Volta Regional Hospital Complex | Out4Good

© 2015 Out4Good Ltd. Version: 7.8
OUT4GOOD Ltd.A New York City based nonprofit, non-governmental organization (“NGO”)
Global Community
Development Plan
for the
Volta Regional Hospital Complex
Municipality of Ho, Ghana, West Africa
Updated: November 12, 2015
HEALTHCARE
HOSPITALITY
OFFICE SUITES & STORAGE
HOUSING
PUBLIC SAFETY
INFRASTRUCTURE

© 2015 Out4Good Ltd. Volta Regional Hospital Complex Global Community Version: 7.8
About Out4Good Ltd.
Out4Good Ltd. (“Out4Good”) is a global New York City based nonprofit, non-
governmental organization (“NGO”) that helps improve the policy and decision-making
processes of other NGOs, intergovernmental organizations (“IGOs”), educational
institutions, businesses, and government policymakers through its collection and
analysis of relevant data. As a nonpartisan organization, Out4Good mentors and pairs
other NGOs, IGOs, educational institutions, businesses, and government policymakers
in an effort to address the numerous issues that affect Earth's rapidly increasing
populations and their interactions and relationships with “those who govern” them. In
addressing these issues, Out4Good's efforts are focused on how “those who govern” the
world's populations are applying an ever-changing balance between the “rule of law”
and “human rights.” The directors and staff of Out4Good collectively have hundreds of
years of experience working globally with government policymakers, NGOs, IGOs, and
educational institutions. www.out4good.org
Out4Good's
“Think Positive Initiatives”
Out4Good Global Community Development Plan
for the Volta Regional Hospital Complex
Municipality of Ho, Ghana, West Africa
© Copyright 2015 Out4Good Ltd. All Rights Reserved.
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© 2015 Out4Good Ltd. Volta Regional Hospital Complex Global Community Page 1 of 30
Out4Good’s Global Community Projects
The cornerstone of Out4Good’s “Think Positive Initiatives” is its tolerance,
technology, and infrastructure based Global Community model for hospital
complexes, educational facilities, and town centers in developing
metropolitan areas including small cities, towns, and villages (“Global
Community”).
This unique model is being globally replicated as Out4Good’s paired socially-responsible
businesses, healthcare facilities, and educational institutions are enlisted, projects
launched such as the Volta Regional Hospital Complex, metadata and documentation
obtained, and the evidence-based results promulgated.
Replicating Global Community projects in other developing, underserved,
disenfranchised, and marginalized geographic areas in Africa, the Middle East, South
America, and Asia will benefit these areas where most of the world’s populations reside.
Out4Good’s Global Community projects utilize best practice principles in sustainability,
master planning, infrastructure, and real estate development to create smart,
sustainable, and environmentally and economically viable developments to serve the
ever-increasing global populations. By mentoring and pairing various healthcare and
educational institutions, socially-responsible businesses, lenders, and donor
organizations, Out4Good is playing a leading role in the complex process of creating
transformative living environments and guiding the expansion of new and re-envisioned
developments in areas of population density – focusing on educational institutions,
hospital complexes, and town centers.
Urgent Need for Doctors and Medical
Staff in Ghana
Of Ghana’s population of 26 million, more than half live in rural areas. Substantial
urban–rural disparities exist in infrastructure and access to health services. A World
Health Organization (“WHO”) report suggests that workplace attributes and housing are
uppermost in the minds of young physicians when contemplating rural practice. The
importance of non-salary attributes, including but not limited to housing, to physicians
in Ghana relating to rural recruitment and retention is recognized in various studies.
The WHO report states that in many low-income countries, healthcare worker shortages
hamper progress towards meeting the health related Millennium Development
Goals. Africa is the region of the world with the lowest healthcare-worker density
(doctors and nurses or midwives per capita). According to a recent analysis from 12
African countries, at current rates of training and attrition, it would take 36 and 29
years, respectively, to meet the minimum recommended density of physicians and
nurses.

In Africa, physicians’ tendency to locate in urban areas causes them to be in short supply
in rural areas, which are left with insufficient medical coverage. This highly uneven
distribution between urban and rural areas is rooted in the fact that cities offer better
incomes (e.g. the potential for private practice), more opportunities for career
progression, better infrastructure, and more social amenities than rural areas.
Approximately 70% of Ghanaian physicians practice either in the Greater Accra region
or in the Komfo Anokye teaching hospital in Kumasi, Ghana’s second largest city. As a
result, the physician to population ratio in the Greater Accra region is 1:5,000, whereas
in the largely rural Northern region, home to over 2 million people, it is
1:92,000. Healthcare worker shortages in rural areas have been identified as one of the
biggest challenges to the health sector and a barrier to reaching the country’s health-
related Millennium Development Goal targets.
In 2009, 2442 physicians were working in Ghana, a country with one of the highest
physician emigration rates in the world. One study reports that 61% of those who
graduated from medical school between 1985 and 1994 emigrated, primarily to Great
Britain, Northern Ireland, and the United States. One of the driving reasons directly
behind the emigration is the lack of adequate housing and poor infrastructure. In order
to help keep Ghanaian doctors and medical staff in Ghana, Out4Good’s Initial Phase of
the Volta Regional Hospital Complex Development Plan will address these needs with
new housing and infrastructure in a secure and accommodating Global Community
environment.
Urgent Need for Integrated Electronic
Healthcare Records, Management, and Billing
Systems (“EHR”) in Ghana
The need for state-of-the-art, cost-effective, integrated electronic healthcare records,
management, and billing system (“EHR”) solutions for healthcare facilities in Ghana,
and in particular the Volta Region, is long overdue.
Inefficiencies in infrastructure, technology, and communication are major issues that
prevent the administering of successful healthcare treatment to the inhabitants of the
Volta Region. With a population of more than 2 million, Volta Region’s healthcare
facilities still rely on paper medical records and outdated medical software systems.
Out4Good and Volta Regional Hospital have entered into long-term
concession agreements encompassing the implementation and deployment
by Out4Good of a proprietary, first-to-market electronic healthcare
records, management, and billing system that utilizes a closed-loop data
storage facility en continent known as the CLODS system (“CLODS
System”).

Utilizing the CLODS System, Out4Good is implementing a healthcare facility-by-facility
EHR system into a comprehensive interacting system for the more than 30 district
hospitals and clinics in the Volta Region of Ghana and their patients from the
neighboring countries of Togo, Benin, and Nigeria. These healthcare facilities have a
healthcare market area that encompasses more than 5 million people.
Healthcare facilities in the Volta Region will have timely access to Out4Good’s state-of-
the-art, cost-effective EHR systems since there is no capital-intensive upfront system
costs, on-site data center requirements, or lengthy rollout periods. Because of the
closed-loop security of the CLODS System, the EHR systems meet and exceed
international standards for healthcare facilities.
Out4Good’s CLODS System-based EHR software solution ties directly into a medical
billing software platform to be used by the participating healthcare facilities. This
medical billing software system streamlines the process of submitting and following up
on claims with government agencies and health insurance companies in order to receive
payment for services rendered by a healthcare provider.
The management features of Out4Good’s CLODS System-based EHR software solution
allows healthcare providers to track reimbursements and outstanding payments with
both standard and customizable reports. The analytical features of the CLODS System-
based medical billing software give healthcare professionals and providers a greater
degree of control of their numerous financial transactions and information.
Selection of Volta Regional Hospital as an
Out4Good Global Community Project
Out4Good has selected the Volta Regional Hospital to be one of its Global
Community projects.
As a Global Community participant, Volta Regional Hospital is the recipient of
necessary tools and resources to facilitate its mission to serve as a referral center for
clinical cases from all healthcare facilities in the region; to serve as a model teaching
hospital and training centre for various categories of healthcare professionals; and to
serve as a centre for clinical practice for healthcare professionals.
More than five years ago, Out4Good demographically selected Ghana as the
country in which to launch its Global Community projects. Out4Good has
spent the past two years developing its Global Community Development
Plan for Volta Regional Hospital. During this period, we have expended
substantial capital and resources with strategic partners we identified for
this specific project.

About the Volta Regional Hospital Complex
The Volta Regional Hospital Complex, an Out4Good Global Community, is a 150-acre
multi-use medical complex with a US$ 300 million expansion underway (“VRH
Complex”). Located in the Municipality of Ho in the Volta Region of Ghana, Volta
Regional Hospital's existing 240-bed hospital serves more than 100,000 patients a year.
Plans for a new 600-bed hospital extension are being finalized to further its teaching
hospital mandates. The Volta Regional Hospital is a “feeder” hospital providing
specialized services for the more than 30 district hospitals and clinics in the Volta
Region of Ghana and attracts patients from the neighboring countries of Togo, Benin,
and Nigeria.
Volta Regional Hospital Complex Development Plan

Out4Good’s Global Community Development
Plan for the Volta Regional Hospital Complex
The VRH Complex's staged development plan includes the construction of:
 Initial Phase
o 240 staff flats (G+3 buildings; mix of 2-bedroom and 3-bedroom units).
o 135-bed hostel (G+3 with kitchen, dining, and indoor games lounge).
o Establishment of a Diagnostic Center.
o Replacement of the 20-year-old, non-functioning wastewater treatment
system at the existing 240-bed hospital with a system that has capacity and
scalability to address the current wastewater treatment needs and those for
the new to-be-constructed buildings at the VRH Complex.
Existing Wastewater Treatment Facility at Volta Regional Hospital Complex
Out4Good’s IS/IT Projects Director JonJon SanJuan (Cape Town),
Development & Project Director Bernard Akaba (Accra), and
Chair of the Board Marjorie Abalos (New York) viewing site with facility manager
o Office and climate controlled storage buildings for hospital use and let.
o Solar energy system installation for generation of electric power on existing
and new to-be-constructed buildings at the VRH Complex.
o Recreational area for the VRH Complex.
o Preparation for the rollout of Out4Good’s electronic healthcare records,
management, and billing system (“EHR”) into a comprehensive interacting
system for the more than 30 district hospitals and clinics in the Volta
Region.
o Preparation of a pad site for development of a hotel with mini-conference
and training center, and retail space to support the VRH Complex's patients,
staff, medical tourists, and visitors (“Hotel Pad Site”).
 Additional Phases
o Construction on the Hotel Pad Site of a hotel with mini-conference and
training center, and retail space to support the VRH Complex's patients,
staff, medical tourists, and visitors.
o Additional affordable housing for staff and healthcare providers.
o Improvements to existing 240-bed hospital and associated equipment.
o 600-bed teaching hospital addition.

o Appropriate related infrastructure needs.
o Construction of public safety and maintenance facilities.
o VRH Complex roads, walkways, outside lighting, and landscaping.
o Implementation of Out4Good’s electronic healthcare records, management,
and billing system (“EHR”) into a comprehensive interacting system for the
more than 30 district hospitals and clinics in the Volta Region.
Funding of the Volta Regional Hospital
Complex
To achieve the funding goals of the VRH Complex, various forms of fundings are
required. To accomplish this, Out4Good is pairing with various lending institutions and
donor organizations. These lenders and donor organizations are contributing their areas
of expertise to address specific funding needs within the VRH Complex development.
In order for the VRH Complex to obtain funding and be sustainable, the project includes
income-generating components such as offices and storage units, a hotel with mini-
conference and training center, a diagnostic center, and affordable housing. These
income-generating components are required to help offset infrastructure costs and the
below-market rents paid by doctors, medical staff, and students residing in the
affordable housing units.
The amount of debt funding that will be available for construction at VRH Complex will
be dependent upon the projected long-term lease rental from the income-generating
operations. The materially under-market rents to be paid, in an always-fluctuating local
currency, for the affordable housing accommodations, contribute only marginally to the
debt funding amount.
The difference between the sums available from debt funding and the cost of a specific
portion of the project, or for the entire project, is an amount to be secured from donor
organizations or non-debt funding entities.
Registration area at Volta Regional Hospital
Out4Good's Development & Project Director Bernard Akaba
(Accra) and IS/IT Projects Director JonJon SanJuan (Cape Town)
Out4Good’s IS/IT Projects Director JonJon SanJuan (Cape
Town), Development & Project Director Bernard Akaba (Accra),
and Chair of the Board Marjorie Abalos (New York) with Volta
Regional Hospital IS/IT Director Tijani Ahmed

Having these income-generating components as part of Out4Good’s Global Community
Development Plan enables a realistic, fact-based funding package that can meet the
criteria of lenders and donors.
As an NGO, Out4Good has taken the lead to secure underwriting entities to
structure fundings in ways that satisfy an individual funder’s mandate and
strategic interest, whether for a specific portion of the project or for the
entire project itself.
Initial Phase Affordable Housing Flats and
Hostel at the VRH Complex
The Initial Phase of the VRH Complex Development Plan calls for Out4Good's paired
business entities to construct affordable housing flats and a hostel. These housing units
would consist of 240 staff flats in five G+3 storied buildings. Each of the buildings will
have 12 individual flats. The total flat unit mix will be 45 2-bedroom and 15 3-bedroom
units. The 135-bed hostel will be in a G+3 storied building with kitchen, dining, and
indoor games lounge. The availability of these new housing units will be a material
factor in the Volta Regional Hospital's ability to recruit and retain staff doctors and
other needed healthcare professionals.
Architectural Renderings for Initial Phase
Affordable Housing Units
Flats
Five G+3 Storied Buildings – 12 Flats per Building
Flats – First Floor Plan Flats – Second Floor Plan

Flats – Ground Floor Plan
Hostel
G+3 Storied 135-Bed Building with Kitchen, Dining, and Indoor Games Lounge
Hostel – First Floor Plan Hostel – Second Floor Plan

Hostel – Ground Floor Plan

Wastewater Treatment System for the Volta
Regional Hospital Complex
As part of the Initial Phase of Out4Good's Global Community Development
Plan for the VRH Complex, a wastewater treatment solution is being
provided to replace the 20-year-old, non-functioning wastewater treatment
system at the existing 240-bed hospital with a system that has capacity and
scalability to address the appropriate current wastewater treatment needs
and those for the new to-be-constructed buildings at the VRH Complex.
Wastewater Treatment Facility, Recreational Area, and Flats
To assist Out4Good in providing solutions for wastewater treatment needs at
Out4Good's Global Community projects, Out4Good has selected BioKube as a paired
socially-responsible business entity.
BioKube, a Denmark-based company, manufactures and sells its own proprietary
wastewater systems. It has several systems installed in Ghana resulting in the treated
water being safe to be reused, typically for irrigation. With BioKube, wastewater is not a
problem, it is a valuable asset.
• BioKube purifies wastewater using only natures own bacteria; it adds no bacteria
to the treatment system.
• BioKube has more than 5,000 wastewater systems installed worldwide in 43
countries.
• BioKube systems fulfil required local outlet requirements.
An Environmentally-Sound Wastewater Treatment Solution for the VRH
Complex
BioKube has specified for the VRH Complex a biological sewage treatment plant that
consists of the following major parts and cleaning steps shown in the below illustration.

The proposed VRH Complex wastewater treatment system is designed based on a fixed-
film biological principle for the treatment of domestic and industrial wastewater. The
key component of treatment systems is a rigid, compact, high performance polyethylene
media with high specific surface area.
The media is devised into tanks-in-series that allow wastewater to be contacted with the
fully submerged media in the presence of air, simultaneously. The air is supplied by
blowers. The air is introduced to the treatment process via fine bubble membrane
diffusers below the media. The external walls of the submerged aerated filter (“SAF”) are
manufactured in polypropylene, up to 6-8 mm in diameter. A secondary clarifier is
integrated in the system after each biological zone for the removal of bio solids that
slough off the media during the treatment process.
The VRH Complex’s system is designed exclusively to achieve final effluent for any
stringent outlet demands. The system performs fully within two to four weeks of start-
up of loading wastewater, depending on influent wastewater temperature. This period is
needed to allow bacteria to be acclimated and established on the filter media.
Features and advantages for VRH Complex's utilization of this type of system is its
proven reliability from international accredited laboratories; modular design; self-
External Pump
Well / buffer tank
The external pump / buffer tank well evens out fluctuating volumes of
wastewater from the source. The pump well is recommended to be
casted in concrete (to be supplied locally).
Existing septic tank to be used
To be supplied locally
The wastewater gravitates to the septic tank in which the settable
suspended solids are settled.
Existing septic tank
Inlet pump system The pump system transfers the wastewater from the external buffer
tank to the septic tank.
Biokube
Biokube
Biokube
The Orion 250-4 chambers the 3 systems in parallel are the biological
treatment chambers, in which microorganisms perform degradation of
the organic load in the in-coming wastewater to required level. The
Bioreactors consist of submerged aerated filters
In the drum filter, biological sludge and remaining suspended solids
above 10 µm are retained. This filter is automatically cleaned by water,
and the sludge is led to the sludge septic tank. The treated wastewater
passes through the filter to the outlet.
The integrated UV system disinfects the water by allowing it to be re-
used (e.g. for irrigation purposes).
BioKube Orion
250-4 chambers
system – 3 systems
in parallel
Drum filter with
integrated UV
treatment unit

cleaning, using automatic airlift pumps for recirculation of biological sludge back to the
septic tank; fully automatic, no need for adjustments and/or daily service and
maintenance; low operation cost as well as low service and maintenance cost; and can
easily extend to higher daily volume of waste water or for higher treatment
requirements. The VRH Complex system may be equipped with remote surveillance and
control of pumps and blowers access.
This Initial Phase wastewater treatment system will resolve many of the
VRH Complex's current issues regarding compliance with environmental
regulations and laws since the project is being constructed to both national
and international standards. This wastewater treatment system will
address the immediate needs of the existing 240-bed hospital facility, the
new to-be-constructed housing units and offices, and will be scalable as the
VRH Complex launches additional phases of its development plan.
Diagnostic Center at the VRH Complex
Adequate diagnostic capacity is a key to improving global health. In Ghana most
people’s medical insurance does not cover diagnostic testing. In order to provide
diagnostic services to the general population and to a welcomed income-generating
“medical tourism” market, the new diagnostic center at the Volta Regional Hospital
Complex will offer such services on an accessible and affordable basis.
The diagnostic center will provide affordable treatment and outpatient services, and will
offer state-of-the-art medical diagnostic services to patients in Ghana and the rest of
West Africa. On a walk-in basis, patients may undergo a matrix of services and tests that
include diagnostic imaging, with results timely provided.
Diagnostic Center Main Entrance

Diagnostic services at the center may include, but are not limited to:
 Cardiology
o Stress Test
o Holter Monitoring
o Doppler Ultrasound
o Echocardiogram
o Electrocardiogram (ECG or EKG)
o Ankle Brachial Index (ABI)
 Chiropractic
o Computerized Posture Analysis
o Computerized Muscle Function Test
 Family Medicine
o Urinalysis
o Complete Blood Count (CBC)
o Sonogram
 Gastroenterology
 Gynecology
 Internal Medicine
o Bone Density Testing (DEXA)
o Spirometry
 Neurology
o Brainstem Auditory Evoked Potentials (BAEP)
o Nerve Testing: Electromyography (EMG) / Nerve Conduction Velocity
(NCV)
o Somatosensory Evoked Potential (SSEP)
 Nutrition
 Orthopedics
 Pain Management / Physiatrist
 Physical Therapy
 Podiatry
 Psychiatry

"Diagnostic imaging" means the production of images using advanced imaging
technology that is subject to stringent regulatory standards and used for medical
diagnosis such as:
 CT Scan
 MRI
 Nuclear Medicine
 PET-CT
 Ultrasound
 X-Ray & General Radiology
 Interventional Radiology
 Pediatric Imaging Services
Out4Good's Paired Socially-Responsible
Strategic Partners for Global Community
Projects
In implementing Out4Good's Global Community projects, Out4Good has paired with
globally-recognized strategic partners to address various development needs. By
contributing expertise in their respective areas to help effectuate the rollout of Global
Community projects, these socially-responsible businesses are expanding their
opportunities and market share in Africa, and are utilizing the projects as a showcase for
potential customers.
Executive Developer of Out4Good's Global Community VRH Complex Project
Hbeh llc (“Hbeh”) is a global organization that utilizes best practice principles in
sustainability, master planning, infrastructure, and real estate development to create
smart, sustainable, and economically viable developments to serve the ever-increasing
global populations. Fulfilling the role of an executive developer, Hbeh specializes in
leading the complex process of creating transformative living environments and guiding
the expansion of new and re-envisioned developments in areas of population density –
be it urban areas such as cities, towns or conurbations, or rural settlements such as
villages and hamlets. Abiding by the philosophy that all human beings are entitled to
benefit from the technologies being generated as we transform into the new Post-
Carbon Age, Hbeh selects projects that address these challenges. The sustainable
infrastructure and cutting-edge technologies integrated into the fabric of Hbeh
developments accelerate workforce productivity, adaptability, and connectivity – all of

which translate directly to job creation and economic vitality in a world of fierce global
competition. www.hbehllc.com
Bernard Akaba –Out4Good’s Development & Projects Director
 Has a distinguished 35-year career in project development and management,
architectural consultancy, and strategic planning having provided professional
services to the Republic of Ghana and the private sector in West Africa.
 Was previously the Director of Works and Physical Development for the
University of Health and Allied Sciences in Ghana (“University”).
 Supervised the planning, contracts, and construction management for the 702-
acre Ho campus at the University.
 Had the responsibility for the management of construction contracts, the
procurement of consultancy services, the management and control of land use,
and the maintenance of records for all University land transactions.
 Holds a post-graduate diploma in architecture and a Bachelor of Science
degree in design.
 Is a member of the Ghana Institute of Architects.
Mervyn Pinto - President & CEO of Minaean SP Construction Corp., an affiliate
of Shapoorji Pallonji International, Dubai, UAE (“SPINT”), parent company of
Shapoorji Pallonji Ghana Ltd., a Ghana corporation.
Hbeh’s General Contractor for the VRH Complex, including the Initial Phase’s
office building, 240 flats, and 135-bed hostel.
 Minaean SP Construction Corp., a Canadian corporation, operates with the
support of Crown corporations such as Canadian Commercial Corp., Export
Development Canada, and the Ministry of International Trade.
 Shapoorji Pallonji Group (“Shapoorji”) is a Mumbai, India based, US$ 8.5
billion revenue business conglomerate with offices in India, Middle East,
Africa, and Canada.
 Shapoorji has interests in construction, real estate, textiles, engineering goods,
home appliances, shipping, publications, power, and biotechnology.
 Shapoorji entered into the Ghana, West Africa market in April 2006
for the construction of the prestigious Seat of Government &
Presidency project in the capitol city of
Accra. This landmark project is well
known for its architectural view
spread over 120 acres with built up
construction area of about 30,000 square meters and with contract
value of approximately US$ 75 Million.

 Shapoorji is registered with the Ghana Ministry of Water Resources, Works
and Housing for “E” category electrical works, “G” category plumbing works,
“D” category general building works and “K” category civil works. Shapoorji is
also registered with GNPC for offshore infrastructural development projects.
Shapoorji is currently executing on various construction and civil engineering
projects in Ghana.
 Shapoorji provides contracting services for factories, nuclear research
establishments, nuclear waste handling establishments, scientific and research
establishments, stadia and auditoria, airports, hotels, hospitals, giant
skyscrapers, housing complexes, townships, water treatment plants, roads,
expressways, power plants, and biotech facilities through various contracting
and pricing offerings.
 Shapoorji became the first Indian construction company to venture into the
Middle East, when it was chosen to build the Royal Palace for the Sultan of
Oman. Today it operates in over 9 countries across the Middle East and Africa.
 The company traces its origins back to 150 years ago, when, as Littlewood
Pallonji & Co, it built a giant water reservoir on Malabar hills to serve the
needs of the residents of Bombay (now Mumbai). Over time it has grown to
become the Shapoorji Pallonji Group with over 23,000 employees and group
revenues of more than US$ 8.5 billion.
Office Building and Climate Controlled Storage Units at
the Volta Regional Hospital Complex
To design, construct, manage, operate, maintain, and market the office suites building
and climate controlled storage units at the VRH Complex, Out4Good has selected SOSS
Limited, a Ghana corporation, as its paired socially-responsible business (“SOSS”).
SOSS is a wholly owned subsidiary of SOSS Ltd., a New York corporation, which is first-
to-market in the self-storage industry in West Africa.
State-of-the-Art SOSS Office Suites Building Teleconferencing at SOSS Facilities

SOSS Office Suites Ground Floor Plan SOSS Office Suites Building Elevations
Based upon a long-term lease agreement between the Volta Regional
Hospital and SOSS Limited, funding will be secured to construct the office
suites building and climate controlled storage units (“SOSS Lease”).
Payments from the letting of the office suites and storage units by SOSS will
be utilized for the repayment of the construction funding. The SOSS Lease
will also provide for specific use of office and storage space by the Volta
Regional Hospital during the term of the SOSS Lease.
CAD Renderings of SOSS Office Building
As the first-to-market in self-storage in West Africa, SOSS is seizing the first-mover
advantage and is now underway building-out its initial 15 state-of-the-art, secure, and
environmentally sound self-storage facilities. SOSS is offering to the untouched West
Africa self-storage market a broad range of products and services specially designed for
the growing professional and storage needs of healthcare facilities, businesses,

contractors, educational institutions, governmental agencies, and individuals. SOSS is
currently the only player in the self-storage industry in West Africa.
SOSS Limited Storage Unit Floor Plan
Storage Units - Climate and Non-Climate Controlled

SOSS Team
The SOSS team members and stakeholders have decades of experience in designing,
constructing, operating, managing, maintaining, and marketing office and storage
facilities. This experienced and seasoned SOSS team provides hands-on, full-service
operational and management expertise for the VRH Complex's office and storage needs.
The SOSS team consists of the following global industry leaders:
Jim DiNardo - Chief Operating Officer of SOSS
 Globally recognized in the industry having been involved in all aspects of
self-storage industry management for more than 25 years.
 Served on the Board of Directors of Self Storage Association, the industry’s
trade association, for seven years.
 Has directly overseen the operations of thousands of self-storage units and
directed the strategic planning, marketing, property management,
personnel, and financial reporting for these units.
 Co-founded one of the largest state self-storage trade associations in the
United States.
 Partner in The Storage Depot, which was one of the largest operators of
self-storage facilities in the Greater Boston Metropolitan Area and was
acquired by Extra Space Storage in February 2004.
 Involved in all aspects of operating the business, including strategic
planning, marketing, property management, personnel, and financial
reporting.
 Responsible for the overall performance of staff and facilities.
SOSS Software Provider
SiteLink has more than 11,000 software installations worldwide (Americas,
Europe, Africa, Australia, Near East). SiteLink Web Edition provides a clear
advantage over client/server applications. Cloud-based technology ensures
connectivity, allowing SOSS customers to do business with it 24/7 from
computer or mobile device.
 SiteLink's self-storage software has been awarded ISS’ “Best of Business -
Management Software” five years in a row.
 The most widely-used and award-winning management software.
 Goes direct to the processor without a 3rd party gateway.
 Provides consolidated statements and a single deposit for all card brands.
 Helps meet the required PCI-compliance mandate.

 SiteLink Merchant Services’ EMV integrated solution enhances card
security with SiteLink’s PCI DSS Level 1 and SOC 1 Type II Certifications.
 Reliable and secure servers run continuously since their introduction in
2006.
 Protects data from breach, fraud, and theft.
 Implements strong access control measures.
 Safeguards and monitors networks and servers.
 Completes PCI on-site security assessments, including quarterly network
scans by an Approved Scan Vendor (ASV) to confirm compliance with
Data Security Standards (DSS).
Louis Gilmore - President - Miller Building, Inc., Hbeh’s Engineered Steel
Building Supplier
 Louis Gilmore is President of Miller Building, a steel building
manufacturing company that has served the self-storage industry for more
than 25 years.
 Served on the Board of Directors of Self Storage Association, the industry's
trade association.
 Has extensive development experience concentrated in the area of
industrial and commercial construction utilizing pre-engineered steel
building designs for self-storage facilities.
 His specialties include for the self-storage industry new construction, site
design, material selection, planning and zoning assistance, self-storage
construction consulting, renovation and repairs, commercial and
industrial.
As the first-ever West African self-storage company, SOSS is an active member
of the Self Storage Association, the industry’s global trade organization that has
nearly 6,000 corporate members owning tens of thousands of facilities.
The Self Storage Association (“SSA”) is a not-for-profit organization formed in
1975. For more than 40 years the Association has served as the official trade
organization and voice of the U.S. and international self-storage industry. In the
United States SSA is formally affiliated with some 38 state and regional
associations. In addition to its U.S. relationships, the SSA is affiliated with 8
international organizations representing another 12,000 self-storage facilities
situated in Europe, Asia, Australia, Canada, Latin America, and South America.

With the experienced SOSS management team in place, the following
positive attributes and distinctive characteristics of the executive office
suites and self-storage business have been incorporated into the SOSS
business model for Africa:
 Globally recognized design-build team with custom designed proprietary plans.
 A short construction period enabling rapid initial rentals.
 Low operating expenses and non-energy intensive.
 Month-to-month leases, highly responsive to market, and an adjustable unit mix.
 Not labor or maintenance intensive.
 Many tenancies, spreading vacancy risk factor and resistant to economic shifts.
 Socially and environmentally responsible, net income oriented operating
company.
Hotel with Mini-Conference and Training Center
Out4Good is in the process of selecting a hotel operator that will design,
manage, operate, maintain, and market the hotel with mini-convention and
training center (“Hotel Operating Company”). Based upon a long-term
management agreement between the Hotel Operating Company, Out4Good,
and Volta Regional Hospital, the Hotel Operating Company will design,
manage, operate, maintain, and market the hotel with mini-conference and
training center (“Hotel Management Agreement”). Payments generated
pursuant to the Hotel Management Agreement from the hotel’s operations
will be utilized for the repayment of the construction funding. The Hotel
Management Agreement will also provide for a specific allocation of hotel
room and mini-conference and training center use by the Volta Regional
Hospital during the term of the Hotel Management Agreement.
To assist Out4Good in its selection process of hotel developers and operators at
Out4Good's Global Community projects, Out4Good has selected HVS as a paired
socially-responsible business entity. HVS will also participate as a strategic partner in
Out4Good’s Healthcare and Hospitality Facility Training programs as described below
in the Social Impacts section.
With a staff of more than 400 professionals, HVS has provided consultancy services for
more than 20,000 hotels in more than 60 countries. HVS has experienced consultants
who not only have degrees in hotel management from top hotel schools but also have
actual hotel operating experience. HVS possesses extensive experience in Africa with
over 130 hotel and hospitality projects spanning 24 nations which will significantly

contribute toward the successful development of hotel sites at Out4Good's Global
Community projects.
HOTEL WITH MINI-CONFERENCE & TRAINING CENTER
HVS will assist Out4Good in making contact with international hotel franchisors and
operators in an effort to identify the optimal brand/operator for the hotel facility at an
Out4Good Global Community project site.
In its efforts to assist Out4Good with the selection of the appropriate hotel operator for
a specific Global Community project site, HVS will incorporate its previous experience
in Africa as outlined below:
 Ghana - Mövenpick Ambassador, Accra; African Regent Hotel; Proposed
Hilton Hotel, Accra; and Proposed Four-Star Hotel, Senya.
 Egypt - Renaissance Hotel, Alexandria; Aswan Oberoi Hotel, Aswan;
Proposed Steigenberger Hotel Cairo; Cairo Sheraton Hotel, Cairo; El
Salam Hotel, Cairo; Le Méridien Hotel, Cairo; Novotel Cairo Airport; Four
Seasons Nile Plaza, Cairo; Fairmount Cairo Nile City; Shepheard Helnan,
Cairo; Sheraton Heliopolis, Cairo; Mövenpick Hotel, Heliopolis, Cairo;
Four Seasons Hotel First Residence, Cairo; Hilton Ramses, Cairo; Hilton
Nice, Cairo; Hilton Cairo Conrad International; Cairo; Mövenpick El
Gouna, Dawar El Omda, El Khan; Fayrouz Village Hotel, Sharm El Sheikh;
Hyatt Regency Resort, Sharm El Sheikh; Private Residential Villas, Sharm
El Sheikh; The Ritz-Carlton, Sharm el Sheikh; Four Seasons Hotel &
Apartments, Sharm El Sheikh; Radisson SAS Hotel, Desert Beach Resort,
Sharm El Sheikh; and Luxor Sheraton Hotel, Luxor.
 Ethiopia - Hilton Addis Ababa; Proposed Four Star Hotel, Bahir Dar; and
Proposed Luxury Hotel, Addis Ababa.

 Ivory Coast - Proposed Crowne Plaza Abidjan.
 Kenya - Mara Safari Club; Mount Kenya Safari Club; Norfolk Hotel,
Nairobi; The Ark & Aberdare Country Club, Nairobi; Hilton Hotel,
Nairobi;
HVS has published more than 300 articles in leading hotel journals and periodicals,
attends major hotel conferences, lectures at major hotel schools, and tracks the hotel
industry’s main news.
Controlled Insurance Program (CIP)
Out4Good is implementing a controlled insurance program (“CIP”) by pairing with one
of the largest global insurance and risk management firms to address the Volta Regional
Hospital Complex’s insurance requirements.
This paired strategic partner offers risk management, risk consulting, insurance
broking, alternative risk financing, and insurance program management services for the
VRH Complex project. As one of the global leaders in insurance and risk management, it
is able to draw from its many industry and risk specialties to assemble the resources to
analyze, measure, and manage the multiple risks associated with large-scale
development projects such as the VRH Complex.
CIPs, also known as “wrap-ups” and “wrap insurance programs,” are commonly used in
projects in excess of US$ 100,000,000. The CIP being implemented at the VRH
Complex will improve overall insurance coverages by consolidating numerous policies
into one CIP for all of the VRH Complex’s stakeholders, contractors, subcontractors, and
lenders.
The VRH Complex’s CIP reduces costs, manages contractor and sub-contractor
insurance coverages, and enhances overall project safety. The CIP allows control of the
insurance coverage and limits selected for the construction risks of the project as well as

the ongoing insurance needs for stakeholders and lenders during the long-term life of
the project.
Social Impacts of Out4Good's Global
Community Development Plan for the Volta
Regional Hospital Complex
By working together with Out4Good and its paired socially-responsible businesses, the
Volta Regional Hospital is achieving expanded, and more timely implemented, social
impacts in its efforts to address the numerous healthcare related challenges in the Volta
Region.
Some of the Challenges Facing the Volta Regional
Hospital:
Healthcare worker shortages and the lack of integrated EHR systems in rural areas have
been identified as two of the biggest challenges facing the healthcare sector and a
constant barrier to reaching Ghana’s healthcare-related goals and targets. Some of the
factors that contribute to these challenges are:
Lack of Residential Accommodation
 Lack of residential accommodations has discouraged new doctors and staff from
accepting positions at the Volta Regional Hospital.
 Frustration of searching for accommodations drives away potential doctors and
staff attracted to the Volta Region.
 Inadequate on-site, secure, official accommodations compels the Volta Regional
Hospital to pay “huge sums of money” to secure private accommodations for
doctors and other medical staff.
Healthcare Worker Shortages
 The battle to provide proper healthcare services due to the acute shortage of
doctors and critical staff.
 Attraction and retention of doctors and other professionals are real issues.
 Inadequate accommodations for doctors and other staff.
Infrastructure Deficiencies Including EHR Systems
 Existing wastewater treatment plant is nonfunctional.
 The need for expansion of infrastructure to accommodate new services such as
integrated EHR systems.
Lack of Adequate Support from Government/Corporate Organizations
 Limited government subvention.

 Limited economic support from the Regional Coordinating Council,
District/Municipal Assemblies, corporate organizations, and individuals.
How Out4Good’s Global Community Development Plan
Addresses the Volta Regional Hospital's Challenges:
In order to address the urgent needs of the Volta Regional Hospital, Out4Good’s Initial
Phase for development at the VRH Complex includes:
o 240 staff flats (G+3 buildings; mix of 2-bedroom and 3-bedroom units).
o 135-bed hostel (G+3 with kitchen, dining, and indoor games lounge).
o Establishment of a Diagnostic Center.
o Replacement of the 20-year-old, non-functioning wastewater treatment
system at the existing 240-bed hospital with a system that has capacity
and scalability to address the current wastewater treatment needs and
those for the new to-be-constructed buildings at the VRH Complex.
o Office and climate controlled storage buildings for hospital use and let.
o Solar energy system installation for generation of electric power on
existing and new to-be-constructed buildings at the VRH Complex.
o Recreational area for the VRH Complex.
o Preparation for the rollout of Out4Good’s electronic healthcare records,
management, and billing system (“EHR”) into a comprehensive
interacting system for the more than 30 district hospitals and clinics in
the Volta Region.
o Preparation of a pad site for development of a hotel with mini-
conference and training center, and retail space to support the VRH
Complex's patients, staff, medical tourists, and visitors (“Hotel Pad Site”).
Out4Good’s Global Community development at the Volta Regional Hospital Complex
addresses the need for housing and improved infrastructure to accommodate the
demand for doctors and healthcare professionals. Out4Good's pairing of socially-
responsible businesses working toward these goals ensures that each objective is
achieved in accordance to the principles that define Out4Good’s Global Community
model.
 Infrastructure
Wastewater Treatment
With the installation of a modern, environmentally-sound wastewater treatment
system, the Volta Regional Hospital’s patients, staff, and surrounding community
residents will benefit from clean water improving the overall quality of life and
drastically reducing the potential for diseases caused by untreated wastewater.
Solar Energy
Clean, renewable energy through solar technology will greatly reduce the carbon
footprint of the VRH Complex. Installing solar panels on structures will increase

the VRH Complex’s self-sustainability and lower its dependency upon, and
demand from, the main power grid. Expense reduction for power will make funds
available for other critically needed hospital expenditures.
Planned Installation of Solar Panels on Existing Hospital Facility
 Accommodations
The Initial Phase of the VRH Complex Development Plan provides for 240 flats
and amenities to attract and retain doctors and other critically-needed
professional staff. The Initial Phase's 135-bed hostel serves as an affordable
housing solution for other healthcare providers and will be a key component in
the growth and development of a new generation of young healthcare workers
and professionals in the Volta Region.
Having a hotel on the premises will allow the Volta Regional Hospital to
accommodate visiting doctors, staff, patients and families, and medical tourists
who come to the Volta Regional Hospital Complex and to the Municipality of Ho.
The Mini-Conference and Training Center at the hotel will provide the Volta
Regional Hospital and the affiliated University of Health and Allied Sciences the
ability to attract domestic and international healthcare professionals, businesses,
educational organizations, and other groups, to meet in a modern and safe venue
fostering additional growth to the surrounding communities and the Volta
Region. The training center is ideal for the advancement of aspiring healthcare
professionals and students.

 EHR System Rollout
Out4Good’s state-of-the-art, cost-effective, integrated electronic healthcare
records, management, and billing system is the EHR solution for the Volta
Region.
Utilizing a closed-loop data storage facility en continent known as the CLODS
system (“CLODS System”), Out4Good is implementing a healthcare facility-by-
facility EHR system into a comprehensive interacting system for the more than
30 district hospitals and clinics in the Volta Region of Ghana and their patients
from the neighboring countries of Togo, Benin, and Nigeria. These healthcare
facilities have a healthcare market area that encompasses more than 5 million
people.
Healthcare facilities in the Volta Region will have timely access to Out4Good’s
state-of-the-art, cost-effective EHR systems since there is no capital-intensive
upfront system costs, on-site data center requirements, or lengthy rollout
periods. Because of the closed-loop security of the CLODS System, the EHR
systems meet and exceed international standards for healthcare facilities.
Out4Good’s CLODS System-based EHR software solution ties directly into a
medical billing software platform to be used by the participating healthcare
facilities. This medical billing software system streamlines the process of
submitting and following up on claims with government agencies and health
insurance companies in order to receive payment for services rendered by a
healthcare provider.
The management features of Out4Good’s CLODS System-based EHR software
solution allows healthcare providers to track reimbursements and outstanding
payments with both standard and customizable reports. The analytical features of
the CLODS System-based medical billing software give healthcare professionals
and providers a greater degree of control of their numerous financial transactions
and information.
 Training Programs and Job Creation
In order to address the specific needs of the rapidly growing healthcare and
hospitality industries in Ghana, Out4Good, with its strategic partner HVS, has
established a Healthcare & Hospitality Facility Training Program and Course
Curriculum as part of its Global Community Development Plan.
This program will train individuals in the skilled and unskilled
support services necessary to manage and maintain the multi-million
dollar healthcare and hospitality facilities being constructed at a
rapid pace across Africa.
Tourism is a significant area of Ghana’s economy. According to the World Travel
and Tourism Council report Travel & Tourism Economic Impact 2014 Ghana,

the total contribution of travel and tourism to Ghana’s GDP was over US$ 1.6
billion in 2013, and is expected to rise by 4.4% to over US$ 2.8 billion by 2024.
The report also shows the total employment contribution of the industry was
311,000 jobs which is expected to grow by 2.3% to 414,000 jobs in 2024.
GHANA WORLD RANKING (OUT OF 184 COUNTRIES)
The proposed Hospitality Facility Training program is a direct response to the
needs of both the public and private sectors. Students will learn the fundamentals
of maintaining and managing physical plants for the healthcare, tourism, lodging,
and the food & beverage industries, and strengthen their understanding of facility
care, interpersonal and interdepartmental interactions, and healthcare and hotel
facility management, and human resources. Upon completing the program,
graduates will have the necessary skills to move directly into the workforce of one
of West Africa’s fastest growing sectors.
Maintenance is an ongoing occurrence in healthcare and hotel facilities and is a
core component of the Healthcare & Hospitality Facility Training program. When
neglected, the lack of maintenance has been the source of countless poor-
performing healthcare and hospitality facilities.
To address these issues, maintenance can be grouped into four basic categories:
1. Preventive room maintenance
2. Preventive equipment maintenance
3. Routine repairs based on work-orders
4. Emergencies
WTTT Travel & Tourism Economic Impact 2014 Report

Each has its distinct time element, relative priority, and level of interest from
management and the maintenance staff. Clearly everything stops for
emergencies. A burst hot water pipe on an upper floor or a dead washer when
occupancy is high will get everyone's attention. How to keep all this balanced
is one key objective of the Healthcare & Hospitality Facility Training program.
The most common healthcare and hospitality facility maintenance problems can
be solved by individuals who have had the proper training in preventative
maintenance.
The top areas would be:
 Inconsistent administration of a quarterly preventive maintenance program
for all exterior and interior areas of a healthcare facility or hotel.
 Proper, preventive maintenance for HVAC units.
 Bathroom maintenance issues, such as slow or clogged drains and dirty and
mildewed tile, grout and caulking.
Maintenance Saves Effort
The first thing that should be noted is that routine repairs and, to a lesser degree,
emergencies will be reduced significantly if preventive room and equipment
maintenance is taking place. The problem for many managers and maintenance
people is how to get out from under the ongoing repairs and emergencies in order
to conceive and implement preventive maintenance programs.
Akilah Institute’s Educational Model
The Akilah Institute for Women in Rwanda is a successful example of a
Hospitality Training Program in East Africa. Founded in 2008 by Elizabeth
Dearborn Hughes and David Hughes, the Akilah Institute for Women is a
nonprofit, accredited women’s college with a campus in Kigali, Rwanda. Akilah
graduates launch professional careers in East Africa's fastest-growing sectors:
technology, business, and hospitality management.
There is a profound gap between the education system and the human capital
needs of the new booming private sector. Businesses complain regularly of a
poorly trained and inadequate workforce. Clearly, there is a “disconnect” between
what employers want and what the education system supplies.
Key Aspects of the Akilah Educational Model:
 Akilah acts as the bridge connecting underemployed, high-potential young
women to jobs in the fastest-growing sectors of the economy.
 Akilah builds private-sector partnerships and develops curricula hand-in-
hand with business leaders and market-relevant sectors of the economy.

 Akilah works with private-sector partners every step of the way to design
curricula that make sense in the current job market.
 When Akilah students graduate, they are already in high demand.
The success of the Akilah educational model in Rwanda is a good indication
of how the Out4Good mentored Healthcare & Hospitality Facility Training
Program and Course Curriculum will be able to address the current
existing challenges in Ghana relating to the limited number of properly
trained personnel to manage the physical plants of healthcare and hotel
facilities.

Volta Regional Hospital Complex | Out4Good

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