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HOSPITAL FINANCE




Mr. Subodh Agrawal            PRESENTED BY:-
                              Dr.sachi bajaj
(Head of department)          Dr.venus monga
Hierarchy Of Fortis Finance
        Department
 Zonal finance controller       Mr. SUBODH AGRAWAL




Manager of finance deptt          Mr. MONTOO GARG




     Deputy manager             Ms.PARMINDER KAUR




    Assistant manager          Mr. PANKAJ TONDON AND
                               Mr. VINOD KUMAR



Executives and staff level-9
What Does Finance Department
             Do??

                                        Management of
Preparation of
                  Allocation of funds   Investments of
   budget
                                           Company


Management of         Control of        Administration of
Financial Risks      expenditure             Taxes


                      Financial
  Resource                                 Revenue
                   concurrence and
 mobilisation                            enhancement
                       advice
Evaluating individual hospital
performance through followings
     Cash in hand (days)

     Accounts receivable (days)

     Average payment period (days)

     Inpatient gross revenue (percentage)

     Outpatient gross revenue (percentage)
Evaluating individual hospital
performance through followings contd…
         Maintained bed occupancy
         (percentage)

         Average length of stay (days)


         Operating margin (percentage)

         Personnel expense (percentage of
         operating revenue
Highlights Of The Department
 Cash flow statements prepared by finance deptt
  on weekly basis.
 Profitability made on monthly basis
 Yearly budgeting is done based on occupancy rate
  and ALOS.
 Standard 85% should be occupancy rate.
 Finance department estimate the revenue.
  generation by looking at occupancy rate and
  ALOS.
 To look at availability of manpower.
Contd’
• High Quantum of work + High pressure + High
  workload




          Still We Meet Our Deadlines
                 (99% efficiency)
SOURCES OF REVENUES

             • IPD- Rs 18 crore per month.*
  FROM       • OPD- Rs 2 crore per month.*
OPERATIONS   • Pharmacy- Rs 1 crore per month.*




             • FORTIS INN
             • IDBI bank
FROM NON     • CCD
OPERATIONS   • Nescafe
             • Connection booster
             • Fortis city centre
Hospital Expenses: How Hospital Spend
               Money
                   Purchases


       F&B                          Salaries


                                  Operation and
    Transport
                                 capital expenses


                                  Outsource
     Maintenance                 Department

                   Electricity
Finance Core Areas


             DOCTOR SHARE




SALARIED                    CONFIDENTIAL
           EMPANELLED
DOCTOR                      SALARIED CELL
Finance Core Areas


       RECIEVABLE




ECHS      TPA’s     CGHS
OPEX
 An operating expense, operating expenditure, operational expense,
 operational expenditure or OPEX is an ongoing cost for running a system.



OPERATING EXPENSES                 2011( in lacs)          2010(in lacs)
Material consumed          10802                    9081
Employee cost              7756                     6232
Legal & professional fee   347                      763
Professional charge to     4934                     4047
doctors
Other expenditure          12456                    8135
CAPEX
Capital expenditure (CAPEX), is the cost of developing or
providing non-consumable parts for the system.


 CAPITAL EXPENDITURE                 2011(in lacs)            2010(lacs)
 Fixed assets                191020                  166492
 Goodwill on consolidation   43986                   41638
 Goodwill on acquisition     44448                   44624
 Interest                    2271                    3225
Purchases
Two ways of spending:-
Modes of Payments



Cash      Demand
           Draft
TAXES PAID BY FORTIS
             Fortis inn and cosmetics


                  Service
                    tax


 Income                                  Wealth
   tax            TAX                     tax



                    VAT

          Pharmaceuticals and food & beverages
Public shareholding
• In 2010-Rs. 74,674,964 lacs
• In 2011-Rs. 74,949,526 lacs

• Percentage of shareholding
       – 18.5% for 2010
       – 23.5% for 2011
System use for accounting and finance

MEDTREK      PRODIGIOUS

                Trial balance

                   P&L

                Gross margin

               Balance sheet
BED OCCUPANCY
AVERAGE LENGTH OF STAY
AVERAGE REVENUE PER
   OCCUPIED BED
BUSINESS RUNS

                           70% on
                            cash


        30% on
         credit

Debtor collection period is 180 days
SUGGESTIONS
References
• www.fortishealthcare.com/mohali
• www.forbes.com
• Mr Pankaj Tandon- Assistant Manager Of
  Fortis Mohali.
THANK YOU

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Final finance of fortis mohali

  • 1. HOSPITAL FINANCE Mr. Subodh Agrawal PRESENTED BY:- Dr.sachi bajaj (Head of department) Dr.venus monga
  • 2.
  • 3. Hierarchy Of Fortis Finance Department Zonal finance controller Mr. SUBODH AGRAWAL Manager of finance deptt Mr. MONTOO GARG Deputy manager Ms.PARMINDER KAUR Assistant manager Mr. PANKAJ TONDON AND Mr. VINOD KUMAR Executives and staff level-9
  • 4. What Does Finance Department Do?? Management of Preparation of Allocation of funds Investments of budget Company Management of Control of Administration of Financial Risks expenditure Taxes Financial Resource Revenue concurrence and mobilisation enhancement advice
  • 5. Evaluating individual hospital performance through followings Cash in hand (days) Accounts receivable (days) Average payment period (days) Inpatient gross revenue (percentage) Outpatient gross revenue (percentage)
  • 6. Evaluating individual hospital performance through followings contd… Maintained bed occupancy (percentage) Average length of stay (days) Operating margin (percentage) Personnel expense (percentage of operating revenue
  • 7. Highlights Of The Department  Cash flow statements prepared by finance deptt on weekly basis.  Profitability made on monthly basis  Yearly budgeting is done based on occupancy rate and ALOS.  Standard 85% should be occupancy rate.  Finance department estimate the revenue. generation by looking at occupancy rate and ALOS.  To look at availability of manpower.
  • 8. Contd’ • High Quantum of work + High pressure + High workload Still We Meet Our Deadlines (99% efficiency)
  • 9. SOURCES OF REVENUES • IPD- Rs 18 crore per month.* FROM • OPD- Rs 2 crore per month.* OPERATIONS • Pharmacy- Rs 1 crore per month.* • FORTIS INN • IDBI bank FROM NON • CCD OPERATIONS • Nescafe • Connection booster • Fortis city centre
  • 10. Hospital Expenses: How Hospital Spend Money Purchases F&B Salaries Operation and Transport capital expenses Outsource Maintenance Department Electricity
  • 11. Finance Core Areas DOCTOR SHARE SALARIED CONFIDENTIAL EMPANELLED DOCTOR SALARIED CELL
  • 12. Finance Core Areas RECIEVABLE ECHS TPA’s CGHS
  • 13. OPEX An operating expense, operating expenditure, operational expense, operational expenditure or OPEX is an ongoing cost for running a system. OPERATING EXPENSES 2011( in lacs) 2010(in lacs) Material consumed 10802 9081 Employee cost 7756 6232 Legal & professional fee 347 763 Professional charge to 4934 4047 doctors Other expenditure 12456 8135
  • 14. CAPEX Capital expenditure (CAPEX), is the cost of developing or providing non-consumable parts for the system. CAPITAL EXPENDITURE 2011(in lacs) 2010(lacs) Fixed assets 191020 166492 Goodwill on consolidation 43986 41638 Goodwill on acquisition 44448 44624 Interest 2271 3225
  • 15. Purchases Two ways of spending:-
  • 16. Modes of Payments Cash Demand Draft
  • 17. TAXES PAID BY FORTIS Fortis inn and cosmetics Service tax Income Wealth tax TAX tax VAT Pharmaceuticals and food & beverages
  • 18. Public shareholding • In 2010-Rs. 74,674,964 lacs • In 2011-Rs. 74,949,526 lacs • Percentage of shareholding – 18.5% for 2010 – 23.5% for 2011
  • 19. System use for accounting and finance MEDTREK PRODIGIOUS Trial balance P&L Gross margin Balance sheet
  • 22. AVERAGE REVENUE PER OCCUPIED BED
  • 23.
  • 24. BUSINESS RUNS 70% on cash 30% on credit Debtor collection period is 180 days
  • 26. References • www.fortishealthcare.com/mohali • www.forbes.com • Mr Pankaj Tandon- Assistant Manager Of Fortis Mohali.