Financial Feasibility Analysis of Cenderawasih University Teaching Hospital Building Project

Muhamad Suliswanto1*, Dewi Ana Rusim2, Apolo Safanpo3

1*,2,3 Faculty of Engineering, Jayapura City, Indonesia

*email: muliswanto@gmail.com

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Keywords

 

Abstract:

Project financial analysis, NPV, BCR, IRR, BEP, sensitivity analysis

 

 

Acceleration of development in the 3T (Forefront, Outermost and Disadvantaged) areas is the main goal of the government in supporting economic equality and educational services in the land of Papua. So that Cenderawasih University as an extension of the government plans to build a Teaching Hospital to support the activities and development of Cenderawasih University graduates and carry out health services, research and community services. In this study to analyze the feasibility of this teaching hospital project using the NPV (Net Preset Value), BCR (Benefit Cost Ratio), IRR (Internal Rate Ratio), BEP (Break Even Point) and sensitivity analysis methods to determine whether the hospital The project is feasible or not feasible but it is hoped that the results of the analysis are positive.

 

 

INTRODUCTION

Accelerating development in the 3T (Frontier, Outermost and Disadvantaged) areas is the government's main goal in supporting economic equality. And in implementing the acceleration of human resource development in Papua, especially in Jayapura City, Cenderawasih University was formed as an extension of the government in creating human resources that are ready to face the rapidly developing fields of science and technology.

Cenderawasih University is one of the favorite universities in Papua, so it is not surprising that every year there are so many interested applicants for new students who almost always exceed the quota of applicants provided. So with this, there is a great demand for additional facilities and infrastructure to accommodate prospective new students. With the increase in the number of Cenderawasih University students every year, the level of need for lecture facilities and infrastructure also increases.

In its development, Cenderawasih University is planning the construction of educational hospital building facilities to be able to support activities and develop graduates from the Faculty of Medicine and to provide services to the academic community of Cenderawasih University itself. As a teaching hospital, Cenderawasih University Hospital has the general goal of providing health services as well as carrying out education, research and community service.

In 2017, construction of the Educational Hospital project under the Ministry of Research, Technology and Higher Education stopped due to budget limitations at the ministry, but in 2022, through the Ministry of Health, the educational hospital project was resumed as the Papua Vertical Technical Implementation Unit Hospital.

So, based on the background, a feasibility study for the UPT Vertical Papua Hospital building will be analyzed. This research is expected to provide information about one important aspect of a feasibility study, namely the financial aspect. This financial analysis is to review the amount of capital and sources of funds that will be used to build the business as well as when and how the capital can be returned.

The aim of this research is to identify and analyze the financial feasibility of the Papua Vertical UPT Hospital building construction project using the NPV (Net Present Value), BCR (Benefit Cost Ratio) and IRR (Internal Rate of Return) methods. Apart from that, this research also aims to analyze the sensitivity level of the project, as well as determine the Payback Period (PP) as an indicator of the return on investment in the project.

 

LITERATURE REVIEW

Research conducted by Nurwanda Sari, ST., MT., et al (2020) research on Preliminary Technical Feasibility Analysis, Operational, Economic Of Radin Inten II International Airports Trains, South Lampung ( preliminary , operational and economic feasibility analysis on international airport trains Radin Inten II, South Lampung) The aim of this research is to determine the feasibility of the Radin Inten II International Airport train operating system and implementing cost benefits resulting from the operation of the Radin Inten II International Airport train.

Research conducted by Mohammed Ali Berawi, et al (2015) research on feasibility analysis of the trans-Sumatra toll road using value engineering (feasibility analysis of the trans-Sumatra toll road using value engineering methods). The aim of this research is to determine the projected income from each additional function TSTR (Trans Sumatra-Toll Road ) . This is done by analyzing the income generating factors and then organizing them into a CLD ( Casual Loop Diagram ). The feasibility analysis methods used are Net Present Value (NPV) Internal Rate of Return (IRR) and Payback Period (PP).

Research conducted by SA Hasan, et al (2018) research on feasibility study and economic assessment for Al-Qadisiyah University Hospital of Specialized Surgery. The aim of this research is to evaluate opportunities. Investment to establish a university hospital with a capacity of 50 beds, the research results show that an internal rate of return (IRR) of (10.6%) and a recovery period of (6) years can be achieved and this project is considered economically feasible.

Research conducted by Feri Eka Irawan, et al (2020) research on the economic feasibility analysis of the construction of the Sadewa building at RSUD KRMT Wongsonegorokota Semarang, the aim of the research is to obtain technical economic feasibility values with the parameters NPV, BCR, IRR, Payback Period and Sensitivity Analysis of feasibility values Technical economics is viewed from sensitivity analysis and to obtain the payback period value in order to know when the capital will be returned.

Research conducted by Junita Eka Susanti, et al (2019) research on economic feasibility analysis of the Bangka Regency Sports Hall (GOR) construction project, the aim of the research is to analyze investment in the sports hall (GOR) construction project. The analytical tool used in this research is the Financial Aspect Feasibility Study, namely the Net Present Value (NPV) Internal Rate of Return (IRR), Payback Period (PP) method.

Research conducted by Nadya Modisty, et al (2018) research on engineering investment analysis for the construction of public lecture buildings and technical laboratories at the Sumatra Institute of Technology. The aim of this research is to study whether the existing development is in accordance with the existing feasibility study analysis so that after the construction of the project is carried out the results can be achieved as planned. In this research, financial feasibility is reviewed using the Net Present Value (NPV), Benefit to Cost Ratio (BCR), Internal Rate of Return (IRR), and Payback Period (PP) methods.

Research conducted by Dewi Ana Rusim, et al (2018) research on risk modeling and responses to road infrastructure development from the contractor's perspective (case study: construction industry in Papua). The aim of this research is risk modeling and response to cost performance risks in road infrastructure development in Papua.

��������� Research conducted by Shinta Retno Putri, et al (2013) research on financial feasibility studies on the Dinoyo Mall development project, Malang City. The aim of this research is to compare the profits obtained from operational income with investment costs. In its implementation this research uses the Net Present Value (NPV), Benefit to Cost Ratio (BCR), Internal Rate of Return (IRR), and Payback Period (PP) methods. ).

 

RESEARCH METHODS

The location of this research was carried out at the Cenderawasih University land area, the kola trikora Bawah water pond complex, Hedam Village, Heram District, Jayapura City at a geographical location of 2�32'15' - 2�42'0' South Latitude and 140�35'0' - 140�40'15' East Longitude.

 

The following steps will be taken in this research data collection method:

1.    Gather information and identify problems.

2.    From the information and data that has been collected, investment feasibility analysis, data and calculations are then carried out.

3.    Make conclusions.

 

 

RESULTS AND DISCUSSION

Currently, the construction of the Cenderawasih University Teaching Hospital (RSP) is being implemented in order to improve medical education by providing facilities and infrastructure for the Teaching Hospital to improve the quality of medical students and public access to services. Maximum health. The development plan for the Cenderawasih University Teaching Hospital (RSP) is planned with Type B in the form of building a Central Hospital, Mother & Child Hospital and Inpatient Building. However, in its development, the educational hospital project was taken over by the Ministry of Health and re-planned to become a UPT Vertical Papua hospital with Type A hospital, so that its implementation requires studies financial feasibility of the project as Wrong one document project planning in completing supporting documents in the hospital construction plan.

The Papua Vertical UPT Hospital is located in Hedam sub-district, Heram District, Jayapura City. The planned building area is as follows:

1.      Building area of building A �� : 16,992.54 m2

2.      Building area of building B �� : 17,129.29 m2

3.      Building area C ������� : 3,629.41 m2

Total building area ������������ : 37,751.24 m2

The area of green open space: 14,222 m2 which is planned to be used for parks and environmental roads, while the remaining 7,500 m2 of land is used as a green environment and retention pond.

For the planned number of beds in the first stage for Class B hospitals 237 TT and in the next stage for Class A hospitals 320 TT.

From secondary data obtained from the planning team for the UPT Vertical Papua hospital with a building area of 33,720 m2 , so cost Which invested as big as total Rp. 1,075,850,660,000,- with details as following:

 

Table 1

Recapitulation of investment costs for building the Papua Vertical UPT Hospital

No

Description

Investment Amount

1

Physical cost of the building

IDR 701,225,147,000.00

2

Costs for procuring medical equipment

IDR 294,503,003,204.00

3

Costs for procuring office equipment and inventory

IDR 70,122,514,700.00

4

Working capital/working capital

IDR 10,000,000,000.00

Total investment

IDR 1,075,850,664,904.00

Source: Papua Vertical UPT Hospital Planning Consultant Team

 

Before carrying out a financial analysis on the Cenderawasih University Vertical UPT Hospital building construction project, the components which are the basic reference for this research are first determined, namely in the form of the project funding scheme, construction period, and economic factors at the time the research was carried out.

The basic factors in the financial analysis of the Papua Vertical UPT Hospital project which are used as a reference in the simulations carried out in this research are as follows:

 

 

Table 2

Basic factors for financial analysis of the UPT Vertical Papua Hospital building project

PROJECT DESCRIPTION

Project name

:

Papua Vertical UPT Hospital

Location

:

Abepura, Kab. Jayapura, Province. Papua

PROJECT TIME LINE

Construction Period

:

-

Terms Proportion

:

1st year

2nd year

-%

-%

Economic Life

:

30

years

Base Year

:

2023

 

PROJECT FINANCING COSTS

Project Finance

:

APBN/ Ministry of Health

Fund and Debt Portion

:

Equity

+

Loans

Loan and Equity Ratio

:

100%

+

0%

Loans

Interest Rate (r)

:

0%

annually

Repayment Period

:

0

years

ECONOMIC FACTORS

Indonesian Corporate Tax

:

25%

Indonesia Rp Inflation Rate

:

5.75%

Exchange Rate (Rp/USD)

:

15,292

Source: Analysis results

 

Estimated cash inflow (cash inflow)

The component of cash inflow in the construction of the UPT Vertical Papua hospital building is revenue, which is obtained from several of the revenues mentioned above.

By assuming an increase in revenue for the UP Vertical Papua hospital, a scheme has been created to determine the Cost of Goods Sold (HPP) for the UPT Vertical Papua Hospital to gradually increase by the inflation value over its economic life, namely 5.75% per year.

After obtaining the size of the Annual Power Sale and the amount of increase in income, the annual revenue value is calculated as follows:

Formula used:

Nth year rate = 1st Year Rate x (1 + inflation) n

Referring to the calculations of the planning consultant team for the Papua Vertical UPT Hospital, it was found that the income projection results for year I of the Papua Vertical UPT Hospital generated an income of Rp. 282,126,682,209,- so that if included in the potential revenue formula it is as follows:

282,126,682,209 x (1+5.75%) 2 ������� = Rp. 315,504,032,006,-

Based on the calculation results above, the potential revenue can be seen in the following table:

 

Table 3

Potential annual revenue of UPT Vertical Hospital Papua

20th year

Potential revenue

1

IDR 282,126,682,209

2

IDR 315,504,032,006

3

IDR 333,645,513,846

4

IDR 352,830,130,893

5

IDR 373,117,863,419

6

IDR 394,572,140,566

7

IDR 417,260,038,648

8

IDR 441,252,490,870

9

IDR 466,624,509,095

10

IDR 493,455,418,368

11

IDR 521,829,104,925

12

IDR 551,834,278,458

13

IDR 583,564,749,469

14

IDR 617,119,722,563

15

IDR 652,604,106,611

16

IDR 690,128,842,741

17

IDR 729,811,251,199

18

IDR 771,775,398,142

19

IDR 816,152,483,536

20

IDR 863,081,251,339

21

IDR 912,708,423,291

22

IDR 965,189,157,630

23

IDR 1,020,687,534,194

24

IDR 1,079,377,067,410

25

IDR 1,141,441,248,786

26

IDR 1,207,074,120,591

27

IDR 1,276,480,882,525

28

IDR 1,349,878,533,271

29

IDR 1,427,496,548,934

30

IDR 1,509,577,600,497

Source: analysis results

 

Estimated cash outflow (cash outflow)

Operational and maintenance costs are estimates of costs incurred each year for the operation and maintenance of civil buildings and electro-mechanical equipment. The cost is assumed to be 0.5% of each civil work cost. Apart from annual costs, 5-year and 10-year O/M costs are also calculated (Deviany Kartika, 2010).

The estimated working capital for operations and maintenance of the Papua Vertical UPT Hospital in the first year is as follows:

Working Capital for 1 year � = 0.5% x Total Investment

= 0.5% x Rp. 1,075,850,660,000,-

= Rp. 5,379,253,300,-

Estimated working capital, namely O&M costs in the first year, is 0.5% of the initial investment costs with a total cost of Rp. 5,379,253,300 ,-

The costs at the Papua Jayapura Vertical UPT Hospital consist of two types of costs, namely:

a.    Fixed costs ( fixed O&M costs ) are costs that will always be incurred by the Papua Vertical UPT Hospital and the amount does not depend on the results of the services produced, such as employee salaries. The fixed O&M costs at the Papua Vertical UPT Hospital are assumed to be 70% of the total operational and maintenance costs each year.

b.    Variable costs (variable O&M costs) are expenditure costs that will change according to service results. In this case, the Papua Vertical UPT Hospital is not yet operational. So the variable O&M costs at the Papua Vertical UPT Hospital are assumed to be 30% of the total operational and maintenance costs each year.

Operational and maintenance costs begin to be calculated in year I, which is when the Papua Vertical UPT Hospital project is planned to start operating. Meanwhile, the next step is to include the influence of inflation of 5.75% in order to discount the estimated value of revenue obtained in the future.

Calculation example:

Rp. 5,379,253,300 x 70% = Rp. 3,765,477,310,-

Rp. 5,379,253,300 x 30% = Rp. 1,613,775,990,-

Based on the calculation results above, it can be seen in the following table:

 

Table 4

Annual O&M cost for the Papua Vertical UPT Hospital project

20th year

Annual O&M Cost

Fixed O&M Cost (70%)

Variable O&M Cost (30%)

1

IDR 5,379,253,300

IDR 3,765,477,310

IDR 1,613,775,990

2

IDR 6,015,652,586

IDR 4,210,956,810

IDR 1,804,695,776

3

IDR 6,361,552,609

IDR 4,453,086,827

IDR 1,908,465,783

4

IDR 6,727,341,884

IDR 4,709,139,319

IDR 2,018,202,565

5

IDR 7,114,164,043

IDR 4,979,914,830

IDR 2,134,249,213

6

IDR 7,523,228,475

IDR 5,266,259,933

IDR 2,256,968,543

7

IDR 7,955,814,113

IDR 5,569,069,879

IDR 2,386,744,234

8

IDR 8,413,273,424

IDR 5,889,291,397

IDR 2,523,982,027

9

IDR 8,897,036,646

IDR 6,227,925,652

IDR 2,669,110,994

10

IDR 9,408,616,253

IDR 6,586,031,377

IDR 2,822,584,876

11

IDR 9,949,611,688

IDR 6,964,728,181

IDR 2,984,883,506

12

IDR 10,521,714,360

IDR 7,365,200,052

IDR 3,156,514,308

13

IDR 11,126,712,935

IDR 7,788,699,055

IDR 3,338,013,881

14

IDR 11,766,498,929

IDR 8,236,549,250

IDR 3,529,949,679

15

IDR 12,443,072,618

IDR 8,710,150,832

IDR 3,732,921,785

16

IDR 13,158,549,293

IDR 9,210,984,505

IDR 3,947,564,788

17

IDR 13,915,165,877

IDR 9,740,616,114

IDR 4,174,549,763

18

IDR 14,715,287,915

IDR 10,300,701,541

IDR 4,414,586,375

19

IDR 15,561,416,971

IDR 10,892,991,879

IDR 4,668,425,091

20

IDR 16,456,198,446

IDR 11,519,338,912

IDR 4,936,859,534

21

IDR 17,402,429,857

IDR 12,181,700,900

IDR 5,220,728,957

22

IDR 18,403,069,574

IDR 12,882,148,702

IDR 5,520,920,872

23

IDR 19,461,246,074

IDR 13,622,872,252

IDR 5,838,373,822

24

IDR 20,580,267,724

IDR 14,406,187,406

IDR 6,174,080,317

25

IDR 21,763,633,118

IDR 15,234,543,182

IDR 6,529,089,935

26

IDR 23,015,042,022

IDR 16,110,529,415

IDR 6,904,512,607

27

IDR 24,338,406,938

IDR 17,036,884,857

IDR 7,301,522,081

28

IDR 25,737,865,337

IDR 18,016,505,736

IDR 7,721,359,601

29

IDR 27,217,792,594

IDR 19,052,454,816

IDR 8,165,337,778

30

IDR 28,782,815,668

IDR 20,147,970,968

IDR 8,634,844,700

Source: analysis results

 

From the results of the calculations above, it is obtained that operational and maintenance costs at the beginning of the operational year for the UPT Vertical Papua Hospital were Rp. 5,379,253,300 and is assumed to increase following the increase in inflation, namely 5.75% in the following years.

 

Depreciation (depreciation)

To obtain the depreciation value, the straight line method is used. The annual depreciation value on the Jayapura port apron can be calculated as follows:

Depreciation � = Cost of building the asset - Residual value of the asset

The economic life of the asset

= Rp. 1,075,850,660,000 � Rp. 0������������

30 years

= Rp. 35,861,688,667

By starting from the time the construction period has been completed, depreciation is calculated starting from year 1 when the operational period begins. So, from the calculation results it was found that the depreciation value of the Papua Vertical UPT Hospital project was IDR. 35,861,688,667,- per year during the economic life of the Papua Vertical UPT Hospital.

Tax

The tax calculated in this research is corporate income tax and is calculated at the beginning of the operational year, because in calculating the gross income (revenue ) of the Papua Vertical UPT Hospital, the value is more than 50 billion, the tax calculation that must be paid to the government is equal to 25% of gross income each year, in accordance with the basic tax laws contained in Law no. 7 of 1983 concerning income tax, which was later amended by Law no. 36 of 2008 concerning the fourth amendment to Law no. 7 of 1983 concerning income tax, as well as Government Regulation no. 46 of 2013 concerning income tax on income from businesses received or obtained by taxpayers who have a certain gross turnover.

So the amount of tax that must be paid each year during the economic life of the Papua Vertical UPT Hospital can be seen as follows:

Formula used:

Tax ��� = Revenue x 25%

Calculation example:

Rp. 282,126,682,209 x 25% ��������� = Rp. 70,531,670,552,-

Based on the example calculation results, the complete calculation can be seen in the following table:

 

Table 4

Tax amount per year

1st Operational Year

Gross Income

Taxes 25%

1

IDR 282,126,682,209

IDR 70,531,670,552

2

IDR 315,504,032,006

IDR 78,876,008,002

3

IDR 333,645,513,846

IDR 83,411,378,462

4

IDR 352,830,130,893

IDR 88,207,532,723

5

IDR 373,117,863,419

IDR 93,279,465,855

6

IDR 394,572,140,566

IDR 98,643,035,141

7

IDR 417,260,038,648

IDR 104,315,009,662

8

IDR 441,252,490,870

IDR 110,313,122,718

9

IDR 466,624,509,095

IDR 116,656,127,274

10

IDR 493,455,418,368

IDR 123,363,854,592

11

IDR 521,829,104,925

IDR 130,457,276,231

12

IDR 551,834,278,458

IDR 137,958,569,614

13

IDR 583,564,749,469

IDR 145,891,187,367

14

IDR 617,119,722,563

IDR 154,279,930,641

15

IDR 652,604,106,611

IDR 163,151,026,653

16

IDR 690,128,842,741

IDR 172,532,210,685

17

IDR 729,811,251,199

IDR 182,452,812,800

18

IDR 771,775,398,142

IDR 192,943,849,536

19

IDR 816,152,483,536

IDR 204,038,120,884

20

IDR 863,081,251,339

IDR 215,770,312,835

21

IDR 912,708,423,291

IDR 228,177,105,823

22

IDR 965,189,157,630

IDR 241,297,289,408

23

IDR 1,020,687,534,194

IDR 255,171,883,548

24

IDR 1,079,377,067,410

IDR 269,844,266,853

25

IDR 1,141,441,248,786

IDR 285,360,312,197

26

IDR 1,207,074,120,591

IDR 301,768,530,148

27

IDR 1,276,480,882,525

IDR 319,120,220,631

28

IDR 1,349,878,533,271

IDR 337,469,633,318

29

IDR 1,427,496,548,934

IDR 356,874,137,233

30

IDR 1,509,577,600,497

IDR 377,394,400,124

Source: analysis results

 

Cash Flow Analysis

Cash flow functions to see the cash inflow and cash outflow at the UPT Vertical Papua Hospital starting from the construction period until the operational period, so that it can provide an overview of the financial capacity of the UPT Vertical Papua Hospital each year, the formula used is as follows:

Formula: PV =

Where:

PV ���� = Present value/ current value

FV ���� = Future value/ later value

I ������ = rate/interest rate

N ������ = certain period/th year

Calculation example:

PV ���� = Rp. 206,215,758,357 x (1/(1+5.75%))

��������� = Rp. 195,003,081,188,-

For complete calculations, see the following table:

 

Table 5

Vertical UPT Hospital cash flow

20th year

Potential Revenue

Annual O&M Cost

Taxes 25%

Income

PVIncome

1

IDR 282,126,682,209

IDR 5,379,253,300

IDR 70,531,670,552

IDR 206,215,758,357

IDR 195,003,081,188

2

IDR 315,504,032,006

IDR 6,015,652,586

IDR 78,876,008,002

IDR 230,612,371,419

IDR 206,215,758,357

3

IDR 333,645,513,846

IDR 6,361,552,609

IDR 83,411,378,462

IDR 243,872,582,775

IDR 206,215,758,357

4

IDR 352,830,130,893

IDR 6,727,341,884

IDR 88,207,532,723

IDR 257,895,256,285

IDR 206,215,758,357

5

IDR 373,117,863,419

IDR 7,114,164,043

IDR 93,279,465,855

IDR 272,724,233,521

IDR 206,215,758,357

6

IDR 394,572,140,566

IDR 7,523,228,475

IDR 98,643,035,141

IDR 288,405,876,949

IDR 206,215,758,357

7

IDR 417,260,038,648

IDR 7,955,814,113

IDR 104,315,009,662

IDR 304,989,214,873

IDR 206,215,758,357

8

IDR 441,252,490,870

IDR 8,413,273,424

IDR 110,313,122,718

IDR 322,526,094,729

IDR 206,215,758,357

9

IDR 466,624,509,095

IDR 8,897,036,646

IDR 116,656,127,274

IDR 341,071,345,176

IDR 206,215,758,357

10

IDR 493,455,418,368

IDR 9,408,616,253

IDR 123,363,854,592

IDR 360,682,947,523

IDR 206,215,758,357

11

IDR 521,829,104,925

IDR 9,949,611,688

IDR 130,457,276,231

IDR 381,422,217,006

IDR 206,215,758,357

12

IDR 551,834,278,458

IDR 10,521,714,360

IDR 137,958,569,614

IDR 403,353,994,484

IDR 206,215,758,357

13

IDR 583,564,749,469

IDR 11,126,712,935

IDR 145,891,187,367

IDR 426,546,849,166

IDR 206,215,758,357

14

IDR 617,119,722,563

IDR 11,766,498,929

IDR 154,279,930,641

IDR 451,073,292,993

IDR 206,215,758,357

15

IDR 652,604,106,611

IDR 12,443,072,618

IDR 163,151,026,653

IDR 477,010,007,341

IDR 206,215,758,357

16

IDR 690,128,842,741

IDR 13,158,549,293

IDR 172,532,210,685

IDR 504,438,082,763

IDR 206,215,758,357

17

IDR 729,811,251,199

IDR 13,915,165,877

IDR 182,452,812,800

IDR 533,443,272,522

IDR 206,215,758,357

18

IDR 771,775,398,142

IDR 14,715,287,915

IDR 192,943,849,536

IDR 564,116,260,691

IDR 206,215,758,357

19

IDR 816,152,483,536

IDR 15,561,416,971

IDR 204,038,120,884

IDR 596,552,945,681

IDR 206,215,758,357

20

IDR 863,081,251,339

IDR 16,456,198,446

IDR 215,770,312,835

IDR 630,854,740,058

IDR 206,215,758,357

21

IDR 912,708,423,291

IDR 17,402,429,857

IDR 228,177,105,823

IDR 667,128,887,611

IDR 206,215,758,357

22

IDR 965,189,157,630

IDR 18,403,069,574

IDR 241,297,289,408

IDR 705,488,798,649

IDR 206,215,758,357

23

IDR 1,020,687,534,194

IDR 19,461,246,074

IDR 255,171,883,548

IDR 746,054,404,571

IDR 206,215,758,357

24

IDR 1,079,377,067,410

IDR 20,580,267,724

IDR 269,844,266,853

IDR 788,952,532,834

IDR 206,215,758,357

25

IDR 1,141,441,248,786

IDR 21,763,633,118

IDR 285,360,312,197

IDR 834,317,303,472

IDR 206,215,758,357

26

IDR 1,207,074,120,591

IDR 23,015,042,022

IDR 301,768,530,148

IDR 882,290,548,422

IDR 206,215,758,357

27

IDR 1,276,480,882,525

IDR 24,338,406,938

IDR 319,120,220,631

IDR 933,022,254,956

IDR 206,215,758,357

28

IDR 1,349,878,533,271

IDR 25,737,865,337

IDR 337,469,633,318

IDR 986,671,034,616

IDR 206,215,758,357

29

IDR 1,427,496,548,934

IDR 27,217,792,594

IDR 356,874,137,233

IDR 1,043,404,619,106

IDR 206,215,758,357

30

IDR 1,509,577,600,497

IDR 28,782,815,668

IDR 377,394,400,124

IDR 1,103,400,384,705

IDR 206,215,758,357

∑ PV Income

IDR 5,144,181,281,750

 

Income obtained at the beginning of the year was IDR. 195,003,081,188,- and is assumed to increase in subsequent years following inflation of 5.75%.

Financial Feasibility of the Papua Vertical UPT Hospital Project

the cash flow analysis of the Papua Vertical UPT Hospital project, in analyzing financial feasibility, present value is sought to be able to calculate the time value of money in the cash flows that have been analyzed. In data analysis, data is obtained

Outlay ��������� PV = Rp. 1,075,850,660,000,-

∑ PV income = Rp. 1,509,577,600,497,-

Furthermore, in more detail, in determining the financial feasibility of the Papua Vertical UPT Hospital project, the investment assessment criteria method was used, namely Net Present Value (NPV), Benefit Cost Ratio (BCR), Internal Rate Return (IRR) and Break Even Point (BEP).

Net Present Value (NPV)

The assessment criteria for the NPV method are that if the calculation result is positive then the investment is considered feasible, but if the opposite result is negative then the investment is considered not feasible.

So the NPV value for the Papua Vertical UPT Hospital project can be calculated as follows:

NPV ������� = ∑ PV income - PV outlay

= Rp. 1,509,577,600,497 - Rp. 1,075,850,660,000

= Rp. 433,726,940,497 (positive)

From the calculation results, the NPV value for the Papua Vertical UPT Hospital project is positive, so it can be concluded that the project is feasible.

Benefit Cost Ratio (BCR)

The assessment criteria for the BCR method are that a project is declared feasible if the BCR value is greater than or equal to 1 or BCR > 1, and declared unfeasible if the BCR value is less than 1.

The BCR value of the Papua Vertical UPT Hospital can be calculated as follows:

BCR ����� = ∑ PV income / PV outlay

= Rp. 1,509,577,600,497 / Rp. 1,075,850,660,000

= 1.40

A BCR value greater than 1 in the Papua Vertical UPT Hospital project indicates that the benefits are greater than the costs incurred , so it can be concluded that the project is feasible

Internal Rate Return (IRR)

The assessment criteria for the IRR method is that if the IRR value is greater than the specified interest rate, then the investment is feasible. If, on the other hand, the IRR value is smaller than the interest rate, then the investment is not feasible.

By using the trial and error method, the NPV for different interest rates is as shown in the following table:

 

Table 6

Trial and error IRR

Year

PVIncome

PV income/(1+r)^n (+)

PV income/(1+r)^n (-)

1

IDR 195,003,081,188

IDR 165,256,848,465

IDR 163,868,135,452

2

IDR 206,215,758,357

IDR 148,100,946,823

IDR 145,622,313,648

3

IDR 206,215,758,357

IDR 125,509,276,969

IDR 122,371,692,141

4

IDR 206,215,758,357

IDR 106,363,794,041

IDR 102,833,354,740

5

IDR 206,215,758,357

IDR 90,138,808,510

IDR 86,414,583,815

6

IDR 206,215,758,357

IDR 76,388,820,771

IDR 72,617,297,324

7

IDR 206,215,758,357

IDR 64,736,288,789

IDR 61,022,938,928

8

IDR 206,215,758,357

IDR 54,861,261,686

IDR 51,279,780,611

9

IDR 206,215,758,357

IDR 46,492,594,649

IDR 43,092,252,615

10

IDR 206,215,758,357

IDR 39,400,503,940

IDR 36,211,976,987

11

IDR 206,215,758,357

IDR 33,390,257,576

IDR 30,430,232,762

12

IDR 206,215,758,357

IDR 28,296,828,454

IDR 25,571,624,170

13

IDR 206,215,758,357

IDR 23,980,363,097

IDR 21,488,759,807

14

IDR 206,215,758,357

IDR 20,322,341,607

IDR 18,057,781,350

15

IDR 206,215,758,357

IDR 17,222,323,396

IDR 15,174,606,177

16

IDR 206,215,758,357

IDR 14,595,189,319

IDR 12,751,769,896

17

IDR 206,215,758,357

IDR 12,368,804,507

IDR 10,715,773,022

18

IDR 206,215,758,357

IDR 10,482,037,718

IDR 9,004,851,279

19

IDR 206,215,758,357

IDR 8,883,082,812

IDR 7,567,101,915

20

IDR 206,215,758,357

IDR 7,528,036,281

IDR 6,358,909,172

21

IDR 206,215,758,357

IDR 6,379,691,764

IDR 5,343,621,153

22

IDR 206,215,758,357

IDR 5,406,518,444

IDR 4,490,437,944

23

IDR 206,215,758,357

IDR 4,581,795,291

IDR 3,773,477,264

24

IDR 206,215,758,357

IDR 3,882,877,366

IDR 3,170,989,297

25

IDR 206,215,758,357

IDR 3,290,574,039

IDR 2,664,696,889

26

IDR 206,215,758,357

IDR 2,788,622,067

IDR 2,239,241,083

27

IDR 206,215,758,357

IDR 2,363,239,040

IDR 1,881,715,196

28

IDR 206,215,758,357

IDR 2,002,744,949

IDR 1,581,273,274

29

IDR 206,215,758,357

IDR 1,697,241,482

IDR 1,328,801,070

30

IDR 206,215,758,357

IDR 1,438,340,239

IDR 1,116,639,555

IDR 1,128,150,054,090

IDR 1,070,046,628,537

Source: analysis results

 

By trial and error, value is obtained

NPV1 ��������������� = Rp. 52,299,394,090 ������� (Positive)

NPV2 ��������������� = Rp. 5,804,031,463(Negative)

i1 ���������� = 18 %

i2 ���������� = 19%

So that,

IRR ����������������� = 19%

This IRR value is higher than the specified interest rate, namely 10%, so it can be concluded that the project is feasible.

Payback Period (PP)

Payback Period method functions to calculate how quickly it takes a project to return the investment and working capital invested. PP is obtained by dividing capital costs by income (revenue) per year. The assessment criteria for the Payback Period method is if PP faster than the required time (in this research, namely the economic life of the asset), then the investment is feasible. If otherwise, PP is obtained longer than the economic life of the asset, then the investment is not feasible.

The PP value for the Vertical UPT Hospital project can be calculated as follows:

 

 

 

 

Table 7

Return and balance calculation

No

Year

Return

Balance

1

0

-Rp 1,075,850,660,000.00

-Rp 1,075,850,660,000.00

2

1

IDR 195,003,081,188.42

-Rp 880,847,578,811.58

3

2

IDR 206,215,758,356.75

-Rp 674,631,820,454.83

4

3

IDR 206,215,758,356.75

-Rp 468,416,062,098.08

5

4

IDR 206,215,758,356.75

-Rp 262,200,303,741.33

6

5

IDR 206,215,758,356.75

-Rp 55,984,545,384.58

7

6

IDR 206,215,758,356.75

IDR 150,231,212,972.17

8

7

IDR 206,215,758,356.75

IDR 356,446,971,328.92

9

8

IDR 206,215,758,356.75

IDR 562,662,729,685.67

10

9

IDR 206,215,758,356.75

IDR 768,878,488,042.42

11

10

IDR 206,215,758,356.75

IDR 975,094,246,399.17

12

11

IDR 206,215,758,356.75

IDR 1,181,310,004,755.92

13

12

IDR 206,215,758,356.75

IDR 1,387,525,763,112.67

14

13

IDR 206,215,758,356.75

IDR 1,593,741,521,469.42

15

14

IDR 206,215,758,356.75

IDR 1,799,957,279,826.17

16

15

IDR 206,215,758,356.75

IDR 2,006,173,038,182.92

17

16

IDR 206,215,758,356.75

IDR 2,212,388,796,539.67

18

17

IDR 206,215,758,356.75

IDR 2,418,604,554,896.42

19

18

IDR 206,215,758,356.75

IDR 2,624,820,313,253.17

20

19

IDR 206,215,758,356.75

IDR 2,831,036,071,609.92

21

20

IDR 206,215,758,356.75

IDR 3,037,251,829,966.67

22

21

IDR 206,215,758,356.75

IDR 3,243,467,588,323.42

23

22

IDR 206,215,758,356.75

IDR 3,449,683,346,680.17

24

23

IDR 206,215,758,356.75

IDR 3,655,899,105,036.92

25

24

IDR 206,215,758,356.75

IDR 3,862,114,863,393.67

26

25

IDR 206,215,758,356.75

IDR 4,068,330,621,750.42

27

26

IDR 206,215,758,356.75

IDR 4,274,546,380,107.17

28

27

IDR 206,215,758,356.75

IDR 4,480,762,138,463.92

29

28

IDR 206,215,758,356.75

IDR 4,686,977,896,820.67

30

29

IDR 206,215,758,356.75

IDR 4,893,193,655,177.42

31

30

IDR 206,215,758,356.75

IDR 5,099,409,413,534.17

 

From the table above, the Payback Period (PP) of the Vertical UPT Hospital in Papua

 

5

+

0 - (-55,984.545.384.58)

x

(6-5)

150,231,212,972.17 - (-55,984.545.384.58)

PP ��������� =

 

= 5.3

 

So, the Payback Period (PP) is obtained in year 5.3, so it can be confirmed that the project is feasible to implement because the PP results are faster than the economic life of the asset.

 

Sensitivity analysis

In this analysis, to get the influence of the changes that will occur, the following conditions are taken into account:

1.   When conditions are normal, the conditions are in accordance with the analytical calculations above.

2.   There are fixed project costs and the estimated benefit value will decrease by 10%.

3.   There was an increase in project costs of 10% and the benefit value remained constant

So the calculation can be seen in the following table:

 

Table 8

Sensitivity analysis of the Papua Vertical UPT Hospital project

No

Circumstances

Method

NPV

BCR

IRR

PP

1

Normal condition

Rp. 433,726,940,497 (positive/eligible)

1.06 > 1 (decent)

19% > 10% (feasible)

5.3 years < 30 years (eligible)

2

Fixed benefit costs decreased by 10%

Rp. 282,769,180,448 (positive/eligible)

1.26 > 1 (decent)

17% > 10% (feasible)

5.9 years < 30 years (eligible)

3

Costs increase by 10% fixed benefits

Rp. 326,141,874,497 (positive/eligible)

1.28 > 1 (decent)

17% > 10% (feasible)

5.8 years < 30 years (eligible)

Source: analysis results

 

Social Benefits

Based on the sensitivity analysis, the four methods used by the Vertical UPT Hospital project are feasible to implement. Apart from being financially feasible, the Vertical UPT Hospital project also has social benefits , namely:

1.    Based on the 5 (five) work priorities of the President of the Republic of Indonesia 2019-2024 in point 2 (two), it is stated that "Human Resource (HR) development includes ensuring the health of pregnant women and school age children, improving the quality of education and talent management" with development plans Papua Vertical UPT Hospital becomes a Class A Hospital then:

a.    will facilitate access for the community, especially Eastern Indonesia, to obtain better services and fulfillment of health facilities and medical and non-medical equipment.

b.    As a forum for developing research for medical students at Cenderawasih University which focuses on tropical medicine with superior services, namely cancer, heart, stroke and uronefrost.

c.    As a forum for training and development of human resources in the health sector in an integrated manner.

2.    Based on the Human Development Index (HDI), which states that residents can access development results in obtaining income, health, education and so on, with the construction of this Vertical UPT Hospital, then:

  1. The recruitment of local health and non-health workers can be ensured that the human resources meet the standard qualifications in their fields. It is planned that recruitment at the start of the hospital operation will require 543 people and in the development towards the Class A Vertical UPT Hospital, 757 people will be needed.
  2. With adequate facilities and complete medical personnel, the UPT Vertical Papua Hospital can become a referral hospital for all hospitals in Jayapura City and its surroundings.
  3. The large area of the UPT Vertical Papua Hospital can be used as a business area for the surrounding community, such as managing a canteen or restaurant, of course with permission from the hospital management.

 

CONCLUSION

The results of the financial feasibility analysis of the UPT Vertical Papua hospital building project revealed several important findings. First, the total cost required to build this project reaches Rp. 1,075,850,660,000,-. Second, the project is proven to be financially feasible using several evaluation methods. The NPV (Net Present Value) method produces a positive value of Rp. 433,726,940,497, indicating that this project is profitable. In addition, the BCR (Benefit Cost Ratio) value exceeds 1, namely 1.06, which shows the financial benefits of this investment. Lastly, the IRR (Internal Rate Return) method provides an internal rate of return of 19%. Third, this project also has a fairly fast rate of return with a payback period (PP) of only 5.3 years, which is shorter than the economic life set at 30 years. Thus, the results of the financial feasibility analysis conclude that the Papua Vertical UPT Hospital construction project is financially feasible and profitable.

 

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