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Coronary Stents Market India


October 2013

Executive Summary
Market
Coronary stents market in India is expected to grow at a CAGR of x1%% over 2011 - 2017e There are three types of coronary stents available in the market, bare metal stents (BMS), drugeluting stents (DES), and bioabsorbable stents Drivers: Challenges:
Problems associated with usage Constant need for innovation and new product development Increasing lifestyle based diseases Improving health infrastructure Changing demographics Increased healthcare spending and insurance coverage Advancements in technology and medical procedures

Drivers & Challenges

Government Involvement Competitive Landscape Buyer Details

Regulatory Bodies Regulatory Policies Regulatory Processes Major Foreign Companies


Company 1 Company 2

Major Domestic Companies


Company 3 Company 4 Company 5 Company 6

Top Hospitals Buying Coronary Stents in India


Hospital 1 Hospital 2 Hospital 3 Hospital 4 Hospital 5 Hospital 6

CORONARY STENTS MARKET IN INDIA 2013.PPT

Economic Indicators Introduction Market Overview Drivers & Challenges Government Involvement
Regulatory Bodies Regulatory Policies Regulatory Processes

Competitive Landscape Buyer Details Recent Developments Strategic Recommendations Appendix


CORONARY STENTS MARKET IN INDIA 2013.PPT

Economic Indicators (1/3)


GDP at Factor Cost: Quarterly
INR tn 14 13 12 11 10 Q1 Q2 2009-10 2010-11 2011-12 Q3 2012-13 Q4 a1 b1 c1 d1 a2 b2 c2 d2 b3 c3 d3 b4 c4 d4

Inflation Rate: Monthly


%
1.0 0.8 0.6 0.4 0.2 0.0

Nov 2012 - Dec 2012

Dec 2012 - Jan 2013

Jan 2013 - Feb 2013

Feb 2013 - Mar 2013

Mar 2013 - Apr 2013 4

SANITARYWARE MARKET IN INDIA 2013.PPT

Indian market for coronary stents is poised to grow in the coming years with emphasis on drug-eluting stents
Coronary Stents Market Overview

Indian market for coronary stents is expected to show steady growth in coming years, providing strong opportunities to present and potential players to earn high revenues and increase their profits There are three types of coronary stents available in the market, bare metal stent, drug-eluting stents and bioabsorbable stents Type Y stents experience the highest demand while Type Z stents are still at a nascent stage

Market Size and Growth (Value-Wise)


Type 1 Type 2 Type 3 h x1% c a a1% a2% 2011 b b1% b2% 2012 c1% c2% c3% 2013e d d1% d2% d3% 2014e f f1% f2% g1% g2% g3% 2016e h1% g

Market Size and Growth (Volume-Wise)


Type 1 Type 2 Type 3 v x2% t q q1% q2% 2012 r r1% r3% r2% s s1% s2% s3% 2014e t1% t2% u1% v1% u

INR bn
40 30 20 10 0

000
600 500 400 300 200 100 0

p p1% p2% 2011

f3%

h2% h3% 2017e

t3%

u2% u3% 2016e

v2% v3% 2017e

2015e

2013e

2015e

CORONARY STENTS MARKET IN INDIA 2013.PPT

Prices vary not only across stent types but also depending on whether it is indigenously manufactured or is foreign made
Coronary Stents Price Trends

Type of stent

Indigenous /Foreign

Price (INR)

Remarks
These are price at which distributors purchase from manufacturers When hospitals procure stents directly from manufacturers, they can get up to x% discounts Price at which distributors supply the stents to hospitals Difficult for hospitals to procure directly from manufacturers as these stents are manufactured outside India Price at which distributors purchase from manufacturers Hospitals can get discounts on these price by purchasing directly from the manufacturer Price to the end-user, that is, the patients Distributors can procure the lower priced, foreign made DES for as little as INR a Was priced INR u when it was launched in Dec 2012 Presently, Abbott has monopoly on these stents but in future as more companies produce these stents, the price is expected to fall

Bare Metal

Indigenous

Bare Metal

Foreign

Drug-Eluting

Indigenous

Drug-Eluting

Foreign

Bioabsorbable

Foreign

CORONARY STENTS MARKET IN INDIA 2013.PPT

Drivers & Challenges Summary

Drivers
Increasing lifestyle based diseases Improving health infrastructure Changing demographics Increased healthcare spending and insurance coverage Advancements in technology and medical procedures

Challenges
Problems associated with usage Constant need for innovation and new product development

CORONARY STENTS MARKET IN INDIA 2013.PPT

Regulation of medical devices such as stents are done through different divisions under the MoHFW
Organizational Structure Level 1

Level 2

Level 3

Level 4

Level 5

Level 6A

Level 6B

Level 7A

Level 7B

Level 7C

Level 7D

CORONARY STENTS MARKET IN INDIA 2013.PPT

Although there isnt any specific legislation governing the entire medical devices industry, certain devices are
Regulatory Bodies (1/2)

Regulatory Body A Regulatory Body A is the main body for the regulation of pharmaceuticals and medical devices in India Within Regulatory Body A, Entity B is responsible for the regulating pharmaceuticals and medical devices and is advised by Body C and Body D It is responsible for establishing the safety, efficacy, and quality standards for pharmaceuticals and medical devices A list of regulated pharmaceuticals and devices, Indian Pharmacopeia, is published and updated by Regulatory Body A It also appoints notified bodies for conducting conformity assessment procedures including tests for all drug and device applications to ensure that it complies with all standards set by the body Regulatory Body A is also divided into several zonal offices which conduct the pre-licensing and post-licensing inspections, post-market surveillance, and recalls whenever necessary Apart from the regulatory functions, Regulatory Body A also offers technical guidance and trains regulatory officials and analysts as well as monitors adverse events Regulatory Body A also works with the World Health Organization to promote Good Manufacturing Practice (GMP)

CORONARY STENTS MARKET IN INDIA 2013.PPT

Market for coronary stents in India is dominated by products from foreign companies
Competition Overview MNCs have a dominant share in the coronary stents market in India Products from MNCs are generally viewed as superior to those manufactured by domestic companies
As a result of this, there is a higher uptake of products from foreign companies while Indian manufacturers find it difficult to get buyers for their products Even Company Y which exited the stents business in mid 2011, commanded u% share of the market in 2012 through its products that were stored as inventory

Market Share Volume-Wise (2012)


Company 1 Company 2 Company 3 Company 4 Company 5 Company 6 Others

h%

a%

Company 1, company 2 and Company 3 together account for ~m% of the market in terms of volume and n% of the market in terms of value Company 1 is the clear leader in the market with a% share in volume terms, followed by Company 2

g% f% d% c% b%

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Competitive Benchmarking Private Companies (1/4)


Key Ratios of Major Private Companies Operational Basis (FY 2012) (1/3)
Operating Margin Net Margin

%
100 50 0 -50 -100

a2

b2

a3

a4 b3 b4

-a1

-b1 Company 2 Company 3 Company 4

Company 1

Company 4 recorded operating margin of a4%, higher than that of Company 3, Company 2 and company 1 which recorded operating margin of a3%, a2% and a1% respectively Net margin was highest for Company 3 at b3%%, followed by Company 4 which recorded a net margin of b4% Company 1 which recorded a negative net margin of a1% had the lowest net margin amongst its peers

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Private: Foreign Company Company 1 (1/5)


Company Information
Corporate Address Tel No. Fax No. Website Year of Incorporation

Offices and Centres India

Mumbai

Products and Services


Products/Services

Head Office

Key People
Name Person 1 Person 2 Person 3 Designation Director Director Director

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Private: Foreign Company Company 1 (2/5)


Shareholders of the Company as on 27/06/2013
Name No. of Shares held

Ownership Structure
Foreign Holdings

100.00%

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Private: Foreign Company Company 1 (3/5)


Financial Snapshot
Total Income INR bn 30 25 20 15 10 5 0 a1 2008 c1 b1 2009 2010 2011 d2 d1 a2 b2 c2 Net Profit / Loss INR bn 5 0 -5 -10 -15 -20 -25

Key Ratios
Particulars y-o-y change (2011-10) 2011 2010 2009 2008

Profitability Ratios
Operating Margin Net Margin Profit Before Tax Margin Return on Equity Return on Capital Employed Return on Working Capital Return on Assets Return on Fixed Assets

Cost Ratios
Operating costs (% of Sales) Administration costs (% of Sales) Interest costs (% of Sales)

Financial Summary
Company earned a net profit of INR XX mn in FY 20XX, as compared to net profit of INR Y mn in FY 20YY It reported total Income of INR XX mn in FY 20XX, registering an increase of X per cent over FY 20YY It earned an operating margin of X.X per cent in FY 20XX an increase of X.X percentage points over FY 20YY The company reported debt to equity ratio of X.XX in FY 20XX, an increase of X.X per cent over FY 20YY

Liquidity Ratios
Current Ratio Cash Ratio

Leverage Ratios
Debt to Equity Ratio Debt to Capital Ratio Interest Coverage Ratio

Efficiency Ratios
Fixed Asset Turnover Asset Turnover Current Asset Turnover Working Capital Turnover Capital Employed Turnover
Improved Decline

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Private: Foreign Company Company 1 (4/5)


Business Highlights
Description Overview News Company 1 operates in the Segment 1, Segment 2, segment 3 and Segment 4 It was previously the domestic formulations business of Company Y and was renamed as Company 1 after it was acquired by Company Z in 20- It has a formulation facility at City 1, State 1 where a Product A is manufactured However, coronary stents sold by the company in India are manufactured by various subsidiaries of the parent company, company Z A number of models of coronary stents from the company are available in India Model 1 Carotid Stent System and Model 2 Coronary Stent marketed by the company are manufactured by Company A, City 2, Country 2 Model 3 Coronary Stent System and Model 4 series are manufactured by Company B, City 3, Country 3 Model 5 Stent System is manufactured by Company C in its manufacturing facility at City 4, Country 4 Everolimus Eluting Model 6, Model 7, Model 8, Model 9, Model 10 and Model 11 are manufactured by Company B Model 12 stent system are manufactured by Company D, Country 5

Manufacturing Facility

Coronary Stents Products

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Private: Foreign Company Company 1 SWOT Analysis (5/5)

S O

W T

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Buyer Snapshot: List of Top 10 Buyers of Coronary Stents


Top 10 hospitals buying coronary stents in India Hospital Name Hospital 1 Hospital 2 Hospital 3 Hospital 4 Hospital 5 Hospital 6 Hospital 7 Hospital 8 Hospital 9 Hospital 10 Hospital Logo Hospital Chain Ownership Type Angioplasty Procedures Per Month

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Public: Domestic Company Hospital 1 (1/3)


Company Information
Corporate Address

Head Office and Hospital Network India

Tel No. Fax No. Website Year of Incorporation

Products and Services


Category Products/Services Head Office Hospital Network

Key People
Name Person 1 Person 2 Person 3 Person 4 Designation President (Institute Body) Dean Director Medical Superintendent

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Public: Domestic Company Hospital 1 (2/3)


Business Highlights
Description News Is a group of m hospitals across India Has p teaching departments and centers Has a total of x beds There are y doctors and z nurses Leader in Therapy 1 It has India's first and only Therapy A training centre It is a pioneer of Type A surgeries in India, particularly System 1 for Therapy 2, and System 2 Expansion plans of the hospital chain were recently approved by the Body 1

Overview

Facilities

Future Plans

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Public: Domestic Company Hospital 1 (3/3)


Parameter
Total cardiac patients per month Angioplasties per month Stent providers

Hospital Indicators

Purchase decision factors Stents procurement Contact Details Centralized/ Hospital level HOD/ Technician/ Procurement

Procedure/ process involved in procurement Contact details purchase Stent Types

Overview of Stent Procurement Process

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Thank you for the attention


Coronary Stents Market India report is part of Netscribes Healthcare Industry Series. For any queries or customized research requirements, contact us at:
Phone: E-Mail: +91 22 4098 7600 info@netscribes.com

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About Netscribes, Inc. Netscribes, Inc. is a knowledge-consulting and solutions firm with clientele across the globe. The companys expertise spans areas of investment & business research, business & corporate intelligence, content-management services, and knowledge-software services. At its core lies a true value proposition that draws upon a vast knowledge base. Netscribes, Inc. is a one-stop shop designed to fulfil clients profitability and growth objectives. Disclaimer: This report is published for general information only. Although high standards have been used in the preparation, Netscribes is not responsible for any loss or damage arising from use of this document. This document is the sole property of Netscribes and prior permission is required for guidelines on reproduction.
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