients or 88.54% within a 5-year period from 2012 to
2016.
As for out-patient services, a yearly average of 38,687 patients was recorded with 3.95% average annual growth
rate. Other hospital services include Radiologic, Laboratory and Pharmacy Services, where a yearly average is
recorded at 140,809 or average of 386 patients daily. Other activities such as ambulance calls, autopsies and
medico-legal services are likewise undertaken.
Newborn screening as well as surgical operations are also performed in the facility; averaging yearly as 1,139 and
2,020 for Newborn Screening and surgical operations, respectively.
On top of these, BPH also has a Dialysis Center, with six dialysis machines operating in a three-session cycle,
Mondays thru Fridays. As there are increasing cases of renal diseases, the demand for dialysis center services also
increases.
All these services are made available to the public through the services of 111 permanent, casual and job order
hospital staff of Lemery BPH.
As per DBM Revised Organizational Structure and Staffing Standards for Government Hospitals, CY 2013 Edition, for
a Level 1 Hospital with authorized 50 bed capacity, BPH still falls short of the prescribed number of hospital
personnel; to wit : for Medical and Allied Medical Positions, the existing number of personnel total to only 71 out of
the required 105 medical positions, and only 11 for the administrative positions out of the required 39 required
personnel.
Despite of the existence of 29 positions not required by DOH /DBM Revised Organizational Structure, in the overall
total 144 required staff, BPH is still far behind the prescribed required 144 positions, considering that it operates with
111 personnel only; hence the hospital is short staffed by 33 positions.
To comply with the prescribed DBM and DOH standards, there is a need to upgrade some positions especially those
in the existing but not required positions; such as in the Medical and Allied Medical Positions : Chief of Hospital I (one
(1) position); to cover for the non-existent but required Chief of Hospital II; six (6) positions for the existing but not
required Medical Specialist I to the deficiency of six (6) required Medical Specialist II positions; and from Nurse IV in
the existing but not required to Nurse V. Especially noticeable is the gap on the Nurse II position, where there is a
shortage of 22 positions.
It is also be worth noting that the present personnel set-up in its Dialysis Section is also needing augmentation and
has to consider and comply with DOH requirements as per DOH Administrative Order No. 163 s. 2004 as amended
by Administrative Order No. 2006-0037.
Succeeding tables present the existing BPH staffing pattern and the gaps per each position.

Table 5a: Batangas Provincial Hospital Staffing Pattern ( BPH is a Level 1-Authorized 50 Bed Capacity but is
implementing a 120 Bed Capacity Hospital)
NO. OF
SALARY EXISTING GAP/
POSITION TITLE POSITIONS
GRADE (Permanent) DEFICIENCY
REQUIRED
Medical and Allied Medical Positions
Chief of Hospital II 25 0 1 -1
Medical Specialist II 23 2 8 -6
Medical Officer IV 23 0 4 -4
Medical Officer III 21 15 6 9
Nurse V 20 0 1 -1
Nurse III 17 2 2 0
Dentist II 17 1 1 0
Social Welfare Officer II 15 0 1 -1
Pharmacist II 15 2 1 1
Nutritionist - Dietitian II 15 1 1 0
Nurse II 15 3 25 -22
Medical Technologist II 15 2 1 1
Health Education and Promotion Officer II 14 0 1 -1
Radiologic Technologist II 13 2 1 1
Social Welfare Officer I 11 1 1 0
Radiologic Technologist I 11 2 2 0
Psychologist I 11 0 1 -1
Pharmacist I 11 1 3 -2
Nurse I 11 18 13 5
Medical Technologist I 11 3 5 -2
Medical Equipment Technician III 11 0 2 -2
Midwife I 9 2 4 -2
Social Welfare Assistant 8 0 1 -1
Nursing Attendant II 6 3 6 -3
Laboratory Technician I 6 0 2 -2
Nursing Attendant I 4 10 10 0
Dental Aide 4 1 1 0
Medical and Allied Medical Positions 71 105 -34
Data Source: PHO 2/1/18

Table 5b: Batangas Provincial Hospital Staffing Pattern ( BPH is a Level 1-Authorized 50 Bed Capacity but is
NO. OF
REQUIRED
General Administrative Services Positions
Administrative Officer V 18 2 1 1
Engineer II 16 0 1 -1
Accountant II 16 0 1 -1
Administrative Officer III 14 0 3 -3
Computer Maintenance Technologist I 11 0 1 -1
Administrative Officer II 11 0 1 -1
Administrative Officer I 10 3 1 2
Administrative Assistant II 8 1 11 -10
Administrative Assistant I 7 0 1 -1
Data Controller I 6 0 2 -2
Administrative Aide IV 6 2 1 1
Cook II 5 0 2 -2
Administrative Aide IV 4 2 6 -4
Laundry Worker II 3 0 2 -2
Administrative Aide III 3 1 4 -3
Seamstress 2 0 1 -1
General Administrative Services Positions 11 39 -28
Table 6c: Batangas Provincial Hospital Staffing Pattern ( BPH is a Level 1-Authorized 50 Bed Capacity but is
Existing Positions not required based on the DOH Revised Organizational Structure and Staffing
Standards for Government Hospitals CY 2013 Edition
NO. OF
REQUIRED
Chief of Hospital I 24 1 1
Medical Specialist I 22 7 7
Laboratory Aide II 2 2
Cook I 1 1
Nurse IV 1 1
Midwife II 2 2
Administrative Officer IV 15 1 1
Administrative Aide IV (Driver) 4 1 1
Administrative Aide III (Driver) 3 2 2
Const. Maintenanceman I 1 1
Laundry Worker I 2 2
Administrative Aide I (clerk) 1 1
Admnistrative Aide I (UW) 7 7
Total Existing Hospital Staff- Not Required 29 29

Table 6d: Summary of Batangas Provincial Hospital Staffing Pattern ( BPH is a Level 1- Authorized 50 Bed Capacity
but is implementing a 120 Bed Capacity Hospital)
NO. OF
EXISTING GAP/
(Permanent) DEFICIENCY
REQUIRED
Medical and Allied Medical Positions 71 105 34
General Administrative Services Positions 11 39 28
Total Existing Hospital Staff- Not Required 29 0 -29
Total Existing Hospital Staff 111 144 33
THE PROJECT
Project Description
Batangas Provincial Hospital is a provincial government operated hospital servicing mostly to residents of
Lemery, Batangas and other LGUs of District I and its adjacent municipalities. In order to ensure sustainability
and provide greater better health outcomes and responsiveness, this proposal intends to convert / transform BPH
into an economic enterprise.
To be subsidized initially by the Provincial Government, one of the strategies that can be tapped will be a Private-
Public Partnership (PPP) / Joint Venture Agreement (JVA) to recover costs and maintain economic sustainability.
In this PPP / JVA, the outsourcing of vital hospital equipment, enhancement / improvements of buildings and
facilities may be included, wherein the private sector partners cover the costs like construction, rentals, electricity,
and staff time.
The hospital shares a certain percentage of the gross revenue, where likewise; amount earmarked as subsidy to
indigent / charity patients must be placed in a Trust Fund. As of 2016, the total in-patients of BPH totals to
10,722. Those who are accommodated as charity cases totaled to 3,258 patients; while those with Philhealth
coverage totaled to 7,419 which is 127.72% higher than the number of patients accommodated in charity
services.
It may be noted that for the five-year period (2012-2016), there is 56.51% decrease of charity ward services in the
hospital, and an 88.54% for Philhealth users or a 13.61% annual growth rate; evidently as a result of the
steadfast province wide social health insurance implementation.
Thus, by turning BPH into an economic enterprise via an Executive Order / Ordinance, it will operate, manage
and maintain its economic sustainability through partnerships with the private sector for cost recovery and
revenue enhancement.
However, this project shall be undertaken on a “Phase to Phase” Basis; as in :
 Phase 1 implementation will cover the Dialysis Section of the Hospital, where at present there are six (6)
existing dialysis machines in operation and is proposed to be increased to 10 units after the 4th year of
operation; physical facilities will be upgraded, personnel staffing will be augmented and compliance to
required standards/ accreditation shall be adhered to. Financial projections are included in this report,
capital outlay expenditures for rehabilitation / facilities enhancements may be estimated at P6M and
equipment acquisition at estimated P10M.

 Phase 2 implementation- this pertains to the operationalization and opening of the Pay Building, which is
adjacent to the Main Hospital Building. It will be a 15-bed capacity building intended for pay patients.
The building is already existing but is still in need of upgrading and rehabilitation. Possibility of starting
phase 2 on the 2nd year of project the timetable. Financial projections and capital outlay expenditures for
rehabilitation / facilities enhancements are estimated as follows : (1) for BPH Pay Building P25M; and (2)
cost of Equipping the Building –P30M.
 Phase 3 implementation-this will be the final stage wherein a full hospital coverage as an economic
enterprise will be undertaken. This can start on the 4th year in the Project Timetable. The Provincial
Government and hospital administration may opt to retain its 50 –authorized Bed Capacity status.
Financial projections are included in this report, however, capital outlay expenditures for rehabilitation /
facilities enhancements are yet to be estimated.
Objectives
With the objective of providing a wider range of health services and at the same time offering these services to
a larger number of people through a more competent, quality and sustainable medical care and transmitting into
action the promotion of preventive and curative aspects of healthcare, the Provincial Government of Batangas
thus proposes that BPH be transformed into a Local Economic Enterprise.
This proposal aims to support the Philippine Health Agenda 2016-2022 (PHA 2016-2022) which has for its
Goals : the attainment of health related SDG targets, financial risk protection, better health outcomes and
responsiveness, which values equity, efficiency quality and transparency.
With this proposal, the Provincial Government aligns with the objective and strategies of the national
government that guarantees services are delivered by networks that are :
 fully functional (complete equipment, medicines, health professionals);

 compliant with clinical practice guidelines;
 available 24/7 and even during disasters;
 located close to the people
As an economic enterprise, it shall conform with the strategy contained in the 2016-2022 Philippine Health
Agenda that elicits multi-sectoral and multi-stakeholder support for health such as :
 Harnessing and aligning the private sector in planning and supply side investments;
 Working with other national government agencies to address social determinants of health;
 Collaborate with CSOs and other stakeholders on budget development. monitoring and
evaluation;
 Make health impact assessment and public health management plan a pre-requisite for
initiating large-scale high risk infrastructure projects.
Also contained in PHA 2016-2022 is the Philippine Health Facilities Development Plan 2017-2022 (PHFDP 2017-
2022) which promotes rational allocation of government investments and ensures equitable access to health
facilities in the country.
In the said plan are strategies to close some gaps and issues like the hospital bed to population ratio
(recommended new Phil. target = 1:800) and the need to upgrade the LGU hospitals in the service delivery
network which indicates that Provincial Hospitals has to be upgraded to Level 2 with at least 100 beds.

Batangas Provincial Hospital, with functional capability as a general hospital and service capability as Level 1, 50
bed capacity hospital, has been, for years implementing a 120 bed capacity and is already a departmentalized
hospital. Despite budgetary constraints, limited manpower resources, inadequate and /or insufficient advanced
diagnostic and medical equipment, BPH has very strong potential in delivering the desired outcomes contained in
PHA 2016-2022, considering its location, its clientele and its favorable reputation in providing medical care and
service in the locality.
In its transformation as an economic enterprise, it shall, at the same time, be complemented with enhancement of
facilities and augmentation of staff. Although PGoB and BPH desire to subscribe to the strategy stated in PHFDP
2017-2022 to upgrade provincial hospitals to Level 2 hospitals, its implementation may not yet be realized in the
initial or on its early years as an economic enterprise; but is anticipated to be achieved in later years when it has
gained more financial stability to cover the cost for the required personal services. (see Annex- PS computation
for Level 2). Instead, the existing gaps in positions shall be rectified through position upgrading and filling up of
vacant posts.(Computation for the required 144 positions for Level 1 is also attached as Annex).
It must also be noted that this health facility enhancement and strategies are within the Population and Settlement
and Health Sectors Goals stated in the Provincial Development and Framework Plan 2014-2022 (PDPFP 2014-
2022), and the Provincial Development Investment Program 2017-2022 ( PDIP 2017-2022), as follows: Uplift and
improve the health status of Batangueños thru the availability, accessibility, affordability and acceptability of
guided health care services.
With the above premise, setting up of BPH as a LEE help ensure that it will meet constituency needs, provide
opportunities for citizen involvement; and contribute to LGU revenue and resource mobilization if properly set up
and operated.

LOGICAL FRAMEWORK
Transformation of Batangas Provincial Hospital into an Economic Enterprise
Project Targets – Objectively

Narrative Summary Means of Verification Assumptions
Verifiable Indicators
Population and Settlements Increased and enhanced health and Upgraded physical and facilities medical / Repairs, rehabilitation of facilities and
Sector Goal: social protection delivery systems inventories of equipment acquisition of medical equipment
Safe and resilient rural and urban towards increased responsiveness undertaken and augmentation of
communities that have full access to Plantilla of personnel hospital personnel for Year 2 Operation
quality public services and facilities for (Phase 1) Dialysis Center, and Year
3 for Phase 2 (Pay Building)
Health Sector Goal:
Uplift and improve the health status of
Batangueños thru the availability, Morbidity and Mortality Status Report s Punctuality and accuracy of reports
accessibility, affordability and preparation
acceptability of guided health care Quarterly /Annual Hospital Hospital
services Statistical Reports and other DOH
Hospital Financial Reports

Purpose: 10 Dialysis Beds – 24/7 operation Hospital Records Phase by phase operation of BPH as
To assure sustainability in the Patient Records an economic enterprise
operation and management of the 15 Beds Pay Building –24/7 full  Phase 1- Dialysis Center
Batangas Provincial Hospital as a operation  Phase 2-Pay Building
quality, fully functional, compliant with  Phase 3-Full BPH economic
clinical practice guidelines, available 50 Bed Capacity Hospital –full operation Financial Reports enterprise coverage
health and medical care facility DOH / PhilHealth accredited
Project Outputs: Private sector participation are Hospital records Capitalization / investments from
Accessibility, affordability, availability, harnessed and enjoined private sector are offered
sustainability and acceptability of
guided health care services Wider range of health services are CSO participation Augmentation of health and medical
offered practitioners / hospital staff
Better health outcomes and Hospital Records and Reports to agencies Practice of good management
responsiveness
Project Targets – Objectively
Narrative Summary Means of Verification Assumptions
Verifiable Indicators
Activities: a) Documents for dialysis center Accreditation certificates Funds are available.
a) Securing and processing of processed and approved Permits
pertinent documents, permits, b) Dialysis Center rehabilitated Hospital Records Good agreements among the
licenses, accreditation, compliance c) 4 additional Dialysis machines Rehabilitated Dialysis Center stakeholders
certifications for dialysis center acquired Inventory Report of supplies and equipment
b) Rehabilitation of Dialysis Center d) Supplies and other facilities Employees Plantilla
c) Equippage / acquisition of dialysis purchased
machines , upgrading and e) Dialysis staff augmented
enhancement of dialysis facilities f) Documents for pay building
and supplies processed and approved
d) Augmentation, hiring, deployment g) Pay Building rehabilitated
of dialysis unit staff h) Upgraded medical and
e) Operation of Dialysis Unit as an hospital equipment acquired
economic enterprise (Phase I i) Hospital pay building personnel
Operation) hired / augmented
f) Securing and processing of
pertinent documents, permits,
licenses, accreditation, compliance
certifications for pay building
operation
g) Rehabilitation of Pay Building
h) Equippage / acquisition of
machines , upgrading and
enhancement of facilities and
supplies for pay building
i) Augmentation, hiring, deployment
of pay building unit staff
j) Operation of Pay Building as an
economic enterprise (Phase 2
Operation)

Batangas Provincial Hospital-Implementation Period Table
Year 1 Year 2 Year 3 Year 4 Onwards Year 5 Year 6 Onwards

Activities Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Securing of pertinent documents / permits / DOH and

1
other agency accreditation
2 Phase 1 : Dialysis Center
Rehabilitation of the facility / physical plant in
2.1
compliance to standard technical requirements
a. Dialysis Station
b. Nursing Station
c. Storage Area
d. Work Area
e. T oilet Facilities
f. Water T reatment Area
g. Non T reatment Area
h. Water Supply
i. Plumbing
j. Ventilation
k. Illumination
2.2 Hiring / Deployment of Staff /Personnel Augmentation
T here shall be a sufficient number of qualified
personnel to carry out the functions of the dialysis unit.
Procurement / Acquisition of Additional Equipment and
2.3.
Supplies
2.4. Operation of Dialysis Unit as Economic Enterprise
3 Phase 2 : Operation of Pay Building
3.1
3.2
3.4 Purchase and Acquisition of Equipment and Supplies
3.5 Operation of Pay Building as Economic Enterprise
Phase 3 : Batangas Provincial Hospital (BPH) as
4
Economic Enterprise
4.1
4.2
4.6 Full Operationalization (Phase 1 to 3)
MARKET FEASIBILITY / PROJECT VIABILITY
Demand Supply Analysis
The Province of Batangas has been particularly keen in implementing health service delivery ever since it was
devolved to LGUs in 1991. Health facilities in the province include government hospitals, private hospitals and
primary health care facilities.
There is more or less 60 private hospitals scattered all over the province, sixteen of which are located in the
First District, with five out the sixteen have service capacity as Level 2 hospitals.
As of date, there are 17 government hospitals in the Province, biggest of which is the Batangas Medical
Center (BatMC), formerly known as the Batangas Regional Hospital and located in Batangas City and a Level
3 Hospital, implementing a 500-bed capacity hospital.
On the other hand, there are 12 Provincial Government operated hospitals including the Batangas Provincial
Hospital (BPH) which is located in Lemery, Batangas. Among these 12 Provincial Government Hospitals,
BPH is considered the biggest and with the highest number of patients catered. Of all the government
hospitals in the province, it comes next to BaTMC as per actual implementing bed capacity and number of
both in-patient and out-patients.
BPH’s actual implementing bed capacity is almost one fourth that of the BatMC; where the total number of
patients attended for year 2016 is over one third than the latter; while the average outpatients attended to is
almost one third than BatMC. Likewise, the percentage of normal and caesarian deliveries for BPH is notably
high being 66.67% and 63.70% of the number which was performed at BatMC.
Comparable to the type of services (such as Medicine, Obstetrics, Gynecology, Pediatrics, Surgery, ER
Services, Radiologic, Laboratory, Pharmacy and others) rendered by BatMC, BPH’s performance may be
considered commendable notwithstanding its size and limited personnel. These figures manifest a big potential
for BPH to expand and enhance its services and upgrade its status as one of the major health and medical
service providers in the Province.
The ensuing table (2016 Comparative BaTMC and BPH Hospital Statistics, 2016) demonstrates the above data
and the performance of BPH as compared to BaTMC for year 2016.
Bogs/ BPH Project Concept Page 25 of 34

A. 2016 Comparative BaTMC and BPH Hospital Statistics, 2016
Number
DATA % (BPH
BATMC BPH
/BATMC)
1. Bed Capacity
-Authorized 400 50 12.50
-Actual / Implementing 500 120 24.00
-Bed Occupancy Rate 107.62% 245.71%
2. Total Number of In Patients 29,723 10,722 36.07
3. Total Discharges 29,923 13,868 46.35
4. Number of Referrals
-from other facilities 1,552 41 2.64
-to other facilities 73 85 116.44
5. Total Number of Patients per type of
-Pay 2,582 26 1.01
-Service (Charity Ward) 27,134 3,258 12.01
-PhilHealth 22,129 7,419 33.53
6. Average Length of Stay of Admitted 6 4 66.67
7. Average Number of Outpatients per day 426 120 28.17
8. Types of Service to Patients
-Medicine 6,274 2,984 47.56
-Obstetrics 6,858 3,694 53.86
-Gynecology 908 392 43.17
-Pediatrics 3,529 2,442 69.20
-Surgery 6332 1,040 16.42
-ER Services 57,107 10,016 17.54
9. Total Number of Deliveries
-Normal 3,619 2,409 66.57
-Caesarean 1,325 844 63.70
10. Radiologic / Laboratory / Pharmacy
-Radiologic Procedure (X-ray, Ultrasound, 43,432 5,444 12.53
-Laboratory Services 575,398 56,583 9.83
-Pharmacy Services
11. New Born Screening Performed 5,660 1,785 31.54
12. Immunization Conducted 16,288 7,761 47.65
Data Source: BaTMC 2018

B. Batangas Medical Center 2016-2017 Patients –Origin / Place of Residence, Province, City,
Municipality, Region
Province, City, Municipality, Region Number of Patients

2016 2017
Batangas Province
Batangas City 9,637 9,616
Lipa City 1,680 1,685
T anauan City 1,235 1,417
Agoncillo 45 132
Alitagtag 148 150
Balayan 172 209
Balete 78 100
Bauan 643 684
Calaca 122 210
Calatagan 99 151
Cuenca 238 238
Ibaan 916 832
Laurel 127 116
Lemery 108 129
Lian 84 131
Lobo 599 619
Mabini 222 248
Malvar 442 438
MataasnaKahoy 204 243
Nasugbu 168 259
Padre Garcia 417 418
Rosario 1,191 1,161
San Jose 1,052 845
San Juan 882 941
San Luis 85 105
San Nicolas 21 73
San Pascual 895 879
Sta. T eresita 48 48
Sto. T omas 1,121 1,180
T aal 128 188
T alisay 412 368
T ingloy 129 142
T uy 67 94
Total -Batangas Province 23,415 24,049
Cavite 138 199
Laguna 4,506 5,569
Rizal 16 3
Quezon 219 295
MIMAROPA Provinces 560 634
Others 92 105
Total 28,946 30,854
Data Source: BatMC 2018

With reference to the foregoing table (Batangas Medical Center 2016-2017 Patients –Origin / Place of
Residence, Province, City, Municipality, Region), where it is presented that patients from the Province of
Batangas accounts to 80.89% and 77.94% of the total patients attended to by BatMC for 2016 and 2017,
respectively.
As can be gleaned from the said data, patient statistics of BatMC for Batangas Province has in-creased by
2.71% in 2017 and 6.59% in the over-all total of all patients who hailed from different areas in Luzon.
The highlighted portions of the table refer to those areas / municipalities in the Province where patients of BPH
usually come from. Total number of BatMC patients from these municipalities account to 4.90% and 7.20% for
years 2016 and 2017, respectively; where an increase of 2.30% from 2016 to 2017 is noted.
As for BPH, the in-patient annual growth rate (for years 2012 to 2016) is recorded at 3.42%; while that of out-
patient growth rate is posted at 3.95%. ( please refer to attached BPH 5 Year Statistical Report).
Problems and Prospects of Proposed Projects
SWOT MATRIX:
Strengths Weaknesses
 Accessibility  Present personnel composition of

 Clinical specialties are Surgery, BPH in Medical and Allied Medical
OB-Gyne, Internal Medicine, Pediatrics and Administrative are understaffed
 Board Certified Medical Specialists  Some areas of hospital building
 Competent medical / hospital need rehabilitation and facilities
Staff require upgrading
 Implementation of medical  Need to sustain adequacy of
supplies and medicine supply / availability of essential
consignment drugs, hospital, health and medical
 Administration’s support and strong supplies
advocacy for health
programs implementation
Opportunities Threats
 Wide Philhealth coverage of  Costly hospital infrastructure

Batangueňos  Increasing prices of medical
 Increasing trend of hospital clientele supplies, drugs and other health
 Possibility of catching “spill-over” of related MOOEs
BatMC and other private hospitals  Disruption of other hospital services
during the transition period

FINANCIAL FEASIBILITY
Project Financial Statements
Financial assumptions
The project will be funded through :
 Current Available LGU Resources

 Borrowings
 Local and Foreign Funding Support /Grants
 Joint Venture -Private Public Partnership (PPP)
Projected Income will be generated from the following assumptions :
For income and expense projection purposes, we will be using the following assumptions :
A. INCOME
For Phase 1 Implementation (Dialysis Unit) and Phase 2 are in the attached financial statements.
Phase 3 for further study
Bogs/ BPH Project Concept Page 29

of 34
Projected Financial Statement
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10
Total Estimated I ncome from Dialysis
Center Operation 24,519,960.00 25,211,358.00 25,933,405.50 26,687,634.98 27,475,655.52 47,264,811.13 48,704,381.68 50,209,396.77 51,783,128.61 53,429,013.04
Income from Philhealth reimbursement 10,692,000.00 10,692,000.00 10,692,000.00 10,692,000.00 10,692,000.00 17,820,000.00 17,820,000.00 17,820,000.00 17,820,000.00 17,820,000.00
Payments Received for Dialysis Kits

9,028,800.00 9,480,240.00 9,954,252.00 10,451,964.60 10,974,562.83 19,205,484.95 20,165,759.20 21,174,047.16 22,232,749.52 23,344,386.99
Payments Received for Dialyzers 855,000.00 897,750.00 942,637.50 989,769.38 1,039,257.84 1,918,251.19 2,014,163.75 2,114,871.94 2,220,615.53 2,331,646.31
Payments Received from Drugs and
Medicines 1,568,160.00 1,646,568.00 1,724,976.00 1,803,384.00 1,881,792.00 3,267,000.00 3,397,680.00 3,528,360.00 3,659,040.00 3,789,720.00
Payment Received from Utilities 2,376,000.00 2,494,800.00 2,619,540.00 2,750,517.00 2,888,042.85 5,054,074.99 5,306,778.74 5,572,117.67 5,850,723.56 6,143,259.74
Add :
Total Estimated I ncome from Pay
Building Operation 35,521,685.68 37,043,969.96 38,642,368.46 40,320,686.88 42,082,921.22 43,933,267.29 45,876,130.65 47,916,137.18
Revenues from Philhealth Hospital
Reimbursement 22,001,490.00 23,101,564.50 24,256,642.73 25,469,474.86 26,742,948.60 28,080,096.03 29,484,100.84 30,958,305.88
Payment of hospital bills beyond PHIC
Coverage 8,444,195.68 8,866,405.46 9,309,725.73 9,775,212.02 10,263,972.62 10,777,171.25 11,316,029.81 11,881,831.30
Other operating Revenues (from bed
occupancy) 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00
Total Projected I ncome (Phase 1 and 2) 24,519,960.00 25,211,358.00 61,455,091.18 63,731,604.93 66,118,023.98 87,585,498.01 90,787,302.91 94,142,664.06 97,659,259.26 101,345,150.22
Less : Estimated Expenses
Dialysis
Personnel Serv ices 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,541,847.66 4,768,940.04 5,007,387.05 5,257,756.40 5,520,644.22
Dialy sis Kits 6,534,000.00 6,860,700.00 7,203,735.00 7,563,921.75 7,942,117.84 13,898,706.22 14,593,641.53 15,323,323.60 16,089,489.78 16,893,964.27
Dialy zers 688,750.00 723,187.50 759,346.88 797,314.22 837,179.93 1,545,257.90 1,622,520.80 1,703,646.84 1,788,829.18 1,878,270.64
Other Medical Supplies 36,000.00 37,800.00 39,690.00 41,674.50 43,758.23 45,946.14 48,243.44 50,655.62 53,188.40 55,847.82
Janitorial Supplies 24,000.00 25,200.00 26,460.00 27,783.00 29,172.15 30,630.76 32,162.30 33,770.41 35,458.93 37,231.88
Accumulated Depreciation 1,012,500.00 1,012,500.00 1,012,500.00 1,012,500.00 0.00 675,000.00 675,000.00 675,000.00 675,000.00 0.00
Prev entiv e Maintenance 54,000.00 54,000.00 54,000.00 54,000.00 54,000.00 90,000.00 90,000.00 90,000.00 90,000.00 90,000.00
Repairs & Maintenance 0.00 0.00 0.00 0.00 54,000.00 54,000.00 54,000.00 54,000.00 54,000.00 90,000.00
Pow er and U tilities 475,200.00 498,960.00 523,908.00 550,103.40 577,608.57 1,010,815.00 1,061,355.75 1,114,423.53 1,170,144.71 1,228,651.95
T otal Estimated Expenses -Dialysis 13,150,019.20 13,537,916.70 13,945,209.08 14,372,866.07 13,863,405.91 21,892,203.67 22,945,863.85 24,052,207.04 25,213,867.40 25,794,610.77
Add: Estimated Ex penses Pay Building
Salaries & Benefits 5,493,936.24 5,603,814.96 5,715,891.26 5,830,209.09 5,946,813.27 6,065,749.54 6,187,064.53 6,310,805.82
Drugs and Medical Supplies 13,401,527.65 13,669,558.21 13,942,949.37 14,221,808.36 14,506,244.52 14,796,369.41 15,092,296.80 15,394,142.74
Laboratory & X-ray services 2,669,250.24 2,722,635.24 2,777,087.95 2,832,629.71 2,889,282.30 2,947,067.95 3,006,009.31 3,066,129.49
Medical Oxygen 1,610,539.20 1,642,749.98 1,675,604.98 1,709,117.08 1,743,299.43 1,778,165.41 1,813,728.72 1,850,003.30
Utilities 786,542.40 802,273.25 818,318.71 834,685.09 851,378.79 868,406.36 885,774.49 903,489.98
Hospital supplies & consumables 2,091,266.42 2,133,091.75 2,175,753.59 2,219,268.66 2,263,654.03 2,308,927.11 2,355,105.66 2,402,207.77
Repairs and maintenance -
building 240,000.00 288,000.00 345,600.00 414,720.00 497,664.00 597,196.80 716,636.16 859,963.39
machines & equipment 28,800.00 34,560.00 41,472.00 49,766.40 59,719.68 71,663.62 85,996.34 103,195.61
T otal Estimated Expenses -Pay Building 26,321,862.16 26,896,683.40 27,492,677.87 28,112,204.38 28,758,056.02 29,433,546.21 30,142,612.01 30,889,938.09
Total Estimated Expenses (Phase 1 & 2) 13,150,019.20 13,537,916.70 40,267,071.23 41,269,549.47 41,356,083.78 50,004,408.05 51,703,919.88 53,485,753.25 55,356,479.40 56,684,548.86
PROJECTED NET I NCOME (PHASE 1 & 2) 11,369,940.80 11,673,441.30 21,188,019.95 22,462,055.47 24,761,940.20 37,581,089.96 39,083,383.03 40,656,910.80 42,302,779.85 44,660,601.36
*Based on the Implementation Period Table that started on Year 2 Operational Phase
10 Year Projected Cash Flow
Cash I nflow
Subsidy from the Provincial Government (Dialysis) 10,000,000.00
Subsidy from the Provincial Government (Pay Building) 55,000,000.00
Private Sector Investments ( 4 Addl. Dialysis Machines) 4,000,000.00
Private Sector Investments ( Other Medical Equipment -Pay Building) 10,000,000.00
Income from Phase 1 Operation- Dialysis Center
Payments Received for Dialysis Kits 9,028,800.00 9,480,240.00 9,954,252.00 10,451,964.60 10,974,562.83 19,205,484.95 20,165,759.20 21,174,047.16 22,232,749.52 23,344,386.99
Payments Received from Drugs and Medicines 1,568,160.00 1,646,568.00 1,724,976.00 1,803,384.00 1,881,792.00 3,267,000.00 3,397,680.00 3,528,360.00 3,659,040.00 3,789,720.00
Income from Phase 2 Operation- Pay Building
Revenues from Philhealth Hospital Reimbursement 22,001,490.00 23,101,564.50 24,256,642.73 25,469,474.86 26,742,948.60 28,080,096.03 29,484,100.84 30,958,305.88
Payment of hospital bills beyond PHIC Coverage 8,444,195.68 8,866,405.46 9,309,725.73 9,775,212.02 10,263,972.62 10,777,171.25 11,316,029.81 11,881,831.30
Other operating Revenues (from bed occupancy) 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00
Projected Cash I nflow 34,519,960.00 25,211,358.00 61,455,091.18 118,731,604.93 76,118,023.98 91,585,498.01 90,787,302.91 94,142,664.06 97,659,259.26 101,345,150.22
Less : Cash Outflow
Phase 1- Dialysis Center Expenses
Personnel Services 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,541,847.66 4,768,940.04 5,007,387.05 5,257,756.40 5,520,644.22
Dialysis Kits 6,534,000.00 6,860,700.00 7,203,735.00 7,563,921.75 7,942,117.84 13,898,706.22 14,593,641.53 15,323,323.60 16,089,489.78 16,893,964.27
Dialyzers 688,750.00 723,187.50 759,346.88 797,314.22 837,179.93 1,545,257.90 1,622,520.80 1,703,646.84 1,788,829.18 1,878,270.64
Preventive Maintenance 54,000.00 54,000.00 54,000.00 54,000.00 54,000.00 90,000.00 90,000.00 90,000.00 90,000.00 90,000.00
Power and Utilities 475,200.00 498,960.00 523,908.00 550,103.40 577,608.57 1,010,815.00 1,061,355.75 1,114,423.53 1,170,144.71 1,228,651.95
Total Estimated Ex penses -Dialy sis 13,150,019.20 13,537,916.70 13,945,209.08 14,372,866.07 13,863,405.91 21,892,203.67 22,945,863.85 24,052,207.04 25,213,867.40 25,794,610.77
Phase 2 Expenses- Pay Building
Medical Oxygen 1,610,539.20 1,642,749.98 1,675,604.98 1,709,117.08 1,743,299.43 1,778,165.41 1,813,728.72 1,850,003.30
Utilities 786,542.40 802,273.25 818,318.71 834,685.09 851,378.79 868,406.36 885,774.49 903,489.98
Repairs and maintenance - building 240,000.00 288,000.00 345,600.00 414,720.00 497,664.00 597,196.80 716,636.16 859,963.39
Repairs and maintenance - machines & equipment 28,800.00 34,560.00 41,472.00 49,766.40 59,719.68 71,663.62 85,996.34 103,195.61
Add: Building Repairs and Rehabilitation 6,000,000.00 25,000,000.00
Purchase of Equipment and Machines 4,000,000.00 30,000,000.00 10,000,000.00 4,000,000.00
Net Cash Balance 11,369,940.80 11,673,441.30 21,188,019.95 22,462,055.47 24,761,940.20 37,581,089.96 39,083,383.03 40,656,910.80 42,302,779.85 44,660,601.36
Add: Cash Balance, Beginning 0.00 11,369,940.80 23,043,382.10 44,231,402.05 66,693,457.51 91,455,397.71 129,036,487.67 168,119,870.70 208,776,781.51 251,079,561.36
Cash Balance -End 11,369,940.80 23,043,382.10 44,231,402.05 66,693,457.51 91,455,397.71 129,036,487.67 168,119,870.70 208,776,781.51 251,079,561.36 295,740,162.72
Financial Ratios
A. Payback Period = Initial Investment

Cash Inflow per Period
Assumptions :
1. Capital Investments are as follows :
For Phase 1 (Dialysis )

For Ten Dialysis Machines = P 9,000,000.00
Add : Subsidy from PGoB/ Start Up Capital 14,000,000.00
Phase 1 Capital Investment P 23,000,000.00
For Phase 2 (Pay Building) = P 65,000,000.00
Total Capital Investments = P 88,000,000.00
2. Cash In-Flow per Period
Year Amount in PhP

Year 1 34,519,960.00
Year 2 25,211,358.00
Year 3 61,455,091.18
Year 4 118,731,604.93
Year 5 76,118,023.98
Year 6 91,585,498.01
Year 7 90,787,302.91
Year 8 94,142,664.06
Year 9 97,659,259.26
Year 10 101,345,150.22
Total Y1-Y10 791,555,912.54
Payback Period Computed as follows :
= P88,000,000 / P791,555,912.54
= 0.1112 x 12 months
= 1.3344 years ( or 1 year and 4 months)
*The project is expected to get its payback period on the first trimester on its second year of
operation.
Decision Rule : Accept the project only if its payback period is LESS than the target payback period.
B. Profit Margin = Net Income / Total Income
Profit margin indicates the profitability of a product, service, or business. It’s expressed as a percentage; the higher
the number, the more profitable the business.
Based on the succeeding table which presents the profitability of the BPH as an economic enterprise, the highest
profit margin were observed on the first and second year of operation at 46.37% and 46.30%; respectively, with an
over-all profit margin at 41.50% for the ten year operation.

Year Total Income Net Income Profit Margin (%)
Year 1 24,519,960.00 11,369,940.80 46.37
Year 2 25,211,358.00 11,673,441.30 46.30
Year 3 61,455.091.18 21,188,019.95 34.48
Year 4 63,731,604.93 22,462,055.47 35.24
Year 5 66,118,023.98 24,761,940.20 37.45
Year 6 87,555,498.01 37,581,089.96 42.91
Year 7 90,787,302.91 39,083,383.03 43.05
Year 8 94,142,664.08 40,656,910.80 43.19
Year 9 97,659,259.26 42,302,779.85 43.32
Year 10 101,345,150.22 44,660,601.36 44.07
Total Y1-Y10 712,555,912.54 295,740,162.72 41.50
Return of Investments = (Gain on Investment –Cost of Investment)

Cost of Investment
= (P295,740,162.72 – P88,000,000.00)
P88,000,000.00
= 236.07%
Return on Investment (ROI) is the ratio between the net profit and cost of investment resulting from an investment of
some resource. A high ROI means the investment's gains compare favorably to its cost. As a performance measure,
ROI is used to evaluate the efficiency of an investment or to compare the efficiencies of several different investments.
In purely economic terms, it is one way of relating profits to capital invested.
The facility’s ten-year Projected Profit and Loss Statement shows that from Year 1 BPH has started earning from the
operation of its Dialysis Center, which eventually rose upon the start of Phase 2 operation on the third year, and upon
addition of four more dialysis machines on the sixth (6th year).
The project is expected to break even at the start of the fifth (5th) month on its second year; as based on the payback
period ratio of 1.3344 years; which is computed as the number of years after the commencement of the project up to
which it breaks even. It is expected that by the end of its fifth year of peration, BPH could have a full recovery of its
capital investment of P88M.
As a sound indicator of good management, a profit margin of at least 33% of the cost price, makes sufficient return
that will make possible for a continuous business. In this case, the profit margin of the facility as based from its net
income as against total income is 41.50%; which is way over the 33%.
On the other hand, BPH as an economic enterprise has the capacity to double, or more appropriately more than
double its investment of P88,000,000.00, with its Return of Investment at 236.07%.
Furthermore, the operationalization of the facility as an economic enterprise opens venues for a more enhanced
hospital, medical and health care service provider in the province. Facility-related business ventures also generate
jobs that will help ease the unemployment problems in the area.
With reference to the hospital bed availability in the province, as mentioned in the earlier part of this report,
additional 15 beds and medical service availability will help lessen the shortfalls in the available accommodations;
thus backing-up other health promotion initiatives of the province.
Based on these, the province may proceed with the operationalization of the BPH as an economic enterprise and
continuous engagement with a competent and skilful managerial team from the provincial government to handle the
undertaking will help allow for a continuous and progressive operation.

Prepared by:
BELINDA P. CELEMIN
Noted by:
BENJAMIN I. BAUSAS
PGDH-PPDC
With the Support and Assistance of PPDO and BPH Technical Working Group
PPDO
Ms. Marisa M. Mendoza, PGADH
Engr. Leda P. Velasquez, PEO IV
Belinda P. Celemin, PEO III
G.C. Laurence D. Hernandez, Statistician I
Myralyn B. Almero, Economic Researcher
PHO
Ms. Margie DC Endaya, MHO, Administrative Officer V
Data Sources :
Local Government Code of 1991

Comprehensive Land Use Plan-Lemery, Batangas
Provincial Development and Physical Framework Plan 2014-2022, Batangas
Provincial Development Investment Program 2017-2022, Batangas
Batangas Medical Center
Municipal Health Office, Lemery
Municipal Planning and Development Office, Lemery
Revised Organizational Structure and Staffing Standards for Government Hospitals, 2013
DBM-DOH JMC 1, S 2016
DBM-DOH JMC 1 S 2012
Memorandum Circular No. 007-Salary Standardization Law
Provincial Budget Office

PROVINCIAL PLANNING AND DEVELOPMENT OFFICE

Capitol Compound, Batangas City
Tel. Nos.(043)786-0568 TeleFax No. 043-722-2359
PROPOSED PROVINCIAL HEALTH OFFICE DIALYSIS UNIT AS LOCAL ECONOMIC ENTERPRISE
Given Factors :
Costs:
Hemodialysis (HD) Machine with Lazy Boy P 900,000.00 / unit
Supplies
Dialyzer P 1,450.00 / pc
Dialysis Kit 1,375.00 / kit
Present Personnel Set-up
Medical Specialist I
Nurse I
Nursing Attendant 1
Utility Worker 1
Philhealth :
 The Case Rate for hemodialysis is P2,600 per session

 Covers both inpatient and outpatient procedures including emergency dialysis procedures for acute
renal failure
 90 days benefit limit: One session is equivalent to one day deduction from the 90 allowable days per
year
 If procedure is done during confinement, only the total number of confinement days shall be deducted
 The procedure is exempted from Single Period of Confinement rule (admissions and re-admissions due
to same illness or procedure within 90-calendar day period)
 Availment condition: Member must have at least three (3) months’ premium contributions within the
immediate six (6) months prior to the month of availment
 Where available: All Accredited HCIs – this benefit is no longer restricted to hospitals and free standing
dialysis centers provided that the service is within their capability as provided for in the DOH license
Assumptions :
I. Based from the Data of PHO-Lemery
 6 HD Machines x P900,000.00 = P5,400,000.00

 HD Machine Estimated/ Expected Life - 3 to 4 years
 Straight Line Depreciation Method will be used; which means that the cost of the asset is spread out
equally over the expected life of the asset.
Computation : Cost- Residual Value / No. of Years
Page 1 of 4
 Dialysis Kits and Dialyzers Cost for Year 1
4,752 Dialysis Kits x P1,375 = 6,534,000.00

475 Dialyzers x P1,450.00 = 688,750.00
 Personnel Expense ( using 4th Tranche SSL)
Year 1
Medical Specialist (1) - P 1,558,223.28
Nurse I ( 4 ) - 1,774,340.80
Nursing Attendant I (2) - 687,425.60
Utility Worker I (1) - 305,579.52
P 4,325,569.20
 Estimated life used for HD Machine -4 years
P5,400,000.00 / 4 = P 1,350,000.00
 Income from Philhealth P2,250.00 / session (P2600.00 less P350.00 PF)

 ( for the 1st five years) 3 sessions per machine
= P2,250.00 x 3 sessions x 6 machines x 22 days x 12 months =
10,692,000.00
 ( from 6th to 10th year )
= P2,250.00 x 3 sessions x 10 machines x 22 days x 12 months = 17,820,000.00
 Utilities cost per patient (1st year) = P100.00 @ 3 sessions / machine x 22 days x 12
 Actual hospital charges to patients for utilities (1st year) = P500.00 @ 3 sessions / machine x 22 days x
12
II. Other Assumptions :
 Payments received for Dialyzers, initial cost (Year 1) is based form the actual charges by PHO
= P1,800.00 per patient
 Payments received for Dialysis Kits, initial cost (Year 1) is based form the actual charges by PHO
= P1,900.00 per patient
 Payments received for utilities charges, initial charges (Year 1) is based form the actual charges by
PHO P500.00 per patient
III. Other Considerations
DOH requirements as per DOH Administrative Order No. 163 s. 2004 as amended by Administrative Order No.
2006-0037; to wit:
A. Technical Requirements :
1. Personnel
There shall be a sufficient number of qualified personnel to carry out the functions of the clinic;
which are as follows :
a) A Board Certified Nephrologist; in case where there is none; a board certified
physician may be head of the clinic for a maximum of 3 years.
b) A Duty Physician – who must be physically available on clinic hours. Standard ratio
for physician to patient is 1:15
c) Dialysis Nurse - trainings and experience enumerated in the AO; ratio of nurse to
patient bed - 1 : 4
d) Dialysis Technician ( required per AO 163; optional per AO 2006-0037)
e) Administrative Personnel
Page 2 of 4
2. Physical Plant
a) Dialysis Station - not less than 8 sq. m. to accommodate a chair or bed, dialysis
equipment and emergency equipment if needed. Separate dialysis machine shall be
designated solely for use of Hepa B and C patients.
b) Nursing Station – must be located in area that allows adequate surveillance of
patients.
c) Storage Area- for sterile instruments / supplies and other materials
d) Work Area – work counter, hand washing sink, storage cabinets
e) Toilet facility
f) Water Treatment Area
g) Non-treatment area
h) Water supply – must be adequate in volume and pressure, bacteria analysis –once a
month / chemical analysis – every six months, and treated in accordance with the
provisions of Association of Advancement of Medical Instrumentation (AAMI) to
maintain a continuous water supply that is biologically and chemically compatible with
dialysis techniques
i) Plumbing – must prevent backflow or cross contamination between potable and non-
potable water supplies
j) Suitable Ventilation- to maintain comfortable room temperature
k) Sufficient intensity of illumination
3. Equipment / Supplies
a) Stethoscope – 3 units
b) Sphygmomanometer – 3 units
c) Examining light
d) Oxygen Unit with gauge
e) Minor surgical instrument set
f) Instrument Table
g) Dialysis Machines – at least one of the dialysis machine uses bicarbonate as
dialysate buffer
h) Dialysis Chairs
i) E-Cart with supplies and emergency drugs
j) Goose neck lamp
k) Standby Rechargeable light
l) Sterilizer
m) ECG Machine
n) Suction Machine
o) Defibrillator with cardiac monitor
p) Stretcher
q) Wheelchair
r) Standby Generator (at least 20 KVA)
s) Fire Extinguisher
t) Ambulance
u) Water treatment equipment
v) Acceptable Disinfectant for re-use procedure
Page 3 of 4
Notes Re: Technical Requirements
1. Personnel
a) A Board Certified Nephrologist – none in the present set-up

b) A Duty Physician – none in the present set-up
c) Dialysis Nurse - trainings and experience enumerated in the AO; ratio of nurse to
patient bed -( 1 : 4 ) – present set up is sufficient and compliant per 6 bed / 6 dialysis
unit / 2 shifts
d) Dialysis Technician ( required per AO 163; optional per AO 2006-0037)- none in the
present set up ( but may be recommended)
e) Administrative Personnel – none in the present set up
f) Utility Worker- not required, but is present in the PHO set up
2. Physical Plant - for compliance to the required standards, ( i.e. for area, plumbing, lighting
and ventilation) inspection by an engineer is recommended.
Suggestions from PHO –dialysis staff

 Re-installation of water pipes
 Inspection / increase area for dialyzer Reprocessor Area / Reverse Osmosis Machine
 Additional Air conditioning Units
 Need to install dialyzer racks – 1 per patient
3. Equipment / Supplies – inventory of the presence of the required supplies is needed
IV. Recommendations :
 Per projections presented based on the actual data / charges of BPH Lemery and assumptions for other
basic accounts, the viability / profitability of the proposal is likely to be expected; however, it is still
recommended to tap other sources of revenues that may have been overlooked in the preparation of
this initial study; like the possibility of drug and medicine consignment (like what is being done with BPH
proper.
 Inventory of supplies, equipment and materials needs to be undertaken to assure sufficiency /
compliance to DOH regulations and policies; / if non-existent then procurement is recommended for
costing / projection
 Physical Plant - inspection by an engineer is recommended
Prepared by:
BELINDA P. CELEMIN
Project Evaluation Officer III
Noted by:
BENJAMIN I. BAUSAS
PGDH-PPDC
Page 4 of 4
BPH as an Economic Enterprise –Implementation Period
Year 1 Year 2 Year 3 Year 4 Onwards Year 5 Year 6 Onwards

Activities Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

1
2 Phase 1 : Dialysis Center
2.1
a. Dialysis Station
b. Nursing Station
c. Storage Area
d. Work Area
e. T oilet Facilities
f. Water T reatment Area
g. Non T reatment Area
h. Water Supply
i. Plumbing
j. Ventilation
k. Illumination
T here shall be a sufficient number of qualified
personnel to carry out the functions of the dialysis unit.
Procurement / Acquisition of Additional Equipment and
2.3.
Supplies
2.4. Operation of Dialysis Unit as Economic Enterprise
3 Phase 2 : Operation of Pay Building
3.1
3.2
Phase 3 : Batangas Provincial Hospital (BPH) as
4
Economic Enterprise
4.1
4.2
4.6 Full Operationalization (Phase 1 to 3)
Batangas Provincial Hospital -Pay Building Projected Income Statement
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Notes to projections
OPERATING REVENUES
Reimbursement 19,956,000.00 20,953,800.00 22,001,490.00 23,101,564.50 24,256,642.73 25,469,474.86 26,742,948.60 28,080,096.03 29,484,100.84 30,958,305.88 Assume 5% increase in revenues yearly.
Payment of hospital bills beyond
PHIC Coverage 7,659,134.40 8,042,091.12 8,444,195.68 8,866,405.46 9,309,725.73 9,775,212.02 10,263,972.62 10,777,171.25 11,316,029.81 11,881,831.30 Assume 5% increase
15 bed capacity; in revenues
charge yearly.
of 13 regular rooms of P900/day
Other operating Revenues (from and P1200/day for 2 deluxe rooms. For 2019: 7 rooms at
bed occupancy) 3,996,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 900/room for 90 days; 2020:12 rooms at 900/room and 1
Total Projected Operating
Revenues 31,611,134.40 34,071,891.12 35,521,685.68 37,043,969.96 38,642,368.46 40,320,686.88 42,082,921.22 43,933,267.29 45,876,130.65 47,916,137.18
OPERATING EXPENSES
Salaries & Benefits 5,280,600.00 5,386,212.00 5,493,936.24 5,603,814.96 5,715,891.26 5,830,209.09 5,946,813.27 6,065,749.54 6,187,064.53 6,310,805.82 Assume 2% increase per year
Drugs and Medical Supplies 12,881,130.00 13,138,752.60 13,401,527.65 13,669,558.21 13,942,949.37 14,221,808.36 14,506,244.52 14,796,369.41 15,092,296.80 15,394,142.74 Assume 2% increase per year
Laboratory & X-ray services 2,565,600.00 2,616,912.00 2,669,250.24 2,722,635.24 2,777,087.95 2,832,629.71 2,889,282.30 2,947,067.95 3,006,009.31 3,066,129.49 Assume 2% increase per year
Medical Oxygen 1,548,000.00 1,578,960.00 1,610,539.20 1,642,749.98 1,675,604.98 1,709,117.08 1,743,299.43 1,778,165.41 1,813,728.72 1,850,003.30 Assume 2% increase per year
Utilities (light, water and telephone) 756,000.00 771,120.00 786,542.40 802,273.25 818,318.71 834,685.09 851,378.79 868,406.36 885,774.49 903,489.98 Assume 2% increase per year
Hospital supplies & consumables 2,010,060.00 2,050,261.20 2,091,266.42 2,133,091.75 2,175,753.59 2,219,268.66 2,263,654.03 2,308,927.11 2,355,105.66 2,402,207.77 Assume 2% increase per year
As per recommendation of an electrical engineer / electrician
Repairs and maintenance - total rehabilitation of electrical system is needed. Assumes
building 1,000,000.00 200,000.00 240,000.00 288,000.00 345,600.00 414,720.00 497,664.00 597,196.80 716,636.16 859,963.39 20% increase on the 3rd year and succeeding years
Repairs and maintenance - Preventive maintenance will be done on the machines &
machines & equipment 20,000.00 24,000.00 28,800.00 34,560.00 41,472.00 49,766.40 59,719.68 71,663.62 85,996.34 103,195.61 equipment every year w/ 20% increase per year
Total operating Expenses 26,061,390.00 25,766,217.80 26,321,862.16 26,896,683.40 27,492,677.87 28,112,204.38 28,758,056.02 29,433,546.21 30,142,612.01 30,889,938.09
PROJECTED OPERATING
5,549,744.40 8,305,673.32 9,199,823.52 10,147,286.56 11,149,690.59 12,208,482.50 13,324,865.20 14,499,721.08 15,733,518.64 17,026,199.09
INCOME
Assumptions :
1. Assume a 5% annual increase on Revenues from Philhealth Hospital Reimbursement and Payment of hospital bills beyond PHIC Coverage
2. For Other operating Revenues (from bed occupancy)- 15 bed capacity; charge of 13 regular rooms of P900/day and P1200/day for 2 deluxe rooms. For 2019: 7 rooms at 900/room for 90
days; 2020:12 rooms at 900/room and 1 room@1200 for 360 days; 2021onwards: full capacity
3. Assume a 2% annual increase on the following expenses :

Salaries & Benefits
Drugs and Medical Supplies
Laboratory & X-ray services
Medical Oxygen
Utilities (light, water and telephone)
Hospital supplies & consumables
4. As per recommendation of an electrical engineer / electrician total rehabilitation of electrical system is needed. Assumes 20% increase on the 3rd year and succeeding years
5. Preventive maintenance will be done on the machines & equipment every year w/ 20% increase per year
Batangas Provincial Hospital Economic Enterprise Projected Income Statement -Phase 1 and 2
Total Estimated I ncome from Dialysis
Center Operation 24,519,960.00 25,211,358.00 25,933,405.50 26,687,634.98 27,475,655.52 47,264,811.13 48,704,381.68 50,209,396.77 51,783,128.61 53,429,013.04

9,028,800.00 9,480,240.00 9,954,252.00 10,451,964.60 10,974,562.83 19,205,484.95 20,165,759.20 21,174,047.16 22,232,749.52 23,344,386.99
Medicines 1,568,160.00 1,646,568.00 1,724,976.00 1,803,384.00 1,881,792.00 3,267,000.00 3,397,680.00 3,528,360.00 3,659,040.00 3,789,720.00
Add :
Total Estimated I ncome from Pay
Building Operation 35,521,685.68 37,043,969.96 38,642,368.46 40,320,686.88 42,082,921.22 43,933,267.29 45,876,130.65 47,916,137.18
Reimbursement 22,001,490.00 23,101,564.50 24,256,642.73 25,469,474.86 26,742,948.60 28,080,096.03 29,484,100.84 30,958,305.88
Payment of hospital bills beyond PHIC
Coverage 8,444,195.68 8,866,405.46 9,309,725.73 9,775,212.02 10,263,972.62 10,777,171.25 11,316,029.81 11,881,831.30
Other operating Revenues (from bed
occupancy) 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00
Total Projected I ncome (Phase 1 and 2) 24,519,960.00 25,211,358.00 61,455,091.18 63,731,604.93 66,118,023.98 87,585,498.01 90,787,302.91 94,142,664.06 97,659,259.26 101,345,150.22
Less : Estimated Expenses
Dialysis
Personnel Serv ices 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,541,847.66 4,768,940.04 5,007,387.05 5,257,756.40 5,520,644.22
Dialy sis Kits 6,534,000.00 6,860,700.00 7,203,735.00 7,563,921.75 7,942,117.84 13,898,706.22 14,593,641.53 15,323,323.60 16,089,489.78 16,893,964.27
Dialy zers 688,750.00 723,187.50 759,346.88 797,314.22 837,179.93 1,545,257.90 1,622,520.80 1,703,646.84 1,788,829.18 1,878,270.64
Prev entiv e Maintenance 54,000.00 54,000.00 54,000.00 54,000.00 54,000.00 90,000.00 90,000.00 90,000.00 90,000.00 90,000.00
Pow er and U tilities 475,200.00 498,960.00 523,908.00 550,103.40 577,608.57 1,010,815.00 1,061,355.75 1,114,423.53 1,170,144.71 1,228,651.95
T otal Estimated Expenses -Dialysis 13,150,019.20 13,537,916.70 13,945,209.08 14,372,866.07 13,863,405.91 21,892,203.67 22,945,863.85 24,052,207.04 25,213,867.40 25,794,610.77
Add: Estimated Ex penses Pay Building
Medical Oxygen 1,610,539.20 1,642,749.98 1,675,604.98 1,709,117.08 1,743,299.43 1,778,165.41 1,813,728.72 1,850,003.30
Utilities 786,542.40 802,273.25 818,318.71 834,685.09 851,378.79 868,406.36 885,774.49 903,489.98
building 240,000.00 288,000.00 345,600.00 414,720.00 497,664.00 597,196.80 716,636.16 859,963.39
machines & equipment 28,800.00 34,560.00 41,472.00 49,766.40 59,719.68 71,663.62 85,996.34 103,195.61
Total Estimated Expenses (Phase 1 & 2) 13,150,019.20 13,537,916.70 40,267,071.23 41,269,549.47 41,356,083.78 50,004,408.05 51,703,919.88 53,485,753.25 55,356,479.40 56,684,548.86
PROJECTED NET I NCOME (PHASE 1 & 2) 11,369,940.80 11,673,441.30 21,188,019.95 22,462,055.47 24,761,940.20 37,581,089.96 39,083,383.03 40,656,910.80 42,302,779.85 44,660,601.36
*Based on the Implementation Period Table that started on Year 2 Operational Phase
10 Year Projected Cash Flow (Phase 1 & 2)
Cash I nflow
Subsidy from the Provincial Government (Dialysis) 10,000,000.00
Subsidy from the Provincial Government (Pay Building) 55,000,000.00
Private Sector Investments ( 4 Addl. Dialysis Machines) 4,000,000.00
Private Sector Investments ( Other Medical Equipment -Pay Building) 10,000,000.00
Income from Phase 1 Operation- Dialysis Center
Payments Received for Dialysis Kits 9,028,800.00 9,480,240.00 9,954,252.00 10,451,964.60 10,974,562.83 19,205,484.95 20,165,759.20 21,174,047.16 22,232,749.52 23,344,386.99
Payments Received from Drugs and Medicines 1,568,160.00 1,646,568.00 1,724,976.00 1,803,384.00 1,881,792.00 3,267,000.00 3,397,680.00 3,528,360.00 3,659,040.00 3,789,720.00
Income from Phase 2 Operation- Pay Building
Revenues from Philhealth Hospital Reimbursement 22,001,490.00 23,101,564.50 24,256,642.73 25,469,474.86 26,742,948.60 28,080,096.03 29,484,100.84 30,958,305.88
Payment of hospital bills beyond PHIC Coverage 8,444,195.68 8,866,405.46 9,309,725.73 9,775,212.02 10,263,972.62 10,777,171.25 11,316,029.81 11,881,831.30
Other operating Revenues (from bed occupancy) 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00
Projected Cash I nflow 34,519,960.00 25,211,358.00 61,455,091.18 118,731,604.93 76,118,023.98 91,585,498.01 90,787,302.91 94,142,664.06 97,659,259.26 101,345,150.22
Less : Cash Outflow
Phase 1- Dialysis Center Expenses
Personnel Services 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,541,847.66 4,768,940.04 5,007,387.05 5,257,756.40 5,520,644.22
Dialysis Kits 6,534,000.00 6,860,700.00 7,203,735.00 7,563,921.75 7,942,117.84 13,898,706.22 14,593,641.53 15,323,323.60 16,089,489.78 16,893,964.27
Dialyzers 688,750.00 723,187.50 759,346.88 797,314.22 837,179.93 1,545,257.90 1,622,520.80 1,703,646.84 1,788,829.18 1,878,270.64
Total Estimated Ex penses -Dialy sis 13,150,019.20 13,537,916.70 13,945,209.08 14,372,866.07 13,863,405.91 21,892,203.67 22,945,863.85 24,052,207.04 25,213,867.40 25,794,610.77
Phase 2 Expenses- Pay Building
Medical Oxygen 1,610,539.20 1,642,749.98 1,675,604.98 1,709,117.08 1,743,299.43 1,778,165.41 1,813,728.72 1,850,003.30
Utilities 786,542.40 802,273.25 818,318.71 834,685.09 851,378.79 868,406.36 885,774.49 903,489.98
Repairs and maintenance - building 240,000.00 288,000.00 345,600.00 414,720.00 497,664.00 597,196.80 716,636.16 859,963.39
Repairs and maintenance - machines & equipment 28,800.00 34,560.00 41,472.00 49,766.40 59,719.68 71,663.62 85,996.34 103,195.61
Add: Building Repairs and Rehabilitation 6,000,000.00 25,000,000.00
Purchase of Equipment and Machines 4,000,000.00 30,000,000.00 10,000,000.00 4,000,000.00
Net Cash Balance 11,369,940.80 11,673,441.30 21,188,019.95 22,462,055.47 24,761,940.20 37,581,089.96 39,083,383.03 40,656,910.80 42,302,779.85 44,660,601.36
Add: Cash Balance, Beginning 0.00 11,369,940.80 23,043,382.10 44,231,402.05 66,693,457.51 91,455,397.71 129,036,487.67 168,119,870.70 208,776,781.51 251,079,561.36
Cash Balance -End 11,369,940.80 23,043,382.10 44,231,402.05 66,693,457.51 91,455,397.71 129,036,487.67 168,119,870.70 208,776,781.51 251,079,561.36 295,740,162.72
I. INCOME PROJECTIONS
1a Philhealth Case Rate for Dialysis P2,600.00 1c 1st to 5th year 6 machines will be used
Less: Professional Fee P350.00 6 x 3 x 22 x 12 x P2,250 = P10,692,000.00
Net P2,250.00 1d 6th to 10th year 6 machines will be used
1b No. of HD sessions accomodated per machine - 3 6 x 3 x 22 x 12 x P2,250 = P10,692,000.00
plus : 4 x 3 x 22 x 12 x P2,250 = P7,128,000.00
Total for 10 machines P17,820,000.00
10,692,000.00 10,692,000.00 10,692,000.00 10,692,000.00 10,692,000.00 17,820,000.00 17,820,000.00 17,820,000.00 17,820,000.00 17,820,000.00
2a Payments for Dialysis Kits

Add: 5% increase from Year 2 to 10 from the original amount given by PHO
Cost 1,900.00 1,995.00 2,094.75 2,199.49 2,309.46 2,424.93 2,546.18 2,673.49 2,807.17 2,947.52
Amt 9,028,800.00 9,480,240.00 9,954,252.00 10,451,964.60 10,974,562.83 19,205,484.95 20,165,759.20 21,174,047.16 22,232,749.52 23,344,386.99
Note: (P 1,900.00 x 4752 =P 9,028,800.00) Actual Hospital Charge from BPH (P 1,375.00 x 4752 = P 6,534,000.00) Acquisition Cost
3a Payments for Dialyzers

Add: 5% increase from Year 2 to 10 from the original amount given by PHO
Cost 1800.00 1,890.00 1,984.50 2,083.73 2,187.91 2,297.31 2,412.17 2,532.78 2,659.42 2,792.39
Amt 855,000.00 897,750.00 942,637.50 989,769.38 1,039,257.84 1,918,251.19 2,014,163.75 2,114,871.94 2,220,615.53 2,331,646.31
Note: (P 1,800.00 x 475 =P 855,000.00) Actual Hospital Charge from BP H (P 1,450.00 x 475 = P 688,750) Acquisition Cost
4a Payments for Drugs and Medicine
Assumption : Ave. Medicine Cost per patient = P300.00 10% Mark-up as per SP Ordinance # (Hospital Drug Consignment)
No. of patients per day Year 1 to 5 3 x 6 x 22 x 12=4752
Year 6 to 10 3 x 10 x 22 x 12=7,920
Cost/P 300.00 315.00 330.00 345.00 360.00 375.00 390.00 405.00 420.00 435.00
Pmt. 330.00 346.50 363.00 379.50 396.00 412.50 429.00 445.50 462.00 478.50
Amt. 1,568,160.00 1,646,568.00 1,724,976.00 1,803,384.00 1,881,792.00 3,267,000.00 3,397,680.00 3,528,360.00 3,659,040.00 3,789,720.00
5a Payments Received for Utilities

Add: 5% increase from Year 2 to 10 from the original amount given by PHO (P500.00 actual charges per patient for Year 1)
Cost 500.00 525.00 551.25 578.81 607.75 638.14 670.05 703.55 738.73 775.66
Amt. 2,376,000.00 2,494,800.00 2,619,540.00 2,750,517.00 2,888,042.85 5,054,074.99 5,306,778.74 5,572,117.67 5,850,723.56 6,143,259.74
II. Expense Projections
1. Personal Services - SSL 4th Tranche
SUBSIS-
Monthly HAZARD TOTAL MONTHLY X
Positions SG Clothing All. GSIS PAG-IBIG PHIC TENCE /
Salary PAY MONTHLY 12
LAUNDRY
Medical Specialist SG 25 95,083.00 6,000.00 4,750.47 1,055.66 437.50 3,694.81 1,650.00 112,671.44 1,352,057.28
Nurse 1 SG 11 20,754.00 6,000.00 1,765.80 392.40 237.50 1,373.40 1,650.00 32,173.10 386,077.20
Nursing Attendant SG 6 14,847.00 6,000.00 1,093.95 243.10 150.00 850.85 1,650.00 24,834.90 298,018.80
Utility Worker SG 3 12,466.00 6,000.00 906.48 201.44 125.00 705.04 1,650.00 22,053.96 264,647.52
No. of Total Annual x

TOTAL MONTHLY X 13 & 14th
Cash Gift PEI UNIFORM Total Annual Personnel per No. of
MONTHLY 12 MONTH
Position Personnel
112,671.44 1,352,057.28 190,166.00 5,000.00 5,000.00 6,000.00 1,558,223.28 1 1,558,223.28
32,173.10 386,077.20 41,508.00 5,000.00 5,000.00 6,000.00 443,585.20 4 1,774,340.80
24,834.90 298,018.80 29,694.00 5,000.00 5,000.00 6,000.00 343,712.80 2 687,425.60
22,053.96 264,647.52 24,932.00 5,000.00 5,000.00 6,000.00 305,579.52 1 305,579.52
Total Estimated Cost of Personal Services 4,325,569.20
Assume : The same amount will be expended from years 1 to 5 , from years 6 onwards, a 5% annual increase thereafter, as follows:
4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,541,847.66 4,768,940.04 5,007,387.05 5,257,756.40 5,520,644.22
2. Accumulated Depreciation-Dialysis Machines
Year 1 to 5 Year 6 to 10
No. of Units 6 units No. of Units - 4 units 4 units
Acquisition Cost P900,000.00 Acquisition Cost -P900,000.00 P900,000.00
Total Acquisition Cost for 6 Machines P5,400,000.00 Total Acquisition Cost for 4 Machines P3,600,000.00
Estimated Life 4 years 4 years Estimated Life - 4 years 4 years
Salvage Value P1,350,000.00 Salvage Value P900,000.00
Computation for Accumulated Depreciation

P5,400,000.00 - P1,350,000.00= 4,050,000.00 / 4 P3,600,000.00 - P900,000.00 = P2,700,000.00 / 4
Total Accumulated Depreciation =P 1,012,500.00 Total Accumulated Depreciation =P 675,000.00
Assume : The same amount will be expended from years 1 to5 , from years 6 onwards, a 5% annual increase thereafter, as follows:
1,012,500.00 1,012,500.00 1,012,500.00 1,012,500.00 0.00 675,000.00 675,000.00 675,000.00 675,000.00 0.00
3. Dialysis Kits
No. of Kits 4,752 No. of Kits Years 1 to 5 4,752
Initial Cost /kit (Yr.1) P1,375.00 Additional No. of Kits 3,168
Total Cost at Year 1 P6,534,000.00 Cost /kit (Yr.5) 1,671.32
Total No. of Kits from Yr 6 to 10 7,920
Assumption: 5% annual increase on cost
Cost / Kit 1,375.00 1,443.75 1,515.94 1,591.73 1,671.32 1,754.89 1,842.63 1,934.76 2,031.50 2,133.08
Total Cost 6,534,000.00 6,860,700.00 7,203,735.00 7,563,921.75 7,942,117.84 13,898,706.22 14,593,641.53 15,323,323.60 16,089,489.78 16,893,964.27
4. Dialyzer
No. of Dialyzers 475 No. of Dialyzers Years 1 to 5 475
Initial Cost /kit (Yr.1) P1,450.00 Additional No. of Kits 360
Total Cost at Year 1 P665,000.00 Dialyzer Cost (Yr.5) 1,762.48
Total No. of Kits from Yr 6 to 10 835
Assumption: 5% annual increase on cost
Cost / Unit 1,450.00 1,522.50 1,598.63 1,678.56 1,762.48 1,850.61 1,943.14 2,040.30 2,142.31 2,249.43
Total Cost 688,750.00 723,187.50 759,346.88 797,314.22 837,179.93 1,545,257.90 1,622,520.80 1,703,646.84 1,788,829.18 1,878,270.64
5. Drugs and Medicines

Assumption : Ave. Medicine Cost per patient = P300.00 Year 1 1,425,600.00
No. of patients per day Year 1 to 5 3 x 6 x 22 x 12=4752 Assumption: 5% increase in medicine cost from Year 2 to 10
Year 6 to 10 3 x 10 x 22 x 12=7,920
Cost/P 300.00 315.00 330.00 345.00 360.00 375.00 390.00 405.00 420.00 435.00
Amt. 1,425,600.00 1,496,880.00 1,568,160.00 1,639,440.00 1,710,720.00 2,970,000.00 3,088,800.00 3,207,600.00 3,326,400.00 3,445,200.00
5. Preventive Maintenance
No. of HD Machines 6 No. of HD Machines 4
Initial Cost /machine (Yr.1) P900,000.00 Cost / Machine P900,000.00
Total Cost at Year 1 P5,400,000.00 Total Additional Cost P3,600,000.00
Add: Cost of 6 Machines (Yr 1 to 5) P5,400,000.00
TotalCost of 10 Machines P9,000,000.00
Assumption: Preventive is at 1 % of total acquistion cost of machines = 54,000.00
54,000.00 54,000.00 54,000.00 54,000.00 54,000.00 90,000.00 90,000.00 90,000.00 90,000.00 90,000.00
6. Repairs & Maintenance

No. of HD Machines 6 No. of HD Machines 4
Initial Cost /machine (Yr.1) P900,000.00 Cost / Machine P900,000.00
Total Cost at Year 1 P5,400,000.00 Total Additional Cost P3,600,000.00
Add: Cost of 6 Machines (Yr 1 to 5) P5,400,000.00
TotalCost of 10 Machines P9,000,000.00
Assumption: Repairs and maintence maintenance is at 1 % of total acquistion cost of machines and will start after the 4th year of machines, hence
repairs & maintenance expenses will be on the 5th to 9th year for the 6 machines and on the 10th year for all the machines.
0.00 0.00 0.00 0.00 54,000.00 54,000.00 54,000.00 54,000.00 54,000.00 90,000.00
7. Other Medical Supplies

Year 1 to 10
Initial Cost = P 3,000 / month = P36,000.00 for the first year
Assumption : 5% increase annually
36,000.00 37,800.00 39,690.00 41,674.50 43,758.23 45,946.14 48,243.44 50,655.62 53,188.40 55,847.82
8. Janitorial Supplies
Year 1 to 10
Initial Cost = P 2,000 / month = P24,000.00 for the first year
24,000.00 25,200.00 26,460.00 27,783.00 29,172.15 30,630.76 32,162.30 33,770.41 35,458.93 37,231.88
9. Power and Utilities

Given amount by BPH P100 / patient
Cost 100.00 105.00 110.25 115.76 121.55 127.63 134.01 140.71 147.75 155.13
Amt 475,200.00 498,960.00 523,908.00 550,103.40 577,608.57 1,010,815.00 1,061,355.75 1,114,423.53 1,170,144.71 1,228,651.95
Batangas Provincial Dialysis Center
Projected Income Statement
Income from Operation (Philhealth) 10,692,000.00 10,692,000.00 10,692,000.00 10,692,000.00 10,692,000.00 17,820,000.00 17,820,000.00 17,820,000.00 17,820,000.00 17,820,000.00

9,028,800.00 9,480,240.00 9,954,252.00 10,451,964.60 10,974,562.83 19,205,484.95 20,165,759.20 21,174,047.16 22,232,749.52 23,344,386.99
Medicines 1,568,160.00 1,646,568.00 1,724,976.00 1,803,384.00 1,881,792.00 3,267,000.00 3,397,680.00 3,528,360.00 3,659,040.00 3,789,720.00
Total Estimated Income 24,519,960.00 25,211,358.00 25,933,405.50 26,687,634.98 27,475,655.52 47,264,811.13 48,704,381.68 50,209,396.77 51,783,128.61 53,429,013.04
Less : Personnel Services 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,325,569.20 4,541,847.66 4,768,940.04 5,007,387.05 5,257,756.40 5,520,644.22
Dialysis Kits 6,534,000.00 6,860,700.00 7,203,735.00 7,563,921.75 7,942,117.84 13,898,706.22 14,593,641.53 15,323,323.60 16,089,489.78 16,893,964.27
Dialyzers 688,750.00 723,187.50 759,346.88 797,314.22 837,179.93 1,545,257.90 1,622,520.80 1,703,646.84 1,788,829.18 1,878,270.64
Total Estimated Expenses 13,150,019.20 13,537,916.70 13,945,209.08 14,372,866.07 13,863,405.91 21,892,203.67 22,945,863.85 24,052,207.04 25,213,867.40 25,794,610.77
Net Income / Loss 11,369,940.80 11,673,441.30 11,988,196.43 12,314,768.91 13,612,249.61 25,372,607.46 25,758,517.83 26,157,189.72 26,569,261.21 27,634,402.27
Assumptions: ( 1st to 5th Year)
1. Year 1 to 5 = 6 HD machines @ P900,000.00 = P5,400,000.00
2. Accumulated Depreciation - Estimated Life - 4 years
P5,400,000 - P1,350,000 = P4,050,000 / 4 = P1,012,500.00
Year 5 - 0 Depreciation Cost
3. Personal Services (Use 4th Tranche SSL all Step 1)
1 Med. Specialist -SG 25 1,558,223.28.00
4 Nurse 1-SG 11 1,774,340.80
2 Nursing Attendant -SG 6 687,425.60
1 Utility Worker -SG 3 305,579.52 4,325,569.20
Page 8 of 11
4. Dialysis Kits (Acquisition Cost) 4,752 pcs x P1,375.00 = P 6,534,000.00
Assume : 5% mark-up from year 2 to 5
5. Dialyzers (Acquisition Cost) 4,752 pcs x P 1,450.00 = P 6,890,400.00
6. Other Medical Supplies 2,400.00 x 12 = P28,800.00
7. Janitorial Supplies P3,000 x 12 = P36,000.00
8. Power & Utilities (Given by BPH) P475,200 for f=Yr. 1 plus 5% for succeeding years (P 100.00 per patient x 3 x 6 x 22 x 12= P 475,200.00)
9. Projected Income - (@ 3 sessions per machine) = P2,250 x 3 x 6 x 22 days x 12 months = P10,692,000.00
Assumptions: ( 6th to 10th Year)
1. Year 6 to 10 = 6 HD machines + 4 additional machines @ P900,000.00 = P3,600,000.00
2. Accumulated Depreciation - Estimated Life - 4 years
P3,600,000 - P900,000 = P2,700,000 / 4 = P675,000.00
Year 10 - 0 Depreciation Cost
3. Personal Services (Use 4th Tranche SSL all Step 1)
1 Med. Specialist -SG 25 Total PS for Years 1 to 5 = P 4,325,569.20
4 Nurse 1-SG 11 Assume 5% Annual Increase from Year 6 to 10 with no additional positions
2 Nursing Attendant -SG 6

1 Utility Worker -SG 3
4. Dialysis Kits (Actual Hospital Charge) 4,752 pcs x P1,900.00 = P 9,028,800.00
Additional 3,160 kits = 4,752 + 3,168 = 7,920 = 7,920 x P1,754.89 =P13,898,706.22

Assume : 5% mark-up from year 7 to 10 (Note: BPH Actual Hospital Charge: P 1,900.00)
5. Dialyzers (Actual Hospital Charge) 475 pcs x P1,800.00 = P 855,000.00
Additional 320 dialyzers = 475 + 360 = 835 = 835 x P1,701.71 = P1,545,257.90

Assume : 5% mark-up from year 7 to 10 (Note: BPH Actual Hospital Charge: P 1,800.00)
6. Other Medical Supplies Year 5 = P35,806.58 plus
Additional P1,600.00 or year 6 = P37,406.50
7. Janitorial Supplies for Year 5 = P43,758.23 plus P36,000.00 for year 6 = P79,758.23 * Assume : 5% mark-up from year 7 to 10
Page 9 of 11
8. Power & Utilities (Given by PHO) Cost per patient = P100.00 Yr. 1 plus 5% for succeeding years
9. Projected Income - (@ 3 sessions per machine) = P2,250 x 3 x 6 x 22 days x 12 months = P10,692,000.00 (Year 1-5)
a. Projected Additional Income= 4 x 3 x 2,250 x 22 x 12=7,128,000.00
Projected income for Year 6 to 10 = P7,128,000.00 + P10,692,000.00 = P17,820,000.00
b. Payments for dialysis kits - 5 % annual increase (Note: BPH Actual Hospital Charge: P 1,900.00)
c. Payments for dializers- 5 % annual increase (Note: BPH Actual Hospital Charge: P 1,800.00)
d. Actual Charges for Utilities P500.00 for 1st Year and 5% annual increase thereafter
Page 10 of 11
III. CAPITAL INVESTMENTS
Assumption : Capitalization for the project (Phase 1 and Phase 2 are as follows )
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Total
Phase 1 10,000,000.00 4,000,000.00 14,000,000.00
5,400,000.00 3,600,000.00 9,000,000.00
Total-Phase 1 15,400,000.00 7,600,000.00 23,000,000.00
Phase 2 55,000,000.00 10,000,000.00 65,000,000.00
Total 15,400,000.00 55,000,000.00 10,000,000.00 7,600,000.00 88,000,000.00
Batangas Provincial Hospital -Pay Building
Projected Income Statement
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Notes to projections
OPERATING REVENUES
Reimbursement 19,956,000.00 20,953,800.00 22,001,490.00 23,101,564.50 24,256,642.73 25,469,474.86 26,742,948.60 28,080,096.03 29,484,100.84 30,958,305.88 Assume 5% increase in revenues yearly.
Payment of hospital bills beyond
PHIC Coverage 7,659,134.40 8,042,091.12 8,444,195.68 8,866,405.46 9,309,725.73 9,775,212.02 10,263,972.62 10,777,171.25 11,316,029.81 11,881,831.30 Assume 5% increase
15 bed capacity; in revenues
charge yearly.
of 13 regular rooms of P900/day
Other operating Revenues (from and P1200/day for 2 deluxe rooms. For 2019: 7 rooms at
bed occupancy) 3,996,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 5,076,000.00 900/room for 90 days; 2020:12 rooms at 900/room and 1
Total Projected Operating
Revenues 31,611,134.40 34,071,891.12 35,521,685.68 37,043,969.96 38,642,368.46 40,320,686.88 42,082,921.22 43,933,267.29 45,876,130.65 47,916,137.18
OPERATING EXPENSES
Salaries & Benefits 5,280,600.00 5,386,212.00 5,493,936.24 5,603,814.96 5,715,891.26 5,830,209.09 5,946,813.27 6,065,749.54 6,187,064.53 6,310,805.82 Assume 2% increase per year
Drugs and Medical Supplies 12,881,130.00 13,138,752.60 13,401,527.65 13,669,558.21 13,942,949.37 14,221,808.36 14,506,244.52 14,796,369.41 15,092,296.80 15,394,142.74 Assume 2% increase per year
Laboratory & X-ray services 2,565,600.00 2,616,912.00 2,669,250.24 2,722,635.24 2,777,087.95 2,832,629.71 2,889,282.30 2,947,067.95 3,006,009.31 3,066,129.49 Assume 2% increase per year
Medical Oxygen 1,548,000.00 1,578,960.00 1,610,539.20 1,642,749.98 1,675,604.98 1,709,117.08 1,743,299.43 1,778,165.41 1,813,728.72 1,850,003.30 Assume 2% increase per year
Utilities (light, water and telephone) 756,000.00 771,120.00 786,542.40 802,273.25 818,318.71 834,685.09 851,378.79 868,406.36 885,774.49 903,489.98 Assume 2% increase per year
Hospital supplies & consumables 2,010,060.00 2,050,261.20 2,091,266.42 2,133,091.75 2,175,753.59 2,219,268.66 2,263,654.03 2,308,927.11 2,355,105.66 2,402,207.77 Assume 2% increase per year
As per recommendation of an electrical engineer / electrician
Repairs and maintenance - total rehabilitation of electrical system is needed. Assumes
building 1,000,000.00 200,000.00 240,000.00 288,000.00 345,600.00 414,720.00 497,664.00 597,196.80 716,636.16 859,963.39 20% increase on the 3rd year and succeeding years
Repairs and maintenance - Preventive maintenance will be done on the machines &
machines & equipment 20,000.00 24,000.00 28,800.00 34,560.00 41,472.00 49,766.40 59,719.68 71,663.62 85,996.34 103,195.61 equipment every year w/ 20% increase per year
Total operating Expenses 26,061,390.00 25,766,217.80 26,321,862.16 26,896,683.40 27,492,677.87 28,112,204.38 28,758,056.02 29,433,546.21 30,142,612.01 30,889,938.09
PROJECTED OPERATING
5,549,744.40 8,305,673.32 9,199,823.52 10,147,286.56 11,149,690.59 12,208,482.50 13,324,865.20 14,499,721.08 15,733,518.64 17,026,199.09
INCOME
Assumptions :
1. Assume a 5% annual increase on Revenues from Philhealth Hospital Reimbursement and Payment of hospital bills beyond PHIC Coverage
2. For Other operating Revenues (from bed occupancy)- 15 bed capacity; charge of 13 regular rooms of P900/day and
P1200/day for 2 deluxe rooms. For 2019: 7 rooms at 900/room for 90 days; 2020:12 rooms at 900/room and 1
room@1200 for 360 days; 2021onwards: full capacity
3. Assume a 2% annual increase on the following expenses :
Salaries & Benefits
Drugs and Medical Supplies
Laboratory & X-ray services
Medical Oxygen
Utilities
Hospital(light, water
supplies & and telephone)
consumables
4. As per recommendation of an electrical engineer / electrician total rehabilitation of electrical system is needed. Assumes
20% increase on the 3rd year and succeeding years
5. Preventive maintenance will be done on the machines & equipment every year w/ 20% increase per year
PROJECTED ANNUAL REVENUES FROM PHILHEALTH REIMBURSEMENT
PHILHEALTH
TOTAL PHILHEALTH
CLINICAL SPECIALTY COMMON CLINICAL CASES NO OF BEDS REIMBURSEMENT (NET OF
REIMBURSEMENT
PF)
Medicine Hypertension 2 6,300.00 12,600.00
Pneumonia 2 10,500.00 21,000.00
CVA 1 19,600.00 19,600.00
Surgery Cholecsytolithiasis 2 18,600.00 37,200.00
Ob-Gyne Caesarian Section 5 11,400.00 57,000.00
Pediatrics Gastroenteritis 2 4,200.00 8,400.00
Pneumonia 1 10,500.00 10,500.00
15 166,300.00
Annual revenues from Philhealth= 166300.00 x (30/3) x 12 months 19,956,000.00
Source : BPH
PROJECTED ANNUAL REVENUES FROM PAYMENT OF HOSPITAL BILLS BEYOND PHIC COVERAGE
PHILHEALTH
TOTAL
COVERAGE / PAYMENT FROM TOTAL
CLINICAL SPECIALTY COMMON CLINICAL CASES NO OF BEDS HOSPITAL
Case (Net of PATIENT / CASE PAYMENT
BILL
PF)
Medicine Hypertension 2 14,126.56 6,300.00 7,826.56 15,653.12
Pneumonia 2 10,739.12 10,500.00 239.12 478.24
CVA 1 28,095.20 19,600.00 8,495.20 8,495.20
Surgery Cholecsytolithiasis 2 20,580.28 18,600.00 1,980.28 3,960.56
Ob-Gyne Caesarian Section 5 18,447.80 11,400.00 7,047.80 35,239.00
Pediatrics Gastroenteritis 2 3,343.20 4,200.00 - -
Pneumonia 1 8,408.96 10,500.00 - -
15 25,588.96 63,826.12
Annual revenues from payment of HB beyond Philhealth Coverage= 63,826.12 x (30/3) x 12 months 0.00 7,659,134.40
PROJECTED ANNUAL REVENUES FROM PHILHEALTH REIMBURSEMENT
PHILHEALTH
TOTAL PHILHEALTH
CLINICAL SPECIALTY COMMON CLINICAL CASES NO OF BEDS REIMBURSEMENT
(NET OF PF)
REIMBURSEMENT
Medicine Hypertension 2 6,300.00 12,600.00

Pneumonia 2 10,500.00 21,000.00
CVA 1 19,600.00 19,600.00
Surgery Cholecsytolithiasis 2 18,600.00 37,200.00
Ob-Gyne Caesarian Section 5 11,400.00 57,000.00
Pediatrics Gastroenteritis 2 4,200.00 8,400.00
Pneumonia 1 10,500.00 10,500.00
15 166,300.00
Annual revenues from Philhealth= 166300.00 x (30/3) x 12 months 19,956,000.00
Source : BPH
PROJECTED ANNUAL REVENUES FROM PAYMENT OF HOSPITAL BILLS BEYOND PHIC COVERAGE
PHILHEALTH
TOTAL HOSPITAL PAYMENT FROM
CLINICAL SPECIALTY COMMON CLINICAL CASES NO OF BEDS COVERAGE/Case(Net of TOTAL PAYMENT
BILL PATIENT / CASE
PF)
Pneumonia 2 10,739.12 10,500.00 239.12 478.24
CVA 1 28,095.20 19,600.00 8,495.20 8,495.20
Pediatrics Gastroenteritis 2 3,343.20 4,200.00 - -
Pneumonia 1 8,408.96 10,500.00 - -
15 25,588.96 63,826.12
Annual revenues from payment of HB beyond Philhealth Coverage= 63,826.12 x (30/3) x 12 months 0.00 7,659,134.40
Source : BPH
PROJECTED ANNUAL OPERATING EXPENSES-PAY BUILDING
PERSONNEL SERVICES
MONTHLY HA - YEAR
TOTAL PHIL SUBSIS- LAUND CASH
ITEM POSITION NO. SALARY / PERA GSIS PAG-IBIG ZARD END PEB TOTAL AMOUNT
SALARY HEALTH TENCE RY GIFT
POSITION PAY BONUS
Nurse I 8 8 x 900.00 x 22 days x 12 months (based on monthly rate of regular employees divided by 22 days) 1,900,800.00
Nursing Attendant I 8 8 x 575.00 x 22 days x 12 months (based on monthly rate of regular employees divided by 22 days) 1,214,400.00
Admin. Aide I (IW) 8 OUTSOURCE - 80,000.00 x 12 months 960,000.00
Resident MO 3,000.00 per duty (24 hours) x 30 days x 12 months 1,080,000.00
Laundry Worker I 1 1 x 475.00 x 22 days x 12 months (based on monthly rate of regular employees divided by 22 days) 125,400.00
TOTAL - - - - - - - - - - - 5,280,600.00
Source : BPH Lemery
PROJECTED ANNUAL OPERATING EXPENSES -PAY BUILDING
DRUGS AND MEDICAL SUPPLIES
COST OF MEDICINES /
NO OF TOTAL ACQUISITION COST WITH 12% MARK- TOTAL SELLING
CLINICAL SPECIALTY COMMON CLINICAL CASES MEDICAL SUPPLIES /
BEDS COST COST UP COST
ADMISSION KIT

Pneumonia 2 4,368.50 8,737.00 4,892.72 9,785.44
CVA 1 11,515.00 11,515.00 12,896.80 12,896.80
Pediatrics Gastroenteritis 2 2,865.00 5,730.00 3,208.80 6,417.60
Pneumonia 1 3,678.00 3,678.00 4,119.36 4,119.36
15 46,716.00 107,342.75 52,321.92 120,223.88
ANNUAL COST OF DRUGS & MEDICINES 5,605,920.00 12,881,130.00 6,278,630.40 14,426,865.60
Source: BPH
MEDICAL OXYGEN
NO OF COST OF MEDICAL TOTAL ACQUISITION COST WITH 12% MARK- TOTAL SELLING
CLINICAL SPECIALTY COMMON CLINICAL CASES
BEDS OXYGEN COST COST UP COST
Medicine Hypertension 2 - - -
Pneumonia 2 2,700.00 5,400.00 3,024.00 6,048.00
CVA 1 2,700.00 2,700.00 3,024.00 3,024.00
Surgery Cholecsytolithiasis 2 300.00 600.00 336.00 672.00
Ob-Gyne Caesarian Section 5 300.00 1,500.00 336.00 1,680.00
Pediatrics Gastroenteritis 2 - - -
Pneumonia 1 2,700.00 2,700.00 3,024.00 3,024.00
15 8,700.00 12,900.00 9,744.00 14,448.00
ANNUAL COST OF DRUGS & MEDICINES 1,044,000.00 1,548,000.00 1,169,280.00 1,733,760.00
Source: BPH
LABORATORY AND X-RAY SERVICES
COST OF LAB / TOTAL AQUISITION COST WITH 12% TOTAL SELLING

CLINICAL SPECIALTY COMMON CLINICAL CASES NO OF BEDS
X-RAY COST MARK-UP COST

Pneumonia 2 2,320.00 4,640.00 2,598.40 5,196.80
CVA 1 1,920.00 1,920.00 2,150.40 2,150.40
Pediatrics Gastroenteritis 2 120.00 240.00 134.40 268.80
Pneumonia 1 730.00 730.00 817.60 817.60
15 10,185.00 21,380.00 11,407.20 23,945.60
Annual cost of Laboratory and Radiology Services = 21380.00 x (30/3) x 12 months 1,222,200.00 2,565,600.00 1,368,864.00 2,873,472.00
Source: BPH
OTHER PROCEDURES - CT SCAN / 2D ECHO
COST OF OTHER COST WITH 12%

COMMON CLINICAL NO OF PROCEDURES - CT TOTAL ACQUISITION MARK-UP TOTAL SELLING
CLINICAL SPECIALTY CASES BEDS SCAN / 2D ECHO COST COST COST
Pneumonia 2 - - - -
CVA 1 8,400.00 8,400.00 9,408.00 9,408.00
Surgery Cholecsytolithiasis 2 - - - -
Ob-Gyne Caesarian Section 5 - - - -
Pediatrics Gastroenteritis 2 - - - -
Pneumonia 1 - - - -
15 14,050.00 19,700.00 15,736.00 22,064.00
Annual cost of Laboratory and Radiology Services = 19,700.00 x (30/3)
x 12 months 1,686,000.00 2,364,000.00 1,888,320.00 2,647,680.00
Source: BPH
OTHER PROCEDURES - X-RAY / UTZ / ECG
COST OF OTHER COST WITH 12%

COMMON CLINICAL NO OF PROCEDURES - X- TOTAL ACQUISITION MARK-UP TOTAL SELLING
CLINICAL SPECIALTY CASES BEDS RAY / UTZ / ECG COST COST COST
Medicine Hypertension 2 350.00 700.00 392.00 784.00
Pneumonia 2 200.00 400.00 224.00 448.00
CVA 1 550.00 550.00 616.00 616.00
Ob-Gyne Caesarian Section 5 750.00 3,750.00 840.00 4,200.00
Pediatrics Gastroenteritis 2 - - -
Pneumonia 1 400.00 400.00 448.00 448.00
15 3,975.00 9,250.00 4,452.00 10,360.00
Annual cost of Laboratory and Radiology Services 477,000.00 1,110,000.00 534,240.00 1,243,200.00
Source: BPH
OPERATING ROOM
COST OF OTHER TOTAL

COST WITH 12% TOTAL SELLING
CLINICAL SPECIALTY COMMON CLINICAL CASES NO OF BEDS PROCEDURES - CT ACQUISITION
MARK-UP COST
SCAN / 2D ECHO COST COST
Medicine Hypertension 2 - - - -
Pneumonia 2 - - - -
CVA 1 - - - -
Pediatrics Gastroenteritis 2 - - - -
Pneumonia 1 - - - -
15 9,000.00 31,500.00 10,080.00 35,280.00
Annual cost of Laboratory and Radiology Services = 19,700.00 x (30/3) x 12
1,080,000.00 3,780,000.00 1,209,600.00 4,233,600.00
months
Source: BPH
UTILITIES MONTHLY COST ANNUAL COST

Electricity 39,000.00 468,000.00
Water 19,000.00 228,000.00
Telephone 5,000.00 60,000.00
756,000.00
63,000.00 756,000.00
Supplies and Consumables-Pay Building
Supplies
Unit of issue Qty Unit Cost Total Cost
Bed sheets pc 200 500.00 100,000.00

Pillow pc 50 300.00 15,000.00
Pillow Case pc 100 75.00 7,500.00
Food Tray pc 40 200.00 8,000.00
Plates, Cups, Saucer pc 40 200.00 8,000.00
Bedpan pc 200 75.00 15,000.00
Plastic Urinals pc 200 38.00 7,600.00
Multi box 5 layers for forms pc 6 500.00 3,000.00
164,100.00
CONSUMABLES (MEDICAL / LAUNDRY / OFFICE SUPPLIES)

Gloves box 100 150.00 15,000.00 180,000.00
Gauze 24 x 28 x 100 roll 12 1,100.00 13,200.00 158,400.00
Alcohol 70% bot 360 42.00 15,120.00 181,440.00
Alcogel lt 15 600.00 9,000.00 108,000.00
IV Insertion Set (Micrope,scissor,
tourniquet, cotton balls, plastic
splint) set 365 200.00 73,000.00 876,000.00
Office Supplies 23,750.00 285,000.00
Laundry Supplies 4,760.00 57,120.00
TOTAL CONSUMABLES 1,845,960.00
PROJECTED ANNUAL OPERATING EXPENSES
MONTHLY ANNUAL
UTILITIES COST COST
Electricity 39,000.00 468,000.00
Water 19,000.00 228,000.00
Telephone 5,000.00 60,000.00
756,000.00
63,000.00 756,000.00
HOSPITAL 5-YEAR INFO / STATISTICAL REPORT
Name of Hospital: BATANGAS PROVINCIAL HOSPITAL Complete Address: Brgy. Palanas, Lemery, Batangas
Contat Number /s: 043-409-0573 Fax: Classification : Level 1 Hospital Functional Capability: General
Email: batprohospital@yahoo.com.ph Nature of Ownership: Local Quality Management: Philhealth Accredited
No. of Rooms: No. of Buildings: Area:
Inc/Dec (2015- % of Inc/Dec

DETAILS / ITEMS / DESCRIPTIONS 2012 2013 2014 2015 2016 AAGR
2012) (2015-2012)
1 Bed Capacity / Occupancy

1.1 Authorized Bed Capacity 50 50 50 50 50
1.2 Actual / Implementing Beds 50-110 50-110 50-110 50-110 120
1.3 Bed Occupancy Rate (BOR)
1.3.1 Based on Authorized Beds 261.24% 217.73% 190.73% 247.19% 245.71% -15.53%
1.3.2 Based on Actual Implementing Beds 118.74% 98.96% 88.81% 114.21% 122.95% 4.21%
2 Hospital Operations
2.1 Total Number of Inpatients
2.1.1 Total Admission (Excluding Newborn) 9,105 10,090 10,104 10,500 10,722 3.42% 1,617 17.76
2.1.2 Total Newborn 2,409 2,836 2,965 3,253 3,409 8.21% 1,000 41.51
2.1.3 Total Discharges (Alive) 11,339 12,666 12820 13,479 13,868 4.84% 2,529 22.30
2.1.4 Total Deaths 212 256 224 293 249 2.20% 37 17.45
2.1.5 Referrals
In patients transferred to this facility
from RHU 5 1
from other facilities 11 9 57 41
In patients transferred from this facility -to other hospitals 156 17 60 88 85
2.2 Total No. of Patients per Type of Accomodation 11,551 12,922 13,044 13,772 10,677 -3.03% -874 -7.57
2.2.1 Pay 124 99 138 84 26 -0.71% -98 -79.03
2.2.2 Service (Charity Ward) 7,492 7,282 7,035 3,232 3,258 -30.82% -4,234 -56.51

2012) (2015-2012)
2.2.3 Philhealth 3,935 5,541 5,871 7,741 7,419 13.61% 3,484 88.54
2.3 Total Deaths 212 256 224 177 157 -9.09% -55 -25.94
2.3.1 Neonatal Deaths 55 50 39 61 39
2.3.2 Maternal Deaths 5 2 1
2.3.3 Foetal Deaths 27 48 28
2.4 Average Length of Stay of Admitted Patients 3 3 3 4 4
2.5 Outpatient Services (No. of Patients) 36,646 39,269 36,628 37,238 43,651 3.95% 7,005 19.12
New 34,858 38,325 35,546 36,028 41,437 3.91% 6,579 18.87
Re-visit 1,788 944 1,082 1,210 2,214 5.18% 426 23.83
2.6 Average Number of Outpatients per day 127 148 138 138 160 5.17% 33 25.98
3 Other Hospital Services
3.1 Total Number of Routine & Therapeutic Meals Served 99,914 109,050 107,376 97,830 125,362 4.76% 25,448 25.47
3.2 Radiologic / Laboratory / Pharmacy Services
3.2.1 Radiologic Procedure
X-ray 7,092 7,478 7,658 6,244 5,444 -7.46% -1,648 -23.24
Ultrasound 2,159 2,075 2,025 2,126 2,116 -0.56% -43 -1.99
ECG 3057 2649 3,192 3,775 4,235 6.98% 1,178 38.53
3.2.2 Laboratory Services 110,110 108,396 70,935 59,164 56,583 -19.71% -53,527 -48.61
3.2.3 Pharmacy Services 34,746 31,941 42,676 38,258 68,196 12.18% 33,450 96.27
3.2.4 Immunization 1,453 4,230 3,486 1,785 7,761 6.53% 6,308 434.14
3.3 Other Activities
3.3.1 Ambulance Calls 270 257 298 306 357 6.40% 87 32.22
3.3.2 No. of Autopsies performed
3.3.3 No. of Medico Legal Cases 2,162 2,146 2,440 2,196 2,648 4.32% 486 22.48
3.4 Newborn Screening Done 717 1,259 339 1,595 1,785 34.74% 1,068 148.95
3.5 Surgical Operations 2,055 2,308 1,787 1,749 2,200 0.34% 145 7.06
3.5.1 Major Operation (excluding CS) 298 320 263 380 447 7.75% 149 50.00
3.5.2 Caesarian 811 910 840 706 913 1.56% 102 12.58
3.5.3 Minor Operation (in-Patient) 385 483 496 417 602 8.67% 217 56.36

2012) (2015-2012)
3.5.4 Minor Operation (out-Patient) 561 595 188 246 238 -47% -323 -57.58
4 Staffing Pattern
4.1 Medical 23 24 24 24 34 8.39% 11 47.83
4.2 Allied Medical 53 43 50 50 85 7.98% 32 60.38
4.3 Non-Medical 21 22 36 36 62 21.34% 41 195.24
5 Revenues (Total) 20,201,588.19 24,292,472.88 31,881,680.00 46,627,978.10 48,963,869.38 19.26% 28,762,281 142.38
5.1 Total Receipt from DOH
5.2 Total Receipt from PLGU
5.3 Total Receipt from Donor Agencies
5.4 Total Receipt from Private Organizations
5.5 Total Receipt from Philhealth 12,739,802.19 11,507,627.15 25,392,970.60 38,620,835.20 43,088,076.08 22.15% 30,348,274 238.22
5.6 Total Receipt from direct Patients / fees / charges 7,461,786.00 12,784,845.73 6,488,709.40 4,609,682.86 4,169,927.40 -26.68% -3,291,859 -44.12
5.7 Total Receipt from reimbursement from private insurance /HMOs
5.8 Total Receipt from reimbursement from other sources (PCSO, etc) 3,397,460.04 1,705,865.90 -99.16% -1,691,594 -49.79
6 Expenses (Total) 47,485,152.67 53,266,299.79 56,485,134.95 54,257,334.50 61,081,893.55 5.91% 13,596,741 28.63
6.1 Personal Services 32,309,959.79 38,613,543.33 40,664,981.76 44,600,013.39 49,702,033.42 10.11% 17,392,074 53.83
6.2 Medicine 2,307,687.60 2,681,514.00 2,936,002.00 217,474.80 1,149,976.50 -28.60% -1,157,711 -50.17
6.3 Medical Supplies 3,221,125.00 3,388,141.00 3,477,338.25 776,600.00 957,000.00 -81% -2,264,125 -70.29
6.4 Utilities 4,335,868.06 4,341,433.12 4,213,158.48 3,736,458.82 4,518,382.43 0.41% 182,514 4.21
6.5 Non-medical services / expense 5,310,512.22 4,241,668.34 5,193,654.46 4,926,787.49 4,754,501.20 -3.90% -556,011 -10.47
8 NET INCOME (Revenue less Expense) -27,283,564.48 -28,973,826.91 -24,603,454.95 -7,629,356.40 -12,118,024.17 -49.34% 15,165,540 -58.60
Data Source : Hospital Statistics- BPH, Lemery, Batangas 8/2017
Provincial Accounting Office 8/2017
BATANGAS PROVINCIAL HOSPITAL
% of
Inc/Dec
DETAILS / ITEMS / DESCRIPTIONS 2012 2013 2014 2015 2016 AAGR Inc/Dec
(2015-2012)
(2015-2012)
1 Bed Capacity / Occupancy
1.1 Authorized Bed Capacity 50 50 50 50 50
1.2 Actual / Implementing Beds 50-110 50-110 50-110 50-110 120
1.3 Bed Occupancy Rate (BOR)
1.3.1 Based on Authorized Beds 261.24% 217.73% 190.73% 247.19% 245.71% -15.53%
1.3.2 Based on Actual Implementing Beds 118.74% 98.96% 88.81% 114.21% 122.95% 4.21%
2 Hospital Operations
2.1 Total Number of Inpatients
2.1.1 Total Admission (Excluding Newborn) 9,105 10,090 10,104 10,500 10,722 3.42% 1,617 17.76
2.1.2 Total Newborn 2,409 2,836 2,965 3,253 3,409 8.21% 1,000 41.51
2.1.3 Total Discharges (Alive) 11,339 12,666 12820 13,479 13,868 4.84% 2,529 22.30
2.1.4 Total Deaths 212 256 224 293 249 2.20% 37 17.45
2.1.5 Referrals
In patients transferred to this facility
from RHU 5 1
from other facilities 11 9 57 41
In patients transferred from this facility -to other hospitals 156 17 60 88 85
2.2 Total No. of Patients per Type of Accomodation 11,551 12,922 13,044 13,772 10,677 -3.03% -874 -7.57
2.2.1 Pay 124 99 138 84 26 -0.71% -98 -79.03
2.2.2 Service (Charity Ward) 7,492 7,282 7,035 3,232 3,258 -30.82% -4,234 -56.51
2.2.3 Philhealth 3,935 5,541 5,871 7,741 7,419 13.61% 3,484 88.54
2.3 Total Deaths 212 256 224 177 157 -9.09% -55 -25.94
2.3.1 Neonatal Deaths 55 50 39 61 39
2.3.2 Maternal Deaths 5 2 1
2.3.3 Foetal Deaths 27 48 28
2.4 Average Length of Stay of Admitted Patients 3 3 3 4 4
2.5 Outpatient Services (No. of Patients) 36,646 39,269 36,628 37,238 43,651 3.95% 7,005 19.12
New 34,858 38,325 35,546 36,028 41,437 3.91% 6,579 18.87
BATANGAS PROVINCIAL HOSPITAL
% of
Inc/Dec
DETAILS / ITEMS / DESCRIPTIONS 2012 2013 2014 2015 2016 AAGR Inc/Dec
(2015-2012)
(2015-2012)
Re-visit 1,788 944 1,082 1,210 2,214 5.18% 426 23.83
2.6 Average Number of Outpatients per day 127 148 138 138 160 5.17% 33 25.98
3 Other Hospital Services
3.1 Total Number of Routine & Therapeutic Meals Served 99,914 109,050 107,376 97,830 125,362 4.76% 25,448 25.47
3.2 Radiologic / Laboratory / Pharmacy Services
3.2.1 Radiologic Procedure
X-ray 7,092 7,478 7,658 6,244 5,444 -7.46% -1,648 -23.24
Ultrasound 2,159 2,075 2,025 2,126 2,116 -0.56% -43 -1.99
ECG 3057 2649 3,192 3,775 4,235 6.98% 1,178 38.53
3.2.2 Laboratory Services 110,110 108,396 70,935 59,164 56,583 -19.71% -53,527 -48.61
3.2.3 Pharmacy Services 34,746 31,941 42,676 38,258 68,196 12.18% 33,450 96.27
3.2.4 Immunization 1,453 4,230 3,486 1,785 7,761 6.53% 6,308 434.14
3.3 Other Activities
3.3.1 Ambulance Calls 270 257 298 306 357 6.40% 87 32.22
3.3.2 No. of Autopsies performed
3.3.3 No. of Medico Legal Cases 2,162 2,146 2,440 2,196 2,648 4.32% 486 22.48
3.4 Newborn Screening Done 717 1,259 339 1,595 1,785 34.74% 1,068 148.95
3.5 Surgical Operations 2,055 2,308 1,787 1,749 2,200 0.34% 145 7.06
3.5.1 Major Operation (excluding CS) 298 320 263 380 447 7.75% 149 50.00
3.5.2 Caesarian 811 910 840 706 913 1.56% 102 12.58
3.5.3 Minor Operation (in-Patient) 385 483 496 417 602 8.67% 217 56.36
3.5.4 Minor Operation (out-Patient) 561 595 188 246 238 -47% -323 -57.58
Data Source : BPH

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BPH As An Economic Enterprise

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Republic of the Philippines

PROVINCIAL PLANNING AND DEVELOPMENT OFFICE

PROJECT TITLE : BATANGAS MEDICAL ECONOMIC ENTERPRISE

PROJECT PROPONENT : Provincial Government of Batangas

Contact Persons : Dr. Rosvilinda M. Ozaeta

Mr. Benjamin I. Bausas

Dr. Danilo Aguilera

Profile of the LGU

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To attract and encourage private sector participation in local development;

THE PROVINCIAL GOVERNMENT

THE EXECUTIVE BRANCH

Governor : Honorable Hermilando I. Mandanas

Provincial Chief of Staff : Ms. Ma. Isabel B. Bejasa

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THE LEGISLATIVE BRANCH

Vice Governor : Honorable Sofronio Jr. Leonardo C. Ona

MEMBERS OF HOUSE OF REPRESENTATIVES :

1st District : Hon. Elenita Milagros E. Buhain

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Major Sources of Revenue

Table 1: Report of Revenue And Receipts For CY 2016

SHARE FROM NATIONAL COLLECTION 2,194,460,584.00 81.2049

EXTRA ORDINARY RECEIPTS/other taxes 8,483,688.99 0.3139

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Project Location / Project Site :

Basic Statistics of the LGU Location:

Land Area - 10,155 hectares

Total Population as of 2015 Census - 93,157

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Total No. of Barangays - 46

Other Support Infrastructures

 Number of Land Transportation Terminals - 17

 Electricity is provided by BATELEC I Electric Cooperative where 90.36% of households

 Water supply is solely distributed by Lemery Water District to 30 barangays. Water

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Issues Goals Objectives

 To develop, adopt and

 To enhance health and

 To provide services and

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 Pre-eclampsia and post-partum  To improve maternal and

 Lifestyle-related diseases (such as  To reduce morbidity and

 Vector and disease-transmitting  To prevent the spread of

 To be able to provide not

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 Uplift and improve the  To provide 100 percent

Service Nature of Bed

Table 4 : Budget Appropriated to BPH 2014-2016

EXPENDITURES 2014 2015 2016 3 Yr. Total

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However, this project shall be undertaken on a “Phase to Phase” Basis; as in :

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 fully functional (complete equipment, medicines, health professionals);