SCHEDULE & DRAWDOWN RS SH TO BUKOPIN DES 2010

REKAPITULASI BIAYA PEMBANGUNAN KWS TERPADU DATA PEMBANGUNAN KAWASAN TERPADU R.S. SUMBER HUSADA CIPAYUNG.LUAS LAHAN = 19.200 M2 ( L =12,6HA )JALAN BINA MARGA -CIPAYUNG, JAKARTA TIMUR

B RENCANA PENGELUARAN VOLUME SAT HARGA ESTIMASI JUMLAH KHUSUS R.SAKIT

I BIAYA PENGADAAN LAHAN

- Peroleha Lahan/ Harga Dasar ( Effektif ) 126,000 M2 1,500,000 189,000,000,000 32,000 48,000,000,000

- Biaya Ijin Lokasi & Prinsip 126,000 M2 150 18,900,000 32,000 4,800,000

- PBB (selama 1 tahun) 126,000 M2 1,500 189,000,000 32,000 48,000,000

- Biaya Akte Notaris 126,000 M2 1,500 189,000,000 32,000 48,000,000

- Konpensasi Lahan ke Kelurahan 126,000 M2 15,000 1,890,000,000 32,000 480,000,000

- Biaya BPHTB ( 5% pembeli + 5 % penjual ) 126,000 M2 150,000 18,900,000,000 32,000 4,800,000,000

210,186,900,000 53,380,800,000 II Perijinan & Legalitas Tanah 3 %

- Amdal ( UKP & UPL+ Analisa Dampal Lalu lintas ) 126,000 M2 500 63,000,000 32,000 16,000,000

- Pengesahan Site Plan 126,000 M2 300 37,800,000 32,000 9,600,000

- Perijinan Peruntukan Lahan ( Advis Planning ) 126,000 M2 500 63,000,000 32,000 16,000,000

- Perijinan MendK Bang ( IMB ) RS,AKPER,MAL,RUKO,APART,ASRAMA 126,000 M2 150,000 18,900,000,000 4 600,000

19,063,800,000 42,200,000

III Perijinan Membangun & Operasional RS Tipe B

- Perijinan Membangun RS Tipe B ( Rek.Propinsi ) 126,000 M2 180,000 22,680,000,000 22,680,000,000

- Perijinan Operasional RS Tipe B ( Rek.Propinsi ) 126,000 M2 200,000 25,200,000,000 25,200,000,000

47,880,000,000 277,130,700,000 47,880,000,000

IV BIAYA PERENCANAAN & SUPERVISI

- Pengukuran Situasi & Kontur 126,000 M2 150 18,900,000 32,000 4,800,000

- Penyelidikan tanah ( Sondir & Booring ) 42 TTK 235,000 9,870,000 21 4,935,000

- Konsultan Perencanaan 0.0250 % 600,000,000,000 15,000,000,000 #REF! #REF!

- Supervisi / Quality Control ( 0,5%x Bia Pembang ) 0.0350 % 600,000,000,000 21,000,000,000 #REF! #REF!

- Konsultan Menegemen Rumah Sakit ( termasuk peralatan ) 0.0150 % 600,000,000,000 9,000,000,000 #REF! #REF!

- Konsultan Peralatan Rumah Sakit ( termasuk peralatan ) 0.0100 % 600,000,000,000 6,000,000,000 600,000,000,000 6,000,000,000

51,028,770,000 #REF!

V BIAYA PEMATANGAN LAHAN & PRASARANA

- Prasarana Luar ( 1 % ) X Biaya Pemb Prasarana 0.0050 % 17,248,548,249 86,242,741 89,996,641 -

- Pembentukan Muka Tanah 126,000 m² 7,600 957,600,000 957,600,000 32,000 243,200,000

- Parkir Mobil & Motor 24,700 m² 245,000 6,051,500,000 6,051,500,000 21,921 5,370,728,300

- DMJ 13 m' bv ( 5,5 + 2+5,5 ) 4,030 m² 212,500 856,375,000 856,375,000 -

- DMJ 12m' 2,760 m² 185,000 510,600,000 510,600,000 700 129,500,000

- DMJ 10 m' 1,500 m² 185,000 277,500,000 277,500,000 4460 825,100,000

- DMJ 8 m' 1,200 m² 185,000 222,000,000 222,000,000 3080 569,800,000

- DMJ 7 m' ( HOTMIX ) 1,470 m² 185,000 271,950,000 271,950,000 -

- Bunderan perkerasan L=10 442 m² 185,000 81,770,000 81,770,000 6 1,110,000

- Box Culverd Tipe BC1-S2 7 Unit 1,825,000 12,775,000 12,775,000 4 6,387,500

- Saluran air kotor & Hujan S3 448 m' 325,000 145,527,778 145,527,778 224 72,763,889



- Saluran air limbah ke IPAL d= 6 inci 112 m' 515,000 57,680,000 57,680,000 56 28,840,000

- Saluran air bersih d= 6 inci 1,070 m' 515,000 551,050,000 551,050,000 535 275,525,000

- Kolam Rekreasi 4 Unit 8,500 m² 515,000 4,377,500,000 4,377,500,000 3 1,545,000

- Valve & acc d= 6 inci 236 bh 265,000 62,646,000 62,646,000 118 31,323,000

- Hydrant Tegak & accessories 6 bh 6,850,000 41,100,000 41,100,000 3 20,550,000

- Pagar Pengaman ( Pagar transparan ) 775 m' 970,000 970,000 751,750,000 388 970,000

- Pagar Pengaman ( Beton Panel ) 1,112 m' 715,200 795,302,400 795,302,400 1 715,200

- Pertamanan Jalan Bina Marga 96 m² 2,307,083 221,480,000 221,480,000 48 110,740,000

- Pertamanan dan Prasasti Utama 1 Unit 225,000,000 225,000,000 225,000,000 1 112,500,000

- Pohon tepi jalan ( Pohon pelindung ) 279 Ttk 25,000 6,983,598 6,983,598 140 3,491,799

- Pohon semak dan rumput gajah ( Pohon semak berbagai jenis ) 31,010 m² 35,600 1,103,956,000 1,103,956,000 15,505 551,978,000

- Pas & Serah terima Lampu PJU+Ornamen (Dobel Lamp) 34 Ttk 3,820,000 128,051,251 128,051,251 8,492,440,545

- Kontingensi Fisik 1 % X Biaya Pembangunan Psr 0.01 % 10,545,550,821 105,455,508 105,455,508

17,334,790,990 18,089,324,890

VI BIAYA PERSIAPAN & PEMBANGUNAN ( FISIK )

120 1,120,000 134,400,000

240 805,000 193,200,000

22,000 8,150,000 179,300,000,000

11,800 4,250,000 50,150,000,000

8,400 6,400,000 53,760,000,000

800 4,100,000 3,280,000,000

2 Unit 160,900,000 321,800,000

9 Unit 7,200,000 64,800,000

Jumlah 287,204,200,000

VII BIAYA I.M.B & B.P dan PENUNJANG RSU/KANTOR & OVERHEAD

1,488 150,000 223,251,587 744 111,625,794

34 Unit 75,000 2,514,095 17 1,257,048

3. BP. Air Minum dan BP. Listrik & Pembangunan Gardu 4 Unit 225,000,000 900,000,000 4 900,000,000 8,000 4. Biaya Pembangkit Energi ( Genzet 1200 KVA 5 unit & UPS 5 Unit ) 3 Unit 2,100,000,000 6,300,000,000 2 3,150,000,000

5. Biaya Tata Suara & Teknologi Informasi & Jaringan di Kawasan 1 Paket 5,800,500,000 5,800,500,000

1 Unit 9,400,000,000 9,400,000,000

7. Biaya Furniture RS Sumber Husada Cipayung 200 Unit 26,060,000 5,212,000,000

8. Biaya Furniture ASRAMA ( 238 Kmr ) 238 Unit 6,800,000 1,618,400,000 4,162,882,841

9. Biaya Loundry & Kichen ( Ruang Gizi ) 115 Unit 10,800,000 1,242,000,000

10. Over Head Produksi 1 % 0.010 % 656,505,508 6,565,055

Jumlah 30,705,230,738

VIII BIAYA PEMELIHARAAN, ALKES, PEMADAM & MOBIL OP , MAN.AWAL

1. Biaya Pemeliharaan Lingkungan/ Th ( 2 TH ) 32,000 M2 35,000 1,120,000,000 80,000 2,000,000,000

2. Biaya Peralatan Rumah Sakit ( ICU+UGD+XRay+R.Bedah+R.Inap+Ambulan) 200 Bed 117,800,000,000 117,800,000,000 200 102,000,000,000

3. Pembelian Kendaraan Roda 4 ( Mobil 1.800 cc ) /Utk Operasional 12 Bln 320,000,000 3,840,000,000 6 5,120,000,000

4. Biaya Operasional Awal & Biaya Usaha selama 12 bulan 12 Bln 340,000,000 4,080,000,000 12 4,080,000,000

5. Biaya Pemasaran selama 16 bulan 1.5 Thn 1,800,000,000 2,700,000,000 1 1,500,000,000

129,540,000,000 114,700,000,000

JUMLAH PENGELUARAN (B) 792,943,691,728 #REF!

TOTAL I, II, III, IV, V, VI ###

#REF! #REF!

#REF!

- Kantor Proyek ( Darurat L= 120 m² ) m²

- Gudang Proyek & Bedeng Proyek ( L= 240 m² ) m² - Pembangunan RSU SUMBER HUSADA 5 LT m²

- Pembangunan PADEPOKAN ( 14 UNIT ) m²

- Pembangunan ASRAMA PERAWAT ( 1 BLOK ) m²

- Pembangunan SARANA IBADAH ( MASJID ) m² - Pembangunan PINTU GERBANG

- Bangunan Pos jaga & Parkir 9 unit

1. I M B Bang. RSU, ASRAMA, IBADAH, m²

2. I M B Bangunan PINTU GERBANG

6. Biaya Incenerator & Ipal ( Kapasitas 5 m³ )

GRAFIK SALDO AKHIRPEMBANGUNAN KAWASAN TERPADU R.S. BOGOR CITRA MEDIKA. - KOTA BOGOR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 200

500000000000

1000000000000

1500000000000

2000000000000

2500000000000

3000000000000

Row 119

DRAWDOWN SCHEDULERS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR 9,632,700,000

PROPINSI DKI JAKARTA 9,450,000,000

163,800,000 9,613,800,000

No. Uraian Pekerjaan Rp Jan-11 Feb-11 Mar-11 Apr-11 May-11

% Rp. % Rp. % Rp. % Rp. % Rp.1 2 3 4 5

210,186,900,000 I PEKERJAAN PERSIAPAN & LAHAN 0.00 0.00 0.00 0.00 0.00

1 Pembebasan Lahan L=12,6 Ha 210,186,900,000 - 0.00 - - Pembayaran Lahan 100% 189,396,900,000 0.00 - - Pembayaran Iuran Desa/Kelurahan & Kecamatan 100% 1,890,000,000 - - BPHTB/Pajak2 100% 18,900,000,000 -

- - 2 Perijinan & Legalitas Tanah 2 % 182,700,000 - -

- Pengukuran & Soil test 50% 18,900,000 - - - Amdal ( UKP & UPL + Analisa Dampal Lalu lintas/ANDALL ) 100% 63,000,000 - - Pengesahan Site Plan 100% 37,800,000 - - Perijinan Peruntukan Lahan ( Advis Planning ) 100% 63,000,000 - - Perijinan Mendirikan Bangunan ( IMB ) 18,900,000,000 50% 9,450,000,000 50% 9,450,000,000 0% -

- 3 Biaya Konsultan Perencanaan & Supervisi (MK) 36,000,000,000 50% 18,000,000,000 50% 18,000,000,000 - 4 Perijinan dari Dep.Kesehatan 47,880,000,000 40% 19,152,000,000 0% - 0% - 5 Pek. Persiapan Sondir+Borring &Pengk 28,770,000 50% 14,385,000 50% 14,385,000 0% -

0.00 - II PEK. GEDUNG HOSPITAL NON MEKANIKAL

1 Pek.Pagar Batas (P=1050m') 51,873,000 20% 10,374,600 - - 75% 38,904,750 - - - - 2 Pek. Tanah (Land Clearing & Grading ) & Jalan, Saluran 8,429,794,545 20% 1,685,958,909 - - 75% 6,322,345,909 - - - - 3 Pek. Pemb.RS+Padepokan+Asrama 287,204,200,000 20% 57,440,840,000 - - 25% 71,801,050,000 - 4 Mechanical, Electrical, Plambing & Tata Suara 6,300,000,000 - - - - 20% 1,260,000,000 5 Peralatan Medis (120bed ) & Ambulance, Mobil Jenazah 117,800,000,000 30% 35,340,000,000 6 Pekerjaan Ipal & isjenerator 9,400,000,000 - - - - - - 20% 1,880,000,000 7 Pek. Teknologi Informasi 5,800,500,000 - - - - - - 20% 1,160,100,000 8 Kendaraan Operasional RS 3,840,000,000 30% 1,152,000,000 9 Biaya Kantor & Manajemen (24 bln ) 6,780,000,000 30% 2,034,000,000 30% 2,034,000,000

10 Interior rumah sakit/loundry/R.gizi & Kantor 8,072,400,000 0% - 5% 399,583,800 5% 403,620,000 5% 403,620,000 5% 403,620,000 11 Konsultan Management RS SH 9,000,000,000 0% - 0% 5% 450,000,000 5% 450,000,000 5% 450,000,000

12 Pek. Konsultan Man. Rumah Sakit ( 1,5% ) 6,000,000,000 20% 1,200,000,000 - - 25% 1,500,000,000 - 13 Pek. Konsultan ALkescRumah Sakit ( 1% ) 1,500,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 14 Overhead Produksi sebesar 10 % x Biaya Pembangunan 31,133,399,454 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973

TOTAL 814,490,536,999 301,350,828,482 85,625,638,773 8,846,540,631 75,786,339,973 8,819,389,973 TOTAL KUMULATIF 301,350,828,482 386,976,467,254 395,823,007,886 471,609,347,859 480,428,737,831

9,632,700,000

Jun-11 Jul-11 Aug-11 Sep-11 Oct-11 Nov-11 Dec-11 Jan-12 Feb-12% Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp.

6 7 8 9 10 11 12 13 14

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

5% 2,593,650 - - - - - - - - - - - - - - - - 5% 421,489,727 - - - - - - - - - - - - - - - -

- 25% 71,801,050,000 - - 25% 71,801,050,000 - - 5% 14,360,210,000 - - - 25% 1,575,000,000 - - 25% 1,575,000,000 - - 25% 1,575,000,000

- - - - - - 30% 2,820,000,000 - - - - - - - - - - - - - - 30% 1,740,150,000 - - - - - - - -

30% 2,034,000,000 10% 678,000,000 5% 403,620,000 5% 403,620,000 5% 403,620,000 5% 403,620,000 5% 403,620,000 5% 403,620,000 5% 367,294,200 5% 367,294,200 5% 367,294,200 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000

- 25% 1,500,000,000 - - 25% 1,500,000,000 - - 5% 300,000,000 - 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973

2,909,373,350 75,786,339,973 6,094,289,973 7,045,439,973 75,786,339,973 4,738,289,973 2,448,964,173 17,109,174,173 4,023,964,173 483,338,111,181 559,124,451,154 565,218,741,127 572,264,181,099 648,050,521,072 652,788,811,045 655,237,775,218 672,346,949,390 676,370,913,563

Mar-12 Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12 Oct-12 KETERANGAN% Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp. JUMLAH

15 16 17 18 19 20 21 22 23

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 - - 189,396,900,000 1,890,000,001 18,900,000,001 - - 18,900,000 63,000,000 37,800,000 63,000,000 18,900,000,001 - 36,000,000,001

60% 28,728,000,000 47,880,000,001 28,770,001 - -

- - - - - - - - - - - - - - - - 51,873,001 - - - - - - - - - - - - - - - - 8,429,794,546 - - - - - - - - 287,204,200,001 - - 5% 315,000,000 - - - - - 6,300,000,001

70% 82,460,000,000 117,800,000,001 - - - - - - 20% 1,880,000,000 - - - - 30% 2,820,000,000 - - 9,400,000,001 - - - - - - 20% 1,160,100,000 - - - - 30% 1,740,150,000 - - 5,800,500,001

70% 2,688,000,000 3,840,000,001 6,780,000,001

5% 367,294,200 5% 367,294,200 5% 367,294,200 5% 367,294,200 5% 367,294,200 5% 367,294,200 5% 367,294,200 5% 367,294,200 8,072,400,001 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000 5% 450,000,000 9,000,000,001

- - - - - - - - 6,000,000,001 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 5% 75,000,000 - 1,575,000,001 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 5% 1,556,669,973 - 31,133,399,455

2,448,964,173 2,448,964,173 2,763,964,173 5,489,064,173 5,136,964,173 84,908,964,173 5,452,444,200 29,545,294,200 814,565,537,016 678,819,877,736 681,268,841,909 684,032,806,081 689,521,870,254 694,658,834,427 779,567,798,599 785,020,242,799 814,565,536,999

Jakarta, September 2010Konsultan Perencanaan Pengembang Rumah Sakit

PT. CITRA ADIWASTU DESIGN PT. RSU SUMBER HUSADA

Pudjo Priyanto Ir. MoedjitoDirektur Presiden Direktur

DRAWDOWN SCHEDULERS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR ###

#REF! 8500000 #REF! 183 -

No. Uraian Pekerjaan % Rp - MilyarBulan1 Bulan2 Bulan3 Bulan4 Bulan5

% Rp. % Rp. % Rp. % Rp. % Rp.

I PEKERJAAN PERSIAPAN & LAHAN

1 Pembebasan Lahan L=8.000 Ha 25.76% 210,187

- Pembayaran Lahan / Dp 20% 42,037 0.00

- Pelunasan Pembayaran Lahan 80% 149,200

- BPHTB/Pajak2 0.00% - 100% 18,900

2 Perencanaan, Perijinan & Legalitas Tanah 3 % 0.02% 182.700 0% -

-Termasuk Pengukuran/Soil test 100% 18.900 -

- Amdal ( UKP & UPL+ Analisa Dampal Lalu lintas ) 100% 63.000

- Pengesahan Site Plan 100% 37.800

- Perijinan Peruntukan Lahan ( Advis Planning ) 100% 63.000

- Perijinan Mendirikan Bangunan ( IMB ) 2.32% 18,900 50% 9,450 50% 9,450

3 Biaya Konsultan Perencanaan 4.41% 36,000 32% 11,520 20% 7,200 10% 3,600 2% 720 2% 720

4 Perijinan dari Dep.Kesehatan 5.87% 47,880 50% 23,940 50% 23,940

5 Pek. Persiapan Pelaksanaan 0.00% 28.77 50% 14 50% 14

0.00

II PEK. GEDUNG+ME, IT, MK, MRS & OPERASIONAL

1 Pek.Pematangan Tanah & Pagar 1.04% 8,482 30% 2,545 - - 65% 5,513 - - - -

2 Pek. Pembangunan Gedung Hospital & Guest house 35.20% 287,204 30% 86,161 - - 25% 71,801 -

3 Interior dan Fasilitas Lain ( Pertamanan ) 0.99% 8,072 - - - 20% 1,614 -

4 Mechanical, Electrical, Plambing & Tata Suara 0.77% 6,300 - - - - 30% 1,890

5 Peralatan Medis (120bed ) & Ambulance, Mobil Jenazah 14.44% 117,800 30% 35,340

6 Teknologi Informasi (Termasuk Perangkat keras ) 0.71% 5,801 - - - - - - 35% 2,030

7 Kendaraan operasional ( Mobil & Motor ) 0.47% 3,840

8 Ipal & isjenerator 1.15% 9,400 0% - 25% 2,350

9 Biaya Kantor & Manajemen (24 bln ) 0.83% 6,780 5% 308 5% 308 5% 308 5% 308 5% 308

10 Konsultan Alkes 0.18% 1,500 5% 68 5% 68 5% 68 5% 68 5% 68

11 Pek. Konsultan Man. Rumah Sakit ( 1,5% ) 1.10% 9,000 20% 1,800 - - 25% 2,250 -

12 Pek. Konsultan ALkescRumah Sakit ( 1% ) 0.92% 7,500 20% 1,500 - - 25% 1,875 -

13 Overhead Produksi sebesar 10 % x Biaya Pembangunan 3.82% 31,133 5% 1,417 5% 1,417 5% 1,417 5% 1,417 5% 1,417

15 TOTAL 100% 815,991 13.4% 180,944 14.23% 245,837 1.3% 10,906 10.7% 82,404 3.6% 6,433

16 TOTAL KUMULATIF 180,944 426,781 437,687 520,091 526,524 17 NET CASH RECEIVED FOR PROJECT 784,857 179,527 244,421 9,490 80,987 5,017

* Catatan Bangunan :

1 Hospital 200 BED Luas = 18.000 M2 2 Akademi Perawat Luas = 3 Asrama Perawat Luas = 437,499

Bulan6 Bulan7 Bulan8 Bulan9 Bulan10 Bulan11 Bulan12 Bulan13 Bulan14 Bulan15

% Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp.

2% 720 2% 720 2% 720 2% 720 2% 720 2% 720 2% 720 2% 720 2% 720 2% 720

5% 424 - - - - - - - - - - - - - - - - - -

- 20% 57,441 - - 20% 57,441 - - - - -

- 25% 2,018 - - 25% 2,018 - - 15% 1,211 - -

- - 25% 1,575 - - 20% 1,260 - - 20% 1,260 -

- - - - - - 30% 1,740 - - - - - - - - - -

30% 1,152

25% 2,350 50% 4,700

5% 308 5% 308 5% 308 5% 308 5% 308 5% 308 5% 57 5% 57 5% 308 5% 308

5% 68 5% 68 5% 68 5% 68 5% 68 5% 68 5% 68 5% 68 5% 68 5% 68

- 25% 2,250 - - 25% 2,250 - - 5% 450 - -

- 25% 1,875 - - 25% 1,875 - - 5% 375 - -

5% 1,417 5% 1,417 5% 1,417 5% 1,417 5% 1,417 5% 1,417 5% 57 5% 57 5% 1,417 5% 1,417

0.2% 5,287 9.3% 66,097 1.8% 8,788 1.3% 4,253 9.3% 66,097 1.4% 3,773 0.1% 902 3.1% 2,937 1.7% 4,925 0.1% 2,513

531,812 597,909 606,697 610,951 677,048 680,821 681,723 684,660 689,586 692,099 3,871 64,681 7,372 2,837 64,681 2,357 845 2,881 3,509 1,097

KonsultanPT. CITRA ADIWASTU DESIGN

Pudjo PriyantoDirektur

Bulan16 Bulan17 Bulan18 Bulan19 Bulan20 Bulan21 Bulan22 Bulan23 Bulan24

% Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp. % Rp.

2% 720 2% 720 2% 720 2% 720 2% 720 2% 720.00 2% 720

- - - - - - - - - - - - - -

- 5% 14,360 - - - - -

15% 1,211 - - - - - -

- 5% 315 - - - - -

70% 82,460

- - - - 30% 1,740 - - - - 5% 290 - -

70% 2,688

5% 308 5% 308 5% 339 5% 339 5% 339 5% 339 5% 339 5% 339 5% 315

5% 68 5% 68 5% 68 5% 68 5% 68 5% 68 5% 68

- - - - - -

- - - - - -

5% 1,417 5% 1,417 5% 1,557 5% 1,557 5% 1,557 5% 1,557 5% 1,557 5% 1,557 5% 1,448

0.3% 3,724 0.4% 17,189 1.3% 4,424 0.7% 5,372 25.4% 85,144 0.3% 2,974 0.05% 2,684 0.05% 1,896 0.05% 1,763

695,823 713,012 717,436 722,808 807,952 810,926 813,609 815,505 817,268 2,308 15,772 2,867 3,815 83,587 1,417 #REF!

Pemilik/ PengembangPT. RSU SUMBER HUSADA

Ir. MoedjitoPresiden Direktur

CASHFLOW PROJECTION

RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR(in Rp.000) 803,439,536

Description MASA PEMBA MASA PEMBA TAHUN 1 TAHUN 2 TAHUN 3 TAHUN 4 TAHUN 5

Cash InflowRevenue 69,224,030 77,165,706 85,042,250 94,847,739 106,271,995 Padepokan 33,227,534 50,157,709 55,277,462 61,651,030 69,076,797

Investasi 401,719,768 401,719,768 - - - - - Modal Kerja 5,500,000 5,500,000 - - - - -

Total Cash Inflow 407,219,768 407,219,768 102,451,564 127,323,415 140,319,712 156,498,769 175,348,791

Beginning Cash Balance - - - 69,553,816 160,433,999 260,334,744 313,158,237

Cash Available Balance 407,219,768 407,219,768 102,451,564 196,877,232 300,753,711 416,833,513 488,507,029

Cash OutflowInvestasi

Biaya Pembangunan 327,253,068 327,253,068 - - - - - Peralatan Medis 58,900,000 58,900,000 - - - - - Lain - Lain 15,566,700 15,566,700 - - - - -

Modal Kerja 5,500,000 5,500,000 - - - - - Direct Cost - - 25,509,202 28,221,609 31,114,323 34,645,121 38,580,044 Overhead - - 4,508,000 4,958,800 5,702,620 6,843,144 8,553,930 Pajak Perseroan - - 2,880,546 3,262,824 3,602,025 4,012,758 4,475,042 Interest During Construction - - - - - - - Project Consultant Fee - - - - - - - Total Cash Outflow 407,219,768 407,219,768 32,897,748 36,443,232 40,418,967 45,501,023 51,609,016

Cash Available to Debt Service - - 69,553,816 160,433,999 260,334,744 371,332,490 436,898,013

Loan Outstanding 407,219,768 407,219,768 814,439,536 814,439,536 814,439,536 756,265,284 698,091,031

Loan RepaymentPrincipal - - - - - 58,174,253 58,174,253 Interest @ 0%pa - - - - - - -

Total Loan Repayment - - - - - 58,174,253 58,174,253

Cash Ending Balance - - 69,553,816 160,433,999 260,334,744 313,158,237 378,723,760

TAHUN 6 TAHUN 7 TAHUN 8 TAHUN 9 TAHUN 10 TAHUN 11 TAHUN 12 TAHUN 13 TAHUN 14 TAHUN 15

119,440,764 135,874,031 154,998,203 178,964,300 203,481,103 228,352,012 256,786,531 290,249,680 328,880,090 376,349,132 77,636,497 88,318,120 100,748,832 116,326,795 132,262,717 148,428,808 166,911,245 188,662,292 213,772,059 244,626,936 - - - - - - - - - - - - - - - - - - - - 197,077,261 224,192,151 255,747,034 295,291,096 335,743,820 376,780,820 423,697,776 478,911,972 542,652,149 620,976,067

378,723,760 458,568,529 555,685,408 671,537,053 814,992,006 985,831,954 1,184,243,013 1,411,961,234 1,671,127,819 1,960,965,371

575,801,021 682,760,680 811,432,443 966,828,149 1,150,735,826 1,362,612,774 1,607,940,790 1,890,873,206 2,213,779,967 2,581,941,438

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 42,965,736 48,343,393 54,610,473 62,352,993 69,591,239 74,814,521 80,606,734 87,033,598 94,168,681 102,094,349 11,120,109 15,012,147 21,017,006 24,169,557 29,003,468 36,254,335 47,130,636 63,626,359 89,076,902 129,161,508 4,972,393 5,545,479 6,093,658 7,139,340 8,134,912 9,126,652 10,067,933 10,911,178 11,394,761 11,351,462 - - - - - - - - - - - - - - - - - - - - 59,058,239 68,901,019 81,721,137 93,661,890 106,729,619 120,195,509 137,805,303 161,571,135 194,640,343 242,607,319

516,742,782 613,859,661 729,711,306 873,166,259 1,044,006,207 1,242,417,266 1,470,135,487 1,729,302,071 2,019,139,624 2,339,334,119

639,916,779 581,742,526 523,568,273 465,394,021 407,219,768 349,045,516 290,871,263 232,697,010 174,522,758 116,348,505

58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 - - - - - - - - - - 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253 58,174,253

458,568,529 555,685,408 671,537,053 814,992,006 985,831,954 1,184,243,013 1,411,961,234 1,671,127,819 1,960,965,371 2,281,159,867

PROFIT & LOSS PROJECTIONRS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR(in Rp.000)

DESCRIPTION TAHUN 1 TAHUN 2 TAHUN 3 TAHUN 4 TAHUN 5 TAHUN 6 TAHUN 7 TAHUN 8 TAHUN 9 TAHUN 10 TAHUN 11 TAHUN 12 TAHUN 13 TAHUN 14 TAHUN 15

Revenue 69,224,030 77,165,706 85,042,250 94,847,739 106,271,995 119,440,764 135,874,031 154,998,203 178,964,300 203,481,103 228,352,012 256,786,531 290,249,680 328,880,090 376,349,132

111.5% 110% 111.53% 112% 112% 114% 114% 115% 114% 112% 112% 113% 113% 114%

Cost of Revenue

Direct Cost / Per Cost Center 25,509,202 28,221,609 31,114,323 34,645,121 38,580,044 42,965,736 48,343,393 54,610,473 62,352,993 69,591,239 74,814,521 80,606,734 87,033,598 94,168,681 102,094,349

Overhead/ General Admin Expense 4,508,000 4,958,800 5,702,620 6,843,144 8,553,930 11,120,109 15,012,147 21,017,006 24,169,557 29,003,468 36,254,335 47,130,636 63,626,359 89,076,902 129,161,508

Depreciation & Amortisation 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000 3,200,000

Total Cost of Revenue 33,217,202 36,380,409 40,016,943 44,688,265 50,333,974 57,285,845 66,555,540 78,827,479 89,722,550 101,794,708 114,268,856 130,937,370 153,859,957 186,445,583 234,455,857

Operating Margin 36,006,828 40,785,298 45,025,307 50,159,474 55,938,020 62,154,919 69,318,491 76,170,724 89,241,751 101,686,395 114,083,156 125,849,161 136,389,723 142,434,507 141,893,275

Financial Cost

Interest on Loan - - - - - - - - - - - - - - -

Income Before Tax 36,006,828 40,785,298 45,025,307 50,159,474 55,938,020 62,154,919 69,318,491 76,170,724 89,241,751 101,686,395 114,083,156 125,849,161 136,389,723 142,434,507 141,893,275

Decrease 8% 2,880,546 3,262,824 3,602,025 4,012,758 4,475,042 4,972,393 5,545,479 6,093,658 7,139,340 8,134,912 9,126,652 10,067,933 10,911,178 11,394,761 11,351,462

Net Income 33,126,282 37,522,474 41,423,282 46,146,716 51,462,979 57,182,525 63,773,012 70,077,066 82,102,411 93,551,484 104,956,503 115,781,228 125,478,545 131,039,747 130,541,813

RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST YEAR 1 TO 15

DescriptionYEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

PROJECTED DIRECT COSTIn-Patiento Hospital Bed Table 6.2.1: 2,080,938 2,294,234 2,529,393 2,788,656 3,074,493 3,389,629 3,737,066 4,198,967 4,717,959 5,301,099 5,956,315 6,692,515 7,519,710 8,449,147 9,493,461 o Service Treatment Specialist Doctor Table 6.2.1: 3,121,407 3,441,351 3,794,090 4,182,984 4,611,740 5,084,443 5,605,599 6,298,450 7,076,939 7,951,649 8,934,472 10,038,773 11,279,566 12,673,720 14,240,192 Emergency Room Table 6.2.2: 340,000 643,860 709,856 797,594 896,176 1,006,944 1,152,850 1,319,898 1,539,529 1,795,707 2,017,656 2,267,038 2,547,244 2,862,083 3,215,837 ICU Table 6.2.3: 912,500 1,006,031 1,109,149 1,246,240 1,400,276 1,573,350 1,801,328 2,062,341 2,405,514 2,805,791 3,152,587 3,542,247 3,980,069 4,472,005 5,024,745 Surgery Table 6.2.4: 1,825,000 2,208,250 2,434,596 2,684,142 2,959,266 3,262,591 3,597,007 3,965,700 4,372,184 4,820,333 4,820,333 4,820,333 4,820,333 4,820,333 4,820,333 Stroke Center Table 6.2.5: 372,300 410,461 452,533 508,466 571,312 641,927 734,942 841,435 981,450 1,144,763 1,286,256 1,445,237 1,623,868 1,824,578 2,050,096 Laboratory Table 6.2.6: 2,053,125 2,263,570 2,495,586 2,804,041 3,150,620 3,540,037 4,052,988 4,640,266 5,412,406 6,313,031 7,093,321 7,970,056 8,955,155 10,062,012 11,305,677 Radiology Table 6.2.7: 1,084,050 1,195,165 1,317,670 1,480,534 1,663,527 1,869,139 2,139,978 2,450,061 2,857,751 3,333,280 3,745,274 4,208,190 4,728,322 5,312,742 5,969,397 Pharmacy Table 6.2.8: 3,660,000 3,546,063 3,909,534 4,310,262 4,752,063 5,239,150 5,776,163 6,368,220 7,020,963 7,702,548 7,702,548 7,702,548 7,702,548 7,702,548 7,702,548

Medical Record & Documentation Table 6.2.9: 407,340 449,092 495,124 556,322 625,083 702,343 804,113 920,629 1,073,821 1,252,505 1,407,315 1,581,259 1,776,703 1,996,303 2,243,046 Nutrition Table 6.2.10: 219,000 241,448 266,196 299,098 336,066 377,604 432,319 494,962 577,323 673,390 756,621 850,139 955,217 1,073,281 1,205,939 Morque Room Table 6.2.11: 37,230 41,046 45,253 50,847 57,131 64,193 73,494 84,143 98,145 114,476 128,626 144,524 162,387 182,458 205,010 Polyclinic Service1 Maternity Clinic Table 6.2.12: 273,750 264,990 292,152 322,097 355,112 391,511 431,641 475,884 524,662 578,440 578,440 578,440 578,440 578,440 578,440 2 Child Clinic Table 6.2.13: 205,313 226,357 249,559 280,404 315,062 354,004 405,299 464,027 541,241 631,303 709,332 797,006 895,515 1,006,201 1,130,568 3 Ear, Nose & Throat Table 6.2.14: 68,438 82,810 91,298 100,656 110,973 122,347 134,888 148,714 163,957 180,763 180,763 180,763 180,763 180,763 180,763 4 Eye Clinic Table 6.2.15: 131,424 144,895 159,747 179,491 201,677 226,604 259,439 297,031 346,457 404,108 454,055 510,177 573,235 644,086 723,695

DescriptionYEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 155 Skin & Genital Table 6.2.16: 273,750 331,238 365,190 402,622 443,890 489,389 539,551 594,855 655,828 723,050 723,050 723,050 723,050 723,050 723,050 6 Internal Organ Table 6.2.17: 255,520 281,711 310,586 348,975 392,108 440,572 504,411 577,501 673,597 785,683 882,794 991,907 1,114,507 1,252,260 1,407,039 7 Cardiology Clinic Table 6.2.18: 228,125 276,032 304,325 335,518 369,909 407,824 449,626 495,713 546,523 602,542 602,542 602,542 602,542 602,542 602,542 8 Neurology Clinic Table 6.2.19: 109,500 132,495 146,076 161,048 177,556 195,756 215,820 237,942 262,331 289,220 289,220 289,220 289,220 289,220 289,220 9 Dental Clinic Table 6.2.20: 136,875 165,619 182,595 201,311 221,945 244,695 269,776 297,428 327,914 361,525 361,525 361,525 361,525 361,525 361,525 10 Oral Surgery Table 6.2.21: 657,000 794,970 876,455 966,291 1,065,336 1,174,533 1,294,923 1,427,652 1,573,986 1,735,320 1,735,320 1,735,320 1,735,320 1,735,320 1,735,320 11 Obesity Tabele 6.2.22: 693,500 764,584 842,954 947,143 1,064,209 1,195,746 1,369,009 1,567,379 1,828,191 1,974,446 2,092,913 2,218,487 2,351,597 2,492,692 2,642,254 12 Dental Spa & beauty Table 6.2.23: 832,200 917,501 1,011,544 1,136,571 1,277,051 1,434,895 1,642,811 1,880,855 2,193,829 2,369,335 2,511,495 2,662,185 2,821,916 2,991,231 3,170,705 13 Acupuncture Table 6.2.24: 306,600 338,027 372,674 418,737 470,493 528,645 605,246 692,946 808,253 872,913 925,288 980,805 1,039,653 1,102,032 1,168,154 14 Bronchology Table6.2.25: 613,200 676,053 745,348 837,473 940,985 1,057,291 1,210,492 1,385,893 1,616,505 1,745,826 1,850,575 1,961,610 2,079,306 2,204,065 2,336,309 15 Endocrinology Table 6.2.26: 459,900 507,040 559,011 628,105 705,739 792,968 907,869 1,039,420 1,212,379 1,309,369 1,387,932 1,471,207 1,559,480 1,653,049 1,752,232 16 Geriatry Table 6.2.27: 427,050 470,823 519,082 583,240 655,329 736,328 843,022 965,175 1,125,781 1,215,843 1,288,794 1,366,121 1,448,088 1,534,974 1,627,072 17 Urology Table 6.2.28: 613,200 676,053 745,348 837,473 940,985 1,057,291 1,210,492 1,385,893 1,616,505 1,745,826 1,850,575 1,961,610 2,079,306 2,204,065 2,336,309 18 Orthopedic Table 6.2.29: 515,088 567,885 626,093 703,478 790,428 888,124 1,016,814 1,164,150 1,357,865 1,466,494 1,554,483 1,647,752 1,746,617 1,851,414 1,962,499 19 Digestive Surgery Table 6.2.30: 748,980 825,750 910,390 1,022,914 1,149,346 1,291,405 1,478,530 1,692,769 1,974,446 2,132,402 2,260,346 2,395,966 2,539,724 2,692,108 2,853,634 20 Plastic Surgery Table 6.2.31: 876,000 965,790 1,064,783 1,196,391 1,344,265 1,510,416 1,729,275 1,979,847 2,309,293 2,494,037 2,643,679 2,802,300 2,970,438 3,148,664 3,337,584 21 Impotence Table 6.2.32: 438,000 482,895 532,392 598,195 672,132 755,208 864,637 989,923 1,154,647 1,247,018 1,321,840 1,401,150 1,485,219 1,574,332 1,668,792 22 Nutritional Table 6.2.33: 459,900 507,040 559,011 628,105 705,739 792,968 907,869 1,039,420 1,212,379 1,309,369 1,387,932 1,471,207 1,559,480 1,653,049 1,752,232 23 Medical Rehabilitation Table 6.2.34: 73,000 80,483 88,732 99,699 112,022 125,868 144,106 164,987 192,441 207,836 220,307 233,525 247,536 262,389 278,132 24.M. R. I Scan Table 6.2.35 328,500 362,171 399,294 448,647 504,099 566,406 648,478 742,443 865,985 935,264 1,028,790 1,131,669 1,256,153 1,394,330 1,575,593 25 Isjenerator Table 6.2.36: 1,419,120 1,564,580 1,724,949 1,938,153 2,177,709 2,446,873 2,801,425 3,207,352 3,741,055 4,040,340 4,282,760 4,539,726 4,812,109 5,100,836 5,406,886 TOTAL DIRECT COST 25,509,202 28,221,609 31,114,323 34,645,121 38,580,044 42,965,736 48,343,393 54,610,473 62,352,993 69,591,239 74,814,521 80,606,734 87,033,598 94,168,681 102,094,349

Kelas # of Bed # of Room Jumlah TABEL BIAYA RAWAT INAPVVIP 1 20 20 RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURVIP 1 22 22 20 YEAR 1 TO 15

I 2 35 70 2 16 32II 4 10 40 4 12 48III 6 8 48 6 12 72

TOTAL BED 95 200 12 60 152

Tabel 6.1.1A

URAIANYEAR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15Growth/ Year 10% 5% 5% 5% 5% 5% 5% 6% 6% 6% 6% 6% 6% 6% 6%

Class VVIP 50% 53% 55% 58% 61% 64% 67% 71% 75% 80% 85% 90% 95% 101% 107%Class VIP 60% 63% 66% 69% 73% 77% 80% 85% 90% 96% 102% 108% 114% 121% 128%Class I 70% 74% 77% 81% 85% 89% 94% 99% 105% 112% 118% 126% 133% 141% 150%Class II 65% 68% 72% 75% 79% 83% 87% 92% 98% 104% 110% 117% 124% 131% 139%Class III 65% 68% 72% 75% 79% 83% 87% 92% 98% 104% 110% 117% 124% 131% 139%

Table 6.1.1B Table of Projected In-Patient on Year 1 to 10YEAR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Class VVIP 3,650 3,833 4,024 4,225 4,437 4,658 4,891 5,185 5,496 5,826 6,175 6,546 6,938 7,355 7,796 Class VIP 4,818 5,059 5,312 5,577 5,856 6,149 6,457 6,844 7,255 7,690 8,151 8,640 9,159 9,708 10,291 Class I 17,885 18,779 19,718 20,704 21,739 22,826 23,968 25,406 26,930 28,546 30,259 32,074 33,999 36,038 38,201 Class II 9,490 9,965 10,463 10,986 11,535 12,112 12,718 13,481 14,289 15,147 16,056 17,019 18,040 19,122 20,270 Class III 11,388 11,957 12,555 13,183 13,842 14,534 15,261 16,177 17,147 18,176 19,267 20,423 21,648 22,947 24,324 TOTAL 47,231 49,593 52,072 54,676 57,410 60,280 63,294 67,092 71,117 75,384 79,907 84,702 89,784 95,171 100,881

Patient (in

Person)

Table 6.1.1C Table of Charge per Room In-Patient Year 1 to Year 10

DescriptionYEAR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15Growth/ Year 10% 5% 5% 5% 5% 5% 5% 6% 6% 6% 6% 6% 6% 6% 6%

Class VVIP 600,000 630,000 661,500 694,575 729,304 765,769 804,057 852,301 903,439 957,645 1,015,104 1,076,010 1,140,571 1,209,005 1,281,545 Class VIP 450,000 472,500 496,125 520,931 546,978 574,327 603,043 639,226 677,579 718,234 761,328 807,008 855,428 906,754 961,159 Class I 250,000 262,500 275,625 289,406 303,877 319,070 335,024 355,125 376,433 399,019 422,960 448,338 475,238 503,752 533,977 Class II 100,000 105,000 110,250 115,763 121,551 127,628 134,010 142,050 150,573 159,608 169,184 179,335 190,095 201,501 213,591 Class III 55,000 57,750 60,638 63,669 66,853 70,195 73,705 78,128 82,815 87,784 93,051 98,634 104,552 110,825 117,475

YEAR1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Class VVIP 2,190,000 2,414,475 2,661,959 2,934,809 3,235,627 3,567,279 3,932,925 4,419,035 4,965,228 5,578,930 6,268,486 7,043,270 7,913,819 8,891,966 9,991,014 Class VIP 2,168,100 2,390,330 2,635,339 2,905,461 3,203,271 3,531,606 3,893,596 4,374,845 4,915,575 5,523,140 6,205,801 6,972,838 7,834,680 8,803,047 9,891,103 Class I 4,471,250 4,929,553 5,434,832 5,991,903 6,606,073 7,283,195 8,029,723 9,022,196 10,137,340 11,390,315 12,798,158 14,380,010 16,157,379 18,154,432 20,398,319 Class II 949,000 1,046,273 1,153,515 1,271,751 1,402,105 1,545,821 1,704,268 1,914,915 2,151,599 2,417,536 2,716,344 3,052,084 3,429,321 3,853,185 4,329,439 Class III 626,340 690,540 761,320 839,356 925,389 1,020,242 1,124,817 1,263,844 1,420,055 1,595,574 1,792,787 2,014,375 2,263,352 2,543,102 2,857,430 TOTAL 10,404,690 11,471,171 12,646,966 13,943,280 15,372,466 16,948,144 18,685,328 20,994,835 23,589,797 26,505,495 29,781,575 33,462,577 37,598,552 42,245,733 47,467,305

Description (in 000

Rp)

RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA OVERHEAD TAHUN 1 S/D 15

COSTDESCRIPTION

YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEARCODE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

010 Salaries & Wages 2,000,000 2,200,000 2,530,000 3,036,000 3,795,000 4,933,500 6,660,225 9,324,315 10,722,962 12,867,555 16,084,443 20,909,776 28,228,198 39,519,477 57,303,242 020 Meal Allowance 250,000 275,000 316,250 379,500 474,375 616,688 832,528 1,165,539 1,340,370 1,608,444 2,010,555 2,613,722 3,528,525 4,939,935 7,162,905 021 Health Allowance 210,000 231,000 265,650 318,780 398,475 518,018 699,324 979,053 1,125,911 1,351,093 1,688,867 2,195,527 2,963,961 4,149,545 6,016,840 022 Transportation Allowance 50,000 55,000 63,250 75,900 94,875 123,338 166,506 233,108 268,074 321,689 402,111 522,744 705,705 987,987 1,432,581 023 Housing Allowance 50,000 55,000 63,250 75,900 94,875 123,338 166,506 233,108 268,074 321,689 402,111 522,744 705,705 987,987 1,432,581 024 Incentive 200,000 220,000 253,000 303,600 379,500 493,350 666,023 932,431 1,072,296 1,286,755 1,608,444 2,090,978 2,822,820 3,951,948 5,730,324 025 Bonus 200,000 220,000 253,000 303,600 379,500 493,350 666,023 932,431 1,072,296 1,286,755 1,608,444 2,090,978 2,822,820 3,951,948 5,730,324 026 THR 200,000 220,000 253,000 303,600 379,500 493,350 666,023 932,431 1,072,296 1,286,755 1,608,444 2,090,978 2,822,820 3,951,948 5,730,324 029 Other Fringe Benefit 60,000 66,000 75,900 91,080 113,850 148,005 199,807 279,729 321,689 386,027 482,533 627,293 846,846 1,185,584 1,719,097 030 Management Fee 30,000 33,000 37,950 45,540 56,925 74,003 99,903 139,865 160,844 193,013 241,267 313,647 423,423 592,792 859,549 031 Technical Fee 25,000 27,500 31,625 37,950 47,438 61,669 83,253 116,554 134,037 160,844 201,056 261,372 352,852 493,993 716,291 032 Tax Consultant Fee 10,000 11,000 12,650 15,180 18,975 24,667 33,301 46,622 53,615 64,338 80,422 104,549 141,141 197,597 286,516 033 Lawyer Fee 25,000 27,500 31,625 37,950 47,438 61,669 83,253 116,554 134,037 160,844 201,056 261,372 352,852 493,993 716,291 034 Appraiser fee 20,000 22,000 25,300 30,360 37,950 49,335 66,602 93,243 107,230 128,676 160,844 209,098 282,282 395,195 573,032 035 Audit Fee 20,000 22,000 25,300 30,360 37,950 49,335 66,602 93,243 107,230 128,676 160,844 209,098 282,282 395,195 573,032 040 Legal Permit 60,000 66,000 75,900 91,080 113,850 148,005 199,807 279,729 321,689 386,027 482,533 627,293 846,846 1,185,584 1,719,097 041 Retribution 60,000 66,000 75,900 91,080 113,850 148,005 199,807 279,729 321,689 386,027 482,533 627,293 846,846 1,185,584 1,719,097 050 Entertaiment 60,000 66,000 75,900 91,080 113,850 148,005 199,807 279,729 321,689 386,027 482,533 627,293 846,846 1,185,584 1,719,097 051 Donation & Gift 25,000 27,500 31,625 37,950 47,438 61,669 83,253 116,554 134,037 160,844 201,056 261,372 352,852 493,993 716,291 060 sales Promotion 10,000 11,000 12,650 15,180 18,975 24,667 33,301 46,622 53,615 64,338 80,422 104,549 141,141 197,597 286,516 070 Traveling on Duty (Down Town) 60,000 66,000 75,900 91,080 113,850 148,005 199,807 279,729 321,689 386,027 482,533 627,293 846,846 1,185,584 1,719,097 071 Traveling on Duty 80,000 88,000 101,200 121,440 151,800 197,340 266,409 372,973 428,918 514,702 643,378 836,391 1,129,128 1,580,779 2,292,130 072 Traveling on Duty (Overseas) 100,000 110,000 126,500 151,800 189,750 246,675 333,011 466,216 536,148 643,378 804,222 1,045,489 1,411,410 1,975,974 2,865,162 073 Outsourcing 150,000 165,000 189,750 227,700 284,625 370,012 499,517 699,324 804,222 965,067 1,206,333 1,568,233 2,117,115 2,963,961 4,297,743 080 Water & electricity 110,000 121,000 139,150 166,980 208,725 271,343 366,312 512,837 589,763 707,716 884,644 1,150,038 1,552,551 2,173,571 3,151,678 081 Telepon Fax & Telegram 115,000 126,500 145,475 174,570 218,213 283,676 382,963 536,148 616,570 739,884 924,855 1,202,312 1,623,121 2,272,370 3,294,936 082 Fuel & Oil 48,000 52,800 60,720 72,864 91,080 118,404 159,845 223,784 257,351 308,821 386,027 501,835 677,477 948,467 1,375,278 083 Mailing & Postage 6,000 6,600 7,590 9,108 11,385 14,801 19,981 27,973 32,169 38,603 48,253 62,729 84,685 118,558 171,910 090 Office Supplies 36,000 39,600 45,540 54,648 68,310 88,803 119,884 167,838 193,013 231,616 289,520 376,376 508,108 711,351 1,031,458 091 Subscribtion & Libraries 12,000 13,200 15,180 18,216 22,770 29,601 39,961 55,946 64,338 77,205 96,507 125,459 169,369 237,117 343,819 110 Repair & Maintenance 72,000 79,200 91,080 109,296 136,620 177,606 239,768 335,675 386,027 463,232 579,040 752,752 1,016,215 1,422,701 2,062,917 111 Repair & Maintenance Vehicle 24,000 26,400 30,360 36,432 45,540 59,202 79,923 111,892 128,676 154,411 193,013 250,917 338,738 474,234 687,639 112 Sparepart 30,000 33,000 37,950 45,540 56,925 74,003 99,903 139,865 160,844 193,013 241,267 313,647 423,423 592,792 859,549 120 advertising 25,000 27,500 31,625 37,950 47,438 61,669 83,253 116,554 134,037 160,844 201,056 261,372 352,852 493,993 716,291 130 Training & Seminar 25,000 27,500 31,625 37,950 47,438 61,669 83,253 116,554 134,037 160,844 201,056 261,372 352,852 493,993 716,291 140 Meeting 15,000 16,500 18,975 22,770 28,463 37,001 49,952 69,932 80,422 96,507 120,633 156,823 211,711 296,396 429,774 150 Insurance 35,000 38,500 44,275 53,130 66,413 86,336 116,554 163,176 187,652 225,182 281,478 365,921 493,993 691,591 1,002,807 200 Description - - - - - - - - - - - - - - -

4,508,000 4,958,800 5,702,620 6,843,144 8,553,930 11,120,109 15,012,147 21,017,006 24,169,557 29,003,468 36,254,335 47,130,636 63,626,359 89,076,902 129,161,508

RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

Table 6.2.1RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST IN-PATIENT DEPARTMENTYEAR 1 TO 15

DESCRIPTIONYEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15o Calculated based on

o In-Patient Revenue (in Rp 000) 10,404,690 11,471,171 12,646,966 13,943,280 15,372,466 16,948,144 18,685,328 20,994,835 23,589,797 26,505,495 29,781,575 33,462,577 37,598,552 42,245,733 47,467,305 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30%o Cost (Rp 000): a Direct Cost 2,080,938 2,294,234 2,529,393 2,788,656 3,074,493 3,389,629 3,737,066 4,198,967 4,717,959 5,301,099 5,956,315 6,692,515 7,519,710 8,449,147 9,493,461 b Specialist Doctor 3,121,407 3,441,351 3,794,090 4,182,984 4,611,740 5,084,443 5,605,599 6,298,450 7,076,939 7,951,649 8,934,472 10,038,773 11,279,566 12,673,720 14,240,192 Total 5,202,345 5,735,585 6,323,483 6,971,640 7,686,233 8,474,072 9,342,664 10,497,417 11,794,898 13,252,748 14,890,787 16,731,289 18,799,276 21,122,866 23,733,653

Table 6.2.2RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST EMERGENCY ROOMYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,168,000 1,287,720 1,419,711 1,595,188 1,792,353 2,013,888 2,305,700 2,639,796 3,079,058 3,591,413 4,035,312 4,534,076 5,094,488 5,724,167 6,431,674 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30%o Cost (Rp 000): a Direct Cost 233,600 257,544 283,942 319,038 358,471 402,778 461,140 527,959 615,812 718,283 807,062 906,815 1,018,898 1,144,833 1,286,335 b Specialist Doctor 350,400 386,316 425,913 478,556 537,706 604,166 691,710 791,939 923,717 1,077,424 1,210,594 1,360,223 1,528,346 1,717,250 1,929,502 Total 584,000 643,860 709,856 797,594 896,176 1,006,944 1,152,850 1,319,898 1,539,529 1,795,707 2,017,656 2,267,038 2,547,244 2,862,083 3,215,837

Table 6.2.3RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST ICUYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,825,000 2,012,063 2,218,299 2,492,481 2,800,551 3,146,699 3,602,656 4,124,681 4,811,028 5,611,583 6,305,175 7,084,494 7,960,138 8,944,011 10,049,490 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30%o Cost (Rp 000): a Direct Cost 365,000 402,413 443,660 498,496 560,110 629,340 720,531 824,936 962,206 1,122,317 1,261,035 1,416,899 1,592,028 1,788,802 2,009,898 b Specialist Doctor 547,500 603,619 665,490 747,744 840,165 944,010 1,080,797 1,237,404 1,443,308 1,683,475 1,891,552 2,125,348 2,388,041 2,683,203 3,014,847 Total 912,500 1,006,031 1,109,149 1,246,240 1,400,276 1,573,350 1,801,328 2,062,341 2,405,514 2,805,791 3,152,587 3,542,247 3,980,069 4,472,005 5,024,745

Table 6.2.4RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST SURGERYYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 3,504,000 3,863,160 4,259,134 4,785,563 5,377,058 6,041,663 6,917,100 7,919,388 9,237,174 10,774,239 12,105,935 13,602,229 15,283,464 17,172,501 19,295,022 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30%o Cost (Rp 000): a Direct Cost 730,000 883,300 973,838 1,073,657 1,183,706 1,305,036 1,438,803 1,586,280 1,748,874 1,928,133 1,928,133 1,928,133 1,928,133 1,928,133 1,928,133 b Specialist Doctor 1,095,000 1,324,950 1,460,757 1,610,485 1,775,560 1,957,555 2,158,204 2,379,420 2,623,310 2,892,200 2,892,200 2,892,200 2,892,200 2,892,200 2,892,200 Total 1,825,000 2,208,250 2,434,596 2,684,142 2,959,266 3,262,591 3,597,007 3,965,700 4,372,184 4,820,333 4,820,333 4,820,333 4,820,333 4,820,333 4,820,333

Table 6.2.5RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST STROKE CENTERYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 744,600 820,922 905,066 1,016,932 1,142,625 1,283,853 1,469,884 1,682,870 1,962,899 2,289,526 2,572,511 2,890,474 3,247,736 3,649,156 4,100,192 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30%o Cost (Rp 000): a Direct Cost 148,920 164,184 181,013 203,386 228,525 256,771 293,977 336,574 392,580 457,905 514,502 578,095 649,547 729,831 820,038 b Specialist Doctor 223,380 246,276 271,520 305,080 342,787 385,156 440,965 504,861 588,870 686,858 771,753 867,142 974,321 1,094,747 1,230,058 Total 372,300 410,461 452,533 508,466 571,312 641,927 734,942 841,435 981,450 1,144,763 1,286,256 1,445,237 1,623,868 1,824,578 2,050,096

Table 6.2.6RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST LABORATORYYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 6,843,750 7,545,234 8,318,621 9,346,802 10,502,067 11,800,123 13,509,961 15,467,554 18,041,355 21,043,436 23,644,405 26,566,853 29,850,516 33,540,040 37,685,589 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10%o Cost (Rp 000): a Direct Cost 1,368,750 1,509,047 1,663,724 1,869,360 2,100,413 2,360,025 2,701,992 3,093,511 3,608,271 4,208,687 4,728,881 5,313,371 5,970,103 6,708,008 7,537,118 b Specialist Doctor 684,375 754,523 831,862 934,680 1,050,207 1,180,012 1,350,996 1,546,755 1,804,135 2,104,344 2,364,440 2,656,685 2,985,052 3,354,004 3,768,559 Total 2,053,125 2,263,570 2,495,586 2,804,041 3,150,620 3,540,037 4,052,988 4,640,266 5,412,406 6,313,031 7,093,321 7,970,056 8,955,155 10,062,012 11,305,677

Table 6.2.7RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST RADIOLOGYYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 3,613,500 3,983,884 4,392,232 4,935,112 5,545,091 6,230,465 7,133,259 8,166,868 9,525,835 11,110,934 12,484,246 14,027,299 15,761,073 17,709,141 19,897,991 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10%o Cost (Rp 000): a Direct Cost 722,700 796,777 878,446 987,022 1,109,018 1,246,093 1,426,652 1,633,374 1,905,167 2,222,187 2,496,849 2,805,460 3,152,215 3,541,828 3,979,598 b Specialist Doctor 361,350 398,388 439,223 493,511 554,509 623,046 713,326 816,687 952,584 1,111,093 1,248,425 1,402,730 1,576,107 1,770,914 1,989,799 Total 1,084,050 1,195,165 1,317,670 1,480,534 1,663,527 1,869,139 2,139,978 2,450,061 2,857,751 3,333,280 3,745,274 4,208,190 4,728,322 5,312,742 5,969,397

Table 6.2.8RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST PHARMACYYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 12,200,000 13,176,000 14,493,600 15,942,960 18,015,545 20,717,877 23,825,558 27,399,392 31,509,300 36,235,696 41,671,050 47,921,707 55,109,963 63,376,458 72,882,927 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10%o Cost (Rp 000): a Direct Cost 2,440,000 2,364,042 2,606,356 2,873,508 3,168,042 3,492,767 3,850,775 4,245,480 4,680,642 5,135,032 5,135,032 5,135,032 5,135,032 5,135,032 5,135,032 b Specialist Doctor 1,220,000 1,182,021 1,303,178 1,436,754 1,584,021 1,746,383 1,925,388 2,122,740 2,340,321 2,567,516 2,567,516 2,567,516 2,567,516 2,567,516 2,567,516 Total 3,660,000 3,546,063 3,909,534 4,310,262 4,752,063 5,239,150 5,776,163 6,368,220 7,020,963 7,702,548 7,702,548 7,702,548 7,702,548 7,702,548 7,702,548

61000000

Table 6.2.9RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST MEDICAL RECORDYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,357,800 1,496,975 1,650,414 1,854,406 2,083,610 2,341,144 2,680,376 3,068,763 3,579,405 4,175,018 4,691,050 5,270,864 5,922,342 6,654,344 7,476,821 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10%o Cost (Rp 000): a Direct Cost 271,560 299,395 330,083 370,881 416,722 468,229 536,075 613,753 715,881 835,004 938,210 1,054,173 1,184,468 1,330,869 1,495,364 b Specialist Doctor 135,780 149,697 165,041 185,441 208,361 234,114 268,038 306,876 357,940 417,502 469,105 527,086 592,234 665,434 747,682 Total 407,340 449,092 495,124 556,322 625,083 702,343 804,113 920,629 1,073,821 1,252,505 1,407,315 1,581,259 1,776,703 1,996,303 2,243,046

Table 6.2.10RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST NUTRITION UNITYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 547,500 603,619 665,490 747,744 840,165 944,010 1,080,797 1,237,404 1,443,308 1,683,475 1,891,552 2,125,348 2,388,041 2,683,203 3,014,847 o % Cost: a Direct Cost 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% b Specialist Doctor 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30%o Cost (Rp 000): a Direct Cost 54,750 60,362 66,549 74,774 84,017 94,401 108,080 123,740 144,331 168,347 189,155 212,535 238,804 268,320 301,485 b Specialist Doctor 164,250 181,086 199,647 224,323 252,050 283,203 324,239 371,221 432,993 505,042 567,466 637,604 716,412 804,961 904,454 Total 219,000 241,448 266,196 299,098 336,066 377,604 432,319 494,962 577,323 673,390 756,621 850,139 955,217 1,073,281 1,205,939

Table 6.2.11RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST MORQUE DEPARTMENTYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 124,100 136,820 150,844 169,489 190,437 213,976 244,981 280,478 327,150 381,588 428,752 481,746 541,289 608,193 683,365 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10%o Cost (Rp 000): a Direct Cost 24,820 27,364 30,169 33,898 38,087 42,795 48,996 56,096 65,430 76,318 85,750 96,349 108,258 121,639 136,673 b Specialist Doctor 12,410 13,682 15,084 16,949 19,044 21,398 24,498 28,048 32,715 38,159 42,875 48,175 54,129 60,819 68,337 Total 37,230 41,046 45,253 50,847 57,131 64,193 73,494 84,143 98,145 114,476 128,626 144,524 162,387 182,458 205,010

Table 6.2.12RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST MATERNITYYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 547,500 529,980 584,303 644,194 710,224 783,022 863,282 951,768 1,049,324 1,156,880 1,156,880 1,156,880 1,156,880 1,156,880 1,156,880 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30%o Cost (Rp 000): a Direct Cost 109,500 105,996 116,861 128,839 142,045 156,604 172,656 190,354 209,865 231,376 231,376 231,376 231,376 231,376 231,376 b Specialist Doctor 164,250 158,994 175,291 193,258 213,067 234,907 258,985 285,530 314,797 347,064 347,064 347,064 347,064 347,064 347,064 Total 273,750 264,990 292,152 322,097 355,112 391,511 431,641 475,884 524,662 578,440 578,440 578,440 578,440 578,440 578,440

Table 6.2.13RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST PEDIATRIC CLINICYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 410,625 452,714 499,117 560,808 630,124 708,007 810,598 928,053 1,082,481 1,262,606 1,418,664 1,594,011 1,791,031 2,012,402 2,261,135 o % Cost: a Direct Cost 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 41,063 45,271 49,912 56,081 63,012 70,801 81,060 92,805 108,248 126,261 141,866 159,401 179,103 201,240 226,114 b Specialist Doctor 164,250 181,086 199,647 224,323 252,050 283,203 324,239 371,221 432,993 505,042 567,466 637,604 716,412 804,961 904,454 Total 205,313 226,357 249,559 280,404 315,062 354,004 405,299 464,027 541,241 631,303 709,332 797,006 895,515 1,006,201 1,130,568

Table 6.2.14RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST EAR, NOSE & THROAT CLINICYEAR 1 TO 15




Table 6.2.15RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST EYE CLINICYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 219,040 241,492 266,244 299,152 336,128 377,673 432,398 495,052 577,429 673,513 756,759 850,295 955,391 1,073,477 1,206,159 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 43,808 48,298 53,249 59,830 67,226 75,535 86,480 99,010 115,486 134,703 151,352 170,059 191,078 214,695 241,232 b Specialist Doctor 87,616 96,597 106,498 119,661 134,451 151,069 172,959 198,021 230,972 269,405 302,704 340,118 382,156 429,391 482,464 Total 131,424 144,895 159,747 179,491 201,677 226,604 259,439 297,031 346,457 404,108 454,055 510,177 573,235 644,086 723,695

Table 6.2.16RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST SKIN & GENITAL CLINICYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 547,500 662,475 730,379 805,243 887,780 978,777 1,079,102 1,189,710 1,311,655 1,446,100 1,446,100 1,446,100 1,446,100 1,446,100 1,446,100 o % Cost: a Direct Cost 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 54,750 66,248 73,038 80,524 88,778 97,878 107,910 118,971 131,166 144,610 144,610 144,610 144,610 144,610 144,610 b Specialist Doctor 219,000 264,990 292,152 322,097 355,112 391,511 431,641 475,884 524,662 578,440 578,440 578,440 578,440 578,440 578,440 Total 273,750 331,238 365,190 402,622 443,890 489,389 539,551 594,855 655,828 723,050 723,050 723,050 723,050 723,050 723,050

Table 6.2.17RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROJECTED DIRECT COST INTERNAL ORGAN CLINICYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 511,040 563,422 621,172 697,949 784,216 881,145 1,008,823 1,155,001 1,347,193 1,571,366 1,765,587 1,983,814 2,229,013 2,504,519 2,814,078 o % Cost: a Direct Cost 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 51,104 56,342 62,117 69,795 78,422 88,114 100,882 115,500 134,719 157,137 176,559 198,381 222,901 250,452 281,408 b Specialist Doctor 204,416 225,369 248,469 279,180 313,686 352,458 403,529 462,000 538,877 628,546 706,235 793,525 891,605 1,001,808 1,125,631 Total 255,520 281,711 310,586 348,975 392,108 440,572 504,411 577,501 673,597 785,683 882,794 991,907 1,114,507 1,252,260 1,407,039

Table 6.2.18RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG POLI JANTUNGYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 456,250 552,063 608,649 671,035 739,817 815,648 899,252 991,425 1,093,046 1,205,083 1,205,083 1,205,083 1,205,083 1,205,083 1,205,083 o % Cost: a Direct Cost 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 45,625 55,206 60,865 67,104 73,982 81,565 89,925 99,143 109,305 120,508 120,508 120,508 120,508 120,508 120,508 b Specialist Doctor 182,500 220,825 243,460 268,414 295,927 326,259 359,701 396,570 437,218 482,033 482,033 482,033 482,033 482,033 482,033 Total 228,125 276,032 304,325 335,518 369,909 407,824 449,626 495,713 546,523 602,542 602,542 602,542 602,542 602,542 602,542

Table 6.2.19RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG POLI SYARAFYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 273,750 331,238 365,189 402,621 443,890 489,389 539,551 594,855 655,828 723,050 723,050 723,050 723,050 723,050 723,050 o % Cost: a Direct Cost 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost - - - - - - - - - - - - - - - b Specialist Doctor 109,500 132,495 146,076 161,048 177,556 195,756 215,820 237,942 262,331 289,220 289,220 289,220 289,220 289,220 289,220 Total 109,500 132,495 146,076 161,048 177,556 195,756 215,820 237,942 262,331 289,220 289,220 289,220 289,220 289,220 289,220

Table 6.2.20RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG POLI GIGI & MULUTYEAR 1 TO 15




Table 6.2.21RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG BEDAH MULUTYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,314,000 1,589,940 1,752,909 1,932,582 2,130,672 2,349,066 2,589,845 2,855,304 3,147,972 3,470,640 3,470,640 3,470,640 3,470,640 3,470,640 3,470,640 o % Cost: a Direct Cost 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 131,400 158,994 175,291 193,258 213,067 234,907 258,985 285,530 314,797 347,064 347,064 347,064 347,064 347,064 347,064 b Specialist Doctor 525,600 635,976 701,164 773,033 852,269 939,626 1,035,938 1,142,122 1,259,189 1,388,256 1,388,256 1,388,256 1,388,256 1,388,256 1,388,256 Total 657,000 794,970 876,455 966,291 1,065,336 1,174,533 1,294,923 1,427,652 1,573,986 1,735,320 1,735,320 1,735,320 1,735,320 1,735,320 1,735,320

Table 6.2.22RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG OBESITASYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,387,000 1,529,168 1,685,907 1,894,285 2,128,419 2,391,492 2,738,019 3,134,758 3,656,381 3,948,892 4,185,825 4,436,975 4,703,193 4,985,385 5,284,508 o % Cost: a Direct Cost 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% 10% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 138,700 152,917 168,591 189,429 212,842 239,149 273,802 313,476 365,638 394,889 418,583 443,697 470,319 498,538 528,451 b Specialist Doctor 554,800 611,667 674,363 757,714 851,368 956,597 1,095,207 1,253,903 1,462,552 1,579,557 1,674,330 1,774,790 1,881,277 1,994,154 2,113,803 Total 693,500 764,584 842,954 947,143 1,064,209 1,195,746 1,369,009 1,567,379 1,828,191 1,974,446 2,092,913 2,218,487 2,351,597 2,492,692 2,642,254

Table 6.2.23RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG SPA & KECANTIKAN GIGIYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,387,000 1,529,168 1,685,907 1,894,285 2,128,419 2,391,492 2,738,019 3,134,758 3,656,381 3,948,892 4,185,825 4,436,975 4,703,193 4,985,385 5,284,508 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 277,400 305,834 337,181 378,857 425,684 478,298 547,604 626,952 731,276 789,778 837,165 887,395 940,639 997,077 1,056,902 b Specialist Doctor 554,800 611,667 674,363 757,714 851,368 956,597 1,095,207 1,253,903 1,462,552 1,579,557 1,674,330 1,774,790 1,881,277 1,994,154 2,113,803 Total 832,200 917,501 1,011,544 1,136,571 1,277,051 1,434,895 1,642,811 1,880,855 2,193,829 2,369,335 2,511,495 2,662,185 2,821,916 2,991,231 3,170,705

Table 6.2.24RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG AKUPUNTURYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 511,000 563,378 621,124 697,895 784,154 881,076 1,008,744 1,154,911 1,347,088 1,454,855 1,542,146 1,634,675 1,732,755 1,836,721 1,946,924 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 102,200 112,676 124,225 139,579 156,831 176,215 201,749 230,982 269,418 290,971 308,429 326,935 346,551 367,344 389,385 b Specialist Doctor 204,400 225,351 248,449 279,158 313,662 352,430 403,497 461,964 538,835 581,942 616,858 653,870 693,102 734,688 778,770 Total 306,600 338,027 372,674 418,737 470,493 528,645 605,246 692,946 808,253 872,913 925,288 980,805 1,039,653 1,102,032 1,168,154

Table 6.2.25RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG PARUYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,022,000 1,126,755 1,242,247 1,395,789 1,568,309 1,762,152 2,017,487 2,309,821 2,694,176 2,909,710 3,084,292 3,269,350 3,465,511 3,673,441 3,893,848 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 204,400 225,351 248,449 279,158 313,662 352,430 403,497 461,964 538,835 581,942 616,858 653,870 693,102 734,688 778,770 b Specialist Doctor 408,800 450,702 496,899 558,316 627,323 704,861 806,995 923,929 1,077,670 1,163,884 1,233,717 1,307,740 1,386,204 1,469,377 1,557,539 Total 613,200 676,053 745,348 837,473 940,985 1,057,291 1,210,492 1,385,893 1,616,505 1,745,826 1,850,575 1,961,610 2,079,306 2,204,065 2,336,309

Table 6.2.26RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG ENDIKRONOLOGIYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 766,500 845,066 931,686 1,046,842 1,176,232 1,321,614 1,513,116 1,732,366 2,020,632 2,182,282 2,313,219 2,452,012 2,599,133 2,755,081 2,920,386 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 153,300 169,013 186,337 209,368 235,246 264,323 302,623 346,473 404,126 436,456 462,644 490,402 519,827 551,016 584,077 b Specialist Doctor 306,600 338,027 372,674 418,737 470,493 528,645 605,246 692,946 808,253 872,913 925,288 980,805 1,039,653 1,102,032 1,168,154 Total 459,900 507,040 559,011 628,105 705,739 792,968 907,869 1,039,420 1,212,379 1,309,369 1,387,932 1,471,207 1,559,480 1,653,049 1,752,232

Table 6.2.27RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG GERIATRYYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 711,750 784,704 865,137 972,067 1,092,215 1,227,213 1,405,036 1,608,626 1,876,301 2,026,405 2,147,989 2,276,869 2,413,481 2,558,290 2,711,787 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 142,350 156,941 173,027 194,413 218,443 245,443 281,007 321,725 375,260 405,281 429,598 455,374 482,696 511,658 542,357 b Specialist Doctor 284,700 313,882 346,055 388,827 436,886 490,885 562,014 643,450 750,520 810,562 859,196 910,747 965,392 1,023,316 1,084,715 Total 427,050 470,823 519,082 583,240 655,329 736,328 843,022 965,175 1,125,781 1,215,843 1,288,794 1,366,121 1,448,088 1,534,974 1,627,072

Table 6.2.28RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG UROLOGIYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,022,000 1,126,755 1,242,247 1,395,789 1,568,309 1,762,152 2,017,487 2,309,821 2,694,176 2,909,710 3,084,292 3,269,350 3,465,511 3,673,441 3,893,848 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 204,400 225,351 248,449 279,158 313,662 352,430 403,497 461,964 538,835 581,942 616,858 653,870 693,102 734,688 778,770 b Specialist Doctor 408,800 450,702 496,899 558,316 627,323 704,861 806,995 923,929 1,077,670 1,163,884 1,233,717 1,307,740 1,386,204 1,469,377 1,557,539 Total 613,200 676,053 745,348 837,473 940,985 1,057,291 1,210,492 1,385,893 1,616,505 1,745,826 1,850,575 1,961,610 2,079,306 2,204,065 2,336,309

Table 6.2.29RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG ORTOPEDIYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 858,480 946,474 1,043,488 1,172,463 1,317,379 1,480,207 1,694,689 1,940,250 2,263,108 2,444,156 2,590,806 2,746,254 2,911,029 3,085,691 3,270,832 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 171,696 189,295 208,698 234,493 263,476 296,041 338,938 388,050 452,622 488,831 518,161 549,251 582,206 617,138 654,166 b Specialist Doctor 343,392 378,590 417,395 468,985 526,952 592,083 677,876 776,100 905,243 977,662 1,036,322 1,098,502 1,164,412 1,234,276 1,308,333 Total 515,088 567,885 626,093 703,478 790,428 888,124 1,016,814 1,164,150 1,357,865 1,466,494 1,554,483 1,647,752 1,746,617 1,851,414 1,962,499

Table 6.2.30RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG DIGESTIFYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,248,300 1,376,251 1,517,316 1,704,857 1,915,577 2,152,342 2,464,217 2,821,282 3,290,743 3,554,003 3,767,243 3,993,277 4,232,874 4,486,846 4,756,057 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 249,660 275,250 303,463 340,971 383,115 430,468 492,843 564,256 658,149 710,801 753,449 798,655 846,575 897,369 951,211 b Specialist Doctor 499,320 550,500 606,927 681,943 766,231 860,937 985,687 1,128,513 1,316,297 1,421,601 1,506,897 1,597,311 1,693,150 1,794,739 1,902,423 Total 748,980 825,750 910,390 1,022,914 1,149,346 1,291,405 1,478,530 1,692,769 1,974,446 2,132,402 2,260,346 2,395,966 2,539,724 2,692,108 2,853,634

Table 6.2.31RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG PLASTIK SURGERYYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,460,000 1,609,650 1,774,639 1,993,985 2,240,441 2,517,360 2,882,125 3,299,745 3,848,822 4,156,728 4,406,132 4,670,500 4,950,730 5,247,773 5,562,640 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 292,000 321,930 354,928 398,797 448,088 503,472 576,425 659,949 769,764 831,346 881,226 934,100 990,146 1,049,555 1,112,528 b Specialist Doctor 584,000 643,860 709,856 797,594 896,176 1,006,944 1,152,850 1,319,898 1,539,529 1,662,691 1,762,453 1,868,200 1,980,292 2,099,109 2,225,056 Total 876,000 965,790 1,064,783 1,196,391 1,344,265 1,510,416 1,729,275 1,979,847 2,309,293 2,494,037 2,643,679 2,802,300 2,970,438 3,148,664 3,337,584

Table 6.2.32RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG IMPOTENSIYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 730,000 804,825 887,320 996,992 1,120,221 1,258,680 1,441,062 1,649,872 1,924,411 2,078,364 2,203,066 2,335,250 2,475,365 2,623,887 2,781,320 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 146,000 160,965 177,464 199,398 224,044 251,736 288,212 329,974 384,882 415,673 440,613 467,050 495,073 524,777 556,264 b Specialist Doctor 292,000 321,930 354,928 398,797 448,088 503,472 576,425 659,949 769,764 831,346 881,226 934,100 990,146 1,049,555 1,112,528 Total 438,000 482,895 532,392 598,195 672,132 755,208 864,637 989,923 1,154,647 1,247,018 1,321,840 1,401,150 1,485,219 1,574,332 1,668,792

Table 6.2.33RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG NUTRISIONALYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 766,500 845,066 931,686 1,046,842 1,176,232 1,321,614 1,513,116 1,732,366 2,020,632 2,182,282 2,313,219 2,452,012 2,599,133 2,755,081 2,920,386 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40% 40%o Cost (Rp 000): a Direct Cost 153,300 169,013 186,337 209,368 235,246 264,323 302,623 346,473 404,126 436,456 462,644 490,402 519,827 551,016 584,077 b Specialist Doctor 306,600 338,027 372,674 418,737 470,493 528,645 605,246 692,946 808,253 872,913 925,288 980,805 1,039,653 1,102,032 1,168,154 Total 459,900 507,040 559,011 628,105 705,739 792,968 907,869 1,039,420 1,212,379 1,309,369 1,387,932 1,471,207 1,559,480 1,653,049 1,752,232

Table 6.2.34RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG REHABILITASI MEDIKYEAR 1 TO 15




Table 6.2.35RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG CT. SCANYEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 657,000 724,343 798,588 897,293 1,008,198 1,132,812 1,296,956 1,484,885 1,731,970 1,870,528 2,057,580 2,263,338 2,512,306 2,788,659 3,151,185 o % Cost: a Direct Cost 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% b Specialist Doctor 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30% 30%o Cost (Rp 000): a Direct Cost 131,400 144,869 159,718 179,459 201,640 226,562 259,391 296,977 346,394 374,106 411,516 452,668 502,461 557,732 630,237 b Specialist Doctor 197,100 217,303 239,576 269,188 302,460 339,844 389,087 445,466 519,591 561,158 617,274 679,002 753,692 836,598 945,356 Total 328,500 362,171 399,294 448,647 504,099 566,406 648,478 742,443 865,985 935,264 1,028,790 1,131,669 1,256,153 1,394,330 1,575,593

Table 6.2.36RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURPROYEKSI BIAYA LANGSUNG ISJENERATOR YEAR 1 TO 15



o In-Patient Revenue (in Rp 000) 1,419,120 1,564,580 1,724,949 1,938,153 2,177,709 2,446,873 2,801,425 3,207,352 3,741,055 4,040,340 4,282,760 4,539,726 4,812,109 5,100,836 5,406,886 o % Cost: a Direct Cost 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% 15% b Specialist Doctor 0% 0% 0% 0% 0% 0% 0% 0% 0% 40% 0% 0% 0% 0% 0%o Cost (Rp 000): a Direct Cost 212,868 234,687 258,742 290,723 326,656 367,031 420,214 481,103 561,158 606,051 642,414 680,959 721,816 765,125 811,033 b Specialist Doctor - - - - - - - - - 1,616,136 - - - - - Total 212,868 234,687 258,742 290,723 326,656 367,031 420,214 481,103 561,158 2,222,187 642,414 680,959 721,816 765,125 811,033

PT. RSU SUMBER HUSADA PEMBANGUNAN RUMAH SAKIT

RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR PROYEKSI PENDAPATAN

DALAM (RP 000)

REVENUE DESCRIPTION

REVENUE SOURCE YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR YEAR

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

In-Patient Room 10,404,690 11,471,171 12,646,966 13,943,280 15,372,466 16,948,144 18,685,328 20,994,835 23,589,797 26,505,495 29,781,575 33,462,577 37,598,552 42,245,733 47,467,305 Specialist Doctor Diagnostic Servi 8,108,110 9,810,813 10,816,421 12,153,331 13,655,483 15,343,301 17,566,545 20,111,937 23,458,563 27,362,068 33,108,103 40,060,804 49,358,917 60,815,122 77,654,829 ICU 1,825,000 2,012,063 2,218,299 2,492,481 2,800,551 3,146,699 3,602,656 4,124,681 4,811,028 5,611,583 6,305,175 7,084,494 7,960,138 8,944,011 10,049,490 Emergency Room 1,168,000 1,287,720 1,419,711 1,595,188 1,792,353 2,013,888 2,305,700 2,639,796 3,079,058 3,591,413 4,035,312 4,534,076 5,094,488 5,724,167 6,431,674 Surgery Unit 3,504,000 3,863,160 4,259,134 4,785,563 5,377,058 6,041,663 6,917,100 7,919,388 9,237,174 10,774,239 12,105,935 13,602,229 15,283,464 17,172,501 19,295,022 Stroke Center 744,600 820,922 905,066 1,016,932 1,142,625 1,283,853 1,469,884 1,682,870 1,962,899 2,289,526 2,572,511 2,890,474 3,247,736 3,649,156 4,100,192 Nutrition Unit 547,500 603,619 665,490 747,744 840,165 944,010 1,080,797 1,237,404 1,443,308 1,683,475 1,891,552 2,125,348 2,388,041 2,683,203 3,014,847 Medical Documentation Record 1,357,800 1,496,975 1,650,414 1,854,406 2,083,610 2,341,144 2,680,376 3,068,763 3,579,405 4,175,018 4,691,050 5,270,864 5,922,342 6,654,344 7,476,821 Pharmacy / Apotic 12,200,000 13,176,000 14,493,600 15,942,960 18,015,545 20,717,877 23,825,558 27,399,392 31,509,300 36,235,696 41,671,050 47,921,707 55,109,963 63,376,458 72,882,927 Radiology 3,613,500 3,983,884 4,392,232 4,935,112 5,545,091 6,230,465 7,133,259 8,166,868 9,525,835 11,110,934 12,484,246 14,027,299 15,761,073 17,709,141 19,897,991 Laboratory 6,843,750 7,545,234 8,318,621 9,346,802 10,502,067 11,800,123 13,509,961 15,467,554 18,041,355 21,043,436 23,644,405 26,566,853 29,850,516 33,540,040 37,685,589 Morque Room 124,100 136,820 150,844 169,489 190,437 213,976 244,981 280,478 327,150 381,588 428,752 481,746 541,289 608,193 683,365 NeoNatal Clinic 547,500 529,980 584,303 644,194 710,224 783,022 863,282 951,768 1,049,324 1,156,880 1,156,880 1,156,880 1,156,880 1,156,880 1,156,880 Child Clinic 410,625 452,714 499,117 560,808 630,124 708,007 810,598 928,053 1,082,481 1,262,606 1,418,664 1,594,011 1,791,031 2,012,402 2,261,135 Ear, Nose, & Throat Clinic 136,875 165,619 182,595 201,311 221,945 244,694 269,775 297,427 327,914 361,525 361,525 361,525 361,525 361,525 361,525 Ophthalmology Clinic 219,040 241,492 266,244 299,152 336,128 377,673 432,398 495,052 577,429 673,513 756,759 850,295 955,391 1,073,477 1,206,159 Skin & Genital Clinic 547,500 662,475 730,379 805,243 887,780 978,777 1,079,102 1,189,710 1,311,655 1,446,100 1,446,100 1,446,100 1,446,100 1,446,100 1,446,100 Internal Organ Clinic 511,040 563,422 621,172 697,949 784,216 881,145 1,008,823 1,155,001 1,347,193 1,571,366 1,765,587 1,983,814 2,229,013 2,504,519 2,814,078 Heart Disease Clinic 456,250 552,063 608,649 671,035 739,817 815,648 899,252 991,425 1,093,046 1,205,083 1,205,083 1,205,083 1,205,083 1,205,083 1,205,083 Nerve Clinic 273,750 331,238 365,189 402,621 443,890 489,389 539,551 594,855 655,828 723,050 723,050 723,050 723,050 723,050 723,050 Dental Clinic 273,750 331,238 365,189 402,621 443,890 489,389 539,551 594,855 655,828 723,050 723,050 723,050 723,050 723,050 723,050 Oral Surgery Clinic 1,314,000 1,589,940 1,752,909 1,932,582 2,130,672 2,349,066 2,589,845 2,855,304 3,147,972 3,470,640 3,470,640 3,470,640 3,470,640 3,470,640 3,470,640 Obesity Clinic 1,387,000 1,529,168 1,685,907 1,894,285 2,128,419 2,391,492 2,738,019 3,134,758 3,656,381 3,948,892 4,185,825 4,436,975 4,703,193 4,985,385 5,284,508 Dental Beauty & Spa Clinic 1,387,000 1,529,168 1,685,907 1,894,285 2,128,419 2,391,492 2,738,019 3,134,758 3,656,381 3,948,892 4,185,825 4,436,975 4,703,193 4,985,385 5,284,508 Accupuncture 511,000 563,378 621,124 697,895 784,154 881,076 1,008,744 1,154,911 1,347,088 1,454,855 1,542,146 1,634,675 1,732,755 1,836,721 1,946,924 Bronchoscopy Clinic 1,022,000 1,126,755 1,242,247 1,395,789 1,568,309 1,762,152 2,017,487 2,309,821 2,694,176 2,909,710 3,084,292 3,269,350 3,465,511 3,673,441 3,893,848 Endicronology Clinic 766,500 845,066 931,686 1,046,842 1,176,232 1,321,614 1,513,116 1,732,366 2,020,632 2,182,282 2,313,219 2,452,012 2,599,133 2,755,081 2,920,386 Geriatri Clinic 711,750 784,704 865,137 972,067 1,092,215 1,227,213 1,405,036 1,608,626 1,876,301 2,026,405 2,147,989 2,276,869 2,413,481 2,558,290 2,711,787 Urology 1,022,000 1,126,755 1,242,247 1,395,789 1,568,309 1,762,152 2,017,487 2,309,821 2,694,176 2,909,710 3,084,292 3,269,350 3,465,511 3,673,441 3,893,848 Orthopedic Clinic 858,480 946,474 1,043,488 1,172,463 1,317,379 1,480,207 1,694,689 1,940,250 2,263,108 2,444,156 2,590,806 2,746,254 2,911,029 3,085,691 3,270,832 Digestic Surgery Clinic 1,248,300 1,376,251 1,517,316 1,704,857 1,915,577 2,152,342 2,464,217 2,821,282 3,290,743 3,554,003 3,767,243 3,993,277 4,232,874 4,486,846 4,756,057 Plastic Surgery Clinic 1,460,000 1,609,650 1,774,639 1,993,985 2,240,441 2,517,360 2,882,125 3,299,745 3,848,822 4,156,728 4,406,132 4,670,500 4,950,730 5,247,773 5,562,640 Impotency Clinic 730,000 804,825 887,320 996,992 1,120,221 1,258,680 1,441,062 1,649,872 1,924,411 2,078,364 2,203,066 2,335,250 2,475,365 2,623,887 2,781,320 Nutritional Clinic 766,500 845,066 931,686 1,046,842 1,176,232 1,321,614 1,513,116 1,732,366 2,020,632 2,182,282 2,313,219 2,452,012 2,599,133 2,755,081 2,920,386 Medical Rehabilitation 146,000 160,965 177,464 199,398 224,044 251,736 288,212 329,974 384,882 415,673 440,613 467,050 495,073 524,777 556,264 CT. Scan 657,000 724,343 798,588 897,293 1,008,198 1,132,812 1,296,956 1,484,885 1,731,970 1,870,528 2,057,580 2,263,338 2,512,306 2,788,659 3,151,185

Isjenerator 1,419,120 1,564,580 1,724,949 1,938,153 2,177,709 2,446,873 2,801,425 3,207,352 3,741,055 4,040,340 4,282,760 4,539,726 4,812,109 5,100,836 5,406,886

TOTAL REVENUE 69,224,030 77,165,706 85,042,250 94,847,739 106,271,995 119,440,764 135,874,031 154,998,203 178,964,300 ### 228,352,012 256,786,531 290,249,680 328,880,090 376,349,132

Kelas # of Bed # of Room Jumlah TABEL JASA PEMERIKSAAN DOKTER SPESIALISVVIP 1 20 20 RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURVIP 1 22 22 20 YEAR 1 TO 15

I 2 35 70

II 4 10 40

III 6 8 48

TOTAL BED 95 200

Tabel 6.1.2A

URAIANTAHUN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15Kenaikan/Tahun 0% 10% 5% 6% 6% 6% 7% 7% 8% 8% 10% 10% 11% 11% 13%

Klas VVIP 50% 55% 58% 61% 65% 69% 74% 79% 85% 92% 101% 111% 123% 137% 155%Klas VIP 60% 66% 69% 73% 78% 83% 88% 94% 102% 110% 121% 133% 148% 164% 186%Klas I 65% 72% 75% 80% 84% 89% 96% 102% 111% 119% 131% 144% 160% 178% 201%Klas 2 60% 66% 69% 73% 78% 83% 88% 94% 102% 110% 121% 133% 148% 164% 186%Klas 3 60% 66% 69% 73% 78% 83% 88% 94% 102% 110% 121% 133% 148% 164% 186%

Table 6.1.2B

Pasien (dlm Org)TAHUN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Klas VVIP 3,650 4,015 4,216 4,469 4,737 5,021 5,372 5,749 6,208 6,705 7,376 8,113 9,006 9,996 11,296 Klas VIP 4,818 5,300 5,565 5,899 6,253 6,628 7,092 7,588 8,195 8,851 9,736 10,709 11,887 13,195 14,910 Klas I 16,608 18,268 19,182 20,333 21,553 22,846 24,445 26,156 28,248 30,508 33,559 36,915 40,976 45,483 51,396 Klas 2 8,760 9,636 10,118 10,725 11,368 12,050 12,894 13,797 14,900 16,092 17,702 19,472 21,614 23,991 27,110 Klas 3 10,512 11,563 12,141 12,870 13,642 14,461 15,473 16,556 17,880 19,311 21,242 23,366 25,936 28,789 32,532 TOTAL 44,348 48,782 51,221 54,295 57,552 61,005 65,276 69,845 75,433 81,467 89,614 98,576 109,419 121,455 137,244

Table 6.1.2C

URAIANTAHUN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15Kenaikan/Tahun 0% 10% 5% 6% 6% 6% 7% 7% 8% 8% 10% 10% 11% 11% 13%

Klas VVIP 500,000 550,000 577,500 612,150 648,879 687,812 735,959 787,476 850,474 918,512 1,010,363 1,111,399 1,233,653 1,369,355 1,547,371 Klas VIP 400,000 440,000 462,000 489,720 519,103 550,249 588,767 629,981 680,379 734,809 808,290 889,119 986,922 1,095,484 1,237,897 Klas I 180,000 198,000 207,900 220,374 233,596 247,612 264,945 283,491 306,171 330,664 363,731 400,104 444,115 492,968 557,054 Klas 2 90,000 99,000 103,950 110,187 116,798 123,806 132,473 141,746 153,085 165,332 181,865 200,052 222,058 246,484 278,527 Klas 3 55,000 60,500 63,525 67,337 71,377 75,659 80,955 86,622 93,552 101,036 111,140 122,254 135,702 150,629 170,211

Table 6.1.2D

URAIAN (in 000 Rp)TAHUN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Klas VVIP 1,825,000 2,208,250 2,434,596 2,735,512 3,073,621 3,453,520 3,953,936 4,526,861 5,280,130 6,158,744 7,452,080 9,017,017 11,109,867 13,688,467 17,478,804 Klas VIP 1,927,200 2,331,912 2,570,933 2,888,700 3,245,744 3,646,918 4,175,356 4,780,365 5,575,818 6,503,634 7,869,397 9,521,970 11,732,020 14,455,021 18,457,617 Klas I 2,989,350 3,617,114 3,987,868 4,480,768 5,034,591 5,656,866 6,476,546 7,414,998 8,648,854 10,088,023 12,206,508 14,769,874 18,197,962 22,421,709 28,630,280 Klas 2 788,400 953,964 1,051,745 1,181,741 1,327,804 1,491,921 1,708,100 1,955,604 2,281,016 2,660,577 3,219,299 3,895,351 4,799,463 5,913,418 7,550,843 Klas 3 578,160 699,574 771,280 866,610 973,723 1,094,075 1,252,607 1,434,109 1,672,745 1,951,090 2,360,819 2,856,591 3,519,606 4,336,506 5,537,285 TOTAL 8,108,110 9,810,813 10,816,421 12,153,331 13,655,483 15,343,301 17,566,545 20,111,937 23,458,563 27,362,068 33,108,103 40,060,804 49,358,917 60,815,122 77,654,829

TABEL JASA PEMERIKSAAN I.C.URS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15

URAIAN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Kapasitas Pasien 40 40 40 40 40 40 40 40 40 40 40 40 40 40 40 Faktor Kenaikan 0% 5% 5% 6% 6% 6% 7% 7% 8% 8% 6% 6% 6% 6% 6%Kapasitas Terpakai 50% 55% 58% 61% 64% 67% 70% 74% 77% 81% 81% 81% 81% 81% 81%Rata-rata Pasien/ Hari 20 22 24 26 30 34 39 44 50 56 63 70 78 88 98 Jumlah Hari/ Tahun 365 365 365 365 365 365 365 365 365 365 365 365 365 365 365 Jumlah Pasien/ Tahun 7,300 7,665 8,048 8,531 9,043 9,586 10,257 10,975 11,853 12,801 13,569 14,383 15,246 16,161 17,130 Tarif Rata2/ Pasien 250,000 262,500 275,625 292,163 309,692 328,274 351,253 375,841 405,908 438,381 464,683 492,564 522,118 553,445 586,652

1,825,000 2,012,063 2,218,299 2,492,481 2,800,551 3,146,699 3,602,656 4,124,681 4,811,028 5,611,583 6,305,175 7,084,494 7,960,138 8,944,011 10,049,490

TABEL JASA RUANG GAWAT DARURAT

RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR 20 YEAR 1 TO 15

URAIAN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


1,168,000 1,287,720 1,419,711 1,595,188 1,792,353 2,013,888 2,305,700 2,639,796 3,079,058 3,591,413 4,035,312 4,534,076 5,094,488 5,724,167 6,431,674

Pendapatan Kmr. Jenasah (Rp.000)



RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR YEAR 1 TO 15

URAIAN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN 1 2 3 4 5 6

Kapasitas Pasien 60 60 60 60 60 60 Faktor Kenaikan 0% 5% 5% 6% 6% 6%Kapasitas Terpakai 50% 55% 58% 61% 64% 67%Rata-rata Pasien/ Hari 32 35 38 42 47 54 Jumlah Hari/ Tahun 365 365 365 365 365 365 Jumlah Pasien/ Tahun 11,680 12,264 12,877 13,650 14,469 15,337 Tarif Rata2/ Pasien 100,000 105,000 110,250 116,865 123,877 131,310

1,168,000 1,287,720 1,419,711 1,595,188 1,792,353 2,013,888 Pendapatan Kmr. Jenasah (Rp.000)


RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMURYEAR 1 TO 15

TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN 7 8 9 10 11 12 13 14

60 60 60 60 60 60 60 60 7% 7% 8% 8% 10% 10% 11% 11%

70% 74% 77% 81% 81% 81% 81% 81% 62 71 80 89 100 112 126 141 365 365 365 365 365 365 365 365 16,411 17,559 18,964 20,481 22,529 24,782 27,508 30,534 140,501 150,336 162,363 175,352 192,887 212,176 235,516 261,422

2,305,700 2,639,796 3,079,058 3,591,413 4,345,610 5,258,188 6,478,613 7,982,300

TAHUN 15

60 13%81%

158 365 34,504 295,407

10,192,598

TABEL JASA UNIT BEDAH



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Kapasitas Pasien 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 Faktor Kenaikan 0% 5% 5% 6% 6% 6% 7% 7% 8% 8% 6% 6% 6% 6% 6%Kapasitas Terpakai 50% 55% 58% 61% 64% 67% 70% 74% 77% 81% 81% 81% 81% 81% 81%Rata-rata Pasien/ Hari 8 9 10 10 12 14 16 18 20 22 25 28 31 35 39 Jumlah Hari/ Tahun 365 365 365 365 365 365 365 365 365 365 365 365 365 365 365 Jumlah Pasien/ Tahun 2,920 3,066 3,219 3,412 3,617 3,834 4,103 4,390 4,741 5,120 5,428 5,753 6,098 6,464 6,852 Tarif Rata2/ Pasien 1,200,000 1,260,000 1,323,000 1,402,380 1,486,523 1,575,714 1,686,014 1,804,035 1,948,358 2,104,227 2,230,480 2,364,309 2,506,168 2,656,538 2,815,930

3,504,000 3,863,160 4,259,134 4,785,563 5,377,058 6,041,663 6,917,100 7,919,388 9,237,174 10,774,239 12,105,935 13,602,229 15,283,464 17,172,501 19,295,022

TABEL JASA UNIT STROKE




744,600 820,922 905,066 1,016,932 1,142,625 1,283,853 1,469,884 1,682,870 1,962,899 2,289,526 2,572,511 2,890,474 3,247,736 3,649,156 4,100,192



TABEL JASA UNIT STROKE


URAIAN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN

1 2 3 4 5 6 7 8 9 10 11 12 13 14

Kapasitas Pasien 24 24 24 24 24 24 24 24 24 24 24 24 24 24 Faktor Kenaikan 0% 5% 5% 6% 6% 6% 7% 7% 8% 8% 6% 6% 6% 6% 6%Kapasitas Terpakai 50% 55% 58% 61% 64% 67% 70% 74% 77% 81% 81% 81% 81% 81%Rata-rata Pasien/ Hari 12 13 14 16 18 20 23 26 30 34 38 42 47 53 Jumlah Hari/ Tahun 365 365 365 365 365 365 365 365 365 365 365 365 365 365 Jumlah Pasien/ Tahun 4,380 4,599 4,829 5,119 5,426 5,751 6,154 6,585 7,112 7,680 8,141 8,630 9,148 9,696 Tarif Rata2/ Pasien 170,000 178,500 187,425 198,671 210,591 223,226 238,852 255,572 276,017 298,099 315,985 334,944 355,040 376,343

744,600 820,922 905,066 1,016,932 1,142,625 1,283,853 1,469,884 1,682,870 1,962,899 2,289,526 2,572,511 2,890,474 3,247,736 3,649,156 Pendapatan Kmr. Jenasah (Rp.000)

TABEL JASA UNIT GIZI



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


547,500 603,619 665,490 747,744 840,165 944,010 1,080,797 1,237,404 1,443,308 1,683,475 1,891,552 2,125,348 2,388,041 2,683,203 3,014,847

TABEL JASA UNIT REKAM DOK. MEDIK




1,357,800 1,496,975 1,650,414 1,854,406 2,083,610 2,341,144 2,680,376 3,068,763 3,579,405 4,175,018 4,691,050 5,270,864 5,922,342 6,654,344 7,476,821



URAIAN TAHUN TAHUN TAHUN TAHUN TAHUN

1 2 3 4 5

Kapasitas Pasien 120 120 120 120 120 Faktor Kenaikan 0% 5% 5% 6% 6%Kapasitas Terpakai 50% 55% 58% 61% 64%Rata-rata Pasien/ Hari 62 55 58 61 64 Jumlah Hari/ Tahun 365 365 365 365 365 Jumlah Pasien/ Tahun 22,630 23,762 24,950 26,447 28,033 Tarif Rata2/ Pasien 80,000 84,000 88,200 93,492 99,102

1,810,400 1,995,966 2,200,553 2,472,541 2,778,147 Pendapatan Kmr. Jenasah (Rp.000)

TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN

6 7 8 9 10 11

120 120 120 120 120 120 6% 7% 7% 8% 8% 6%

67% 70% 74% 77% 81% 81% 67 70 74 77 81 81 365 365 365 365 365 365 29,715 31,795 34,021 36,743 39,682 42,063 105,048 112,401 120,269 129,891 140,282 148,699

3,121,526 3,573,835 4,091,684 4,772,540 5,566,690 6,254,733

TAHUN TAHUN TAHUN TAHUN

12 13 14 15

120 120 120 120 6% 6% 6% 6%

81% 81% 81% 81% 81 81 81 81 365 365 365 365 44,587 47,262 50,098 53,104 157,621 167,078 177,103 187,729

7,027,818 7,896,457 8,872,459 9,969,095

12,200,000 13,176,000 14,493,600 15,942,960 18,015,545

0% 8% 8% 8% 9%

Pendapatan Apotik. Jenasah (Rp.000)

20,717,877 23,825,558 27,399,392 31,509,300 36,235,696 41,671,050

9% 9% 10% 10% 10% 11%

47,921,707 55,109,963 63,376,458 72,882,927

11% 12% 12% 13%

TABEL JASA UNIT RADIOLOGI




3,613,500 3,983,884 4,392,232 4,935,112 5,545,091 6,230,465 7,133,259 8,166,868 9,525,835 11,110,934 12,484,246 14,027,299 15,761,073 17,709,141 19,897,991

TABEL JASA UNIT LABORATORIUM




6,843,750 7,545,234 8,318,621 9,346,802 10,502,067 11,800,123 13,509,961 15,467,554 18,041,355 21,043,436 23,644,405 26,566,853 29,850,516 33,540,040 37,685,589




1 2 3 4 5

Kapasitas Pasien 250 250 250 250 250 Faktor Kenaikan 0% 5% 5% 6% 6%Kapasitas Terpakai 50% 55% 60% 65% 70%Rata-rata Pasien/ Hari 120 138 150 163 175 Jumlah Hari/ Tahun 365 365 365 365 365 Jumlah Pasien/ Tahun 43,800 45,990 48,290 51,187 54,258 Tarif Rata2/ Pasien 225,000 236,250 248,063 262,946 278,723

9,855,000 10,865,138 11,978,814 13,459,396 15,122,977 Pendapatan Kmr. Jenasah (Rp.000)


6 7 8 9 10 11

250 250 250 250 250 250 6% 7% 7% 8% 8% 6%

75% 80% 85% 87% 90% 92% 188 200 213 218 225 230 365 365 365 365 365 365 57,514 61,540 65,847 71,115 76,804 81,413 295,446 316,128 338,257 365,317 394,542 418,215

16,992,177 19,454,343 22,273,277 25,979,551 30,302,548 34,047,943


12 13 14 15

250 250 250 250 6% 6% 6% 6%

94% 96% 98% 100% 235 240 245 250 365 365 365 365 86,297 91,475 96,964 102,781 443,308 469,906 498,101 527,987

38,256,269 42,984,744 48,297,658 54,267,248

TABEL JASA UNIT RUANG JENAZAH RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Kapasitas Terpasang 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 Faktor Kenaikan 0% 5% 5% 6% 6% 6% 7% 7% 8% 8% 6% 6% 6% 6% 6%Kapasitas Terpakai 50% 55% 58% 61% 64% 67% 70% 74% 77% 81% 81% 81% 81% 81% 81%Rata-rata Pasien/ Hari 9 10 11 12 13 15 18 20 22 25 28 32 35 40 44 Jumlah Hari/ Tahun 365 365 365 365 365 365 365 365 365 365 365 365 365 365 365 Jumlah Pasien/ Tahun 730 767 805 853 904 959 1,026 1,097 1,185 1,280 1,357 1,438 1,525 1,616 1,713 Tarif Rata2/ Pasien 170,000 178,500 187,425 198,671 210,591 223,226 238,852 255,572 276,017 298,099 315,985 334,944 355,040 376,343 398,923

124,100 136,820 150,844 169,489 190,437 213,976 244,981 280,478 327,150 381,588 428,752 481,746 541,289 608,193 683,365

TABEL JASA UNIT KLINIK KEBIDANAN RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15


Kapasitas Terpasang 60 60 60 60 60 60 60 60 60 60 60 60 60 60 60 Faktor Kenaikan 0% 5% 5% 6% 6% 6% 7% 7% 8% 8% 6% 6% 6% 6% 6%Kapasitas Terpakai 50% 55% 58% 61% 64% 67% 70% 74% 77% 81% 81% 81% 81% 81% 81%Rata-rata Pasien/ Hari 30 32 36 39 44 51 59 66 75 84 94 105 118 132 148 Jumlah Hari/ Tahun 365 365 365 365 365 365 365 365 365 365 365 365 365 365 365 Jumlah Pasien/ Tahun 7,300 7,665 8,048 8,531 9,043 9,586 10,257 10,975 11,853 12,801 13,569 14,383 15,246 16,161 17,130 Tarif Rata2/ Pasien 75,000 78,750 82,688 87,649 92,908 98,482 105,376 112,752 121,772 131,514 139,405 147,769 156,635 166,034 175,996

547,500 603,619 665,490 747,744 840,165 944,010 1,080,797 1,237,404 1,443,308 1,683,475 1,891,552 2,125,348 2,388,041 2,683,203 3,014,847


Pendapatan Klinik Kebidanan (Rp.000)

URAIAN TAHUN TAHUN TAHUN TAHUN

1 2 3 4

Kapasitas Terpasang 60 40 40 40 Faktor Kenaikan 0% 5% 5% 6%Kapasitas Terpakai 50% 55% 58% 61%Rata-rata Pasien/ Hari 35 22 23 24 Jumlah Hari/ Tahun 365 365 365 365 Jumlah Pasien/ Tahun 7,300 7,665 8,048 8,531 Tarif Rata2/ Pasien 75,000 78,750 82,688 87,649

547,500 529,980 584,303 644,194 Pendapatan Klinik Kebidanan (Rp.000)


5 6 7 8 9 10

40 40 40 40 40 40 6% 6% 7% 7% 8% 8%

64% 67% 70% 74% 77% 81% 25 27 28 29 30 31 365 365 365 365 365 365 9,043 9,586 10,257 10,975 11,853 12,801 92,908 98,482 105,376 112,752 121,772 131,514

710,224 783,022 863,282 951,768 1,049,324 1,156,880

TAHUN TAHUN TAHUN TAHUN TAHUN

11 12 13 14 15

40 40 40 40 40 6% 6% 6% 6% 6%

81% 81% 81% 81% 81% 31 31 31 31 31 365 365 365 365 365 13,569 14,383 15,246 16,161 17,130 139,405 147,769 156,635 166,034 175,996

1,156,880 1,156,880 1,156,880 1,156,880 1,156,880

TABEL JASA UNIT KLINIK ANAK



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


410,625 452,714 499,117 560,808 630,124 708,007 810,598 928,053 1,082,481 1,262,606 1,418,664 1,594,011 1,791,031 2,012,402 2,261,135

TABEL JASA UNIT KLINIK T.H.T RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15



164,250 181,086 199,647 224,323 252,050 283,203 324,239 371,221 432,993 505,042 567,466 637,604 716,412 804,961 904,454

Pendapatan Klinik Anak (Rp.000)

Pendapatan Klinik THT (Rp.000)


1 2 3 4 5

Kapasitas Terpasang 10 10 10 10 10

Faktor Kenaikan 0% 5% 5% 6% 6%Kapasitas Terpakai 50% 55% 58% 61% 64%Rata-rata Pasien/ Hari 5 6 6 6 6 Jumlah Hari/ Tahun 365 365 365 365 365 Jumlah Pasien/ Tahun 1,825 1,916 2,012 2,133 2,261 Tarif Rata2/ Pasien 70,000 73,500 77,175 81,806 86,714

136,875 165,619 182,595 201,311 221,945 Pendapatan Klinik THT (Rp.000)

TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN

6 7 8 9 10 11 12

10 10 10 10 10 10 10

6% 7% 7% 8% 8% 6% 6%67% 70% 74% 77% 81% 81% 81%

7 7 7 8 8 8 8 365 365 365 365 365 365 365 2,396 2,564 2,744 2,963 3,200 3,392 3,596 91,917 98,351 105,235 113,654 122,747 130,111 137,918

244,694 269,775 297,427 327,914 361,525 361,525 361,525

TAHUN TAHUN TAHUN

13 14 15

10 10 10

6% 6% 6%81% 81% 81%

8 8 8 365 365 365 3,811 4,040 4,283 146,193 154,965 164,263

361,525 361,525 361,525

TABEL JASA UNIT KLINIK MATA



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


219,040 241,492 266,244 299,152 336,128 377,673 432,398 495,052 577,429 673,513 756,759 850,295 955,391 1,073,477 1,206,159

TABEL JASA UNIT KULIT & KELAMIN




620,500 684,101 754,222 847,443 952,187 1,069,878 1,224,903 1,402,392 1,635,749 1,907,938 2,143,759 2,408,728 2,706,447 3,040,964 3,416,827

Pendapatan Klinik Mata (Rp.000)

Pendapatan Klinik Kulit dan Kelamin (Rp.000)


1 2 3 4

Kapasitas Terpasang 36 20 20 20

Faktor Kenaikan 0% 5% 5% 6%Kapasitas Terpakai 50% 55% 58% 61%Rata-rata Pasien/ Hari 16 16 16 16 Jumlah Hari/ Tahun 365 365 365 365 Jumlah Pasien/ Tahun 3,650 3,833 4,024 4,266 Tarif Rata2/ Pasien 130,000 136,500 143,325 151,925

547,500 662,475 730,379 805,243 Pendapatan Klinik Kulit dan Kelamin (Rp.000)


5 6 7 8 9 10

20 20 20 20 20 20

6% 6% 7% 7% 8% 8%64% 67% 70% 74% 77% 81%

16 16 16 16 16 16 365 365 365 365 365 365 4,522 4,793 5,128 5,487 5,926 6,400 161,040 170,702 182,652 195,437 211,072 227,958

887,780 978,777 1,079,102 1,189,710 1,311,655 1,446,100


11 12 13 14 15

20 20 20 20 20

6% 6% 6% 6% 6%81% 81% 81% 81% 81%

16 16 16 16 16 365 365 365 365 365 6,784 7,191 7,623 8,080 8,565 241,635 256,133 271,501 287,792 305,059

1,446,100 1,446,100 1,446,100 1,446,100 1,446,100

TABEL JASA UNIT PENYAKIT DALAM



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


511,040 563,422 621,172 697,949 784,216 881,145 1,008,823 1,155,001 1,347,193 1,571,366 1,765,587 1,983,814 2,229,013 2,504,519 2,814,078

TABEL JASA UNIT PENYAKIT JANTUNG




547,560 603,685 665,563 747,826 840,257 944,113 1,080,915 1,237,540 1,443,467 1,683,659 1,891,760 2,125,581 2,388,303 2,683,497 3,015,178

Pendapatan Klinik Peny. Dalam (Rp.000)

Pendapatan Klinik Jantung (Rp.000)


1 2 3 4



456,250 552,063 608,649 671,035 Pendapatan Klinik Jantung (Rp.000)


5 6 7 8 9 10

32 32 32 32 32 32

6% 6% 7% 7% 8% 8%64% 67% 70% 74% 77% 81%

16 17 18 18 19 20 365 365 365 365 365 365 5,653 5,992 6,411 6,860 7,409 8,001 99,102 105,048 112,401 120,269 129,891 140,282

739,817 815,648 899,252 991,425 1,093,046 1,205,083


11 12 13 14 15

32 32 32 32 32

6% 6% 6% 6% 6%81% 81% 81% 81% 81%

20 20 20 20 20 365 365 365 365 365 8,481 8,990 9,530 10,101 10,708 148,699 157,621 167,078 177,103 187,729

1,205,083 1,205,083 1,205,083 1,205,083 1,205,083

TABEL JASA UNIT PENYAKIT SYARAF



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Kapasitas Terpasang 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16

Faktor Kenaikan 0% 5% 5% 6% 6% 6% 7% 7% 8% 8% 6% 6% 6% 6% 6%Kapasitas Terpakai 50% 55% 58% 61% 64% 67% 70% 74% 77% 81% 81% 81% 81% 81% 81%Rata-rata Pasien/ Hari 9 10 11 12 13 15 18 20 22 25 28 32 35 40 44 Jumlah Hari/ Tahun 365 365 365 365 365 365 365 365 365 365 365 365 365 365 365 Jumlah Pasien/ Tahun 1,825 1,916 2,012 2,133 2,261 2,396 2,564 2,744 2,963 3,200 3,392 3,596 3,811 4,040 4,283 Tarif Rata2/ Pasien 170,000 178,500 187,425 198,671 210,591 223,226 238,852 255,572 276,017 298,099 315,985 334,944 355,040 376,343 398,923

273,750 331,238 365,189 402,621 443,890 489,389 539,551 594,855 655,828 723,050 723,050 723,050 723,050 723,050 723,050

TABEL JASA UNIT PENYAKIT GIGI & MULUT RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15


Kapasitas Terpasang 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18

Faktor Kenaikan 0% 5% 5% 6% 6% 6% 7% 7% 8% 8% 6% 6% 6% 6% 6%Kapasitas Terpakai 50% 55% 58% 61% 64% 67% 70% 74% 77% 81% 81% 81% 81% 81% 81%Rata-rata Pasien/ Hari 9 10 11 12 13 15 18 20 22 25 28 32 35 40 44 Jumlah Hari/ Tahun 365 365 365 365 365 365 365 365 365 365 365 365 365 365 365 Jumlah Pasien/ Tahun 4,563 4,791 5,031 5,333 5,653 5,992 6,411 6,860 7,409 8,001 8,481 8,990 9,530 10,101 10,708 Tarif Rata2/ Pasien 70,000 73,500 77,175 81,806 86,714 91,917 98,351 105,235 113,654 122,747 130,111 137,918 146,193 154,965 164,263

273,750 331,238 365,189 402,621 443,890 489,389 539,551 594,855 655,828 723,050 723,050 723,050 723,050 723,050 723,050

Pendapatan Klinik Peny. Syaraf (Rp.000)

Pendapatan Klinik Gigi & Mulut (Rp.000)


1 2 3 4



273,750 331,238 365,189 402,621 Pendapatan Klinik Gigi & Mulut (Rp.000)


5 6 7 8 9 10

15 15 15 15 15 15

6% 6% 7% 7% 8% 8%64% 67% 70% 74% 77% 81%

16 17 18 18 19 20 365 365 365 365 365 365 5,653 5,992 6,411 6,860 7,409 8,001 545,058 577,762 618,205 661,480 714,398 771,550

443,890 489,389 539,551 594,855 655,828 723,050


11 12 13 14 15

15 15 15 15 15

6% 6% 6% 6% 6%81% 81% 81% 81% 81%

20 20 20 20 20 365 365 365 365 365 8,481 8,990 9,530 10,101 10,708 817,843 866,913 918,928 974,064 1,032,508

723,050 723,050 723,050 723,050 723,050

TABEL JASA UNIT BEDAH MULUT



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Kapasitas Terpasang 30 30 30 30 30 30 30 30 30 30 30 30 30 30 30 Faktor Kenaikan 0% 5% 5% 6% 6% 6% 7% 7% 8% 8% 10% 10% 11% 11% 13%Kapasitas Terpakai 50% 55% 58% 61% 64% 67% 70% 74% 77% 81% 81% 81% 81% 81% 81%Rata-rata Pasien/ Hari 16 17 19 21 24 27 31 35 40 45 50 56 63 70 79 Jumlah Hari/ Tahun 365 365 365 365 365 365 365 365 365 365 365 365 365 365 365 Jumlah Pasien/ Tahun 3,650 3,833 4,024 4,266 4,522 4,793 5,128 5,487 5,926 6,400 7,040 7,744 8,596 9,542 10,782 Tarif Rata2/ Pasien 400,000 420,000 441,000 467,460 495,508 525,238 562,005 601,345 649,453 701,409 771,550 848,705 942,062 1,045,689 1,181,629

1,314,000 1,589,940 1,752,909 1,932,582 2,130,672 2,349,066 2,589,845 2,855,304 3,147,972 3,470,640 3,470,640 3,470,640 3,470,640 3,470,640 3,470,640

TABEL JASA UNIT KLINIK OBISITAS




1,387,000 1,529,168 1,685,907 1,894,285 2,128,419 2,391,492 2,738,019 3,134,758 3,656,381 3,948,892 4,185,825 4,436,975 4,703,193 4,985,385 5,284,508

Pendapatan Klinik Bedah Mulut (Rp.000)

Pendapatan Klinik Obesitas (Rp.000)


1 2 3 4


1,168,000 1,287,720 1,419,711 1,595,188 Pendapatan Klinik Obesitas (Rp.000)


5 6 7 8 9 10

20 20 20 20 20 20 6% 6% 7% 7% 8% 8%

61% 64% 67% 70% 74% 78% 12 13 13 14 15 16 365 365 365 365 365 365 4,522 4,793 5,128 5,487 5,926 6,400 396,406 420,190 449,604 481,076 519,562 519,562

1,792,353 2,013,888 2,305,700 2,639,796 3,079,058 3,325,383


11 12 13 14 15

20 20 20 20 20 6% 6% 6% 6% 6%

78% 78% 78% 78% 78% 16 16 16 16 16 365 365 365 365 365 6,784 7,191 7,623 8,080 8,565 519,562 519,562 519,562 519,562 519,562

3,524,905 3,736,400 3,960,584 4,198,219 4,450,112

TABEL JASA KLINIK SP & KEC.GIGI



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


1,387,000 1,529,168 1,685,907 1,894,285 2,128,419 2,391,492 2,738,019 3,134,758 3,656,381 3,948,892 4,185,825 4,436,975 4,703,193 4,985,385 5,284,508

TABEL JASA KLINIK AKUPUNTUR RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15



766,500 845,066 931,686 1,046,842 1,176,232 1,321,614 1,513,116 1,732,366 2,020,632 2,182,282 2,313,219 2,452,012 2,599,133 2,755,081 2,920,386

Pendapatan Klinik Spa & Kecantikan Gigi (Rp.000)

Pendapatan Klinik Akupuntur (Rp.000)


1 2 3 4 5

Kapasitas Terpasang 12 12 12 12 12 Faktor Kenaikan 0% 5% 5% 6% 6%Kapasitas Terpakai 50% 53% 55% 58% 61%Rata-rata Pasien/ Hari 7 11 11 12 12 Jumlah Hari/ Tahun 365 365 365 365 365 Jumlah Pasien/ Tahun 3,650 3,833 4,024 4,266 4,522 Tarif Rata2/ Pasien 140,000 147,000 154,350 163,611 173,428

511,000 563,378 621,124 697,895 784,154 Pendapatan Klinik Akupuntur (Rp.000)


6 7 8 9 10 11

12 12 12 12 12 12 6% 7% 7% 8% 8% 6%

64% 67% 70% 74% 78% 78% 13 13 14 15 16 16 365 365 365 365 365 365 4,793 5,128 5,487 5,926 6,400 6,784 183,833 196,702 210,471 227,308 227,308 227,308

881,076 1,008,744 1,154,911 1,347,088 1,454,855 1,542,146


12 13 14 15

12 12 12 12 6% 6% 6% 6%

78% 78% 78% 78% 16 16 16 16 365 365 365 365 7,191 7,623 8,080 8,565 227,308 227,308 227,308 227,308

1,634,675 1,732,755 1,836,721 1,946,924

TABEL JASA KLINIK PENY. PARU



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


1,022,000 1,126,755 1,242,247 1,395,789 1,568,309 1,762,152 2,017,487 2,309,821 2,694,176 2,909,710 3,084,292 3,269,350 3,465,511 3,673,441 3,893,848

TABEL JASA KLINIK ENDRIKRONOLOGI




1,022,000 1,126,755 1,242,247 1,395,789 1,568,309 1,762,152 2,017,487 2,309,821 2,694,176 2,909,710 3,084,292 3,269,350 3,465,511 3,673,441 3,893,848

Pendapatan Klinik Paru (Rp.000)

Pendapatan Klinik Endikronologi (Rp.000)


1 2 3 4



766,500 845,066 931,686 1,046,842 Pendapatan Klinik Endikronologi (Rp.000)


5 6 7 8 9 10

24 24 24 24 24 24

6% 6% 7% 7% 8% 8%61% 64% 67% 70% 74% 78%

18 19 20 21 22 23 365 365 365 365 365 365 6,782 7,189 7,692 8,231 8,889 9,601 173,428 183,833 196,702 210,471 227,308 227,308

1,176,232 1,321,614 1,513,116 1,732,366 2,020,632 2,182,282


11 12 13 14 15

24 24 24 24 24

6% 6% 6% 6% 6%78% 78% 78% 78% 78%

23 23 23 23 23 365 365 365 365 365 10,177 10,787 11,434 12,120 12,848 227,308 227,308 227,308 227,308 227,308

2,313,219 2,452,012 2,599,133 2,755,081 2,920,386

TABEL JASA KLINIK GERIATRI



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


711,750 784,704 865,137 972,067 1,092,215 1,227,213 1,405,036 1,608,626 1,876,301 2,026,405 2,147,989 2,276,869 2,413,481 2,558,290 2,711,787

TABEL JASA KLINIK UROLOGI RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15



1,022,000 1,126,755 1,242,247 1,395,789 1,568,309 1,762,152 2,017,487 2,309,821 2,694,176 2,909,710 3,084,292 3,269,350 3,465,511 3,673,441 3,893,848

Pendapatan Klinik Geriatri (Rp.000)

Pendapatan Klinik Urologi (Rp.000)


1 2 3 4


1,022,000 1,126,755 1,242,247 1,395,789 Pendapatan Klinik Urologi (Rp.000)


5 6 7 8 9 10

30 30 30 30 30 30 6% 6% 7% 7% 8% 8%

61% 64% 67% 70% 74% 78% 24 26 27 28 30 31 365 365 365 365 365 365 9,043 9,586 10,257 10,975 11,853 12,801 173,428 183,833 196,702 210,471 227,308 227,308

1,568,309 1,762,152 2,017,487 2,309,821 2,694,176 2,909,710


11 12 13 14 15

30 30 30 30 30 6% 6% 6% 6% 6%

78% 78% 78% 78% 78% 31 31 31 31 31 365 365 365 365 365 13,569 14,383 15,246 16,161 17,130 227,308 227,308 227,308 227,308 227,308

3,084,292 3,269,350 3,465,511 3,673,441 3,893,848

TABEL JASA KLINIK ORTOPEDI



1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


858,480 946,474 1,043,488 1,172,463 1,317,379 1,480,207 1,694,689 1,940,250 2,263,108 2,444,156 2,590,806 2,746,254 2,911,029 3,085,691 3,270,832

TABEL JASA KLINIK BEDAH DIGESIF RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15



1,248,300 1,376,251 1,517,316 1,704,857 1,915,577 2,152,342 2,464,217 2,821,282 3,290,743 3,554,003 3,767,243 3,993,277 4,232,874 4,486,846 4,756,057

Pendapatan Klinik Ortopedi (Rp.000)

Pendapatan Klinik Bedah Digesif (Rp.000)


1 2 3 4


1,051,200 1,158,948 1,277,740 1,435,669 Pendapatan Klinik Bedah Digesif (Rp.000)


5 6 7 8 9 10

14 14 14 14 14 14 6% 6% 7% 7% 8% 8%

61% 64% 67% 70% 74% 78% 12 14 16 18 20 22 365 365 365 365 365 365 3,617 3,834 4,103 4,390 4,741 5,120 445,957 472,714 505,804 541,211 584,507 584,507

1,613,118 1,812,499 2,075,130 2,375,816 2,771,152 2,992,844


11 12 13 14 15

14 14 14 14 14 6% 6% 6% 6% 6%

78% 78% 78% 78% 78% 25 28 31 35 39 365 365 365 365 365 5,428 5,753 6,098 6,464 6,852 584,507 584,507 584,507 584,507 584,507

3,172,415 3,362,760 3,564,525 3,778,397 4,005,101

TABEL JASA KLINIK BEDAH PLASTIK RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


1,460,000 1,609,650 1,774,639 1,993,985 2,240,441 2,517,360 2,882,125 3,299,745 3,848,822 4,156,728 4,406,132 4,670,500 4,950,730 5,247,773 5,562,640

TABEL JASA KLINIK IMPOTENSI RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15



730,000 804,825 887,320 996,992 1,120,221 1,258,680 1,441,062 1,649,872 1,924,411 2,078,364 2,203,066 2,335,250 2,475,365 2,623,887 2,781,320

Pendapatan Klinik Bedah Plastik (Rp.000)

Pendapatan Klinik Impotensi (Rp.000)


1 2 3 4 5



730,000 804,825 887,320 996,992 1,120,221 Pendapatan Klinik Impotensi (Rp.000)

TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN TAHUN

6 7 8 9 10 11 12

8 8 8 8 8 8 8

6% 7% 7% 8% 8% 6% 6%64% 67% 70% 74% 78% 78% 78%

6 7 7 7 8 8 8 365 365 365 365 365 365 365 2,396 2,564 2,744 2,963 3,200 3,392 3,596 525,238 562,005 601,345 649,453 649,453 649,453 649,453

1,258,680 1,441,062 1,649,872 1,924,411 2,078,364 2,203,066 2,335,250

TAHUN TAHUN TAHUN

13 14 15

8 8 8

6% 6% 6%78% 78% 78%

8 8 8 365 365 365 3,811 4,040 4,283 649,453 649,453 649,453

2,475,365 2,623,887 2,781,320

TABEL JASA KLINIK NUTRISIONAL RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR YEAR 1 TO 15


1 2 3 4 5 6 7 8 9 10 11 12 13 14 15


766,500 845,066 931,686 1,046,842 1,176,232 1,321,614 1,513,116 1,732,366 2,020,632 2,182,282 2,313,219 2,452,012 2,599,133 2,755,081 2,920,386

TABEL JASA KLINIK REHAB.MEDIK RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR YEAR 1 TO 15



146,000 160,965 177,464 199,398 224,044 251,736 288,212 329,974 384,882 415,673 440,613 467,050 495,073 524,777 556,264

Pendapatan Klinik Nutrisional (Rp.000)

Pendapatan Klinik Rehab. Medik (Rp.000)


1 2 3 4 5



146,000 160,965 177,464 199,398 224,044 Pendapatan Klinik Rehab. Medik (Rp.000)


6 7 8 9 10 11

18 18 18 18 18 18

6% 7% 7% 8% 8% 6%67% 70% 74% 77% 81% 81%

7 7 7 8 8 8 365 365 365 365 365 365 2,396 2,564 2,744 2,963 3,200 3,392 105,048 112,401 120,269 129,891 129,891 129,891

251,736 288,212 329,974 384,882 415,673 440,613


12 13 14 15

18 18 18 18

6% 6% 6% 6%81% 81% 81% 81%

8 8 8 8 365 365 365 365 3,596 3,811 4,040 4,283 129,891 129,891 129,891 129,891

467,050 495,073 524,777 556,264

TABEL JASA CT SCAN RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15



657,000 724,343 798,588 897,293 1,008,198 1,132,812 1,296,956 1,484,885 1,731,970 1,870,528 2,057,580 2,263,338 2,512,306 2,788,659 3,151,185

TABEL JASA ISJENERATOR RS. SUMBER HUSADA.I CIPAYUNG, JAKARTA TIMUR

YEAR 1 TO 15


Kapasitas Terpasang (M3 ) 1,080 1,080 1,080 1,080 1,080 1,080 1,080 1,080 1,080 1,080 1,080 1,080 1,080 1,080 1,080 Faktor Kenaikan 0% 5% 5% 6% 6% 6% 7% 7% 8% 8% 6% 6% 6% 6% 6%Kapasitas Terpakai 50% 50% 53% 55% 58% 61% 64% 67% 70% 74% 78% 81% 86% 90% 94%Rata-rata / Hari/ Kg 432 467 513 565 638 734 844 953 1,077 1,207 1,351 1,513 1,695 1,899 2,126 Jumlah Hari/ Tahun 365 365 365 365 365 365 365 365 365 365 365 365 365 365 365 Jumlah RS / Tahun/ 157,680 165,564 173,842 184,273 195,329 207,049 221,542 237,050 256,014 276,495 293,085 310,670 329,310 349,069 370,013 Tarif Penyewa/ M3 9,000 9,450 9,923 10,518 11,149 11,818 12,645 13,530 14,613 14,613 14,613 14,613 14,613 14,613 14,613

1,419,120 1,564,580 1,724,949 1,938,153 2,177,709 2,446,873 2,801,425 3,207,352 3,741,055 4,040,340 4,282,760 4,539,726 4,812,109 5,100,836 5,406,886



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SCHEDULE & DRAWDOWN RS SH TO BUKOPIN DES 2010