Hospital construction proceeds while services continue, so any slippage carries a cost beyond the contract. This study measures schedule and cost performance of the Advent Manado Hospital inpatient building using Earned Value Management. The work is valued at Rp 93.80 billion excluding VAT over 48 weeks. Planned value was derived from the contractual progress schedule, while earned value and actual cost for weeks 1 to 24 were modelled as a scenario calibrated to the recorded week-15 slippage, since progress records were unavailable. At week 24 the analysis gives BCWS of Rp 39.36 billion, BCWP of Rp 35.22 billion and ACWP of Rp 33.23 billion, producing a negative schedule variance of Rp 4.14 billion and a positive cost variance of Rp 1.99 billion. The schedule performance index reached 0.895 and the cost performance index 1.060. Forecasting indicates completion in 50.82 weeks, roughly 2.8 weeks late, at a final cost of Rp 88.49 billion, about 5.66 per cent below the contract value. A precedence network rebuilt from the schedule places the upper structure on the critical path with zero float, and most of the deviation formed while that package dominated the planned weight.
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