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Critical Study On Health Care Healthcare Industry in India
Critical Study On Health Care Healthcare Industry in India
Investment:
• Fortis Healthcare has approved the demerger of its hospital business with
Manipal Hospital Enterprises. TPG and Dr. Ranjan Pal could invest
Rs.3,900 crore (US$ 602.41 million) in Manipal Hospital Enterprise.
Government Initiatives:
• The Government of India has launched Mission Indradhanush with the aim
of improving coverage of immunisation in the country. It aims to achieve at
least 90 percent immunisation coverage by December 2018 which will cover
unvaccinated and partially vaccinated children in rural and urban areas of
India.
Achievements:
India's competitive advantage also lies in the increased success rate of Indian
companies in getting Abbreviated New Drug Application (ANDA) approvals.
India also offers vast opportunities in R&D as well as medical tourism. To sum up,
there are vast opportunities for investment in healthcare infrastructure in both
urban and rural India.
1. Potential Entrants:
Threat of new entrants depends on entry and exit barriers. Since
the healthcare industry requires huge investments and core competencies are
hard to acquire, therefore threat of new entrant is low hence the industry
attractiveness is high.
2. Industry Rivalry:
Industry rivalry denotes the intensity of competition among the
existing players in the market. Rivalry in private healthcare industry is low
as there is no cut throat price competition amongst competitors hence the
industry attractiveness is high.
5. Threat of Substitutes:
If the customers can easily switch between the competitors
product, then the threat of substitutes is high. This threat is low as there is a
low probability of an alternative medicine procedure being acceptable for
super specialty healthcare. This will make the industry attractive.
MAJOR EVENTS
2001- First Hospital at Mohali
2004-Fortis inks deal with Jessa Ram Hospital to takeover the management of the
hospital
-Fortis HealthWorld has joined hands with US hearing aid maker Starkey
for its Audible range and is looking to soon offer dental services at its Health stores
too
-Fortis Healthcare has entered into a pact with two hospitals in Dubai and
Tanzania to set up specialised medical facilities
2011- Fortis Healthcare ties up with TotipotentRX to set up Stem Cell Therapy
Centres
2012- Fortis to get Rs.3700 Mn Equity infusion in Super Religare Laboratories Ltd
(SRL) through IFC and NYLIM Jacob Ballas India
2013- Fortis launches its Flagship Hospital, One of the First of its Kind in Asia
Bridges the gap for expert talent, trans-disciplinary, quaternary care
2014- Fortis launches state of the art, multi super-specialty hospital in Ludhiana
2016- Fortis Healthcare has fully acquired Religare Health Trust Trustee Manager
for USD 14.9 million (about Rs 100 crore)
-Fortis Healthcare First in India to Monitor and Publish Clinical Outcomes for
Cardiology
Mission
“To be a globally respected healthcare organisation known for Clinical Excellence
and Distinctive Patient Care”
Values
• Patient Centricity
b. Treat patients and their caregivers with compassion, care and understanding
• Integrity
• Teamwork
a. Proactively support each other and operate as one team
b. Respect and value people at all levels with different opinions, experiences
and backgrounds
• Ownership
• Innovation
THE BRAND
Fortis Journey
Brand Fortis was established in 1996 with the vision, "to create a world class
integrated healthcare delivery system in India, entailing the finest medical skills
combined with compassionate patient care".
Fortis Healthcare is the country's "fastest" growing healthcare group. It has grown
from first hospital at Mohali (Chandigarh) which opened in 2001 with over 45
healthcare facilities as of today. These include the world famous Escorts Heart
Institute and the erstwhile Wockhardt facilities. From North to South, East to West,
Fortis truly has India covered -the frontier city of Amritsar to Ludhiana, Mohali,
the National Capital region, Mumbai, Bangalore, Mysore, Chennai, Kolkata and
many more destinations are all home to Fortis facilities.
Fortis occupies a place of pride in India's healthcare delivery system.
The Fortis brand with its distinctive logo is a synthesis of human values of
trust, ethics and service and quality healthcare. Fortis project clinical excellence,
distinctive patient care, transparency in actions & high level of integrity and
excellence.
Fortis logo projects these very values. The integration of the hands (in a
distinctive "green" with a "red dot") and the human figure is completely seamless
and is representative of "Fortis" responsive approach to healthcare. The green
colour of hands is representative of health, wellbeing, compassion, nurturing and
generosity while the red dot gives an immediate association to our Indian roots,
while it is also represents energy, spirituality, courage and symbol of good luck.
Board of Directors
CSR
Over the years, Fortis Healthcare Ltd. and its subsidiaries through its
hospitals and Foundation across India, is committed towards providing healthcare
for the socially marginalized and deprived sections of the society. We not only
make sure that our programs are efficient, but also ensure that they are sustainable
and relevant to those meant to benefit from them.
CSR at Fortis Healthcare Limited
The CSR initiatives are driven by our vision, philosophy and the need of the
community, with health remaining our main focus. The CSR initiatives of Fortis
Healthcare are executed through Fortis CSR Foundation.
AANCHAL
CHHAYA
SEWA
SERVICES
Various kinds of services provided in Fortis Hospitals are
ICU Management
ER Management
OPD Management
Cardiology
Neurology
Urology/ Andrology
Dental
Dermatology/ Cosmetology
ENT/ Otorhinolaryngology
Foetal Medicine
Gynaecology Oncology
Intensive Care/ Critical Care Medicine
Nephrology
Radiology
Pathology
COMPETITORS
Competitors of Fortis Healthcare Ltd
Apollo Hospitals Enterprise Ltd
Narayana Hruda
Thyrocare
Poly Medicure
Healthcare Glob
SWOT ANALYSIS
Strengths
Strengths are defined as what each business does best in its gamut of operations
which can give it an upper hand over its competitors. The following are the
strengths of Fortis Healthcare Limited
• Patient Care:
Fortis understands the importance of patient care and right from the
design of its facilities such as emergency, trauma care and even entry and exit to,
doctors and support staff and specialised and advanced services the need of the
patient is considered and given maximum attention. Patients are made comfortable
at every instant and all staff is asked to display high levels of sensitivity.
• Quality Accreditations:
The hospital ensures that all its systems and facilities are in tune with
industry benchmarks and the state of the art. In order to ensure this, the hospital
has taken certifications like NABH and JCI. This ensures standardization in the
delivery of services by qualified professionals.
Weaknesses
Weaknesses are used to refer to areas where the business or the brand needs
improvement. Some of the key weaknesses of Fortis are
• The Decision to Focus on India:
• Expensive Services:
Opportunities
Opportunities refer to those avenues in the environment that surrounds the
business on which it can capitalize to increase its returns. Some of the
opportunities include
• Corporate Tie-ups:
Business houses and corporates are concerned today about the health
and well being of their employees. This makes them enter into tie-ups with
hospitals for regular health check-ups for employees. This is an opportunity for
healthcare service providers to capitalize on.
• Medical Tourism:
India is popular globally not just for the quality of its healthcare but
also for the quality of the professionals who provide them. The nurses of India are
wanted globally for the prowess. The healthcare facilities in India are also
relatively cheaper. All this makes India a prime target for medical tourism.
Threats
Threats are those factors in the environment which can be detrimental to the
growth of the business. Some of the threats include
• Competition:
The cost of healthcare is growing and this means that people may find
it difficult to afford quality healthcare. However, healthcare professionals may find
it difficult to bring down the expenses and thus may suffer losses if they have to
reduce the prices
Market Share
The current market capitalisation stands at Rs. 10,120.13 crore.
Capital Structure
Authorized Share Capital:
Rs.200,00,000
Rs.11,49,88,460
Rs.64,50,11,540
Rs.518,65,72,310s
Liquidity ratios measure the company's ability to meet the short-term obligations.
1. Current Ratio:
Current ratio measures the safety margin available for short-term creditors.
Current Liabilities
The company's current ratio decreases from 1.10 to 0.60 in the current financial
year. The company may not have the enough current assets to meet the payment
schedule of its current debts with a margin of safety for possible losses in current
assets.
2. Quick Ratio:
Quick ratio measures the company's ability to meet its short-term obligations as
and when due without relying upon realisation of stock.
Current Liabilities
The company's quick ratio decreases from 0.9 to 0.57 in the FY 2017-18. If all the
sales revenues are disappear , the company may not be able to meet its current
obligations with the readily convertible quick assets on hand.
Cash ratio measures the company's ability to meet its short-term obligations as
and when due without relying upon realisation of stock & debtors.
Current Liabilities
The company's absolute liquid ratio decreases from 0.52 to 0.32 in the FY 2017-
18.
1) Debt-Equity Ratio:
Debt- Equity ratio measures the relative proposition of debt & equity in
financing the assets of the company. Debt equity ratio is the indicator of firm’s
financial leverage.
Equity
A high debt to equities ratio here means less protection for creditors, a low ratio,
on the other hand, indicates a wider safety cushion (i.e., creditors feel the owner’s
funds can help absorb possible losses of income and capital).
Interest
Earnings before interest and taxes are used in the numerator of this ratio
because the ability to pay interest is not affected by tax burden as interest on debt
funds is deductible expense. This ratio indicates the extent to which earnings may
fall without causing any embarrassment to the firm regarding the payment of
interest charges. A high interest coverage ratio means that an enterprise can easily
meet its interest obligations even if earnings before interest and taxes suffer a
considerable decline. A lower ratio indicates excessive use of debt or inefficient
operations.
It measures the efficiency with which a firm utilizes or manages its inventory.
Average Inventory
. Sales
The Gross Profit Ratio of the company decreased from 7.72 to 5.99 in the
FY 201-18.
Gross profit margin depends on the relationship between price/ sales, volume
and costs. A high Gross Profit Margin is a favourable sign of good management.
It measures the relationship between net profit and sales of the business.
OR
. Sales
Net Profit ratio finds the proportion of revenue that finds its way into profits. A
high net profit ratio will ensure positive returns of the business.
Sales
OR
Sales
OR
OR
The return on assets for the FY 2017-18 is decreased from 7.3 in FY 2016-17 to
-7.8.
2) Return on Capital Employed (ROCE):
Capital Employed
Capital Employed
Where,
or
ROCE should always be higher than the rate at which the company borrows.
Intangible assets (assets which have no physical existence like goodwill, patents
and trade-marks) should be included in the capital employed. But no fictitious asset
should be included within capital employed. If information is available then
average capital employed shall be taken.
Companies that boast a high return on equity with little or no debt are able to
grow without large capital expenditures, allowing the owners of the business to
withdraw cash and reinvest it elsewhere. Many investors fail to realize, however,
that two companies can have the same return on equity, yet one can be a much
better business.
The Return on Equity of the company is declined from 9.3 % to -23 % in the
FY 2017-18.
CONCLUSION
Within a decade of its inception Fortis has made huge strides in terms of
providing services with low cost hospitals, affordable services by healthcare
clinics, health packages it gained the trust of the people within a very limited time
competing with old trustworthy service players like Apollo, Wockhardt etc. It has
created an image for itself as a healthcare unit which provides high quality services
at an affordable price. Fortis healthcare limited in years to come, with stake in
Parkway healthcare would be high quality and trustworthy healthcare service
provider not only in India but all over the world.
REFERENCES
www.fortishealthcare.com
www.equitymaster.com
www.ibef.org
www.icai.org
www.moneycontrol.com
https://economictimes.indiatimes.com