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TelemedicineMarket India Telemedicine Market India

July2012

ExecutiveSummary
The Indian telemedicine market is currently valued at INR xx mn and is expected to attain a CAGR of 20% to reach INR xx mn by 2015 The market has received plenty of government attention which in turn has inflicted positive g growth rate With the continual improvement in the field of telecommunications, the market will reach a state of full swing in the ensuing years PointtoPoint

Market

Telemedicine T l di i Technology

PointtoMultiPoint MultiPointtoMultiPoint Drivers Challenges Weakecosystemforstakeholders ImplementationIssues

Driversand Challenges

Favorabledemographics Continualimprovementinconnectivity Shortageofhealthcareprofessionalsinruralareas Increasing ageing population Increasingageingpopulation

KeyTelemedicinePlayers

Competition

TeleradiologySolutions ReligareTechnologies

TelevitalIndia ApolloTelehealthServices

TELEMEDICINEMARKETININDIA2012.PPT

MarketIntroduction MarketOverview SWOTAnalysis TelemedicineTechnology MajorApplicationAreas GovernmentInitiatives DriversandChallenges StrategicInsights NewEntrants MajorPlayers j l StrategicRecommendations Appendix A di
TELEMEDICINEMARKETININDIA2012.PPT

Telemedicine Summary

SAMPLE
Biomedical Engineering g g Telemedicine

Communication Technology gy

MedicalScience

Information Technology

TELEMEDICINEMARKETININDIA2012.PPT

Telemedicineisgainingarobustgrowthrateandis expectedgainfurthertractionintheyearstocome
TelemedicineMarket Overview
Indiantelemedicinemarketiscurrentlyatitsnascentstage,howeverithastremendouspotentialtounfoldinthe yearstocome Themarkethasbeenconstantlyundertheprioritysectorsofthegovernmentasaresultofwhichplentyofinitiatives havebeentakensofarwhichinturnhasinfusedtremendousgrowthopportunities TheoverallhealthcareindustryshellsoutanamountclosetoINR47bnonayearlybasis,outofwhichtelemedicine accountsforapproximatelyxx% Primarily,apublicprivatepartnership(PPP)isconsideredtobethemostappropriatebusinessmodelfortheIndian telemedicinemarket
Inthebusinessmodel,infrastructuresupportcanbeprovidedbyGoI,whereastheprivateoperatorscancatertothehealthcarehuman resourcerequirements

SAMPLE SAMPLE
xx

Telemedicine MarketSize&Growth
INRmn a b c 0 2011 2012e 2013e 2014e 2015e 5

TELEMEDICINEMARKETININDIA2012.PPT

TelemedicineMarket Snapshot(1/2)
PrimeReasonsfor Growth

SAMPLE
IncreasingAwareness GovernmentInitiatives XXXXX Urbanmarketshareisverysmall YYYYYY XXXXX

UrbanMarket Scenario

AverageSetupCost

PrimarilyrangesbetweenINR0.05mn INR2mn

TELEMEDICINEMARKETININDIA2012.PPT

TelemedicineMarket SWOTAnalysisSummary
Strength FavorableDemographics GovernmentInitiatives XXXX YYYY Weakness Lack of Technological Awareness LackofTechnologicalAwareness XXX YYYY

SAMPLE

SWOTAnalysis

Opportunity

Threat

Arrivalof4GSpectrum

LackofConfidence XXXXX

TELEMEDICINEMARKETININDIA2012.PPT

Typesoftelemedicineisbasicallydistinguishedonthebasis oftheparticipantsinvolved

SAMPLE

PointtoPoint

PointtoMultiPoint

TypesofTelemedicine

MultiPointtoMulti Point

TELEMEDICINEMARKETININDIA2012.PPT

PointtoPointTelemedicine Framework

SAMPLE
DoctorsEnd D t E d

PatientEnd P ti t E d
DigitalCamera

DoctorsChamber

Scanner Switch Switch

Webcam

DisplayUnit DisplayUnit

TheFrameworkdepictedisindicative TELEMEDICINEMARKETININDIA2012.PPT

Telemedicinehasfinditsimplementationacrossawide rangeofareas

SAMPLE
TeleConsultation TeleDiagnosis XXXX

Usedtofacilitate communication,soasto providepatientsandlocal doctorswiththeinitiallinesof treatment

Telemedicine Implementation

YYYYY

TeleTraining

ZZZZZZ

Primarilyimplementedto provideeducationalservices provide educational services includingtrainingand guidancetodoctorsand paramedics Toprovidemonitoringservices To provide monitoring services forintensiveandemergency situations Usedtoprovidesupport servicesincaseofanydisaster
10

AAAAA

TELEMEDICINEMARKETININDIA2012.PPT

GovernmentInitiatives Summary
DepartmentofInformation Technology

SAMPLE
IndianSpaceResearch Organization

Initiatives

MinistryofExternalAffairs

MinistryofHealthandFamily Welfare

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DepartmentofInformationTechnology(DIT)
Eyeingthetremendousgrowthprospectsintelemedicine,theDepartmentofInformationTechnology(DIT)hasplayeda crucialroleintheupliftmentofthesector Sofartheorganizationhastakencertainconcreteinitiativesincludingdevelopmentoftechnology,launchingpilot schemesandstandardizationoftheoverallmarketinIndia Furthertostandardizetelemedicineservices,DIThasdraftedtheRecommendedGuidelines&StandradsforPracticeof TelemedicineinIndia Frameworkusedtodefinetheguidelinesandstandradscanbeillustratedasbelow:

SAMPLE

TelemedicineServiceProviders XXXXX Technology

TechnologyProviders InformationExchangeStandards Security AAAAAAA

TelemedicineConsultation Protocols XXXXXX ProcessGuidelines

Primary GuidelinesandStandards SystemRequirements


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Secondary Tertiary

TELEMEDICINEMARKETININDIA2012.PPT

IndianSpaceResearchOrganization
Primarily,theseinitiativeshavebeenstartedundertheGRAMSATprogramme

ISROasagovernmentbodyhasbeenactivetowardstheupliftmentofIndiantelemedicinemarketsinceitsinception Someofthemajorstepstakenforthetelemedicinemarketincludesthefollowing:
LinkingofIndianNationalSatellite(INSAT)toruralareasincludingJammu,Kashmir&Ladakh,Andaman,LakshadweepandNorth k f l ll ( ) l l h kh kh h Easternstatehospitalsandhealthcentres Itisalsoengagedinprovidingseamlessconnectivitybetweenremote/ruralhospitalsandsuperspecialtyhospitalssoastofacilitatetele consultation,treatment&training,ContinuingMedicalEducation(CME)andmobiletelemedicineunitsforruralareas

SAMPLE

XXHospitals

YYY District/RuralHospitals District / Rural Hospitals

ISROTelemedicine Network

BMobileVans B Mobile Vans

ASuperSpecialtyHospitals A Super Specialty Hospitals

TELEMEDICINEMARKETININDIA2012.PPT

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MinistryofHealthandFamilyWelfare(1/2)
Sofar,theMinistryofHealthandFamilyWelfare(MoH&FW)hastakenanarrayofinitiativesfortheIndian telemedicinemarket,someofwhichcanbe,mentionedasbelow:

SAMPLE

JoinedhandswithISROfortheimplementationofDiseaseSurveillanceProgramme

EstablishingtheOncoNETIndianetwork,whichconnects25regional cancercentresand1 peripheralcentrestoprovidecomprehensive cancer centres and 1 peripheral centres to provide comprehensive cancertreatmentfacilitiesandfacilitatecancerpreventionandresearch activities

Hasapprovedteleophthalmologyprojecttoprovideeyecarespecialty servicesintheruralareasofPunjab,UttarPradesh,WestBengal,with theaideofmobilevans

TELEMEDICINEMARKETININDIA2012.PPT

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MinistryofExternalAffairs

SAMPLE
SAARCTelemedicineNetwork

HasinitiatedapilotprojectwhereinoneortwohospitalsfromeachoftheSAARCnationshavebeen i i i d il j h i h i l f h f h S C i h b connectedtosuperspecialtyhospitalsinIndia SuperspecialtyhospitalsidentifiedforthisprojectincludesAIIMS,SGPGIMS,PGIMERandCAREhospital e p ojec s e pec ed o b g o e a ced usage o e e ed c e a eg o a e e s a d e co ec Theprojectisexpectedtobringforthenhancedusageoftelemedicineatregionallevelsandinterconnectit withothernecessaryareasincludingeducation,businessprocessoutsourcingandmasscommunication

PamAfricanenetworkProject

MEAhasjoinedhandswithTelecommunicationsConsultantsIndiaLtd.(TCIL)soastoestablishaVSATbased telemedicineandteleeducationmarketforAfricancountriesin53nationsoftheAfricanUnion t l di i d t l d ti k t f Af i t i i 53 ti f th Af i U i Forthispurpose,10superspecialtyhospitalshavebeenidentifiedtocatertothetelehealthservicefor53 Africanhospitals p g y ThisinitiativewillpushthedemandsintheIndianmarketsignificantly

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Drivers&Challenges Summary

SAMPLE
Challenges
Weakecosystemforstakeholders ImplementationIssues

Drivers
Favorabledemographics Continualimprovementin Continual improvement in connectivity Shortageofhealthcareprofessionalsin ruralareas Increasingageingpopulation

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Improvementinthefieldofconnectivitywillactasamajor boonfortheoverallmarketinIndia
Continualimprovementinconnectivity
Theoverallconceptoftelemedicineismajorlydependantontheconnectivitymediumavailable Generally,internetandsatelliteconnectionsaretheprimemodestointerconnectaremote y, p healthcentretotheconcernedhealthcareauthority Currently,theoverallconnectivity(bothinternetaswellassatellite)inIndiahasgained significantmomentumandisexpectedtogrowfurtherintheyearstocome,therebyproviding moreopportunitiesforplayers more opportunities for players Additionally,improvementinconnectionswillimprovethestandardandqualityofservices, therebygainingtrustandconfidenceofendusers

Impact

SAMPLE
RuralSubscribers

TotalInternetSubscribers India
SubscriberBasemn a b c d e f 0 2010 2011 2012e 2013e 2014e 2015e UrbanSubscribers

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Newplayersinthemarketcanlargelybenefitfromtherural marketinIndia

SAMPLE
RuralHealthcare Infrastructure

Thehealthcareinfrastructureprevailing,especiallyintheruralpartsofIndiaisweak,unreliableandfacesacute shortageofproperhealthcareprofessionals Itisthisopportunitygapwhichcanbeeffectivelytargetedbynewentrantsinthemarketcanestablishastronger foothold foothold BelowlistedarethedetailsofhealthinfrastructureprevailinginruralIndia:

SubCentres

PrimaryHealthCentres

CommunityHealthCentres

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RuralHealthInfrastructure Coverage
AverageRuralPopulation Category SubCentre PrimaryHealthCentre CommunityHealthCentre AverageRuralArea Average Rural Area Category SubCentre PrimaryHealthCentre Pi H l hC CommunityHealthCentre AverageNo.ofVillages Average No. of Villages Category SubCentre PrimaryHealthCentre Primary Health Centre CommunityHealthCentre
TELEMEDICINEMARKETININDIA2012.PPT

SAMPLE
Norms xxx Xxx Xxx Presentcoverage Xxx Xxx Xxx Presentcoverage(Sq.Km) Xxx Xxx X Xxx

Presentcoverage Xxx Xxx Xxx Xxx


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RuralInfrastructure InPosition(x/x)
State/UT Xxx xxx xxx xxx xxx xxx xxx xxx xxx xxx xxx xxx xxx xxx xxx xxx xxx xxx Population(2011) Total 84665533 1382611 31169272 103804637 25540196 1457723 60383628 25353081 6856509 12548926 32966238 61130704 33387677 72597565 112372972 2721756 2964007 1091014 Rural 56311788 1069165 26780516 92075028 19603658 551414 34670817 16531493 6167805 9134820 25036946 37552529 17455506 52537899 61545441 1899624 2368971 529037 X 12522 286 4604 9696 5076 175 7274 2508 2067 1907 3958 8870 4575 8869 10580 420 405 370 Y 1624 97 938 1863 741 19 1123 444 453 397 330 2310 809 1156 1809 80 109 57

SAMPLE
Z 281 48 108 70 148 5 305 107 76 83 188 180 224 333 365 16 29 9

HealthInfrastructure(Established200712)

HealthInfrastructure(Functional) X 12522 286 4604 9696 5076 175 7274 2508 2067 1907 3958 8870 4575 8869 10580 420 405 370 Y 1624 97 938 1863 741 19 1123 444 453 397 330 2310 809 1156 1809 80 109 57 Z 281 48 108 70 148 5 305 107 76 83 188 180 224 333 365 16 29 9 20

TELEMEDICINEMARKETININDIA2012.PPT

MajorPublicCompanies Summary
NetProfit/Loss
3,000

SizeoftheBubblerepresentsMarketCapitalizationinINRbn
2,500 2,000 1,500 1,000 500

SAMPLE SAMPLE
bbb xxx ccc
0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000

0 500 1,000 2,000

Totalincome aaa bbb ccc

Note:AllfiguresareinINRmnandarebasedonthelatestfinancialsavailable TELEMEDICINEMARKETININDIA2012.PPT

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Public:ForeignCompany PlayerA(1/3)
CompanyInformation
CorporateAddress TelNo. FaxNo. Website YearofIncorporation TickerSymbol StockExchange

SAMPLE

OfficesandCentres India

Gurgaon

IndiaOffice

ProductsandServices Products and Services


Category Products/Services

KeyPeople
Name N Designation D i ti

Note:Thelistofproductsandservicesisnotexhaustive TELEMEDICINEMARKETININDIA2012.PPT

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Public:ForeignCompany PlayerA(2/3)
FinancialSnapshot i i lS h
Revenue INR mn
80000 60000 40000 20000 0 52366.1 44877.7 44877 7 54353.8

SAMPLE
KeyRatios K i
Profit INR mn 79418.1 8000
6000 4000 2000 0

Total Income

Net Profit/Loss

Particulars

yoychange 2011 (201110)


2.83 3.46 3.08 4.09 3.20 10.44 2.94 42.43 11.33% 9.07% 9.84% 9.91% 11.41% 22.85% 7.36% 104.43%

2010

2009

2008

ProfitabilityRatios
OperatingMargin NetMargin ProfitBeforeTaxMargin ReturnonEquity ReturnonCapitalEmployed ReturnonWorkingCapital ReturnonAssets ReturnonFixedAssets
8.50% 5.61% 6.75% 5.82% 8.21% 12.41% 4.42% 62.01% 8.96% 5.16% 6.99% 4.73% 7.58% 10.63% 3.60% 61.39% 10.49% 7.03% 9.06% 7.82% 10.62% 19.73% 5.92% 97.93%

2008

2009

2010

2011

FinancialSummary
ThecompanyincurredanetprofitofINR7207mninFY2011,as comparedtonetprofitofINR3051.4mninFY2010 ThecompanyreportedtotalincomeofINR79418.1mninFY2011, ascomparedtoINR54353.8mninFY2010 as compared to INR 54353 8 mn in FY 2010 Thecompanyearnedanoperatingmarginof11.33percentinFY 2011,anincreaseof2.83percentagepointsoverFY2010 Thecompanyreporteddebttoequityratioof0.35inFY2011,a decreaseof9.30percentoverFY2010

CostRatios
Operatingcosts(%ofSales) Administrationcosts(%of Sales) Interestcosts(%ofSales) Interest costs (% of Sales)
2.83 3.00 0.01 88.67% 34.56% 0.00% % 91.50% 37.57% 0.01% % 91.04% 35.05% 0.00% % 89.43% 34.01% 0.00% %

LiquidityRatios
CurrentRatio CashRatio
9.39% 12.26% 2.65 1.65 2.93 1.88 2.93 1.93 2.79 1.53

LeverageRatios
DebttoEquityRatio DebttoCapitalRatio b i l i InterestCoverageRatio
9.30% N.A. N.A. 0.35 0.00 N.A. 0.32 0.00 624.33 0.32 0.00 N.A. 0.32 0.00 N.A.

KeyFinancialPerformanceIndicators
Indicators
MarketCapitalization(INRmn)* TotalEnterpriseValue(INRmn)* EPS(INR) EPS (INR) PERatio(Absolute)
*Figuresaretakenason2nd ofJul,2012

Value(dd/mm/2012)
102732.3 71473.4 0.65 16.08

EfficiencyRatios
FixedAssetTurnover AssetTurnover CurrentAssetTurnover WorkingCapitalTurnover CapitalEmployedTurnover
4.14% 2.97% 7.76% 13.88% 5.27% 11.50 0.81 1.57 2.52 1.09 11.04 0.79 1.46 2.21 1.04 11.90 0.70 1.36 2.06 0.92 13.83 0.84 1.79 2.79 1.10

Improved

Decline

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Public:ForeignCompany PlayerA(3/3)
KeyBusinessSegments
CommunicationsEquipment
100% 50% 0%
a

SAMPLE
100%

KeyGeographicSegments
b c

79,375

Thecompanyhasbeen The company has been operatinginthe communicationsequipment segmentsince2008

57%
50% 0% 26% 17%

56%
25% 20%

54%
25% 21%

51%
25%

24% 2011

2011

2008

2009

2010

KeyInformation
Description Overview ProductPortfolio Product Portfolio Details xxx xxx

Note:BusinessSegmentsandGeographicSegmentsarebasedontotalrevenues TELEMEDICINEMARKETININDIA2012.PPT

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MajorPrivateCompanies Summary
NetProfit/Loss
2,000 1,500

SizeoftheBubblerepresentsTotalAssetsinINRmn
AAA

1,000 500

BBB
0 500

CCC DDD

SAMPLE
8,000 10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000

EEE
1,000 1,500 2,000 0 2,000 4,000 6,000

TotalIncome AAA BBB CCC DDD EEE

Note:AllfiguresareinINRmnandarebasedonthelatestfinancialsavailable TELEMEDICINEMARKETININDIA2012.PPT

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Private:DomesticCompany PlayerB(1/2)
CompanyInformation
CorporateAddress

SAMPLE

OfficesandCentres India

TelNo. FaxNo. Website YearofIncorporation Hyderabad HeadOffice

ProductsandServices Products and Services


Category Products/Services

KeyPeople
Name N Designation D i ti

Note:Thelistofproductsandservicesisnotexhaustive TELEMEDICINEMARKETININDIA2012.PPT

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Private:DomesticCompany PlayerB(2/2)
BusinessHighlights
Description News

SAMPLE

Overview

xxx

Services

xxx

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