A Study On Financial Statements

A STUDY ON
FINANCIAL STATEMENT ANALYSIS

WITH REFERENCE TO QUEEN'S NRI HOSPITAL.
A project report submitted to AU Visakhapatnam, in partial fulfillment
for the award of the degree of
MASTER OF BUSINESS ADMINISTRATION

Submitted by
DOLA RUPAVATHI
Regd. No: 119232602018
Under the guidance of

Ms.P. RAJYA LAKSHMI
Assistant Professor
Department of Management Studies
SRINIVASA INSTITUTE OF MANAGEMENT STUDIES

(Affiliated to ANDHRA UNIVERSITY, and approved by AICTE,
Government of INDIA)
P.M Palem, Madhurwada, Visakhapatnam – 530041
2019-2021
CERTIFICATE
This is to certify that the project report entitled “A STUDY ON FINANCIAL

STATEMENT ANALYSIS WITH REFERENCE TO QUEEN'S NRI HOSPITAL ”,
submitted by DOLA RUPAVATHI, Regd.No.119232602018, Department of
Management Studies, SRINIVASA INSTITUTE OF MANAGEMENT STUDIES,
VISAKHAPATNAM, is a record of bonafide work carried out by her under my
guidance during the period 2019-2021.
Place: Visakhapatnam Ms.P.RAJYA LAKSHMI

Date : Assistant Professor
Dept. of Management Studies
CERTIFICATE
This is to certify that DOLA RUPAVATHI report bearing Regd. No. 119232602018
is a student of MBA and has successfully completed her project report entitled
“A STUDY ON FINANCIAL STATEMENT ANALYSIS WITH REFERENCE TO
QUEEN'S NRI HOSPITAL ”, under the guidance of Ms.P.RAJYA LAKSHMI,
Assistant Professor. This project report is submitted to Andhra University,
Visakhapatnam in partial fulfillment of the requirements for the award of
MASTERS DEGREE IN BUSINESS ADMINISTRATION during the academic
year 2019 – 2021.
Place: Visakhapatnam
Date : Ms. MVS.RAMALAKSHMI
Academic Coordinator
Dept. of Management Studies
DECLARATION
I hereby declare that the project work entitled “A STUDY ON FINANCIAL

STATEMENT ANALYSIS WITH REFERENCE TO QUEEN'S NRI HOSPITAL ”,
submitted in the Department of Management Studies, SRINIVASA
INSTITUTE OF MANAGEMENT STUDIES, VISAKHAPATNAM, for the award
of Master of Business Administration is an original work carried out by me
under the supervision of Ms.P.RAJYA LAKSHMI, Assistant Professor,
Department of Management studies. This work has not been submitted
previously to any other University or Institution for the award of any
degree/diploma.
Place: Visakhapatnam DOLA RUPAVATHI

Date: Regd No:119232602018
ACKNOWLEGEMENT
Every successful task would be incomplete without mentioning people who are behind the
success. At the outset, I thank God almighty for enabling me to complete my project.
I hereby express my sincere thanks to Dr HANIEFUDDIN SHAIK, Director, Srinivasa

Institute Of Management Studies, Madhurawada, Visakhapatnam, whose understanding and
cooperation made it possible for me to complete my project.
With my immense pleasure and deep sense of gratitude, I wish to express indebtness and grateful
thanks to Ms. MVS RAMALAKSHMI, ACADEMIC COORDINATOR of Management
Studies, Srinivasa Institute Of Management Studies, Madhurawada, Visakhapatnam, her
valuable comments and criticisms which highly helped me to understand the project.With great
pleasure I acknowledge my deep sense of gratitude to my project guide,Ms.P.RAJYA
LAKSHMI, Assistant Professor, Srinivasa Institute Of Management Studies, Madhurawada,
Visakhapatnam, for her support.
I am extremely thankful to A.V.K. RAMAKANTH Manager-HR for giving me permission to

do the project work in their organization, and for their guidance and support extended by him for
successful completion of my project.
Above all, I feel highly grateful to my family for their help, encouragement, patience and
tolerance throughout my project work.
Finally, I thank all my friends who directly indirectly helped me a lot during the course and my
project.
DOLA RUPAVATHI
(Regd.No:119232602018)
CHAPTERIZATION
Page No
CHAPTER-1
1.1 INTRODUCTION OF THE STUDY 1
1.2 NEED FOR THE STUDY 3
1.3 OBJECTIVES OF THE STUDY 4
1.4METHODOLOGY OF THE STUDY 5
1.5 LIMITATIONS OF THE STUDY 6
CHAPTER-2
2.1 INDUSTRY PROFILE 7
2.2 COMPANY PROFILE 23
CHAPTER-3
THEORITICAL FRAMEWORK OF THE STUDY 32
CHAPTER-4
DATA ANALYSIS & INTERPRETATION 56
CHAPTER-5
5.1 SUMMARY 78
5.2 FINDINGS 80
5.3 SUGGESTIONS 81
BIBILIOGRAPHY 82
ANNEXURE 87
UNIT -1
• INTRODUCTION
• NEED FOR THE STUDY
• SCOPE OF THE STUDY
• OBJECTIVES OF THE STUDY
• METHODOLOGY
• LIMITATIONS OF THE STUDY
INTRODUCTION
Healthcare has become one of India’s largest sectors - both in terms of
revenue and employment. Healthcare comprises hospitals, medical devices,
clinical trials, outsourcing, telemedicine, medical tourism, health insurance and
medical equipment. The Indian healthcare sector is growing at a brisk pace due to
its strengthening coverage, services and increasing expenditure by public as well
private players. Indian healthcare delivery system is categorized into two major
components - public and private. The Government, i.e. public healthcare system
comprises limited secondary and tertiary care institutions in key cities and focuses
on providing basic healthcare facilities in the form of Primary Healthcare Centers
(PHCs) in rural areas. The Private sector provides majority of secondary, tertiary
and quaternary care institutions with a major concentration in metros, tier I and tier
II cities.
NRI hospital has been started on 18-02-1994 with 30 beds. In the year 2007
the bed capacity has been extended to 130. Now the hospital has been expanded
drastically by adopting various specialties like cardiology, cardiothoracic surgery
Neuro surgery, etc. with bed capacity to 330. For over 2 Decades Queen’s NRI
Hospital has been serving the residents of Visakhapatnam with passion,
commitment and dedication. We offer personalized patient – centric treatment and
care with a comprehensive array of services and 24/7 support. We continuously
endeavor to uphold high ethical standards while striving to improve the quality of
healthcare delivery. As a result of our consistent efforts we are the hospital of
choice for our community today.
Financial analysis is ‘the process of identifying the financial strengths and

weakness of the firm by properly establishing relationship between the items of the
balance sheet and the profit and loss account. There are various methods or
techniques used in analyzing financial statements, such as comparative statements,
trend analysis, and common size statements, schedule of changes in working
capital, funds flow and cash flow analysis, cost-volume-profit analysis and ratio
analysis. Financial statement analysis is the process of analyzing a
company's financial statements for decision-making purposes. External
stakeholders use it to understand the overall health of an organization as well as to
evaluate financial performance and business value. Internal constituents use it as a
monitoring tool for managing the finances.
Queens NRI Hospital has a 12 bedded emergency room equipped with

monitors and life saving devices like defibrillator, oxygen, suction and facilities for
intubation and resuscitation. Accidents, Trauma, any type of injury, heart attack,
poisoning, stroke, fits, asthmatic attacks, any abdominal pain, Chest pain, fever,
vomiting and diarrhea and any other emergencies are treated by qualified and well
trained doctors. A fully equipped ambulance service and 24 hour medical shop
facility are available.
NEED FOR THE STUDY:
Every stake holder of the organization is interested to know the financial

performance of the organization. Different stake holders require different types of
information. Suppliers of short term funds are interested to know the liquidity
funds. Suppliers of Long term funds will be interested to know the profitability
position. And Management want to know the information about the entire financial
performance of the company. The present study helps the stake holders to get
required information about the financial health of the organization.The process of
the study focuses mainly on the analysis of Financial Statements in Queen’s NRI
Hospital. The study has great significance and provide benefits. The study gives
the practical insight into the organization activities and enables to know the
practical problem and solutions in Queen’s NRI Hospital in the area of financial
management. Good financial analysis with the help of comparative statement
analysis guides the board and management to pursue objectives that are in the
interests of the company and shareholders and facilitates effective monitoring there
by promoting optimal use of financial reserves more efficiently. The study is also
beneficial to employees and offers motivation by sharing how they are contributing
to the hospital growth. The study is also beneficial to top management of the
company by providing relevant information regarding important aspects like
Current Assets, Current Liabilities. Comparative analysis serves as a tool for the
performance of all above financial functions and decisions so the study made by
me helps owners, managers, creditors to get an idea about the financial position of
the organization.
NEEDS
The world is changing rapidly, and so should the healthcare system,
especially in the U.S. The health care industry plays an important role in the
physical health of people and the economy as a whole. We need healthcare
professionals to enforce policies that will run the system effectively.
Common hospital support units include a dispensary or pharmacy,

pathology, and radiology, and on the non-medical side, there often are
medical records departments and/or a release of information department.
Nursing services are considered one of the most important aspects in the
process of distinguished medical care
Financial statement analysis is the process of analyzing a company's
financial statements for decision-making purposes. External stakeholders
use it to understand the overall health of an organization as well as to
evaluate financial performance and business value.
Queen's NRI Hospital offer an array of medical services, ranging
from preventive to curative and consultancy. View the list of
infrastructure and facilities which we have to offer.
OBJECTIVES OF THE STUDY:
The present study “comparative analysis” of QUEEN’S NRI HOSPITAL

indicated to analyze the practice in comparative statements in QUEEN’S NRI
HOSPITAL, Visakhapatnam. In this context the specific Objectives of the study
are:
• To study the profile of Hospital Industry.
• To study the company profile of Queen’s NRI Hospital, Visakhapatnam.
• To study the theoretical frame work of comparative analysis.
• To understand and evaluate the financial performance of the organization

using Comparative statement analysis.
METHODOLOGY OF THE STUDY:

Methodology is a systematic procedure of collecting information in
order to analyze and verify a phenomenon. The collection of information is done
through two sources,
• Primary sources.
• Secondary sources
• Primary Sources:
The data which is collected at first hand for the purpose of the study is known
as primary data. A large part of primary data was collected from QUEEN’S NRI
HOSPITAL, VISAKHAPATNAM.
• Consultation with managers, executives
• Observation of various departments.
2. Secondary Sources:
The data which is collected by someone previously is called as secondary
data. For the proposed project, the secondary data is to be collected from the
secondary sources like:
• Annual reports,
• Journals,
• Websites.
LIMITATIONS OF THE STUDY:

Every study is conducted under some limitations. Some of the limitations of my
study as follow:
•
The study is based only on information provided by the sample public
documents such as annual reports of the company.
•
Due to busy work schedule of executives in the organization, detailed
discussion were not possible related to the topic (comparative statement
analysis).
UNIT -2
• INDUSTRY PROFILE
INDUSTRY PROFILE:
Healthcare has become one of India’s largest sectors - both in terms of

revenue and employment. Healthcare comprises hospitals, medical devices,
clinical trials, outsourcing, telemedicine, medical tourism, health insurance and
medical equipment. The Indian healthcare sector is growing at a brisk pace due to
its strengthening coverage, services and increasing expenditure by public as well
private players.
Indian healthcare delivery system is categorized into two major components
- public and private. The Government, i.e. public healthcare system comprises
limited secondary and tertiary care institutions in key cities and focuses on
providing basic healthcare facilities in the form of Primary Healthcare Centers
(PHCs) in rural areas. The Private sector provides majority of secondary, tertiary
and quaternary care institutions with a major concentration in metros, tier I and tier
II cities.
India's competitive advantage lies in its large pool of well-trained medical
professionals. India is also cost competitive compared to its peers in Asia and
Western countries. The cost of surgery in India is about one-tenth of that in the US
or Western Europe
MARKET SIZE:
The healthcare market can increase three-fold to Rs 8.6 trillion (US$ 133.44
billion) by 2022. India is experiencing 22-25% growth in medical tourism and the
industry is expected to double its size from (April 2017) US$ 3 billion to US$ 6
billion by 2018.There is a significant scope for enhancing healthcare services
considering that healthcare spending as a percentage of Gross Domestic Product
(GDP) is rising. The government’s expenditure on the health sector has grown to
1.4 per cent in FY18 from 1.2 per cent in FY14. The Government of India is
planning to increase public health spending to 2.5 per cent of the country's GDP by
2025.
ACHIEVEMENTS:
Following are the achievements of the Government:
• As of July 2019, around 125.7 million families enrolled as beneficiaries

under PradhanMantri Jan ArogyaYojana (PMJAY). The scheme enrolled
16,085 hospitals, including 8,059 private hospitals and 7,980 public
hospitals. It included 19 AYUSH packages in the treatment scheme.
• As of September 2019, about 50 lakh people received free treatment under
the Ayushman Bharat-PradhanMantri Jan ArogyaYojana.
• The number medical colleges in India increased to >560 in November 2020
from 412 in FY16.
• According to Sample Registration System Bulletin-2016, India has
registered a 26.9% reduction in Maternal Mortality Ratio (MMR) since
2013.
• In November 2020, National Telemedicine services completed 8 lakh
teleconsultations since its launch, enabling patient-to-doctor consultations
from the confines of their home, as well as doctor-to-doctor consultations.
PROBLEMS OF HEALTH SERVICES:

• Neglect of rural population
•
Emphasis on culture method
•
Inadequate for health
•
Social inequality
•
Shortage of medical personnel
•
Medical research
•
Expensive health service
CHALLENGES FOR HEALTH CARE:
• Lack of focus.
•
Quality benchmarks especially for smaller healthcare institutions.
•
Standardization and efficiency.
•
On prevention.
FUTURE FOCUS:
Road for healthcare sector:
India is a land full of opportunities for players in the medical devices

industry. India’s healthcare industry is one of the fastest growing sectors and it
is expected to reach $280 billion by 2020. The country has also become one of
the leading destinations for high-end diagnostic services with tremendous
capital investment for advanced diagnostic facilities, thus catering to a greater
proportion of population. Besides, Indian medical service consumers have
become more conscious towards their healthcare upkeep.
Indian healthcare sector is much diversified and is full of opportunities in every

segment which includes providers, payers and medical technology. With the
increase in the competition, businesses are looking to explore for the latest
dynamics and trends which will have positive impact on their business. The
hospital industry in India is forecasted to increase to Rs 8.6 trillion (US$ 132.84
billion) by FY22 from Rs 4 trillion (US$ 61.79 billion) in FY17 at a CAGR of 16-
17 per cent.
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.
GOVERNMENT POLICIES(government initiatives):
• PradhanMantri Jan ArogyaYojana (PMJAY) also known as Modicare,

was launched in September 2018, aiming to provide health insurance
worth Rs 500,000 (US$ 7,124.54) to over 100 million families every
year, and is already implemented in several states.
• In August 2018, the Government of India approved Ayushman Bharat -

National Health Protection Mission as a centrally Sponsored Scheme
contributed by both center and state govt. It aims at covering over 10
crore poor and vulnerable families (approximately 50 crore
beneficiaries) providing coverage up to 5 lakh rupees per family per
year for secondary and tertiary care hospitalization.
• Under the Ayushman Bharat program, nearly 1.5 lakh primary health
centers will be transformed as health and wellness centers by 2022.
These centers will be equipped to provide treatment and care for
several diseases such as high blood pressure, diabetes, cancer, and old
age-related illnesses.
• Union Minister of Chemicals and Fertilizers, DV SadanandaGowda,

recently commented that the healthcare industry in India has been one
of the country’s largest economic sectors with regard to both
employment and revenue, and is expected to generate 40 million jobs in
India by 2020. It is worth noting that two years ago, the Indian
healthcare sector was the fourth-largest employer, employing 319,780
people.
• Ministry of Health and Family Affairs has been given a push in money
allocation in the last five budgets that have been presented by the Modi
govt. With Rs 63,298.12 crore allocated to the health sector this year,
the government once again hiked India's health spending. This year’s
allocations are a rise of 15.9% percent over last year’s budget, which
showed a rise of about 13% over what was allotted for this sector in the
year before that.
TOP HEALTH CARE COMPANIES IN THE WORLD:
• JOHNSON & JOHNSON

• ROCHE HOLDING AG
• UNITEDHEALTH GROUP
• MERCK & COMPANY
• PFIZER
• NOVARTIS AG
• MEDTRONIC
• ABBOTT LABORATORIES
• BRISTOL-MYERS SQUIBB COMPANY
• AMGEN
TOP HEALTH CARE COMPANIES IN INDIA:
• APOLLO HOSPITALS ENTERPRISES LTD.

• ASTER DM HEALTHCARE LTD.
• DR. LAL PATHLABS LTD.
• FORTIS HEALTHCARE LTD.
• HEALTHCARE GLOBAL ENTERPRISES LTD (HCG)
• INDRAPRASTHA MEDICAL CORPORATION LTD.
• NARAYANA HRUDAYALAYA LTD.
• PIRAMAL ENTERPRISES LTD
• RELIGARE HEALTH INSURANCE COMPANY LTD.
• WOCKHARDT LTD
CHALLENGES FACED BY HEALTH CARE INDUSTRY IN INDIA

DURING COVID PANDEMIC:
The healthcare sector in India, already in a fragile financial state during the pre-
COVID times, has been adversely impacted by the onset of pandemic. The
situation is likely to get worse for the sector if the challenges are not addressed
immediately and effectively. Government’sAtma-nirbhar Bharat
Abhiyaanalthough a laudable long-term strategy, does not cater to the ongoing
distress of the private healthcare providers who are a key stakeholder in the war
against COVID-19.
The private healthcare sector, that has served as the bedrock of capacity and
capability in the last few decades, accounting for nearly 60 per cent of all inpatient
care, has been perturbed with multi-faceted challenges related to frequently
changing regulation, irrational price caps, rising costs of human resources and
other requisites for delivering care as well as dwindling financial viability. Despite
being preferred over government hospitals for healthcare by a large section of the
population, the private healthcare sector had been witnessing worsening
performance in terms of both, profitability and return on capital employed
(ROCE). This coupled with the pre-COVID economic slump and sector
recalibration through various M&AS had created an atmosphere of uncertainty in
the sector.
These challenges and the uncertainty have been further accentuated due to
COVID-19 pandemic and the subsequent lockdown. Most private healthcare
facilities activated their epidemic plans that required huge investments in making
facilities prepared for infection control and prevention, creating infrastructure for
isolation and COVID treatment, as well as equipping them with appropriate
medical supplies and additional healthcare workforce. Further, revenues of
hospitals and labs have seen a sharp decline owing to stalled medical tourism and
elective procedures. The OPDs had also been discontinued following the advisory
released by the government.
According to the FICCI-EY study on economic impact of the pandemic on

healthcare sector, virus outbreak had resulted in a 70-80 per cent drop in footfall,
test volumes, and a 50-70 per cent drop in revenues in end of March. The study
also revealed that the sector is expected to witness short-term operating losses to
the tune of Rs 14,000 to 24,000 crore for a quarter. The onset of such losses has
caused cash balances to slump, even for large corporate hospitals. Many small
FICCI had suggested solutions to help tide over these financial headwinds through
government support in the form of liquidity infusion via short-term interest free or
concessional interest rate loans. Other recommendations made were indirect tax
reliefs or exemptions and waivers like recoup of amount equivalent to ineligible
GST credits paid on procurements for a stipulated period; customs duty or GST
exemption on essential medicines, consumables and devices for treatment of
COVID-19 patients as well as rebate on commercial rate of power.
The industry had also proposed solutions of providing government grant or subsidy
for loss of business due to the pandemic or bringing in moratorium on all working
capital, principal, interest payments on loans and overdrafts, bringing in liquidity
and allowing for business continuity. Zero-rating of GST has been a long-standing
request from the sector, which can bring maximum relief at a time like this.
Government may consider zero rating of healthcare services, which will not only
ensure that the credit chain is intact but also ensure that the input taxes are not
loaded into the cost of healthcare services.
Beyond the economic challenges, the private healthcare facilities have also been
facing the confusion and uncertainty on matters of testing for COVID-19 whether
it was the testing criteria, allowing private labs to test for COVID-19, or
disallowing private hospitals to perform pre-operative screening for the virus.
FICCI had suggested a list of NABL accredited private labs that had been testing
for H1N1 and had also recommended expansion of testing criteria to include
symptomatic non-hospitalized patients who have no history of contact. Further, it
was also recommended that COVID testing for screening for all elective surgeries,
out-patient diagnostics, or procedures is allowed by the government since many
patients and healthcare workers were contracting the illness from
"asymptomatic/pre-symptomatic" persons. Apart from putting non-COVID
patients at risk, this was also leading to anxiety amongst the healthcare workers
who are already under immense stress due to the outbreak.
Through the entire outbreak, India has been facing the challenge of shortage of
healthcare workers whether it was due to travel restrictions imposed under the
lockdown, workers being infected with the virus or quarantined due to the
exposure, or setting-in of fear psychosis that has led to many frontline workers
now returning to their home town. As a part of the Empowered Group set up by
the government for “augmenting human resources & capacity building”, FICCI
submitted a strategy paper on identifying and mobilizing healthcare resources -
doctors, nurses, lab-technicians, paramedics, frontline workers, patient counselors,
etc. who would be required to provide support in managing the epidemic.
Further, the working group also suggested that protecting healthcare workers who
are at the forefront for fighting COVID-19 must be seen as a national priority and
should be provided with adequate protection from infection along with appropriate
facilities. Following these recommendations, the government had initiated
mapping of healthcare workers across the country through various medical
associations and networks. They also notified specific guidelines for quarantine of
healthcare workers post their duty in COVID-19 wards/facilities to protect them as
well as their families from infection.
In the initial stages of COVID-19 outbreak, the industry through various

consultations had supported the government and submitted various strategies for
leveraging private sector capacities to tackle the pandemic. These included setting-
up dedicated COVID-19 hospitals and Fever Clinics; Temporary Community
Isolation Centers and Transition Care Centers with help of home healthcare
providers to facilitate out-of-hospital care; appropriate usage of tele-consultations;
and tech-enabled system for mapping existing resources in the country, including
hospital beds and essential medical equipment.
Besides these, FICCI, in association with other industry bodies, had submitted
some additional non-fiscal interventions such as Provision of compensation to the
healthcare workers for diseases contracted during patient care on the lines of
soldiers in war; Bring all healthcare employees- both in public and private sector
for at least 1 year under a suitable benefit package that provides comprehensive
unlimited medical coverage, accidental death coverage and pension (similar to
ESIS benefits); More stringent adherence of handing of Bio Medical Waste across
cities; Standard guidelines for Home Healthcare Providers, as they can contribute
by remote monitoring of cases by monitoring patients for symptoms in home
quarantine, patients in E-ICU beyond metros, cases recovering from COVID-19
and preventing or managing relapse.
Given that private healthcare players are important stakeholders in the ongoing
crisis, and are fully supportive of the government’s efforts, it is crucial that they
stay financially viable and sustainable. The measures outlined above will go a long
way in alleviating the distress that private healthcare sector is facing. The non-
fiscal measures are imperative for protection of health warriors and for creation of
safe infrastructure and treatment support.
in home quarantine, patients in E-ICU beyond metros, cases recovering from

COVID-19 and preventing or managing relapse.
Given that private healthcare players are important stakeholders in the ongoing
crisis, and are fully supportive of the government’s efforts, it is crucial that they
stay financially viable and sustainable. The measures outlined above will go a long
way in alleviating the distress that private healthcare sector is facing. The non-
fiscal measures are imperative for protection of health warriors and for creation of
safe infrastructure and treatment support.
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The Supreme Court has held healthcare to be a fundamental right under Article 21 of the
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Are 57% 'doctors' quacks? Centre says no, then yes

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Aug 09, 2019, 10.46 AM IST
Microsoft partners Apollo Hospitals to set up
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The coordination committee will be assisting the core team at Apollo Hospitals and Microsoft by
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Microsoft News Center India

Updated: Aug 01, 2019, 02.59 PM IST
National Medical Commission bill to be biggest

reform: Harsh Vardhan
The Minister of Health and Family Welfare sought to assure that genuine concerns of the
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Jul 29, 2019, 03.16 PM IST
byEfraimBenmelech, Janice Eberly, Dimitris Papanikolaou, and Joshua Krieger
Hospital Allocation and Racial Disparities in

22 FEB 2021
Health Care
by Amitabh Chandra, PragyaKakani, and Adam Sacarny4 JAN 2021

UNIT-3
• COMPANY PROFILE
COMPANY PROFILE:
The hospital has been started on 18-02-1994 with 30 beds. In the year 2007
the bed capacity has been extended to 130. Now the hospital has been expanded
drastically by adopting various specialties like cardiology, cardiothoracic surgery
Neuro surgery, etc. with bed capacity to 330.
For over 2 Decades Queen’s NRI Hospital has been serving the residents
of Visakhapatnam with passion, commitment and dedication. We offer
personalized patient – centric treatment and care with a comprehensive array of
services and 24/7 support. We continuously endeavor to uphold high ethical
standards while striving to improve the quality of healthcare delivery. As a result
of our consistent efforts we are the hospital of choice for our community today.
FOUNDER:
Queen’s NRI Hospital has established an enduring legacy in the vibrant and
multicultural city of Visakhapatnam. It is a family owned private limited
institution that was started by Dr.Ranga Rao Chalasani and Dr.Vijaya Lakshmi
chalasani from England in 1994. Their aim was to return to India and serve the
community by providing high quality health care in a clean, comfortable and
alternative environment. The key reason for our success is our consistent
adherence to our core principal of service over profit. We employ a personalized
approach to patient care and have maintained enduring relationship with our
employees.
DR. RANGA RAO CHALASANI (Late) - CHAIRMAN

MBBS, DPSM (LONDON), Sports Medicine
BOARD OF DIRECTORS:
Dr.C. VIJAYA LAKSHMI, MBBS, FRCOG (UK)
Dr.C. SAILESH, MBBS, MD (DERMATOLOGY)
MANAGEMENT:
Dr. C. VIJAYA LAKSHMI, MBBS, FRCOG (UK) – CHAIRPERSON
Dr. C. SAILESH, MBBS, MD (Dermatology) – MANAGING DIRECTOR
Mr. T. CHANDRAMOULISWARA RAO, M.Com, MBA, LLB (CA) – CEO
MEDICAL ADMINISTRATION:
Dr.C. VIJAYA LAKSHMI, MBBS, FRCOG (UK) -CHAIRPERSON
Dr. HIMA BINDU, MBBS. ED., (Hospital admin.) – EXECUTIVE DIRECTOR
Dr. D USHA, MBBS. - MEDICAL DIRECTOR
VISION:
• To be internationally recognized as an institute that provides qualitatively

exceptional yet affordable healthcare by 2020.
MISSION:
• We aim to provide the most comprehensive healthcare services in a patient

centric manner.
• To continually evaluate, innovate and strive towards excellence in patient

care, research and training.
• To emphasize compassion, maintain the highest level of integrity and
continue to utilize all of our resource solely for betterment of the institution.
• We constantly Endeavour to provide our employees with a stimulating yet

secure working environment where their individual talents are embraced and
nurtured
VISHAKAPATNAM
VIZIANAGARAM
KEY FACTS ABOUT QUEEN'S NRI HOSPITAL:
•
over to experience in healthcare, (1,90,000 Sft., 4370sq yd of land)
•
Over 150 empaneled companies
•
NABH accredited hospital (all specialties including CANCER &
CARDIOLOGY)
•
Full pledged GYNICOLOGY & FERTILITY CENTER.
•
Only hospital with all super-specialties in one location in Vishakhapatnam:
• One of 2 comprehensive oncology centers in the city and only multi-
specialty hospital with integrated oncology services.
• 8 OTs and 6 specialized ICUs with more than 80 beds.
• 10,000 OPD patients and 2,000 IPD patients.
EMPLOYEE’S RIGHTS:
•
Right to respect
•
Right to confidentiality
•
Right to work as per qualification & skills
•
Right to grievance reporting
•
Right to have natural justice
•
Right to have equal wages
•
Right to freedom of expression.
EMPLOYEE’S RESPONSIBILITIES:
•
Utilize available resources and take responsibility for the same.
•
Wholeheartedly participate in the workplace.
•
Be punctual and regular to work.
•
Cleanliness is next to godliness, therefore ensure a clean and hygiene
workplace.
•
Ensure cost effectiveness.
•
Encourage creative thinking and constructive suggestions.
• Perform tasks diligently.
•
Follow the supervisor’s instructions.
SPECIALITIES:
• CARDIOLOGY
• CARDIO-THORACIC SURGERY
• NEPHROLOGY
• NEUROLOGY
• NEURO-SURGERY
• ONCOLOGY
• RADIATION ONCOLOGY
• GYNAECOLOGY
• GENERAL SURGERY
• GENERAL MEDICINE
PRINCIPLES:
•
Minor lapses from accepted standards of behavior will normally be
responded by informal advice and encouragement.
•
Formal disciplinary proceedings will not be started without prior
investigation of the alleged offence.
•
Employees have the right to advance notice in writing of the complaint
against them and have the right to state their case, orally and/or in writing,
before a decision on disciplinary action is reached.
•
Employees have the right to be represented.
•
Employees shall receive written confirmation of any penalty imposed.
DEPARTMENTS
•
ADMINISTRATION
•
HUMAN RESOURCES
•
AAROGYASRI
•
BILLING
•
BIO-MEDICAL
•
CATH LAB
•
POST CATH
•
CTICU
•
CTOT
•
DIALYSIS
•
DIETICS
•
EDP
•
CASUALITY
•
IP AND OP PHARMACY
•
FINANCE AND ACCOUNTS
•
MEDICAL ADMINISTRATION
•
QUALITY CONTROL
•
MAINTENANCE
•
FRONT OFFICE
•
LABOURATORY
•
RADIOLOGY
•
RADATION ONCOLOGY
•
NI LAB
•
MARKETING
•
OT DEPARTMENT
•
NURSING
•
PHYSIOTHERAPY
MEDICAL CAMPS:
• Sontyam Medical Camp – 2014
• Arilova Medical Camp
• Diabetes Camp at R.K Beach
MEDICAL CHECKUP:
•
PRE-Employment Medical check-up is mandatory for all the staff joining
the organization. The employee will be taken on rolls only on being found
medically fit by the concerned medical board.
•
The organization reserves the right, at any time during the course of
employment, to request a medical opinion on the state of health of an
employee, if it has reason to believe that the state of health of an employee
precludes him/her from safely delivering patient care or contributing
effectively to business goals.
CORPORATE TIE-UP:
➢ All India Radio
➢ Rajeev Aarogya Sree

➢ Airports Authority of India
➢ APEPDCL
➢ MMTC
➢ Central Power Works Department
➢ DRDO
➢ ESI Corporation
➢ Food Corporation of India
➢ Ferro Scrap Nigam limited
➢ Hindustan Petroleum
➢ Income Tax Department
➢ TTK Health Care
➢ NALCO Aluminum Company limited
➢ National institute of Oceanography
➢ NAVAL Dockyard, Visakhapatnam
➢ NMDC Limited
➢ NSTL Vizag
➢ National Thermal Power Corporation

➢ Postal Department
➢ Steel Authority of India limited
➢ Visakha cooperative Bank
➢ Bajaj Allian Insurance
➢ Dedicated Healthcare services
➢ Family Health Plan (TPA) LTD
➢ Future General Insurance
➢ Good Health Plan (TPA) LTD
➢ HDFC Life
➢ Heritage Health
➢ ICICI Lombard
➢ MAX Bupa Health insurance
➢ MEDI Assist
➢ National Insurance Company
➢ New India Assurance Co. Ltd
➢ Oriental Insurance Company Ltd
➢ Star Health & Allied Insurance

PATIENT’S SERVICES:
• In Patient Services
• Out Patient Services
• Emergency Care Services
• Health Check Packages
• Organ Transplant Services
➢ Steel Authority of India limited
➢ Visakha cooperative Bank
➢ Bajaj Allian Insurance
➢ Dedicated Healthcare services
➢ Family Health Plan (TPA) LTD
➢ Future General Insurance
➢ Good Health Plan (TPA) LTD
➢ HDFC Life
➢ Heritage Health
➢ ICICI Lombard
➢ MAX Bupa Health insurance
➢ MEDI Assist
➢ National Insurance Company
➢ New India Assurance Co. Ltd
➢ Oriental Insurance Company Ltd
➢ Star Health & Allied Insurance
PATIENT’S SERVICES:
• In Patient Services
• Out Patient Services
• Emergency Care Services
• Health Check Packages
• Organ Transplant Services
• It also offers 24 hours blood bank services
SERVICES PROVIDED:
➢ Pediatrics
➢ ENT
➢ Dental
➢ Oncology
➢ Cardiology
➢ Cardiothoracic
➢ Urology
➢ Nephrology
➢ Internal Medicine
➢ Plastic and Cosmetic Surgery
➢ Diagnostic Services
• Radiology Services
• Laboratory Services
➢ Rehabilitation Services
• Physiotherapy
• Occupational Therapy
➢ Psychiatry
➢ Anesthesiology& Critical Care
➢ Laparoscopic Services
➢ Dietetics and Nutrition Services
➢ Transplant Services (kidney)
➢ Bariatric Surgery
➢ Neonatal ICU
MEDICAL DEPARTMENTS
➢ Anesthesia & Critical Care

➢ Cardiology
➢ Dermatology
➢ Dental
➢ Emergency Medicine
➢ Endocrinology
➢ E.N.T
➢ Gastroenterology
➢ General Medicine
➢ General & laparoscopic Surgery
➢ Laboratory Medicine
➢ Neuroscience
➢ Nephrology
➢ Nutrition
➢ Obstetrics – Gynecology
➢ Oncology
➢ Ophthalmology
➢ Orthopedics
➢ Pediatrics
➢ Physiotherapy
➢ Plastic Surgery
➢ Psychiatry
➢ Pulmonology
➢ Radiology
➢ Urology
• IVF
PROCESS OF PATIENT CARE:
The Patient Relations Executive (PRE)was the prior receivers of patients in the
Queen’s NRI Hospital. They undergo a lot of process in handling the formalities of
the patient’s right from their entry to exit in the hospital, and in middle a lot of
people gets involved in this process, the steps involved in this process are:
I-Step: PRE’s receiving patients and addressing their problems and guiding
them to the right doctors.
II-Step: After theI step The PRE’s categorize the patients into 2 types:
• OP Patients
• Consultancy Patients
After categorizing they guide them to the respective doctors or to
specialties or departments.
III-Step: Then the patients get treated by their respective doctors with there
technological equipment i.e. op patientsget treated by the specialists
andthe consultancy patients get consulted by the designated doctors and by the
equipment.
IV-Step: After the III step again the procedures of billing weather OP bills or
consultancy bills are handled by PRE’s. They handle the billing sheet
known as K sheet was created by them with all the respected fees and charges and
with all term and conditions.
V-Step: After all the formalities and better treatment the PRE’s take the
feedbackfrom the patients and whishes them for their speedy recovery.
Thus, these are the steps involved in the process of patient care in Queens NRI
Hospital.
UNIT-4
• THEORITICAL FRAME WORK OF THE STUDY

FINANCIAL STATEMENT:
Financial statement is a formal record of the financial activities and position of a

business, person or other entity. These financial statements provide information
required for decision making purpose. Financial information required to predict,
compare, and evaluate the firm’s performance. The term financial statement
generally refers to two basic statements. The balance sheet or statement of
financial position and income statement or profit and loss account. The balance
sheets shows the financial position of business concern at a given point of time and
profit & loss account shows the operating activities of the concern.
The different types of financial statements are
1) Balance sheet (or statement of financial position)
2) Income statement
3) Cash flow statements
4) Statement of changes in owners' equity or stockholders’ equity
FINANCIAL STATEMENT ANALYSIS:
Analysis means establishing a meaningful relationship between various items of

the two financial statements with each other in such a way that a conclusion is
drawn. By financial statements, we mean are two statements:
1. Profit and loss account or Income statement
2. Balance sheet or Position statement
These are prepared at the end of a given period of time. They are the indicators of
profitability and financial soundness of the business concern. The term financial
analysis is also known as analysis and interpretation of financial
statements.Analysis of financial statements is an attempt to assess the efficiency
and performance of an enterprise. Thus, the analysis and interpretation of financial
statements is very essential to measure the efficiency, profitability, financial
soundness and future prospects of the business units.
OBJECTIVES OF FINANCIAL STATEMENT ANALYSIS:
The objectives of financial statement analysis are presented below:
❖Measuring The Profitability: The main objective of a business is to earn a

satisfactory return on the funds invested in it. Financial analysis helps in
ascertaining whether the adequate profits are being earned on the capital invested
in the business or not. It also helps in knowing capacity to pay the interest and
dividend.
❖ Indicating The Trend Achievements: Financial statements of the previous

years can be compared and the trend regarding various expenses, purchases, sales,
gross profits, and net profits etc. can be ascertained. Value of assets and liabilities
can be compared and future prospects of the business can be envisaged.
❖ Assessing Growth Potential of The Business: The trend and other analysis of
the business provides sufficient information indicating the growth potential of the
business.
❖ Comparative Position In Relation To Other Firms: the purpose of financial

statement analysis is to help the management to make a comparative study of the
profitability of various firms engaged in similar business. Such comparison also
helps the management to study the position of the firm in terms of sales, expenses,
profitability, utilizing capital, etc.
❖ Assess overall financial strength: the purpose of financial analysis is to assess

the financial strength of the business. Analysis also helps in taking decisions,
whether funds required for purchase of new machines and equipment’s are
provided from internal sources of business and also to assess how much funds have
been received from external sources.
❖ Assess solvency of the firm: The different tools of an analysis tell us whether
the firm has sufficient funds to meet its short term and long term liabilities or not
❖ Parties interested: Analysis of financial statements has become very

significant due to widespread interest of various parties in the financial results of a
business unit. The various parties interested in the analysis of financial statements
are:
➢ Investors: Shareholders or proprietors of the business are interested in

the wellbeing of the business. They like to know the earning capacity of the
business and its prospects of future growth.
➢ Management: The management is interested in the financial position and
performance of the enterprise as a whole and of its various divisions. It helps
them in preparing budgets and assessing the performance of various
departmental heads.
➢ Trade unions: They are interested in financial statements for negotiating

the wages or salaries or bonus agreement with the management
➢ Lenders: lenders to the business like debenture holders, suppliers of

loans and lease are interested to know short term as well as long term
solvency position of the entity.
➢Suppliers and trade creditors: the suppliers and other creditors are
interested to know about solvency position of the entity.
➢ Tax authorities: tax authorities are interested in financial statements for

determining the tax liability.
➢ Researchers: they are interested in financial statements in undertaking

research work in business affairs and practices.
➢ Employees: they are interested to know the growth of profit. As a result

of which they can demand better remuneration.
➢ Stock exchange: the stock exchange members take interest in financial

statements for the purpose of analysis because they provide useful
information about the companies
TOOLS OF FINANCIAL STATEMENT ANALYSIS
Techniques and tools of financial statement analysis:

Financial statements give complete information about assets, liabilities, equity,
reserves, expenses and profit and loss of an enterprise. They are not readily
understandable to interested parties like creditors, shareholders, investors etc.
Thus, various techniques are employed for analyzing and interpreting the financial
statements.
Techniques of analysis of financial statements are mainly classified into three

categories:
• Cross-sectional analysis: This is also known as inter-firm comparison. This

analysis helps in analyzing financial characteristics of an enterprise with financial
characteristics of another similar enterprise in that accounting period.
• Time series analysis: It is also called as intra-firm comparison. According to this

method, the relationship between different items of financial statement is
established, comparisons are made and results obtained. The basis of comparison
may be:
• Comparison of financial statements of different years of the same business

unit.
• Comparison of financial statement of a particular year of differentbusiness
units.
• Cross-sectional cum time series analysis: This analysis is intended to compare

the financial characteristics of two or more enterprises for definedaccounting
period. It is possible to extend such a comparison over the year. This approach is
most effective in analysing of financial statements.
Tools to analyse the financial statements are:
The analysis and interpretation of financial statements is used to determine the
financial position. A number of tools or methods or devices are used to study the
relationship between financial statements. However, the following are important
tools which are commonly used for analyzing and interpreting financial statements.
❖ Comparative financial statements
❖ Common-size financial statements
❖ Trend analysis
❖ Cash flow analysis
❖ Fund flow analysis
❖ Ratio analysis
• Comparative Financial Statements: In brief, comparative study of financial

statements is the comparison of the current financial statements of the business
with the previous year’s financial statements. It enables identification of weak
points and applying corrective measures. Practically, two financial statements
(balance sheet and income statement) are prepared in comparative form for
analysis purposes.
❖ Comparative Balance Sheet:

The comparative balance sheet shows the different assets and liabilities of the firm
on different dates to make comparison of balances from one date to another. The
comparative balance sheet has two columns for the data of original balance sheets.
A third column is used to show change (increase or decrease) in figures. The fourth
column may be added for giving percentage increase or decrease.
• Guidelines For Interpretation:

While interpreting comparative balance sheet the interpreter is expected to study
the fallowing aspects:
a. Current financial position and liquidity position of an enterprise
b. Long-term financial position
c. Profitability of the concern
a) Current financial position or liquidity position of an enterprise:
For studying current financial position or liquidity position of a concern one should
examine the working capital in both the years. Working capital is excess of current
assets over current liabilities.
Working capital = current assets – current liabilities
b) Long-term financial position of an enterprise:
For studying the long-term financial position of the concern, one should examine
the changes in fixed assets, long term liabilities and capital.
Fixed assets must be compared with long term loans and capital. If there is increase
in assets is more than increase in long term finance it means that a particular
enterprise is financed from working capital, which is not good for the firm. If the
increase in long term finance is more than increase in fixed assets it means that a
part of long term finances are made available for working capital which is a wise
policy.
c) Profitability of the enterprise:
The next aspect to be studied in a comparative balance sheet is the profitability of

the concern. The study of increase or decrease in profit will help the
interpreter to observe whether the profitability has improved or not. If there is

increase in profit and loss/ reserve balance it been that there is an increase in
profitability of the concern. The decrease in it may lead to payment of dividends,
capitalization of profit by way of issue of bonus shares.
PROFORMA OF COMPARATIVE BALANCESHEET:
Table 4.1: Format of Comparative balance sheet.
previous current Change Change in

Particulars year year (+/-) %
• Equity and
Liabilities
• Share Holder's
funds
a) Capital Xxx Xxx Xxx Xxx
b) Reserves and Surplus Xxx Xxx Xxx Xxx
• Non-current
liabilities
• Long term
Xxx Xxx Xxx Xxx
borrowings
• Deferred tax
Xxx Xxx Xxx Xxx
liabilities
• Long term
Xxx Xxx Xxx Xxx
provisions
• Current
liabilities:
• Short term
Xxx Xxx Xxx Xxx
borrowings
• Trade payables Xxx Xxx Xxx Xxx
• Other current
Xxx Xxx Xxx Xxx
liabilities
• Short term
Xxx Xxx Xxx Xxx
provisions
Total Liabilities Xxx Xxx Xxx Xxx
• Assets
• Non-Current
Assets:
• Fixed assets Xxx Xxx Xxx Xxx
• Capital Work In
Xxx Xxx Xxx Xxx
Progress
• Long term loans &
Xxx Xxx Xxx Xxx
advances
• Other Non-Current
Xxx Xxx Xxx Xxx
assets
• Current Assets:
Inventories Xxx Xxx Xxx Xxx
Sundry debtors Xxx Xxx Xxx Xxx
Cash and Bank balances Xxx Xxx Xxx Xxx
Other Current Assets Xxx Xxx Xxx Xxx
Short-term Loans and
Xxx Xxx Xxx Xxx
Advances
Total assets Xxx Xxx Xxx Xxx
COMPARATIVE INCOME STATEMENT:
The income statement provides the results of the operations of a business. This
statement traditionally is known as trading and profit and loss A/c. Important
components of income statement are net sales, cost of goods sold, selling expenses,
office expenses etc. the figures of the above components are matched with their
corresponding figures of previous years individually and changes are noted. The
comparative income statement gives an idea of the progress of a business over a
period of time. The changes in money value and percentage can be determined to
analyse the profitability of the business. Like comparative balance sheet, income
statement also has four columns. The first two columns are shown figures of
various items for two years. Third and fourth columns are show increase or
decrease in figures in absolute amount and percentages respectively.
The analysis and interpretation of income statement will involve the following:
• The increase or decrease in sales should be compared with the increase or

decrease in cost of goods sold.
• To study the operating profits.
• The increase or decrease in net profit is calculated that will give an idea about the
overall profitability of the concern.
PROFOMA OF COMPARATIVE INCOME STATEMENT:
Table-4.2: Format of Comparative Income sheet.
previous current change change

PARTICULARS year year in amt in %
• Revenue From Operations Xxx Xxx Xxx Xxx

• Add : Other Incomes Xxx Xxx Xxx Xxx
• Total Revenue (I + II) Xxx Xxx Xxx Xxx
• Less Expenses
Cost of materials consumed Xxx Xxx Xxx Xxx
Purchase of Stock-in Trade Xxx Xxx Xxx Xxx
Changes in Inventories of Finished Xxx Xxx Xxx Xxx

Goods
Work-in-Progress and Stock-in-Trade Xxx Xxx Xxx Xxx
Employee Benefit Expenses Xxx Xxx Xxx Xxx
Finance Costs Xxx Xxx Xxx Xxx
Depreciation and Amortization Xxx Xxx Xxx Xxx

Expenses
Other Expenses Xxx Xxx Xxx Xxx
Total Expenses Xxx Xxx Xxx Xxx
• Profit Before Tax (III – IV) Xxx Xxx Xxx Xxx
• Less : Tax Xxx Xxx Xxx Xxx

• Profit After Taxation (V – Xxx Xxx Xxx Xxx
VI)
LIMITATIONS OF FINANCIAL STATEMENT ANALYSIS:
❖Dependence On Historical Costs: Transactions are initially recorded at their

cost. This is a concern when reviewing the balance sheet, where the values of
assets and liabilities may change over time. The balance sheet could be misleading
if a large part of the amount presented is based on historical costs.
❖Inflationary Effects: If the inflation rate is relatively high, the amounts

associated with assets and liabilities in the balance sheet will appear inordinately
low, since they are not being adjusted for inflation. This mostly applies to long-
term assets.
❖Intangible Assets Not Recorded: Many intangible assets are not recorded as
assets. Instead, any expenditure made to create an intangible asset are immediately
charged to expense. This policy can drastically underestimate the value of a
business, especially one that has spent a large amount to build up a brand image or
to develop new products. It is a particular problem for start-up companies that have
created intellectual property but which have so far generated minimal sales.
❖Based On Specific Time Period: A user of financial statements can gain an

incorrect view of the financial results or cash flows of a business by only looking
at one reporting period. Any one period may vary from the normal operating
results of a business, perhaps due to a sudden spike in sales or seasonality effects.
❖Subject To Fraud:The management team of a company may deliberately skew
the results presented. This situation can arise when there is undue pressure to
report excellent results, such as when a bonus plan calls for pay-outs only if the
reported sales level increases. One might suspect the presence of this issue when
the reported results spike to a level exceeding the industry norm.
❖No Predictive Value: The information in a set of financial statements provides

information about either historical results or the financial status of a business as of
a specific date. The statements do not necessarily provide any value in predicting
what will happen in the future.
UNIT-5
• DATA ANALYSIS AND INTERPRETATION

COMPARITIVE INCOME STATEMENT ANALYSIS
(For the year 2015 and 2016)
31.3.2015 31.3.2016 change chang

PARTICULARS in amt e in %
(+/-)
• REVENUE 23,92,50,741.9 24,81,30,681.9
FROM 88,79,940.00 3.71
1 1
OPERATIONS :
• INCOME :
32,79,23,114.5 39,21,91,008.5 6,42,67,894.0
19.59
• Hospital 7 7 0
Collection
30,67,190.00 41,95,144.00 11,27,954.00 36.77
• Other Income
• TOTAL
57,02,41,046.4 64,45,16,834.4 7,42,75,788.0
REVENUE (I+II) 13.02
8 8 0
:
• EXPENDITURE
:
• Purchase of 15,86,32,121.5 16,65,14,491.5
78,82,370.00 4.96
stock-in trade 4 4
(87,84,229.00
• Depreciation and 8,61,45,672.00 7,73,61,443.00 (10.19)
Amortization )
Expenses
• Financial
8,60,82,320.16 9,03,89,134.16 43,06,814.00 5.00
Expenses
• Management & 1,58,75,969.0
Administrative 5,85,23,610.00 7,43,99,579.00 27.12
0
Expenses
38,93,83,723.7 40,86,64,647.7 1,92,80,924.0
Total Expenses : 0 0 0
4.95
• PROFIT
18,08,57,322.7 23,58,52,186.7 5,49,94,864.0
BEFORE TAX 8 8 0
30.4
(III – IV) :
• LESS : TAX
• Income Tax 90,46,740.00 1,31,42,632.00 40,95,892.00 45.27
• Deferred Tax
- 27,91,866.00 27,91,866.00 -
Charge
• PROFIT AFTER
18,99,04,062.7 21,99,17,688.7 3,00,13,626.0
TAX 8 8 0
15.80
(V – VI) :
INTERPRETATION:
The Revenue From Operations has been increased by₹88,79,940.00 i.e. by 3.71%
over the period. The Total Revenue has been increased by ₹7,42,75,788.00i.e. it
has increased by 13.02% over the period. The Total Expenditure increased up
to₹1,92,80,924.00 i.e. up to 4.95%. The Income Tax doubled from 00 to 000,
from ₹90,46,740 to ₹1,31,42,632. The Profit After Tax was increased from
₹18,99,04,062.78 to ₹21,99,17,688.78 i.e. up to 15.80%.
COMPARATIVE BALANCE SHEET ANALYSIS
(For the year 2015-2016)
31.3.2015 31.3.2016 change chang

PARTICULARS in amt e in %
(+/-)
• Equity and
Liabilities:
• Shareholder’s
fund:
• Share Capital 4,96,95,100.00 4,96,95,100.00 - -
• Reserve & 3,00,20,400.0
7,60,39,111.15 10,60,59,511.15 39.48
Surplus 0
• Non-Current
Liabilities:
• Bank OD A/c 4,19,38,763.30 4,60,60,314.30 41,21,551.00 9.82
2,98,42,581.0
• Secured Loans 68,20,35,842.55 71,18,78,423.55
0
4.37
Total Non-Current 3,39,64,132.0

72,39,74,605.85 75,79,38,737.85 4.69
Assets : 0
• Current
Liabilities :
• Duties & Taxes 4,10,521.44 3,03,421.44 (1,07,100.00) (26.08)
• Provisions 3,40,25,456.79 3,73,34,845.79 33,09,389.00 9.72

• Sundry (28,76,930.00
11,12,35,250.91 10,83,58,320.91 (2.58)
Creditors )
• Other Current (66,20,101.00
2,57,66,973.00 1,91,46,872.00 (25.6)
Liabilities )
Total Current Liabilities (62,94,742.00

17,14,38,202.14 16,51,43,460.14 (3.67)
: )
1,02,11,47,019.1 1,07,89,46,809.1 5,77,99,790.0
Total Liabilities 5.66
4 4 0
• Assets :
• Non-Current
Assets :
• Land 14,27,908.75 14,27,908.75 - -
2,10,00,210.0
• Buildings 18,84,46,362.23 20,94,46,572.23
0
11.14
• Computers 6,34,756.09 7,25,744.09 90,988.00 14.33
• Electrical
43,04,993.73 40,07,993.73 (2,97,000.00) (6.89)
Fittings &
Equipment
• Furniture&
56,62,399.90 70,53,359.90 13,90,960.00 24.5
Fixtures
• Hospital
5,58,723.57 7,58,915.57 2,00,192.00 35.8
Software
• Medical
Equipment(Ot 8,10,76,144.96 8,09,56,123.96 (1,20,021.00) (0.14)
hers)
• Medical
Equipment 9,98,13,730.30 9,93,12,730.30 (5,01,000.00) (0.5)
(Life Saving)
• General Plant
30,16,348.14 45,06,545.14 14,90,197.00 49.4
& Equipment
• Vehicles 41,67,508.97 48,87,704.97 7,20,196.00 17.28
Total Non-Current 2,39,74,722.0

38,91,08,876.64 41,30,83,598.64 6.16
Assets : 0
• Current Assets :
• Closing Stock 3,03,42,145.16 3,07,33,115.16 3,90,970.00 1.28
• Deposits (19,10,000.00
13,70,67,230.80 13,51,57,230.80 (1.39)
(Asset) )
• Sundry 4,48,82,936.0
34,39,61,228.47 38,88,44,164.47 13.04
Debtors 0
• Cash-in-hand 6,90,409.00 7,80,409.00 90,000.00 13.03
• Bank Accounts 45,42,754.24 42,30,931.24 (3,11,823.00) (6.86)

• Short Term
(93,17,015.00
Loans and 11,54,34,374.83 10,61,17,359.83
)
(10.74)
Advances
3,38,25,068.0
Total Current Assets : 63,20,38,142.50 66,58,63,210.50
0
5.35
1,02,11,47,019.1 1,07,89,46,809.1 5,77,99,790.0
Total Assets 4 4 0
5.66
INTERPRETATION:
• The Comparative Balance Sheet of the company reveals that during 2015-16
there has been an increase in the Non-Current Assets of₹2,39,74,722 i.e. 6.16%
whereas the Non-Current Liabilities have also increased to ₹3,39,64,132i.e.
4.69% and the share capital does not shown any difference.
• This fact depicts that the policy of the company is to purchase Non-Current
Assets from long term sources of finance thereby not affecting the Working
Capital.
• The Current Assets of the company has been increased by ₹3,38,25,068i.e.

5.35%, whereas there has been an increase in inventories amounting to
₹3,90,970. The Current Liabilities have been decreased to ₹62,94,742i.e.
(3.67%). This confirms that the company has raised Long-Term Finances even
for the Current Assets, resulting to improve the liquidity position of the
company.
• The cash in hand has been increased by ₹90,000 i.e. 13.03%.
• There is an increase in reserves & surplus in the year 2016 by₹3,00,20,400i.e.

39.48%. This shows that the profitability of the company increased by 39.48%.
31.3.2016 31.3.2017 change in chang

PARTICULARS
amt e in %
• REVENUE FROM
24,81,30,681.91 24,90,95,175.71 9,64,493.80 0.38
OPERATIONS :
• INCOME :
• Hospital
39,21,91,008.57 48,26,58,302.55 9,04,67,293.98 23.06
Collection
• Other Income 41,95,144.00 66,14,360.38 24,19,216.38 57.66
• TOTAL REVENUE 64,45,16,834.4 73,83,67,838.6
9,38,51,004.16 14.5
: 8 4
• EXPENDITURE :
• Purchase of 16,65,14,491.54 17,70,25,559.52 1,05,11,067.98 6.31

stock-in trade
• Depreciation and
(1,32,73,859.8
Amortization 7,73,61,443.00 6,40,87,583.20 (17.15)
)
Expenses
• Financial
9,03,89,134.16 9,95,28,727.83 91,39,593.67 10.11
Expenses
• Management &
Administrative 7,43,99,579.00 9,86,99,205.37 2,42,99,626.37 32.66
Expenses
40,86,64,647.7 43,93,41,075.9
Total Expenses : 3,06,76,428.22 7.50
0 2
• PROFIT BEFORE 23,58,52,186.7 29,90,26,762.7

TAX (III – IV) : 6,31,74,575.94 26.78
8 2
• LESS : TAX
• Income Tax 1,31,42,632.00 80,77,576.80 (50,65,055.20) (38.53)
• Deferred Tax 27,91,866.00 1,66,73,680.00 1,38,81,814.00 497.22
VII. PROFIT AFTER TAX 21,99,17,688.7 27,42,75,505.9

(V – VI) : 8 2 5,43,57,817.14 24.7
INTERPRETATION:
The Revenue From Operations has been increased by ₹9,64,493.80 i.e. by 0.38%
over the period. The Total Revenue has been increased by ₹9,38,51,004.16 i.e. it
has increased by 14.5% over the period. The Total Expenditure increased up to
₹3,06,76,428.22i.e. up to 7.50%. The Income Tax decreased from ₹ 1,31,42,632 to
₹80,77,576.80. The Profit After Tax was increased from ₹ 21,99,17,688.78 to
₹27,42,75,505.92 i.e. up to 24.7%
31.3.2016 31.3.2017 change in chang

PARTICULARS
amt (+/-) e in %
• Equity and
Liabilities:
• shareholder’s
fund :
• Share Capital 4,96,95,100.00 4,96,95,100.00 - -
• Reserve &
10,59,69,511.15 13,16,24,979.56 2,56,55,468.41 24.21
Surplus
• Non-Current
Liabilities :
• Bank OD A/c 4,60,60,314.30 9,66,44,115.54 5,05,83,801.24 109.8
• Secured Loans 71,18,78,423.55 72,49,46,190.88 1,30,67,767.33 1.83

• Unsecured
- 66,00,000.00 66,00,000.00 -
Loans
Total Non-Current
75,79,38,737.85 82,81,90,306.42 7,02,51,568.57 9.26
Liabilities :
• Current
Liabilities :
• Duties &
3,03,421.44 - (3,03,421.44) (100)
Taxes
• Provisions 3,73,34,845.79 4,61,78,464.81 88,43,619.02 23.68
• Sundry
10,83,58,320.91 11,77,34,761.46 93,76,440.55 8.65
Creditors
• Other Current (1,66,73,680.0
1,91,46,872.00 24,73,192.00 (87.08)
Liabilities 0)
Total Current
16,51,43,460.14 16,63,86,418.27 12,42,958.13 0.75
Liabilities :
1,07,87,46,809. 1,17,58,96,804.
Total Liabilities 9,71,49,995.11 9.00
14 25
• Assets :
• Non-Current
Assets :
• Land 14,27,908.75 14,27,908.75 0.00 -
(1,17,27,949.0
• Buildings 20,94,46,572.23 19,77,18,623.23
0)
(5.59)
• Computers 7,25,744.09 8,96,300.09 1,70,556.00 23.50
• Electrical
Fittings & 40,07,993.73 41,95,212.73 1,87,219.00 4.67
Equipment
• Furniture&
70,53,359.90 77,67,834.90 7,14,475.00 10.12
Fixtures
• Hospital
7,58,915.57 4,67,958.37 (2,90,957.20) (38.3)
Software
• Medical
Equipment(Ot 8,09,56,123.96 7,90,60,614.06 (18,95,509.90) (2.34)
hers)
• Medical
(1,33,88,187.0
Equipment 9,93,12,730.30 8,59,24,543.30
0)
(13.48)
(Life Saving)
• General Plant
45,06,545.14 35,11,291.14 (9,95,254.00) (22.08)
& Equipment
• Vehicles 48,87,704.97 32,27,999.97 (16,59,705.00) (33.95)
• Capital Work
- 7,27,91,425.00 7,27,91,425.00 -
in Progress
Total Non-Current
41,30,83,598.64 45,69,89,711.54 4,39,06,112.90 10.62
Assets :
• Closing Stock 3,07,33,115.16 2,35,29,636.00 (72,03,479.16) (23.43)
• Deposits (13,51,57,230.
13,51,57,230.80 - (100)
(Asset) 8)
• Sundry 11,34,07,457.5
38,88,44,164.47 50,22,51,622.00 29.16
Debtors 3
• Cash-in-hand 5,80,409.00 7,10,841.00 1,30,432.00 22.47
• Bank Accounts 42,30,931.24 20,26,996.04 (22,03,935.20) (52.09)
• Short Term
(7,14,76,788.8
Loans and 9,23,09,480.83 2,08,32,692.00 (77.43)
3)
Advances
• Capital
- 2,00,00,000.00 2,00,00,000.00 -
Advance
• Margin
Money - 3,67,57,602.06 3,67,57,602.06 -
Deposits
• Other Current
- 21,00,000.00 21,00,000.00 -
Assets
• Salary
- 5,48,500.00 5,48,500.00 -
Advance
• Security
- 69,17,451.00 69,17,451.00 -
Deposits
• Misc.
10,32,31,752.61
Expenses
Total Current Assets 66,56,63,210.50 71,89,07,092.71 5,32,43,882.21 7.99
1,07,87,46,809. 1,17,58,96,804.
Total Assets 9,71,49,995.11 9.00
14 25
INTERPRETATION:
there has been an increase in the Non-Current Assets of
₹4,39,06,112.90 i.e. 10.62%, whereas the Non-Current Liabilitieshave also
increased to₹ 7,02,51,568.57 i.e. 9.26% and the share capital does not shown
any difference.
• This fact depicts that the policy of the company is to purchase Non-Current
Assets from long term sources of finance thereby not affecting the Working
Capital.
• The Current Assets of the company has been increased by

₹5,32,43,882.21i.e. 7.99%. The Current Liabilities have only increased by₹
12,42,958.13.
• This confirms that the company’s Current Assets are financed from both
Short-Term and Long-Term Sources of finance.
• There has been an increase in Capital Work in Progress by ₹7,27,91,425 i.e.

This shows the growth opportunity of the company.
• The cash in hand has been increased by ₹1,30,432.00 i.e. 22.47%.
• There is an increase in reserves & surplus in the year 2017 by

₹2,56,55,468.43 that is 24.21%. This shows that the profitability of the
company increased by 24.21%.
31.3.2017 31.3.2018 change in chang

PARTICULARS
amt (+/-) e in %
• REVENUE FROM
24,90,95,175.71 25,03,10,115.71 12,14,940.00 0.48
OPERATIONS :
• INCOME :
• Hospital
48,26,58,302.55 52,71,46,959.55 4,44,88,657.00 9.21
Collection
• Other Income 66,14,360.38 81,23,143.38 15,08,783.00 22.8
• TOTAL REVENUE 73,83,67,838.6 78,55,80,218.6 4,72,12,380.0

6.39
(I + II) : 4 4 0
• EXPENDITURE :
• Purchase of
17,70,25,559.52 19,91,34,920.66 2,21,09,361.14 12.48
stock-in trade
Amortization 6,40,87,583.20 6,06,86,596.00 (34,00,987.20) (5.30)
expenses
• Financial
9,95,28,727.83 10,07,31,274.60 12,02,546.77 1.20
Expenses
• Management &
Administrative 9,86,99,205.37 12,35,92,316.00 2,48,93,110.63 25.22
Expenses
43,93,41,075.9 48,41,45,107.2 4,48,04,031.3

Total Expenses : 2 6 4
10.19
• PROFIT BEFORE
29,90,26,762.7 30,14,35,111.3
TAX 24,08,348.66 0.8
2 8
(III – IV) :
• LESS : TAX
• Income Tax 80,77,576.80 1,58,60,076.00 77,82,499.20 96.34
• Deferred Tax
1,66,73,680.00 77,61,952.00 (89,11,728.00) (53.44)
Charge
VII. PROFIT AFTER

27,42,75,505.9 27,78,13,083.3
TAX 2 8
35,37,577.46 1.28
(V – VI) :
INTERPETATION:
• The Revenue From Operations has been increased ₹12,14,940.00 i.e. by 0.48%
over the period.
• The Total Revenue has been increased by ₹4,72,12,380.00 i.e. it has increased
by 6.39% over the period.
• The Total Expenditure increased up to ₹4,48,04,031.34 i.e. up to 10.19%.
• The Income Tax doubled from 00 to 000, from ₹80,77,576.80 to

₹1,58,60,076.00.
• The Profit After Tax was increased from ₹27,42,75,505.92 to₹ 27,78,13,083.38
i.e. up to 15.80%.
31.3.2017 31.3.2018 change in chang

PARTICULARS
amt (+/-) e in %
• Equity and
Liabilities :
• shareholder’s
fund :
• Share Capital 4,96,95,100.00 4,96,95,100.00 - -
• Reserve &
13,16,24,979.56 12,51,30,630.18 (64,94,349.38) (4.93)
Surplus
• Non-Current
Liabilities :
• Bank OD A/c 9,66,44,115.54 9,91,18,857.36 24,74,741.82 2.56
• Secured (1,80,29,438.49
72,49,46,190.88 70,69,16,752.39 (2.48)
Loans )
• Unsecured
66,00,000.00 - (66,00,000.00) (100)
Loans
Total non-current
82,81,90,306.42 80,60,35,609.75 (2,21,54,696.67) (2.67)
liabilities :
• Current
Liabilities :
• Duties &
Taxes
• Provisions 4,61,78,464.81 3,92,96,661.42 (68,81,803.39) (14.9)
• Sundry
11,77,34,761.46 15,79,31,329.23 4,01,96,567.77 34.14
Creditors
• Other Current
24,73,192.00 52,88,760.00 28,15,568.00 113.84
Liabilities
Total Current
16,63,86,418.27 20,25,16,750.65 3,61,30,332.38 21.71
Liabilities :
1,17,58,96,804. 1,18,33,78,090.
Total Liabilities : 25 58
74,81,286.33 0.63
• Assets :
• Non-Current
Assets :
• Land 14,27,908.75 14,27,908.75 - -
• Buildings 19,77,18,623.23 20,72,36,102.07 95,17,478.84 4.81
• Computers 8,96,300.09 6,77,442.09 (2,18,858.00) (24.4)

• Electrical
Fittings & 41,95,212.73 33,14,955.73 (8,80,257.00) (20.98)
Equipment
• Furniture&
77,67,834.90 60,44,526.90 (17,23,308.00) (22.18)
Fixtures
• Hospital
4,67,958.37 3,91,424.37 (76,534.00) (16.35)
Software
• Medical
(1,32,42,439.00
Equipment(Ot 7,90,60,614.06 6,58,18,175.06
)
(16.74)
hers)
• Medical
(1,81,58,406.00
Equipment 8,59,24,543.30 6,77,66,137.30 (21.13)
)
(Life Saving)
• General Plant
35,11,291.14 1,06,46,664.80 71,35,373.66 203.21
& Equipment
• Vehicles 32,27,999.97 22,12,347.97 (10,15,652.00) (31.46)
• Capital Work (1,19,22,329.72
7,27,91,425.00 6,08,69,095.28 (16.37)
in Progress )
Total Non-Current (3,05,84,931.22

45,69,89,711.54 42,64,04,780.32 (6.69)
Assets : )
• Closing Stock 2,35,29,636.00 2,41,40,108.00 6,10,472.00 2.59
• Sundry
50,22,51,622.00 54,80,21,260.11 4,57,69,638.11 9.11
Debtors
• Cash-in-hand 7,10,841.00 3,77,618.00 (3,33,223.00) (46.87)
• Bank
20,26,996.04 11,23,771.12 (9,03,224.92) (44.55)
Accounts
• Short Term
Loans and 2,08,32,692.00 11,71,02,321.83 9,62,69,629.83 462.10
Advances
• Capital (2,00,00,000.00
2,00,00,000.00 (100)
Advance )
• Margin
Money 3,67,57,602.06 2,70,66,968.20 (96,90,633.86) (26.36)
Deposits
• Other Current
21,00,000.00 3,91,41,263.00 3,70,41,263.00 1763.86
Assets
• Salary
5,48,500.00 - (5,48,500.000) (100)
Advance
• Security
69,17,451.00 - (69,17,451.00) (100)
Deposits
• Misc. (10,32,31,752.6
10,32,31,752.61 - (100)
Expenses 1)
Total Current Assets 71,89,07,092.71 75,69,73,310.26 3,80,66,217.55 5.29

1,17,58,96,804. 1,18,33,78,090.
Total Assets 25 58
74,81,286.33 0.63
INTERPRETATION:
• The Comparative Balance Sheet of the company reveals that during 2017-
18 there has been an decrease in the Non-Current Assets of
(₹3,05,84,931.22) i.e. (6.69%) and also a decrease in Non-Current
Liabilities of ₹2,21,54,696.67 i.e. (2.67%).

₹3,80,66,217.55i.e. 5.29%. The Current Liabilities have been increased to
₹3,61,30,332.38 i.e. 21.71%.
• The Non-Current Assets have been decreased due to depreciation. Whereas

the Non-Current Liabilities have decreased because the company had paid
off the loans.
• The excess of Current Assets over Current Liabilities shows that the Current
Assets are financed from Current Liabilities. This shows improvement in
the liquidity position of the company.
• There is an decrease in reserves & surplus in the year 2018 by

(₹64,94,349.38)i.e. (4.93). This shows the deterioration in profitability of
the concern.
31.3.2018 31.3.2019 change in chang

PARTICULARS amt (+/-) e in %
• REVENUE FROM 25,03,10,115.7 19,53,12,337.2 (5,49,97,778.51

(21.97)
OPERATIONS : 1 0 )
• INCOME :
• Hospital 52,71,46,959.5 77,99,91,420.7 25,28,44,461.2
47.9
Collection 5 6 1
• Other Income 81,23,143.38 1,65,89,340.53 84,66,197.15 104.22
• TOTAL REVENUE 78,55,80,218.6 99,18,93,098.4 20,63,12,879.8

26.26
(I + II) : 4 9 5
• EXPENDITURE :
• Purchase of 19,91,34,920.6 17,11,72,229.2 (2,79,62,691.46
(14.04)
stock-in trade 6 0 )
Amortization 6,06,86,596.00 5,58,47,938.00 (48,38,658.00) (7.97)
Expenses
• Financial 10,07,31,274.6
9,37,49,227.83 (69,82,046.77) (6.93)
Expenses 0
• Management&
Administrative 12,35,92,316.0 12,54,31,135.0
18,38,819.00 1.48
Expenses 0 0
48,41,45,107.2 44,62,00,530.0 (3,79,44,577.23

Total Expenses : (7.83)
6 3 )
• PROFIT BEFORE 30,14,35,111.3 54,56,92,568.4 24,42,57,457.0
81.03
TAX 8 6 8
(III – IV) :
• LESS : TAX
• Income Tax 1,58,60,076.00 1,80,97,546.00 22,37,470.00 14.10
• Deferred Tax
Charge 77,61,952.00 84,47,564.00 6,85,612.00 8.83
VII. PROFIT AFTER

27,78,13,083.3 51,91,47,458.4 24,13,34,375.0
TAX 86.86
8 6 8
(V – VI) :
INTERPRETATION:
• The Revenue From Operations has been in decreased by (₹5,49,97,778.51) i.e.

by (21.97%) over the period.
• The Total Revenue has been increased by ₹20,63,12,879.85 i.e. it has increased
by 26.26% over the period.
• The Total Expenditure decreased up to (₹3,79,44,577.23) i.e. up to (7.83%).
• The Income Tax increased by₹22,37,470.00i.e. by 14.10%.
• The Profit After Tax was increased from ₹27,78,13,083.38 to

₹51,91,47,458.46 i.e. up to 86.86%.
COMPARATIVE BALANCE SHEET ANALYSIS(For the year
2018-2019)
31.3.2018 31.3.2019 change in chang

PARTICULARS
amt (+/-) e in %
• Equity and
Liabilities :
• shareholder’s
fund :
• Share Capital 4,96,95,100.00 4,96,95,100.00 - -
• Reserve &
12,51,30,630.18 13,60,97,327.00 1,09,66,696.82 8.76
Surplus
• Non-Current
Liabilities :
• Bank OD A/c 9,91,18,857.36 11,45,00,562.04 1,53,81,704.68 15.5
(2,55,78,668.3
• Secured Loans 70,69,16,752.39 68,13,38,084.01
8)
(3.61)

80,60,35,609.75 79,58,38,646.05 (1.26)
Liabilities : 0)
• Current
Liabilities :
• Duties &
Taxes
• Provisions 3,92,96,661.42 5,55,30,331.47 1,62,33,670.05 41.31
• Sundry
15,79,31,329.23 19,04,17,842.75 3,24,86,513.52 20.57
Creditors
• Other Current
52,88,760.00 - (52,88,760.00) (100)
Liabilities
Total Current
20,25,16,750.65 24,59,48,174.22 4,34,31,423.57 21.44
Liabilities :
1,18,33,78,090. 1,22,75,79,247.
Total Liabilities 4,42,01,156.69 3.73
58 27
• Assets :
• Non-Current
Assets :
• Land 14,27,908.75 14,27,908.75 - -
• Buildings 20,72,36,102.07 20,10,95,275.07 (61,40,827.00) (2.96)
• Computers 6,77,442.09 5,74,704.09 (1,02,738.00) (15.16)
• Electrical
Fittings & 33,14,955.73 35,73,605.73 2,58,650.00 7.80
Equipment
• Furniture&
60,44,526.90 49,75,157.90 (10,69,369.00) (17.69)
Fixtures
• Hospital
3,91,424.37 3,17,454.37 (73,970.00) (18.89)
Software
• Medical
(1,07,15,420.0
Equipment(Ot 6,58,18,175.06 5,51,02,755.06
0)
(16.28)
hers)
• Medical
Equipment 6,77,66,137.30 6,33,71,155.30 (43,94,982.00) (6.48)
(Life Saving)
• General Plant
1,06,46,664.80 98,46,295.80 (8,00,369.00) (7.51)
& Equipment
• Vehicles 22,12,347.97 15,20,545.97 (6,91,802.00) (31.27)
• Capital Work
6,08,69,095.28 5,39,85,367.28 (68,83,728.00) (11.30)
in Progress

42,64,04,780.32 39,57,90,225.32 (7.17)
Assets : 0)
• Current Assets
• Closing Stock 2,41,40,108.00 2,16,92,010.00 (24,48,098.00) (10.14)
• Sundry
54,80,21,260.11 61,07,99,206.27 6,27,77,946.16 11.45
Debtors
• Cash-in-hand 3,77,618.00 8,10,779.00 4,33,161.00 114.70
• Bank
11,23,771.12 26,62,414.43 15,38,643.31 136.91
Accounts
• Short Term
Loans and 11,71,02,321.83 10,73,11,716.77 (97,90,605.06) (8.36)
Advances
• Capital
- 2,94,41,062.88 2,94,41,062.88 -
Advance
• Margin
(1,35,31,459.6
Money 2,70,66,968.20 1,35,35,508.60
0)
(49.99)
Deposits
• Other Current
3,91,41,263.00 4,55,36,324.00 63,95,061.00 16.33
Assets
Total Current
75,69,73,310.26 83,17,89,021.95 7,48,15,711.69 9.88
Assets :
1,18,33,78,090. 1,22,75,79,247.
total assets 58 27
4,42,01,156.69 3.73
INTERPRETATION:
there has been an decrease in the Non-Current Assets of (₹3,06,14,555.00)
i.e. (7.17%).Non-Current Assets have been reduced due to depreciation.
• The Non-Current Liabilities have been decreased by (₹ 1,01,96,963.70) i.e.

(1.26%), it means the company has paid of₹ 1,01,96,963.70.

₹ 7,48,15,711.69 i.e. 9.88%. The Current Liabilities have been increased to
₹ 4,34,31,423.57 i.e. 21.44%.
• The excess of Current Assets over Current Liabilities shows that the Current
Assets are financed from Current Liabilities. This shows improvement in the
liquidity position of the company.
• There is an increased in reserves & surplus in the year 2019 by₹

1,09,66,696.82 i.e. 8.76%. This shows the profitability of the company has
increased by 8.76%.
31.3.201 31.3.202 change in chang

PARTICULARS 9 0 amt (+/-) e in %
• REVENUE FROM 19,53,12,337.2 14,29,99,044.5 (5,23,13,292.67
(26.78)
OPERATIONS : 0 3 )
• INCOME :
• Hospital 77,99,91,420.7 60,44,36,870.8 (17,55,54,549.9
(22.50)
Collection 6 4 2)
• Other Income 1,65,89,340.53 1,72,95,380.99 7,06,040.46 4.25
• TOTAL REVENUE (I 99,18,93,098. 76,47,31,296. (22,71,61,802.1

(22.90)
+ II) : 49 36 3)
• EXPENDITURE :
• Purchase of 17,11,72,229.2 12,13,07,034.5 (4,98,65,194.67

(29.13)
0 3 )
stock-in trade
• Depreciation
and
5,58,47,938.00 4,75,53,681.00 (82,94,257.00) (14.85)
Amortization
Expenses
• Financial
9,37,49,227.83 9,55,96,307.71 18,47,079.88 1.97
Expenses
• Management &
Administrative 12,54,31,135.0 11,57,19,490.9
(97,11,644.01) (7.74)
Expenses 0 9
44,62,00,530. 38,01,76,514. (6,60,24,015.80

Total Expenses : 03 23 )
(14.7)
• PROFIT BEFORE
54,56,92,568. 38,45,54,782. (16,11,37,786.3
TAX (29.52)
46 13 3)
(III – IV) :
• LESS : TAX
(1,80,97,546.00
• Income Tax 1,80,97,546.00 - (100)
)
• Deferred Tax
84,47,564.00 - (84,47,564.00) (100)
Charge
VII. PROFIT AFTER TAX 51,91,47,458. 38,45,54,782. (13,45,92,676.3

(25.92)
(V – VI) : 46 13 3)
INTERPRETATION:
• The Revenue From Operations has been decreased by (₹5,23,13,292.67) i.e. by

(26.78%) over the period.
• The Total Revenue has been decreased by (₹22,71,61,802.13) i.e. it has

decreased by (22.90%) over the period.
• The Total Expenditure decreased up to (₹6,60,24,015.800) i.e. up to (14.7%).
• The Income Tax in the year 2020 was nil.
• The Profit After Tax was decreased from (₹51,91,47,458.46) to

(₹13,45,92,676.33) i.e. up to (25.92%).
31.3.2019 31.3.2020 change in chang

PARTICULARS amt (+/-) e in %
• Equity and
Liabilities :
• Shareholder’s
fund :
• Share Capital 4,96,95,100.00 4,96,95,100.00 - -
• Reserve &
13,60,97,327.00 13,56,43,491.71 (4,53,835.29) (0.33)
Surplus
• Non-Current
Liabilities :
• Bank OD A/c 11,45,00,562.04 12,26,03,516.93 81,02,954.89 7.07
• Secured Loans 68,13,38,084.01 68,53,14,366.74 39,76,282.73 0.58

• Unsecured
- 58,00,000.00 58,00,000.00 -
Loans
Total Non-Current
79,58,38,646.05 81,37,17,883.67 1,78,79,237.62 2.25
Liabilities :
• Current
Liabilities :
• Duties &
- 15,006.62 15,006.62 -
Taxes
• Provisions 5,55,30,331.47 6,40,88,767.74 85,58,436.27 15.4
• Sundry (2,00,10,587.2
19,04,17,842.75 17,04,07,255.53 (10.50)
Creditors 2)
• Other Current
Liabilities
Total Current (1,14,37,144.3
24,59,48,174.22 23,45,11,029.89 (4.65)
Liabilities : 3)
1,22,75,79,247. 1,23,35,67,505.
Total Liabilities 27 27
59,88,258.00 0.48
• Assets :
• Non-Current
Assets :
• Land 14,27,908.75 14,27,908.75 - -
• Buildings 20,10,95,275.07 22,11,07,413.07 2,00,12,138.00 9.95

• Computers 5,74,704.09 5,90,971.09 16,267.00 2.83
• Electrical
Fittings & 35,73,605.73 26,71,372.73 (9,02,233.00) (25.24)
Equipment
• Furniture&
49,75,157.90 50,00,588.90 25,431.00 0.51
Fixtures
• Hospital
3,17,454.37 3,90,472.37 73,018.00 23.00
Software
• Medical
5,51,02,755.06 5,01,95,113.06 (49,07,642.00) (8.90)
Equipment
• Medical
6,33,71,155.30 7,45,56,227.30 1,11,85,072.00 17.65
Equipment
• General Plant
98,46,295.80 99,28,613.80 82,318.00 0.83
& Equipment
• Vehicles 15,20,545.97 11,26,876.97 (3,93,669.00) (25.8)
• Capital Work
5,39,85,367.28 5,65,31,799.00 25,46,431.72 4.71
in Progress
Total Non-Current
39,57,90,225.32 42,35,27,357.04 2,77,37,131.72 7.0
Assets :
• Investments :
• Shares in
3,18,00,000.00 3,18,00,000.00
Vijayanagar - -
Hospitals Pvt Ltd
• Closing Stock 2,16,92,010.00 1,93,17,096.00 (23,74,914.00) (10.94)

• Sundry (3,01,56,008.0
61,07,99,206.27 58,06,43,198.24 (4.93)
Debtors 3)
• Cash-in-hand 8,10,779.00 2,23,091.00 (5,87,688.00) (72.48)

• Bank
26,62,414.43 27,15,748.91 53,334.48 2.00
Accounts
• Short Term
(2,89,46,693.9
Loans and 10,73,11,716.77 7,83,65,022.78 (26.97)
9)
Advances
• Capital (1,23,98,092.0
2,94,41,062.88 1,70,42,970.88 (42.11)
Advance 0)
• Margin
Money 1,35,35,508.60 3,61,96,696.42 2,26,61,187.82 167.42
Deposits
• Other Current
Assets 4,55,36,324.00 4,37,36,324.00 (18,00,000.00) (3.95)
(5,35,48,873.7
Total Current Assets : 83,17,89,021.95 77,82,40,148.23
2)
(6.43)
1,22,75,79,247. 1,23,35,67,505.
Total Assets 27 27
59,88,258.00 0.48
INTERPRETATION:
• The Comparative Balance Sheet of the company reveals that during 2019-
20 there has been an increase in the Non-Current Assets of ₹2,77,37,131.72
i.e. 7.0%, whereas the Non-Current Liabilities have also increased by
₹1,78,79,237.62 i.e. 2.25%.
• This fact depicts that the policy of the company is to purchase fixed assets
from long term sources of finance thereby not affecting the Working Capital.
• The company’s share capital is same for both the years. It means the
company has not issued any share for the current year.
• The Current Assets of the company has been decreased by (₹5,35,48,873.72)

i.e. (6.43%). The Current Liabilities have also decreased by
(₹1,14,37,144.33) i.e. (4.65%).
• There has been an increase in Capital Work in Progress by ₹25,46,431.72i.e.

(4.71%). This shows the growth opportunity of the company.
• There has been an increase in plant and equipment by ₹82,318.00 i.e.

0.83%. This will increase the production capacity of the concern.
• There is an decrease in reserves & surplus in the year 2020 by(₹4,53,835.29)

i.e. (0.33%). This shows the deterioration in profitability of the company.
.
UNIT-6
• SUMMARY
• FINDINGS
• SUGGESTIONS
• ANNEXURE
• BIBLIOGRAPHY
SUMMARY, FINDINGS, SUGGESTIONS & CONCLUSION:
SUMMARY:
Financial management is important because it has an impact on all the activities of

a firm. Its primary responsibility is to discharge the finance function successfully.
It touches on all the other business functions. Financial performance is a
managerial activity, which is concerned with the planning and controlling the
firm’s financial resources. Financial resources of are the life blood of the business
organizations. We cannot imagine a business without finance because it is the
central point of all business activities because of all decisions are financial
implications. It is essential for any type of business - big or small; government,
semi-government and non-government. The finance function of the management is
equally important for profit and non-profit organizations.
Healthcare has become one of the India’s largest sector – both in terms of revenue
and employment. Healthcare comprises hospitals, medical devices, clinical trials,
outsourcing, telemedicine, medical tourism, health insurance, and medical
equipment. India’s competitive advantage lies in its large pool of well-trained
medical professionals.
Queen’s NRI Hospital was established in the year 1994. It started its services on
18-02-1994 with 30 beds. Moreover it goes on increasing its bed capacity. In 2017
its about 130 bedded hospital. At present its more than 350 bedded hospital. They
offer personalized patient centric treatment and care with a comprehensive array of
services and 24/7 support.
Queen's NRI Hospital, a 300 bed multi-specialty acute-cum-critical care referral

hospital, is one of the most well-equipped and premier hospitals in Coastal Andhra.
Since from 1994, the Hospital has come a long way with the commitment and
passion of over 100 dedicated healthcare professionals, comprising internationally
acclaimed doctors /surgeons and efficient support staff, and world-class facilities.
Providing personalized patient-centered treatment and care, 24/7 support and
services, we uphold high ethical standards while breaking new grounds in the field
of healthcare and medicine. Address: Gurudwara Lane, Seethammadara
Visakhapatnam-5300131.
Queen's NRI Hospital, a 300 bed multi-specialty acute-cum-critical care referral

hospital, is one of the most well-equipped and premier hospitals in Coastal Andhra
Providing High Standard TreatmentConsult Our Specialists Online Queen’s NRI
Hospital brings India’s leading oncologists to you with online consults for new
patients and second opinions. Consult Our Specialists Online 9 out of 10 cases of
Colorectal Cancer can be Treated Successfully when found Early Colorectal
Cancer Can Be Treated in Early Stage
The project entitled working capital management in QUEEN’S NRI HOSPITAL

was divided into 6 chapters. It deals with Introduction of working capital
management, need for the study, objectives, methodology and limitations of the
study. It deals with the industry profile of Indian Healthcare and also company
profile of QUEEN’S NRI HOSPITAL.
Department of Nephrology in Queen's NRI Hospital was established in 2005. Over
the last eight years the department has grown leaps and bounds and presently it's a
full- fledged department with all the amenities. Nephrology
InstituteINTEGRATED INPATIENT KIDNEY CARE Treatment and Clinical
Support
The organization structure includes various functional departments headed by

Board of Director and clinical and non-clinical departments are Accounts
Department, HR department, marketing department, billing department and
Hospital admin department headed by Managers. It deals with the theoretical
background of working capital management which includes introduction,
definition, needs, management and process of working capital management,
problems of working capital management. It includes calculation of different ratios
and schedule of changes in working capital for 2014-2015,2015-2016,206-
2017,2017-2018, 2018-2019.It contains summary, findings and suggestions. The
suggestions were given based on the findings.
FINDINGS:
The current assets have increased during 2015-2016 year by Rs
3,38,25,068.00 i.e. 5.35%. And the profit before tax of these years increased by
15.80%.
The current liabilities has been decreased in the year 2015-2016

byRs62,94,742 i.e. 3.67%.
The inventories of 2015-2016 has been increased by Rs 3,90,970 i.e. 1.28%
The years 2015-2016 reveals that revenue from operations has been increased
by 3.71%
The inventories have been decreased during 2016-2017 by Rs72,03,479.16

i.e. 23.43%, and in the year 2018-19 by Rs24,48,098.00 i.e. 10.14%and in the
year 2019-2020 i.e. 10.94%.
The total expenses has been decreased during these years 2019-2020 that is
Rs 6,6024,015.80 i.e. 14.7% .
Analysing the five years balance sheet of the company, it reveals that the
reserves and surplus of the has been decreased in the year 2018 because they
have used the surplus to pay off their long-term debts and it has also decreased
in the year 2020 due to covid pandemic and issue of their new shares.
The total liabilities of the company are having successive ups and downs,
which mean suddenly reducing the liabilities and raising them which effects the
financial position of the company.
The profit before tax decreased in 2019-2020 by 25.92%.

SUGGISTIONS:
In the financial year 2015-2016 compare reserves amount increase, that
amount used to paid dividend to share holders and clear the miscellaneous
expences.
Buildings also increase 11.14% buildings also use properly for production
activites.
Sundry debtors also increase 13.04% try collect the amount from debtors
automatically cash increased in the organization.
In the financial year 2016-2017 company closing stock decrease 23.43% it's
mean sales increase, it is good sign to the organization.
In the financial year 2017- 2018 company bank overdraft (O.D) increase
2.56% for increase bank O.D amount paid additional interest , it is burden to
the firm,try to decrease the overdraft amount.
In the financial year 2018-2019 company bank accounts increase 2%,

withdraw that amount clear sundry creditors amount, because interest
amount pay creditors it is burden to the organization.
We compare to 2019 and 2020 share capital amount not increase, try to collect
the share capital and expansion the business.
BIBLOGRAFHY:
Websites Referred:
• https://www.Queen’snrihospital.com
• https://economictimes.indiatimes.com
• https://www.ibef.org/industry/healthcare-india.aspx
• https://www.scribd.com
• http://www.googlescholar.com
Books Referred:
• R. K. Sharma, Management Accounting, Kalyani Publishers, New Delhi.
• Management Accounting – Shashi K Guptha and R.K Sharma.
Other Reference:
• Company data base
• Company internal records

ANEXXUERS
BALANCE SHEET AS ON 31/03/2015

PARTICULARS 2015
Equity and liabilities
Share holders fund
Share capital 4,96,95,100.00
Reserve and surplus 7,60,39,111.15
Non current liabilities
Bank OD A/c 4,19,38,763.30
Secured loans 68,20,35,842.55
Unsecured loans
Total 72,39,74,605.85
Current liabilities
Duties and taxes 4,10,521.44
Provisions 3,40,25,456.79
Sundry creditors 11,12,35,250.91
Other current liabilities 2,57,66,973.00
Total 17,14,38,202.14
Total liabilities 1,02,11,47,019.14
Assets
Non current assets
01.Land 14,27,908.75
02. buildings 18,84,46,362.23
03. computers 6,34,756.09
04. electrical fittings and equipments 43,04,997.73
05. furniture and fixtures 56,62,399.90
06. hospital software 5,58,723.57
07.medical equipments ( others ) 8,10,76,144.96
08. medical equipments ( life saving ) 9,98,13,730.30
09. general plant and equipments 30,16,348.14
10.vechiles 41,67,508.97
11. capital working progress
Investments
Total 38,91,08,876.64
Current assets
Closing stock 3,03,42,145.16
Deposits ( asset ) 13,70,67,230.80
Sundry debitors 34,39,61,228.47
Cash-in-hand 6,90,409.00
Bank accounts 45,42,754.24
Short term loans and advances 11,54,34,374.83
Capital advances
Margin money deposits
Other current assets
Salary advance
Security deposits
Misc. expences
Total 63,20,38,142.50
Total assets 1,02,11,47,019.14
ANEXXUERS

PARTICULARS 2016
Share holders fund
Bank OD A/c 4,60,60,314.30
Unsecured loans
Total 75,79,38,737.85
Current liabilities
Duties and taxes 30,03,421.44
Provisions 3.73,34,845.79
Other current liabilities 1,91,46,872.00
Total 16,51,43,460.14
Assets
Non current assets
01.Land 14,27,908.75
02. buildings 20,94,46,5725.23
03. computers 7,25,744.09
10.vechiles 48,87,704.97
11. capital working progress
Investments
Total 41,30,83,598.64
Current assets
Deposits ( asset ) 13,51,57,230.80
Capital advances
Margin money deposits
Other current assets
Salary advance
Security deposits
Misc. expences
Total 66,56,63,210.50
Total assets 1,07,87,46,809.14
ANEXXUERS

PARTICULARS 2017
Share holders fund
Bank OD A/c 9,66,44,115.54
Unsecured loans 66,00,000.00
Total 82,81,90,306.42
Current liabilities
Duties and taxes
Other current liabilities 24,73,192.00
Total 16,63,86,418.27
Assets
Non current assets
01.Land 14,27,908.75
02. buildings 19,77,18,623.23
03. computers 8,96,300.09
10.vechiles 32,27,999.97
11. capital working progress 7,27,91,425.00
Investments
Total 45,69,89,711.54
Current assets
Deposits ( asset )
Capital advances 2,00,00,000.00
Margin money deposits 3,67,57,602.06
Other current assets 21,00,000.00
Salary advance 5,48,500.00
Security deposits 69,17,451.00
Misc. expences 10,32,31,752.61
Total 71,89,07,092,.71
Total assets 1,17,58,96,804.25
ANEXXUERS

PARTICULARS 2018
Share holders fund
Bank OD A/c 9,91,18,857.36
Unsecured loans
Total 80,60,35,609.75
Current liabilities
Duties and taxes
Other current liabilities 52,88,760.00
Total 20,25,16,750.65
Assets
Non current assets
01.Land 14,27,908.75
02. buildings 20,72,36,102,.07
03. computers 6,77,442.09
09. general plant and equipments 1,06,46,664.80
10.vechiles 22,12,347.97
Investments
Total 42,64,04,780.32
Current assets
Deposits ( asset )
Capital advances
Other current assets 3,91,41,263.00
Salary advance
Security deposits
Misc. expences
Total 75,69,73,310.26
Total assets 1,18,33,78,090.58
ANEXXUERS

PARTICULARS 2019
Share holders fund
Bank OD A/c 11,45,00,562.04
Unsecured loans
Total 79,58,38,646.05
Current liabilities
Duties and taxes
Other current liabilities
Total 24,59,48,174.22
Assets
Non current assets
01.Land 14,27,908.75
02. buildings 20,10,95,275.07
03. computers 5,74,704.09
10.vechiles 15,20,545.97
Investments
Total 39,57,90,225.32
Current assets
Deposits ( asset )
Other current assets 4,55,36,324.00
Salary advance
Security deposits
Misc. expences
Total 83,17,89,021.95
Total assets 1,22,75,79,247.27
ANEXXUERS

PARTICULARS 2020
Share holders fund
Bank OD A/c 12,26,03,516.93
Unsecured loans 58,00,000.00
Total 81,37,17,883.67
Current liabilities
Duties and taxes 15,006.62
Other current liabilities
Total 23,45,11,029.89
Assets
Non current assets
01.Land 14,27,908.75
02. buildings 22,11,07,413.07
03. computers 5,90,971.09
10.vechiles 11,26,876.97
Investments 3,18,00,000.00
Total 45,53,27,357.04
Current assets
Deposits ( asset )
Other current assets 4.37,36,324.00
Salary advance
Security deposits
Misc. expences
Total 77,82,40,148.23
Total assets 1,23,35,67,505.27

A Study On Financial Statements

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A STUDY ON

FINANCIAL STATEMENT ANALYSIS

MASTER OF BUSINESS ADMINISTRATION

Under the guidance of

SRINIVASA INSTITUTE OF MANAGEMENT STUDIES

This is to certify that the project report entitled “A STUDY ON FINANCIAL

Place: Visakhapatnam Ms.P.RAJYA LAKSHMI

I hereby declare that the project work entitled “A STUDY ON FINANCIAL

Place: Visakhapatnam DOLA RUPAVATHI

I hereby express my sincere thanks to Dr HANIEFUDDIN SHAIK, Director, Srinivasa

I am extremely thankful to A.V.K. RAMAKANTH Manager-HR for giving me permission to

Financial analysis is ‘the process of identifying the financial strengths and

Queens NRI Hospital has a 12 bedded emergency room equipped with

Every stake holder of the organization is interested to know the financial

Common hospital support units include a dispensary or pharmacy,

The present study “comparative analysis” of QUEEN’S NRI HOSPITAL

• To study the profile of Hospital Industry.

• To study the company profile of Queen’s NRI Hospital, Visakhapatnam.

• To study the theoretical frame work of comparative analysis.

• To understand and evaluate the financial performance of the organization

METHODOLOGY OF THE STUDY:

• Observation of various departments.

secondary sources like:

LIMITATIONS OF THE STUDY:

Healthcare has become one of India’s largest sectors - both in terms of

• As of July 2019, around 125.7 million families enrolled as beneficiaries

PROBLEMS OF HEALTH SERVICES:

CHALLENGES FOR HEALTH CARE:

Road for healthcare sector:

India is a land full of opportunities for players in the medical devices

Indian healthcare sector is much diversified and is full of opportunities in every

GOVERNMENT POLICIES(government initiatives):

• PradhanMantri Jan ArogyaYojana (PMJAY) also known as Modicare,

• In August 2018, the Government of India approved Ayushman Bharat -

• Union Minister of Chemicals and Fertilizers, DV SadanandaGowda,

TOP HEALTH CARE COMPANIES IN THE WORLD:

• JOHNSON & JOHNSON

TOP HEALTH CARE COMPANIES IN INDIA:

• APOLLO HOSPITALS ENTERPRISES LTD.

CHALLENGES FACED BY HEALTH CARE INDUSTRY IN INDIA

According to the FICCI-EY study on economic impact of the pandemic on

In the initial stages of COVID-19 outbreak, the industry through various

in home quarantine, patients in E-ICU beyond metros, cases recovering from

ARTICLES RELATING TO HEALTHCARE SECTOR:

Five paradoxes of Indian Healthcare

Are 57% 'doctors' quacks? Centre says no, then yes

Microsoft News Center India

National Medical Commission bill to be biggest

Jul 29, 2019, 03.16 PM IST

byEfraimBenmelech, Janice Eberly, Dimitris Papanikolaou, and Joshua Krieger

Hospital Allocation and Racial Disparities in

by Amitabh Chandra, PragyaKakani, and Adam Sacarny4 JAN 2021

DR. RANGA RAO CHALASANI (Late) - CHAIRMAN

Dr.C. VIJAYA LAKSHMI, MBBS, FRCOG (UK)

Dr.C. SAILESH, MBBS, MD (DERMATOLOGY)

Dr. C. VIJAYA LAKSHMI, MBBS, FRCOG (UK) – CHAIRPERSON

Dr. C. SAILESH, MBBS, MD (Dermatology) – MANAGING DIRECTOR

Mr. T. CHANDRAMOULISWARA RAO, M.Com, MBA, LLB (CA) – CEO

Dr.C. VIJAYA LAKSHMI, MBBS, FRCOG (UK) -CHAIRPERSON

Dr. HIMA BINDU, MBBS. ED., (Hospital admin.) – EXECUTIVE DIRECTOR

Dr. D USHA, MBBS. - MEDICAL DIRECTOR

• To be internationally recognized as an institute that provides qualitatively

• We aim to provide the most comprehensive healthcare services in a patient