Fortis

The Indian Healthcare Landscape Jim Dockins, FACHE Regional Director Fortis Healthcare Limited 731-256-0585 (US) [email_address]

Hard Facts ,[object Object],[object Object],[object Object],[object Object],[object Object]

Two Faces of Indian Healthcare

Healthcare Industry in India ,[object Object],[object Object],[object Object],[object Object]

Healthcare Industry in India ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Healthcare Industry in India ,[object Object],[object Object],[object Object]

Burden of Disease ,[object Object],[object Object],[object Object],[object Object],[object Object]

Other diseases Heart diseases Sense organs MuscoSkeletal Acute Infections Other diseases Acute Infections Heart diseases MuscoSkeletal Sense organs Acute Infections Other Disease Heart Disease Cancer Accidents / Injuries Acute Infections Other Disease Heart Disease Cancer Accidents / Injuries 2001 2012 2012 2001 USD 19 Bn USD 10 Bn Outpatient Market size ( Private spend on Healthcare Delivery) Inpatient Market size ( Private spend on Healthcare Delivery) 46% 54% … ..life style diseases will become dominant USD 6 Bn USD 18 Bn

Government Initiatives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],Indicators India Brazil China USA Beds/1000 population .86 2.6 2.2 3.2 Bed occupancy ratio (%) 72% 60-80% 72% 69.3% Average length of stay (number of days) 10 4-8 10.6 6.7

[object Object],[object Object],[object Object],[object Object],Additional Requirements 2008 2018 2028 Additional Beds required 1.1 million 3.1 million 2 million Beds/1000 population 0.7 – 1.7 4 5 Additional Floor Space @ 800 sq feet/bed 880 million sq feet 2480 1600 Additional Land Area (FSI 1:1) 20,000 acres 56,400 36,400

7% decline 42% growth 50% growth Number per 1000 population Average rate of population growth in India is 2% annually

Targets (2025) ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Mar - 95 Mar - 02 Mar – 07 E 0.4% 3.4% 5.0% 5.0% 14.0% Private Health Insurance Social Insurance Employer’s spend Community Insurance Total Favorable shift in Demographics Exciting phase of Economic development Insurance coverage Rapid growth in per capita GDP(PPP) Upper Middle & High(> $ 1500 pa) Upper Middle & Middle($500- $ 1500 pa) Low(<$500 pa) Percent of population, 2001 … reason for optimism

Increasing Private Expenditure ,[object Object],[object Object],[object Object]

Private Sector - Phases Phase 1 1947-83 Phase 2 1983-2000 Phase 3 Post 2000 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Out-of-pocket expenditure on HC in India 4 times higher than the world average

Health Insurance ,[object Object],[object Object],[object Object],[object Object]

Health Insurance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Potential to become the Global Healthcare destination Overview Cost & Waiting Time Advantage ,[object Object],[object Object],[object Object],[object Object],Key drivers for the growth ,[object Object],[object Object],[object Object],Issues ,[object Object],[object Object],[object Object],* These are average Costs not the actual cost which would be incurred …… . a $3 Bn opportunity in Med Value travel by 2012

Need for a Nano model for Healthcare Price = 1470 Euros

Way Forward ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prepared by Fortis Healthcare Ltd.

Thanks ,[object Object],[object Object],[object Object],[object Object],[object Object]

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