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INDUSTRY COMPOSITION
HOSPITALS
HEALTHCARE
PHARMA
DIAGONOSTICS MEDICAL EQUIPMENTS MEDICAL INSURANCE
HOSPITAL S 71%
CURRENT SCENARIO
Valued to be worth USD 40 Billion Highly fragment and dominated by top players Growing old age population, increasing lifestyle diseases combined with rising Income & affordability Expected to grow at 24.1% p.a. till 2020
2001-02
2002-03
2003-04
2004-05
2005-06
2006-07
2007-08
2008-09
20
15 10 5 0 2000 2005 2008
8.3% 4.2%
India Global
Population Growth
India is the worlds second most populous country With a billion plus population the need for healthcare is universal for both Urban and Rural India. With an increasing incidence of life style diseases (approx. 33 percent of the total pie) and a growing geriatric and pediatric population, there is an emphasis on the need for specialty care
500
0
6
Break up
Neuro/ CNS 6% Derma 6% AntiDiabetic 5% Antiinfectives 21% 60 yrs & above
Gynaec 6%
Gastrointestinal 13%
Pain/ Analgesic 10% Respirato ry 11% Cardiac 12% 15 - 59 yrs
7 - 14 yrs
Global comparison
There has been a significant increase in public infrastructure over the years.
While in 1947 the number of hospital beds was 3.2 per 10,000, the present number of 9 per 10,000 is commendable, but still far behind that of other developing countries The governments share in the healthcare delivery market is only 20 percent. The current NHP aims to increase the government contribution to healthcare to touch 2 percent of the GDP by the end of the five year tenure, an increase from the present contribution of 0.9 percent. Government Initiatives like NRHM, NUHM and RSBY are working towards better healthcare for the poor.
Public Healthcare
Private Healthcare
India has one of the highest private spending in healthcare as compared to other countries. Nearly 80% of the total spend. In India, Out of pocket spending is one of the highest, constituting 94% of the total spend in the private health industry.
Extensive landscape of private players with multi & super specialty hospitals, innovative rural models, and MediCities.
Increasing Private Equity investment into the sector, with an affinity towards innovative rural models and super specialty care. With Infrastructure status, 100% FDI under the automatic route, Service Tax exemption and Rural and Tier II hospitals exempt from Income Tax for 5 yrs, Private healthcare is on a high growth path.
2006
2008
2012
-2.0
Medical Tourism
1.2 1.0 USD bn USD bn 0.8 0.6 0.4 0.2 0.0 2006 2008 2012
50
USD Bn 40 30 20 10 0 Insurance Medical Equipment Medical Tourism Diagnostics Hospitals 2006 0.49 0.18 0.35 0.83 19.15 2008 1 0.4 0.5 1.2 27.4 2010 (P) 1.9 4.8 0.7 1.7 32.9 2012 (P) 3 6.7 1 2.5 54.5
HOSPITAL INDUSTRY
Hospitals Type of Services
Primary Care Secondary Care Tertiary Care Quaternary Care
Complexity of Ailment
Ownership
Growth Drivers
Economic Growth Availability of Insurance
Regulatory Support
GROWTH
Available Skilled Manpower Changing Population Demographics
flow
Growth
Rising Income
Policy Support
Initiatives Investments Inviting Custom Duty Reduction
Resulting in
Investments
Rising FDI
Elderly population
Lifestyle diseases
M&A Opportunities
Unmet need
Major Players
Source: IBEF
FORTIS HEALTHCARE
Fortis Hospitals, incorporated on June 18, 2001, is a 100 per cent subsidiary of Fortis Healthcare Revenues grew by 191% y-o-y and 10% q-o-q to Rs 14.1 bn. The significant y-o-y jump in revenues was due to consolidation of the international business in Q4FY12. Despite strong growth in revenues and stable EBITDA margin, the company reported a net loss of Rs 604 mn due to a significant increase in interest costs. The market capitalization is Rs. 41,037 Mn
10,307 beds
Growth strategies
Opportunities
Lack of adequate healthcare infrastructure Heavy burden of patients, with scarcity of man powers Lack of sophisticated equipments Accessibility and coverage in rural area is low
Challenges
Low Government funding & lack of efficient execution of schemes & initiatives Shortfall in Health care infrastructure Inadequate accessibility to affordable quality services
Healthcare Education