Religare Healthcare

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Agenda

A. Healthcare Industry Overview B. Religare Healthcare Overview C. Project Details

Strictly private &

Hospitals: Proxy for Indias healthcare boom

The Healthcare Delivery Market in India pegged at around US$ 38 billion in 2008, compared to US$ 7.7 billion Pharmaceuticals Industry and offers a huge growth opportunity India has 17% of the world's population, but one of the poorest healthcare infrastructures among growing economies and the lowest spend on healthcare (~5% of GDP) Demographic changes, improving income levels, changing lifestyles, and rising insurance penetration etc will result in a rise in discretionary spending on healthcare In US$ billion Accessible, reliable and affordable healthcare continues to be a challenge
Indian Healthcare Market 3 33 3. 3 33 3.

Opportunity in healthcare being significantly leveraged by private healthcare providers Expected to generate employment opportunities for 9 million people by 2012

3 33 3. 3 33 3. 3 33 3. 3 33 3. 3. 33 3. 33 3 3- 3 3 33

15%
3 33 3. 3 33 3. 3. 33 3 3- 3 3 33 3 3- 3 3 33 3 3- 3 3 33

Strictly private &

Evolution of Healthcare in India

India: Per Capita Income over the last few years (USD)
Per capita health expendit ure $33 compare d to $ 2,548 in US

Percentage share of India in world health parameters

3% 3

3 % 3 %

3 %

3 %

3 % Disease burden Beds Doctors Nurses Community & Lab health technicians w orkers

Source: FICCI and Ernst & Young (2008)

Healthcare parameters per 000 population

US has 3.2 beds per 1,000 population 33 . and spends ~ 33 . US$ 2 trillion on healthcare

Distribution of Private Healthcare Providers

No. of hospitals = 333 33,

33 .

<33 beds, 33 % 33 . 33 . 33 .

33 . 3

33 .

Hospital beds India

Doctors China Brazil

Nurses

>333 beds, 3 %

3 - 3 beds, 3 % 33 3 3 3 33 3 3 - 3 beds, 3 %

Source: FICCI and Ernst & Young (2008).

Source: FICCI and Ernst & Young (2008)

Strictly private &

Lifestyle changes driving diseases which require Hospitalisation

Changing disease profile
33 3%

Expected no. of Cardiac Patients in India

Cancer Heart disease Other circulatory

3% 3

Number of people (in million)

3% 3

CNS Disorders Diabetes

Lifestyle Disease s

3% 3 Asthma 3% 3 Others Sense organs 3% 3 Muscoloskeletal Accidents Acute Infections 3% 3

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

3. 33

3. 33

3% 3

Acute Disease s

33 33

33 33

Estimated no. of Diabetes Patients

3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3

3% 3

Cancer and Cardiac Grows widely in the lifestyle segment

Number of people (in million)

3% 3

3. 33 3. 33

3 % 33 33

33 33

Lifestyle diseases are set to assume a greater share of the healthcare market

Lifestyle diseases such as cardiac diseases require hospitalization and are more expensive to treat hence increasing the in-patient revenues Source: CII-McKinsey.

33 33
Source: CRISIL Research

33 33

Strictly private &

India: Potential to become the Global Healthcare destination

Overview

Cost of Important Procedures (US $)

US UK Thaila nd 14,25 0 10,50 0 62,50 0 75,00 0 8,000 10,00 0 Singa pore 15,31 2 13,00 0 150,0 00 140,0 00 25,00 0 India

Medical value travel is one of the most lucrative segments of the healthcare sector and is expected to grow into a US$ 1.5 billion industry by 2010
Heart Valve
1,60,0 30,00 0 292,4 70 200,0 00 50,10 9

Heart Surgery

100,0 00

41,72 6

4,800 4,800 30,00 0 69,00 0 5,000 5,200

Replacement
00

Bone Marrow

250,0 00 300,0 00 48,00 0

Potential to contribute US$ 1.2 2.4 billion additional revenue for up-market tertiary care hospitals by 2012, and will account for 3 5% of

Transplant Liver Transplant Knee Replacement

total healthcare market Key drivers for the growth

Issues
HipInadequate Replacement

healthcare Infrastructure
38,00 0 18,00 0

Quality Healthcare at fraction of the cost Availability of Skilled Doctors & Hospitals Good reputation of Indian Doctors Upsurge of Lifestyle diseases

Unstructured medico legal jurisdiction Indians hospitals standards below par against the Global benchmarks of care
0 12,00

Lack of Accredited Hospitals and follow up care

Strictly private &

Health Insurance
Growing share of urban middle class households Health insurance market size (USDm)

33 3% 3% 3 3% 3 3% 3 3% 3 3 %

33 . %

33 . %

33 . %

33 3 , 3 33 3 , 3

33 3 , 3

3. % 33

3. % 33

33 3 , 3

3. % 33

33 3 , 3 33 3 , 3

CAGR: 32%
33 3 , 3

3. % 33

3. % 33

33 3 , 3

33 3 , 3 33 3 33 3

3. % 33

33 3 , 3 3

3 3- 3 3 33 <3333 ,

3 3- 3 3 33E 33 33 , 3 , 3 - 33 3

3 3- 3 3 33E >33 ,333

33 33

33 33

33 33

33 33

3 3E 33

One of the fastest growing free economy Ranked 4th largest economy in the world in terms of purchasing power parity

Overall penetration at 2%.

Health Insurance market in India is expected to grow at a CAGR of 32% to reach a market size of Rs. 27,930 crore by FY15

Growth driven by: a) increasing awareness, b) soaring healthcare costs and c) demographic profile of the people

Higher service mix, increasing urbanization

Source: CRISIL Research

Strictly private &

Agenda

A. Healthcare Industry Overview B. Religare Healthcare Overview C. Fortis Healthcare Ltd.

Strictly private &

Religare Group Structure

Healthcare

Fortis Healthcare Limited

Religare Technova Limited

Super Religare Laboratories Limited (formerly SRL Ranbaxy)

Religare Wellness Limited (formerly Fortis Healthworld)

Religare Enterprises Limited

Religare Voyages Limited

Strictly private & confidential

Strictly private &

Healthcare

Religare Health Insurance

Religare Milestone PE Fund

Religare Technologi es

SRL and Religare Wellness

M& A

Advisory and steering committee role New Healthcare Initiatives: Ideation to feasibility to start- up Providing medical expertise and insight Strategic Direction: Business Diversification, M&As etc.

Strictly private &

Super Religare Labs

Key Highlights

Super Religare Laboratories Limited (Formerly SRL Ranbaxy Ltd.) Indias first & South-East Asias largest Clinical Reference Lab for Laboratory medicine Over 7 million satisfied customers every year The only Pathology Lab Network in India to have 5 Reference Labs and 50 Labs A footprint of over 1,000 Collection Centers spanning more than 450 cities Super Religare Laboratories Limited services

Current Network of Labs in India

P a -n n d i a F o o t p r i n t I
S rin a g a r
A m rits a r M o h a li J a la n d h a r D e lh i B eas

L u d h ia n a
F a r id a b a d Lucknow S il i g u r i P a tn a

G u r g a o n N o id a

F o r t Jsa i p u r i J a ip u r

G u w a h a ti S i lc h a r

Ahm edabad

J a b a lp u r B hopal In d o r e R a ip u r

K o lk a tta

Strength and Expanding Network

M u m b aiV ashi
P un e

More than 2,500 hospitals/path labs over 50,000 doctors performs around 25000 tests/day offers a comprehensive range of over 3,500 tests, from the routine to the highly specialized tests. Offers tests based on 95 technologies covering most known diseases.

H y d e ra b a d
P a n
S aa rngr i
A rt a msr i Bs e a Jl nhr a da a Ma o l hi

-I d Fo r t ni ot i a pn

Ldi n uh a a
G go u an r
Dh ei l Nd oa i F i aa a db r d Lcnw uko S gr ii u l i

B a n g a lu r u C hennai
Am aa h e bd d

Fri os t

Ji u a r p Ji u a r p

G aa u ht w i S hr ica l

Pn aa t B pl h a o I dr no e R pr au i Jbl u aa r p

K kta oa l t

M b u a mi

Vh a i s Pn ue

T r ic h u r

P a th o lo g y L a b o ra to r ie s
B gl r a a u n u Cen hna i Tcu r hr i

H e bd y r a da

P hl g Lbr t re a o y ao o s t o a i C i aR e ne ao t re ln l e r c Lbr o s i c f e a i

C lin ic a l R e fe r e n c e L a b o r a to r ie s

Accreditation

The company also started operations in the UAE in 2005 Amongst the top 7 labs in UAE. Preset in all the GCC States Bahrain, Kuwait, Saudi Arabia, Oman

SRL is Indias first laboratory to be accredited by the College of American Pathologists and National Accreditation Board for Testing and Calibration Laboratories. The laboratory also follows the ISO/IEC 17025 standards.

Strictly private &

Religare Health Insurance

Indian Healthcare Industry projections Opportunity in Health Insurance

Availability of large untapped population Increasing education, awareness affordability levels Growing interest of insurance multinational Expanding market share of private insurers Demand Supply Gap: India currently needs 1.12 mn beds and will need additional 1.66 mn beds by 2026 Emergence of successful micro health insurance plans in urban and rural areas Strong regulatory supports

One of the fastest growing segments of the Indian Economy Between 2002-2008 health insurance industry experienced a CAGR of 37% The Indian health insurance industry stands at INR5,125 crores with only a small section of the total population (around 2 percent) being covered Health Insurance industry is expected to grow between 25 30 pct till FY 2015 to reach a market size of INR 28,000 cr

Strictly private &

Religare Technologies
Key Highlights

Strength and Expanding Network

An integrated services provider to the Health Care Segment globally

Develop a market for HIS SRIT Paragon Launch Health Information Help Line along with Airtel

Life sciences Partnering with Top 10 Global Pharma Cos Setup an R&D portfolio model team at offshore. Quality Processes & Validation services Payor

Launch Teletriage , tied up with Mckesson for their Clinical Software. State wise Public Go live along with Indias largest telecommunication player Airtel

Target top 10 must have clients in Insurance space Target fortune 500 clients Create End-to-End Health payer systems solutions

Filmless/PACS Strictly private &

Healthcare Provider Establish Interoperable Electronic Health Records (iEHR) Solutions Consulting services BPM services Business Transformation services PACS, Clinical Information System and Hospital Information System. Teletriage & Diseases Management

Information Exchange A Cataly st towar ds better Healthcare Health Information 1. Search and care Select a Healthcare Service Provider. 2. Patient level detailed content on diseases and medicines. 3. Health Tools and Electronic Health Records.
1.

Tele - Health
1.

Healthcare information

2.

An exhaustive and in depth database of healthcare service providers. A knowledge-bank of healthcare content and IT Vast database of EMR

2.

Emergency and non emergency

3.

3.

Guiding a patient from symptoms to a specialist physician

4.

Platform for healthcare, life sciences and

Healthcare Knowledge Services pharma research

4.

Tele Medicine

Thank You

Strictly private & confidential

Strictly private &