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Sabry Shehata, PhD Cherie Shehata, MD

From Business Conception to the Bank Navigating business to the right goal, a home health cooperative case study. Sabry Shehata, PhD Cherie Shehata, MD. Presented PSC21 Session 6-8 on "Sustainable Island Society ".

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Sabry Shehata, PhD Cherie Shehata, MD

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  1. From Business Conception to the BankNavigating business to the right goal, a home health cooperative case study Sabry Shehata, PhDCherie Shehata, MD Presented PSC21 Session 6-8 on "Sustainable Island Society"

  2. Case Study: Economic Feasibility of Establishing Home Care Cooperative in East Hawaii • Increasing demand for home care services in an underserved rural area, • The growing labor shortage • The need for caregivers to earn livable wages and benefits.

  3. New Interactive and Innovative Methods In estimating the Economic Feasibility: From The Business Conception to the Bank USDA-Rural and Economic Development funded research to examine the economic feasibility of establishing home care cooperative in East Hawaii.

  4. New Interactive and Innovative Methods In estimating the Economic Feasibility: From The Business Conception to the Bank • Market feasibility • Technical feasibilities • Financial feasibility • Organizational and managerial feasibility

  5. New and Innovative Methods: From The Business Conception to the Bank Market feasibility Financial feasibility Technical feasibilities Organizational and managerial feasibility

  6. Market segment and Size in the Target Market 58% of Big Island of Hawaii residents Hilo, North Hilo, Papaikou-Wailea, Honakaa, Paauhua, Pahoa-Kalapana, Keaau-Mt. View—

  7. Market segment and Size in the Target Market cont’d • Primary market • Hilo, North Hilo, Papaikou-Wailea, Keaau, and Pahoa. • The secondary market • Honokaa and Paauhua

  8. Market Size Island of Hawaii

  9. Market size in East Hawaii

  10. Demand in East Hawaii

  11. Market Potential of Hawaii Health Care Cooperative

  12. Market Plan Products and Services • Home Chore worker/aide • Home chore worker’s responsibilities include chore services, laundry, leisure skills, housekeeping, meal preparation, transportation companionship and assistance with bathing.

  13. Market PlanProducts and Services • Certified Nursing Assistants (CNAs) • Responsibilities includes ambulation, medication reminders, changing incontinence supplies, assistance with dressing and undressing, eating/tube feeding, exercising, leisure skills, positioning, companionship assistance in transferring in/out of bed or wheelchair, changing bed linens, running errands administer medications and treatments, monitor the status of patient care, report to and taking orders from the physician in charge

  14. Market Plan Promotion and Market Access • Selective Advertising • Mass media • Advertising Budget • Website

  15. Source of revenue • Hawaii Sate Kupuna Care program • Private payment for home-based caregiver services • Private care homes in East Hawaii, which provide respite • Hawaii Rural Health Administration • Medicaid reimbursement

  16. Market PlanPricing • Pricing Strategy

  17. Market PlanDistribution Strategy • Distribution Strategy

  18. Market Plan • Competitive Analysis

  19. Objectives Market feasibility Technical feasibilities Financial feasibility Organizational and managerial feasibility

  20. Technical Feasibility • Facility • Equipment. • Website Technology • Human resources: • Full Time Executive Director • Full-time CNA Manager/RN

  21. Cooperative Administrative Structure

  22. New and Innovative Methods: From The Business Conception toThe Bank Market feasibility Technical feasibilities Financial feasibility Organizational and managerial feasibility

  23. Financial Feasibility • Capital requirements • Fixed assets • Start up Capital needs • Equity and Credit Needs

  24. Capital Expenditure

  25. Ramp up Period

  26. Total investment • In the start-up year, the cooperative needs $200,000

  27. Input Sheet #1

  28. Input Sheet #2

  29. Profit and loss projection

  30. Pro Forma Balance Sheet

  31. Cash Flow projection

  32. Loan Analysis

  33. Project Profit or loss in the Next 5 Years

  34. Sensitivity Analysis

  35. Sensitivity Analysis of the Charges

  36. Sensitivity Analysis of the Charges

  37. Payoff Period

  38. Sensitivity to Change of the Wages Received by CNA

  39. Sensitivity to Change of the Wages Received by Home Chore Workers

  40. Sensitivity to Change of the CNA Wages and Income Simultaneously

  41. Sensitivity to Change of the Home Chore Wages and Income Simultaneously

  42. To the Bank Market feasibility Technical feasibilities Financial feasibility Organizational and managerial feasibility

  43. Organizational/Managerial Feasibility • The information provided to the consultants revealed that the steering committee has developed a draft of an article of incorporation, internal control policies handbook, organizational chart, member list, and educational information about the cooperative

  44. HHC Co-op The Website Demo.

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