FILE : INVESTASI & SHEET GEDUNG

TABEL BIAYA INVESTASI (AIC GEDUNG) MASING-MASING PUSAT BIAYA

TAHUN MASA MASA INFLASI
NO NAMA PUSAT BIAYA LUAS M2 HARGA (IIC)
BELI PAKAI (t) HIDUP (L) (I)
1 Kantor 1,244 2014 505,793,358 6 25 10%
2 Apotik 200 2014 81,317,260 6 25 10%
3 Instalasi Gizi 200 2014 81,317,260 6 25 10%
4 Laundry 1,104 2014 448,871,276 6 25 10%
5 Poliklinik Bedah 56 2014 22,768,833 6 25 10%
6 Poliklinik Gigi 56 2014 22,768,833 6 25 10%
7 Poliklinik Umum 56 2014 22,768,833 6 25 10%
8 Rawat Inap 1,128 2014 458,629,347 6 25 10%
TOTAL 4,044 1,644,235,000
PUSAT BIAYA
AIC
35,841,751
5,762,339
5,762,339
31,808,114
1,613,455
1,613,455
1,613,455
32,499,595
 FILE l : INVESTASI & SHEET ALAT MEDIS
TABEL BIAYA INVESTASI (AIC MEDIS) MASING-MASING PUSAT BIAYA
PUSAT BIAYA : UPF BEDAH
JUML TAHUN MASA MASA
NO NAMA ALAT MEDIS HARGA SATUAN HARGA (IIC)
AH BELI PAKAI (t) HIDUP (L)
1 Sterilisator Aesculap 1 2014 633,500.00 633,500.00 6 15
2 Sterilisator Aesculap 1 2014 2,083,350.00 2,083,350.00 6 15
3 Lampu Operasi 1 2014 215,000.00 215,000.00 6 15
4 Brankard 2 2014 370,000.00 740,000.00 6 15
5 Brandkard dorong 4 2014 1,200,000.00 4,800,000.00 6 15
Autociave HgS
6 1 2014 49,000.00 49,000.00 6 15
Hiramaya
Autoclave HK 350 E
7 1 2014 114,962.00 114,962.00 6 15
Hiramaya
8 Bak Instrumen 3 2014 100,000.00 300,000.00 6 15
9 UV Sterilisator 156x 1 2014 23,645,000.00 23,645,000.00 6 15
UV wator Sterilisator
10 2 2014 24,695,000.00 49,390,000.00 6 15
UMS 603
General Purpose
11 2 2014 66,321,600.00 132,643,200.00 6 15
Aesculap
electrosurgical unit
12 1 2014 73,050,268.00 73,050,268.00 6 15
Aesculap
TOTAL 192,477,680.00

PUSAT BIAYA : POLI. GIGI

JUML TAHUN HARGA MASA MASA
NO NAMA ALAT MEDIS HARGA (IIC)
AH BELI SATUAN PAKAI (t) HIDUP (L)
1 Dental unit 1 2014 38,675,000.00 38,675,000.00 6 20
2 Dental cair 1 2014 7,412,000.00 7,412,000.00 6 20
3 Tromol Has 2 2014 172,000.00 344,000.00 6 15
4 Tang cabut gigi 50 2014 82,500.00 4,125,000.00 6 15
5 gunting 10 2014 25,000.00 250,000.00 6 15
6 Mirror 10 2014 125,000.00 1,250,000.00 6 15
7 Pinset 10 2014 12,000.00 120,000.00 6 15
8 Sonde 10 2014 50,000.00 500,000.00 6 15
TOTAL 94 46,553,500.00

PUSAT BIAYA :POLIKLINIK UMUM

JUML TAHUN MASA MASA
NO NAMA ALAT MEDIS HARGA SATUAN HARGA (IIC)
AH BELI PAKAI (t) HIDUP (L)
1 Stateskop 1 2014 35000 35000 6 15
2 Tensi meter 1 2014 75000 75000 6 15
3 Spatel 3 2014 25000 75000 6 15
TOTAL 5 135000

PUSAT BIAYA : INSTALASI R. INAP

 JUML TAHUN MASA MASA
NO NAMA ALAT MEDIS HARGA SATUAN HARGA (IIC)
AH BELI PAKAI (t) HIDUP (L)
1 Tensi biasa 1 2014 45,000 45,000 6 15
2 tiang infus 2 2014 550,000 1,100,000 6 15
3 Timbangan dewasa 1 2014 50,000 50,000 6 15
4 Pot feaces 2 2014 35,000 70,000 6 15
5 Pispot 2 2014 25,000 50,000 6 15
6 Near bekken 2 2014 7,000 14,000 6 15
7 Korentang 1 2014 12,000 12,000 6 15
8 Gunting Verban 2 2014 15,000 30,000 6 15
9 Vinset 2 2014 12,000 24,000 6 15
10 Sterilisator 1 2014 250,000 250,000 6 15
11 Oksigen terapi 1 2014 1,125,000 1,125,000 6 15
12 Stateskop 1 2014 20,000 20,000 6 15
13 Tensi meter berdiri 1 2014 1,100,000 1,100,000 6 15
14 suction pump 1 2014 3,250,000 3,250,000 6 15
15 basic diagnostic kit 1 2014 178,000 178,000 6 15
16 regulator 1 2014 125,000 125,000 6 15
17 tensi biasa 2 2014 45,000 90,000 6 15
18 tiang infus 2 2014 550,000 1,100,000 6 15
TOTAL 26 7,394,000
S
G PUSAT BIAYA

INFLASI
AIC
(I)
10% 74,818.93
10% 246,052.11
10% 25,392.37
10% 87,397.01
10% 566,899.52
10% 5,787.10

10% 13,577.48
10% 35,431.22
10% 2,792,570.66
10% 5,833,159.85

10% 15,665,701.34

10% 8,627,533.72
33,974,321.30

INFLASI AIC

10% 3,425,756.08
10% 656,540.51
10% 40,627.80
10% 487,179.28
10% 29,526.02
10% 147,630.08
10% 14,172.49
10% 59,052.03
4,860,484.29

INFLASI
AIC
(I)
10% 4,133.64
10% 8,857.81
10% 8,857.81
21,849.25
INFLASI
AIC
(I)
10% 5,314.68
10% 129,914.47
10% 5,905.20
10% 8,267.28
10% 5,905.20
10% 1,653.46
10% 1,417.25
10% 3,543.12
10% 2,834.50
10% 29,526.02
10% 132,867.08
10% 2,362.08
10% 129,914.47
10% 383,838.22
10% 21,022.52
10% 14,763.01
10% 10,629.37
10% 129,914.47
1,019,592
 FILE : INVESTASI & ALAT NON MEDIS

TABEL BIAYA INVESTASI (AIC ALAT NON MEDIS) MASING-MASING PUSAT BIAYA

PUSAT BIAYA : KANTOR

TAHUN HARGA MASA MASA
NO NAMA ALAT NON MEDIS JUMLAH HARGA (IIC)
BELI SATUAN PAKAI (t) HIDUP (L)
1 Meja 1/2 biro 15 2014 80,000 1,200,000 6 20
2 Meja 1 biro 3 2014 105,000 315,000 6 20
3 Filling kabinet 4 2014 850,000 3,400,000 6 20
4 Telepon 3 2014 100,000 300,000 6 20
5 kursi tamu 2 2014 250,000 500,000 6 20
6 kursi putar 2 2014 150,000 300,000 6 20
7 lemari arsip 4 2014 200,000 800,000 6 20
8 lemari 2 pintu 1 2014 425,000 425,000 6 20
9 AC spilit 4 2014 2,397,500 9,590,000 6 20
10 Kipas angin 2 2014 60,000 120,000 6 20
11 kursi kayu 15 2014 45,000 675,000 6 20
12 kursi tanpa lengan 5 2014 30,000 150,000 6 20
13 mesin ketik 3 2014 475,000 1,425,000 6 20
14 jam dinding 5 2014 155,000 775,000 6 20
15 komputer 2 2014 2,250,000 4,500,000 6 20
TOTAL 70 7,572,500

PUSAT BIAYA : APOTEK

TAHUN HARGA MASA MASA
NO NAMA ALAT NON MEDIS JUMLAH HARGA (IIC)
BELI SATUAN PAKAI (t) HIDUP (L)
1 Meja 1/2 biro 2 2014 80,000 160,000 6 20
2 Lemari obat kaca 1 2014 115,000 115,000 6 20
3 kursi tanpa lengan 4 2014 30,000 120,000 6 20
4 kipas angin 1 2014 60,000 60,000 6 20
5 waskom 2 2014 7,000 14,000 6 20
6 standar waskom 2 2014 20,000 40,000 6 20
7 kursi kayu 2 2014 45,000 90,000 6 20
TOTAL 14 357,000

PUSAT BIAYA : INST. GIZI

TAHUN HARGA MASA MASA
NO NAMA ALAT NON MEDIS JUMLAH HARGA (IIC)
BELI SATUAN PAKAI (t) HIDUP (L)
1 meja 1/2 biro 3 2014 80,000 240,000.00 6 15
2 kursi tanpa lengan 5 2014 30,000 150,000.00 6 15
3 rak barang 3 2014 100,000 300,000.00 6 15
4 lemari makan 2 2014 125,000 250,000.00 6 15
5 rak barang/piring 2 2014 50,000 100,000.00 6 15
6 tabung gas kecil 4 2014 270,000 1,080,000.00 6 15
7 tabung gas besar 3 2014 450,000 1,350,000.00 6 15
8 kereta makan 2 2014 650,000 1,300,000.00 6 15
9 kulkas 3 2014 900,000 2,700,000.00 6 15
10 tampat air minum sedang 2 2014 80,000 160,000.00 6 15
 11 tempat air minum besar 2 2014 83,000 166,000.00 6 15
12 tempat nasi besar 2 2014 50,000 100,000.00 6 15
13 tempat nasi sedang 2 2014 45,000 90,000.00 6 15
14 wejan besar 4 2014 70,000 280,000.00 6 15
TOTAL 39 2,983,000

PUSAT BIAYA : LAUNDRY

TAHUN HARGA MASA MASA
NO NAMA ALAT NON MEDIS JUMLAH HARGA (IIC)
BELI SATUAN PAKAI (t) HIDUP (L)
1 Mesin cuci 2 2014 650,000 1,300,000.00 6 20
2 Seterika 2 2014 60,000 120,000.00 6 20
3 Kereta Dorong 1 2014 30,000 30,000.00 6 20
4 Lemari dua pintu 1 2014 425,000 425,000.00 6 20
5 meja 1/2 biro 1 2014 80,000 80,000.00 6 20
6 kursi plastik 2 2014 15,000 30,000.00 6 20
7 kursi tanpa lengan 1 2014 30,000 30,000.00 6 20
Total 10 1,290,000

PUSAT BIAYA : KAMAR BEDAH

TAHUN HARGA MASA MASA
NO NAMA ALAT NON MEDIS JUMLAH HARGA (IIC)
BELI SATUAN PAKAI (t) HIDUP (L)
1 Tempat tidur besi 4 2014 500,000 2,000,000.00 6 15
2 lemari kaca 2 2014 115,000 230,000.00 6 15
3 lemari kayu 2 pintu 3 2014 425,000 1,275,000.00 6 15
4 Meja 1/2 biro 5 2014 80,000 400,000.00 6 15
5 meja 1 biro 3 2014 105,000 315,000.00 6 15
6 kursi kayu 8 2014 45,000 360,000.00 6 15
7 meja kayu panjang 1 2014 125,000 125,000.00 6 15
8 lemari kaca 2 2014 209,000 418,000.00 6 15
TOTAL 28 1,604,000

PUSAT BIAYA : INSTALASI R. INAP

TAHUN HARGA MASA MASA
NO NAMA ALAT NON MEDIS JUMLAH HARGA (IIC)
BELI SATUAN PAKAI (t) HIDUP (L)
1 Tempat tidur besi 75 2014 175,000 13,125,000.00 6 15
2 Lemari kecil 73 2014 75,000 5,475,000.00 6 15
3 Kursi Plastik 32 2014 25,000 800,000.00 6 15
4 AC Spilit 5 2014 2,397,250 11,986,250.00 6 15
5 TV 14 Inchi 2 2014 550,000 1,100,000.00 6 15
6 Kulkas kecil 2 2014 750,000 1,500,000.00 6 15
7 Kasur 73 2014 70,000 5,110,000.00 6 15
TOTAL 262 4,042,250

PUSAT BIAYA : POLIKLINIK GIGI

TAHUN HARGA MASA MASA
NO NAMA ALAT NON MEDIS JUMLAH HARGA (IIC)
BELI SATUAN PAKAI (t) HIDUP (L)
1 Meja tulis 3 2014 125,000 375,000.00 6 15
2 Kursi Putar 1 2014 250,000 250,000.00 6 15
3 AC 1 2014 2,517,500 2,517,500.00 6 20
4 Kursi Kerja 3 2014 25,000 75,000.00 6 15
 5 Lemari 1 2014 200,000 200,000.00 6 15
TOTAL 9 3,117,500

PUSAT BIAYA : POLIKLINIK UMUM

TAHUN HARGA MASA MASA
NO NAMA ALAT NON MEDIS JUMLAH HARGA (IIC)
BELI SATUAN PAKAI (t) HIDUP (L)
1 Kursi putar 1 2014 400,000 400,000.00 6 20
2 Lemari kayu 1 2014 200,000 200,000.00 6 20
3 Tempat tidur 1 2014 200,000 200,000.00 6 25
4 Stan waskom 1 2014 25,000 25,000.00 6 25
5 waskom 1 2014 15,000 15,000.00 6 20
6 jam dinding 1 2014 20,000 20,000.00 6 20
7 Kursi kerja 4 2014 25,000 100,000.00 6 25
8 meja tulis 2 2014 125,000 250,000.00 6 20
TOTAL 12 1,010,000
USAT BIAYA

INFLASI
AIC
(i)
10% 106,294
10% 27,902
10% 301,165
10% 26,573
10% 44,289
10% 26,573
10% 70,862
10% 37,646
10% 849,463
10% 10,629
10% 59,790
10% 13,287
10% 126,224
10% 68,648
10% 398,601
2,167,948

INFLASI
AIC
(i)
10% 14,172
10% 10,186
10% 10,629
10% 5,315
10% 1,240
10% 3,543
10% 7,972
53,058

INFLASI
AIC
(i)
10% 28,344.98
10% 17,715.61
10% 35,431.22
10% 29,526.02
10% 11,810.41
10% 127,552.39
10% 159,440.49
10% 153,535.29
10% 318,880.98
10% 18,896.65
 10% 19,605.28
10% 11,810.41
10% 10,629.37
10% 33,069.14
976,248

INFLASI
AIC
(i)
10% 115,151.47
10% 10,629.37
10% 2,657.34
10% 37,645.67
10% 7,086.24
10% 2,657.34
10% 2,657.34
178,485

INFLASI
AIC
(i)
10% 236,208.13
10% 27,163.94
10% 150,582.69
10% 47,241.63
10% 37,202.78
10% 42,517.46
10% 14,763.01
10% 49,367.50
605,047

INFLASI
AIC
(i)
10% 1,550,115.88
10% 646,619.77
10% 94,483.25
10% 1,415,624.87
10% 129,914.47
10% 177,156.10
10% 603,511.78
4,617,426

INFLASI
AIC
(i)
10% 44,289.03
10% 29,526.02
10% 222,995.24
10% 8,857.81
 10% 23,620.81
329,289

INFLASI
AIC
(i)
10% 35,431.22
10% 17,715.61
10% 14,172.49
10% 1,771.56
10% 1,328.67
10% 1,771.56
10% 7,086.24
10% 22,144.51
101,422
 FILE : INVESTASI & SHEET KENDARAAN

TABEL BIAYA INVESTASI (AIC KENDARAAN) MASING-MASING PUSAT BIAYA

NAMA TAHUN MASA MASA

NO MEREK HARGA (IIC) INFLASI
KENDARAAN BELI PAKAI (t) HIDUP (L)
1 Ambulance Toyota 12 2014 250,000,000 6 25 10%
2 Minibus Mitsubishi Colt L300 2014 110,200,000 6 25 10%
3 Minibus Toyota 2014 112,800,000 6 25 10%
4 Sepeda motor Toyota 2014 12,000,000 6 25 10%
5 ambulance Toyota 2014 198,100,000 6 25 10%
6 Ambulance Toyota 2014 342,000,000 6 25 10%
7 Minibus Toyota 2014 300,000,000 6 25 10%
TOTAL 1,325,100,000

DISTRIBUSI AIC KENDARAAN PADA MASING-MASING PUSAT BIAYA

AIC
NAMA PUSAT % KENDARAAN
NO JUMLAH PEGAWAI
BIAYA PEGAWAI YANG
DITANGGUNG
1 Kantor 6 15% 13,741,436.96
2 Apotik 3 7% 6,870,718.48
3 Instalasi Gizi 6 15% 13,741,436.96
4 Laundry 2 5% 4,580,478.99
5 UPF Bedah 4 10% 9,160,957.98
6 Poliklinik Gigi 4 10% 9,160,957.98
7 Poliklinik Umum 4 10% 9,160,957.98
8 Instalasi R. Inap 12 29% 27,482,873.93
TOTAL 41 100% 93,899,819
G PUSAT BIAYA

AIC

17,715,610.00
7,809,040.89
7,993,283.23
850,349.28
14,037,849.36
24,234,954.48
21,258,732.00
93,899,819