USAID DEC
The Hôpital du Sacré-Cœur de Milot is a community hospital located in the Nord department of Haiti, serving over 225,000 inhabitants from several communes.
2016 · 44 pages

Abstract
Founded in 1986, the hospital has 125 beds and provided 65,425 outpatient visits, admitted 7,344 patients, and performed 2,520 surgical procedures in 2015. The hospital employs 378 people, including 178 medical personnel, 31 paramedical personnel, and 169 support staff. The hospital's financial situation is characterized by a high dependence on external funding, with over 57% of its income coming from external sources in 2015. The majority of this external support comes from the CRUDEM foundation, both in terms of cash and in-kind donations. The hospital's net results for the years 2013 to 2015 show a deficit of 1.74% (4,141,425 gourdes) in 2013, a deficit of 0.81% (1,716,245 gourdes) in 2014, and a surplus of 5.24% (13,409,370 gourdes) in 2015. The hospital's financial structure is composed of various sources of income, including recettes Haiti (local income), recettes externes (external income), recettes non cliniques (non-clinical income), autres recettes (other income), and recettes patients (patient income). The hospital's expenses are also broken down into various categories, including personnel costs, medical supplies, and infrastructure maintenance. The hospital's strategic objective is to reduce its dependence on external funding, improve the efficiency and quality of its services, and increase its revenue. To achieve this objective, the hospital has developed a business plan with the support of the USAID-funded HFG project. The plan aims to harmonize the hospital's fundraising activities, both domestically and internationally, and to provide data-driven evidence to support its fundraising efforts. The business plan is composed of several key strategies, including the development of a comprehensive financial management system, the implementation of cost-saving measures, and the expansion of the hospital's services to increase revenue. The plan also aims to sensitize and mobilize the hospital's staff around the strategies for increasing revenue and mitigating losses, and to reinforce the hospital's strategic plan for 2016-2021. The hospital's governance and organizational structure are also key components of the business plan. The hospital is governed by a board of directors, which is responsible for overseeing the hospital's operations and making strategic decisions. The hospital's organizational structure is composed of various departments, including medical services, paramedical services, and support services. Overall, the Hôpital du Sacré-Cœur de Milot's business plan aims to provide a comprehensive framework for the hospital's operations, financial management, and strategic development. The plan is designed to support the hospital's efforts to improve the efficiency and quality of its services, increase its revenue, and reduce its dependence on external funding.
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USAID DEC