Business Plan Project: MERCY HOSPITAL Les Cayes, Haiti April 6, 2014 Organization: GO ICS / BEM
LEGAL PAGE Confidentiality Agreement The undersigned reader acknowledges that the information provided by in this business plan is confidential; therefore, reader agrees not to disclose it without the express written permission of. It is acknowledged by reader that information to be furnished in this business plan is in all respects confidential in nature, other than information which is in the public domain through other means and that any disclosure or use of same by reader, may cause serious harm or damage to. Upon request, this document is to be immediately returned to. Signature Name (typed or printed) Date This is a business plan. It does not imply an offering of securities.
TABLE OF CONTENTS Executive Summary. 4 The Organization.. 5 Financial Path to Success... 9 Costs. 11 Partner With Us.... 14
EXECUTIVE SUMMARY Background GO ICS is a recently founded secular non-profit organization that developed from ten years of experience through the Bethesda Evangelical Mission (BEM) with ongoing medical missions that serve rural areas of the southern peninsula of Haiti. Objective Purchase land; build state of the art five room out-patient facility; build 100 bed inpatient hospital and supporting infrastructure within 5 years from land purchase. Project Outline Under the direction of GO ICS, an independent non-profit, non-religious affiliated corporation based in the United States, BEM (Bethesda Evangelical Mission) will develop Mercy Hospital to be located in the city of Les Cayes, Haiti. 4
THE ORGANIZATION Mission Statement The mission of this plan is to build a fully functional and modern 100 bed in-patient hospital, Mercy Hospital, which will be capable of providing both in-patient and out-patient services to the population of Les Cayes, Haiti with the ultimate goal of elevating the state of healthcare in the region. The definitive goal will be to provide and administer effective comprehensive healthcare services with the highest level of competency and compassion, appropriate for the 21 st century. Care to the people of Les Cayes will be provided joyously with love, respect and dignity for all patients, regardless of race, creed, or financial need. Introduction Statement of Need for health care in the region of Les Cayes, Haiti The city of Les Cayes, Haiti is located in the southern portion of the country of Haiti. It is a 5 hour ride by bus from the main city of Port au Prince. There is a single runway airport in the outskirts of the city, but due to the poor economy, the airport is largely inactive and not realistically available for passenger transport or for medical evacuation services. The city is largely urban with a very crowded inner city. The majority of the population live within a 5 mile inner city radius and a smaller population extends to the rural areas. All regions are accessible by automobile, taxi buses called TapTaps, or by ubiquitous motor bicycles and motorcycles. Traffic is very congested both with foot traffic and with motorized vehicles. Housing would be considered, at best, to be mostly slum level by basic American standards. As would be expected, being the poorest country by all criteria in the western hemisphere, the standard of living is frightfully poor. Most of the population exists by subsistence or charity, which barely exists within the current social structure. Many social infrastructures that are taken for granted by wealthier countries are distinctly absent in Haiti. Adequate health care and even basic health standards such as clean water, sanitation, and pollution management are distinctly absent in the country at large, and in Les Cayes in particular. Currently there is a government run facility in the region, located in the center of the city of Les Cayes. That facility is exceedingly old, poorly staffed, and barely meets the standards of health care that were present in the United States at the turn of the 20th Century. Any concept of modern standards, including basic clean health standards are completely absent from the present structure. A tour of the present hospital by the organizers of this project left every observer of this facility overwhelmingly clear of the 5
need for profound health care improvements. The present Hospital in Les Cayes is fully inadequate to meet the needs of the community it purports to serve. The needed hospital which will be this mission s goal to construct and operate will serve a region of Haiti with a population of approximately 300,000 people and survives in the conditions described above. For example, there is no modern sterilization equipment, no injection control, no sanitation, minimal staff and inadequate availability of needed medication. There are no other comprehensive, full scale medical facility in the area, nor will there be any creation ventures for significant healthcare facilities in the foreseeable future. The hospital will provide quality care to its patients, care that is not available anywhere else in the area. Goals GO ICS, working in conjunction with Bethesda Evangelical Mission (BEM) is established to construct and operate Mercy Hospital, a new health care facility designed to serve Les Cayes, Haiti. The Hospital will meet the comprehensive health care needs of the area that it serves. It will do so by offering to its patient base, a unique and highly needed, comprehensive array of services that will successfully integrate modern medical care and the additionally important socio economic health care options to the population it serves. All these services will be offered under one roof at one geographical location. The core "product" of this business is specialized health care to meet the specific needs of its Haitian patients in order to achieve optimal Health and Wellness. GO ICS, working as the governing agency for Mercy Hospital will also plan to offer many ancillary services, such as nutritional counseling, healthy lifestyle teaching, and educational courses that will enhance and promote optimal health for the population that is being served. Project Outline The project, Mercy Hospital will be founded by Bethesda Evangelical Mission under the direction of GO ICS, an independent, not for profit non-religious affiliated corporation based in the United States. The controlling organization for the creation of the Hospital, GO ICS will be the owner and operator of the hospital. As per standard operating procedure in the United States, the hospital will be run by a Board of Directors which will include a number of medical and administrative professionals (doctors, hospital administrators) who will have extensive experience in the medical and healthcare industry. 6
All hires and approval for volunteer work will be managed by the Board of Directors or their designees. It will be the goal of Mercy Hospital to develop strong and ongoing partnerships with US medical facilities to assist with training and to provide staffing by using residents, ancillary personnel and interns from area hospitals. Locally targeted institutions such as University of Connecticut Health Center, St. Francis Hospital and Medical Center and Hartford Hospital will be tapped for services they might have to offer a third world countries needs. The practice of medical care will be managed by a central management team under the direction of the Board of Directors that will provide to each practitioner all the services required to capture and maintain a successful and modern medical practice. The services offered by GO ICS will be comprehensive, to include but not be limited to data management, billing and financial management including accounts receivable and payable, marketing, human resource management, communications management, educational programs, and community relations. Services The list of services offered to the region which are listed below will be related to the achievement of Optimal Health and Wellness for our patients. The initial emphasis will be: Traditional Western Medical Care including Primary Care Medicine o Primary care - Adults o Primary care - Pediatrics o Primary care - Gynecology Preventive medical care including o Vaccination programs o Infectious disease prophylaxis Obstetrical Care o Midwife services o Family planning Primary Dental Care Psychiatric Services including Post traumatic stress disorders (PTSD) 7
Aside from primary care, additional focus will be to provide information through: o written literature o basic educational classes to the community o bring awareness programs for the prevention of diseases o improvement of the overall health and well being of all Haitian citizens. In the future, additional services hopefully will also be provided including: Minor and major general surgical services Orthopedic surgical services Trauma management Specialized Cardiac and Pulmonary medical care Specialized Nutritional Counseling 8
FINANCIAL PATH TO SUCCESS Background The economic climate in the area where the hospital will be built is bleak. The patients that will be served at the hospital are the poorest of the poor. Although hospitals operate with great economic stability as people continue to require medical care, Haiti is the poorest nation in the Western Hemisphere and most of the people served will not be able to pay for the care. It is the hope that the hospital will see positive cash flow within the first 10 years of operation. The hospital will be extremely important in this area of Haiti. The current government run hospital provides very little in terms or adequate care for the need of the people. This hospital will provide emergency medical services along with primary care and preventative medicine. Market Analysis Summary The health care market is huge and the patient population targeted has ever increasing needs for services. We will be providing services to the adult population and will also be providing pediatric care in the region. We will concentrate on Health and Wellness in all of its various aspects. Prevention of disease will be most important in addition to treatment of disease after it occurs. However, we also will approach disease, when it occurs in a comprehensive manner, recognizing that traditional and non-traditional methods can and often do work together to get the best results. Strategy and Implementation Summary The marketing plan for Mercy Hospital will be different from most traditional marketing plans for most hospitals. Our marketing strategy will not be to market to a target patient base but to market our plans and vision to other hospitals in the US. Our goal is to establish relationships with these hospitals and make them aware of our endeavor in Haiti with the hope that they will partner with us for educational training, equipment, supplies and their most valued intellectual property. We will also market Mercy Hospital to ambulatory companies with the hope of them providing training for 9
ambulatory services and even to provide transportation equipment. It is the goal of Mercy Hospital to have a strong internet presence with a detailed interactive website. The website will provide information about the hospital and its needs. It will also provide information for practitioners in the US to sign up for volunteer work and to submit the application online. Mercy Hospital will also have a strong presence on social media via Facebook. Milestones The first phase of the plan is to purchase the land on which the hospital will be built. This phase should be completed by early summer 2014. Once the land is purchased, an access road to the property will be built and a security wall will be built around the property. The second phase is to construct a five room out-patient clinic within twelve months of the land purchase. This phase will also include the construction of residential homes. The third phase of the project is to build a fully functional 100 in patient bed hospital. It is the goal to have this phase completed within 5 years from the date of the purchase of the land. 10
COST Projected Start-up Costs The projected costs for the 3 phases of the project are below. Phase 1 Description Cost Land Purchase $ 50,000 Access Road $ 25,000 Property Wall (security) $ 10,000 Total $ 85,000 Phase 2 Description Cost Out-Patient clinic (5 large rooms, consultation, dental clinic, birthing clinic, lab & imaging area) $ 200,000 Residential Homes Section $ 75,000 Total $ 275,000 Phase 3 Description Cost Major Pavilions (male, female, pediatric wards) $ 500,000 Orthopedic Wing $ 150,000 Medical Offices $ 200,000 Total $ 850,000 11
Financial Plan The projected financial statement is based on reasonable and conservative expectations, as well as the past performance of already existing hospitals in neighboring countries upon which Mercy Hospital is modeled. We believe that we have approached the financial planning from a conservative standpoint, and base our numbers on achievable gross margins. Short-term Debt: It is not the intent of BEM / GO ICS to acquire any debt to finance this project. Most of the funds will come from fundraising projects and private donations. It is also the goal of BEM / GO ICS to solicit investors for this project. However, because the hospital will be built in an area that suffers from severe poverty, it is not anticipated that the hospital will start making a profit until the 10 th year of operation. Management Summary The management philosophy of BEM is based on the extant history of the Good Samaritan hospital experience based in La Romana, Dominican Republic. 12
This is the current hospital facility in Les Cayes, Haiti which does not adequately meet the medical needs of the people of the region. Bethesda Evangelical Mission in conjunction with Go ICS vision is to build a comprehensive hospital with the ultimate hope of adequately meeting the health care needs of the people of Les Cayes. To put this plan in place, we are asking for your help to help us make a difference between life and death for some of the poorest people in the Western Hemisphere. 13
PARTNER WITH US You can partner with us by going online to: Bemhaiti.org or mailing a check payable to: BEM Mercy Hospital, P.O. Box 6060, Wallingford, CT 06492 14