1. HOW TO SET UP HOSPITAL/CLINIC IN GHANA FINANCIAL STRATEGY Dr. Ebenezer M. Ashley Mr. Patrick kofi Yankey GHANA LOCUM GROUP Seminar. COLLEGE OF PHYSICIANS AND SURGEONS, Accra. 20 TH NOVEMBER, 2015.

2. SETTING UP HOSPITAL/CLINIC IN GHANA FINANCIAL STRATEGY BUDGETING&FINANCING OVERVIEW Planning to own a medical facility is a unique investment decision. One of the significant aspects of the investment process is the ability to formulate a formidable financial plan. An enviable financial strategy will ensure sustainability; accelerate growth and expansion. This will in turn, lead to realization of stated objectives

3. BUDGETING & FINANCING OVERVIEW This section of the presentation offers a financial plan which outlines a budget for the establishment of a medical facility and expected revenue. The financial plan illustrates the monthly and annual projections for REVENUE, EXPENSES, and CASH FLOWS; and summary of a Five-year plan (2016-2020)

4. BUDGETING & FINANCING Budget 1.Rent (Premises)GHC 50,000 2.Registration processGHC 30,000 3.EquipmentGHC 50,000

5. BUDGETING & FINANCING 4.Personnel Medical Doctor/ P AGHC 4,000 Nurses GHC 1800 Lab Technician GHC 650 Dispensary TechnicianGHC 650 AdministratorGHC 1000 Others (Miscellaneous)GHC 1000 (9,100 x 12 = 109,200) Total (GHC 50,000 + 30,000 + 50,000 + 109,200) = GHC 239,200

6. BUDGETING & FINANCING B. Capital Structure / Financing Decision The financing decision could be: Equity only: This involves raising of funds through owner’s or owners’ contribution(s). Debt only: It is where funds required for day-to- day operations or major investment (capital) projects are generated through loans. Both: Here, funds for operations comprise a combination of equity and debt Effective measurement of the value of a security requires information on its d iscount rate and expected future payoffs over the security’s life

7. BUDGETING & FINANCING C.Types of Business Ownership Structures Sole Proprietorship a. Business could be financed solely by personal savings (self-financing) - Equity financed b. Business could be financed through borrowing (reasonable bank loan) – Debt financed c. Business could be finance through a combination of equity and loan

8. BUDGETING & FINANCING C. Type of Business Ownership Structures – Cont’d Partnership Large Company - Joint Stock Company or Corporation A. Business could be financed solely by partners’ or owners’ contribution (self-financing)- Equity financed B. Business could be financed through borrowing (reasonable bank loan) – Debt financed C. Business could be finance through the combination of equity and loan D. Business could be financed by issuing shares made up of preference shares and common shares (Preference shares are another form of debt financing without necessarily taking a bank loan)

12. THE END THANK YOU