For the complete report, get in touch with us at : info@netscribes.com Continual improvement in the field of Information and Communications Technology (ICT) coupled with favorable demographics prevailing in India is predominantly driving the telemedicine market in India. The market receives plenty of government attention which in turn further proves to be a boon for growth. Competition in the market is healthy wherein most of the players are focusing on the rural sections of India. The report begins with an introduction section, featuring an illustration defining the concept of telemedicine. It depicts all the components that actually build up telemedicine system. Market overview section of the report talks about the Indian market as a whole and highlights crucial aspect of the market such as factors driving the market, government participation, proportion of telemedicine within the overall healthcare sector and the preferred business model by vendors in the market. The section features forecasted market figures (2011-2015e) as well. Telemedicine snapshot portion has been derived after a thorough research, wherein key strategic insights about the market has been mentioned so as to provide a clear cut idea about the market scenario in India in current times. SWOT analysis of the overall telemedicine market has been done and presented in the report, which further provides readers with the relevant strength, weakness, opportunities and threats for the market in India. The section features a detailed analysis of each SWOT point. Telemedicine technology of the report talks about the various technological concepts that currently prevail in the market. The technological models that have been mentioned in the report include Point to Point, Point to Multipoint and Multipoint to Multipoint models. Each individual model has been represented graphically in order to give the reader a visual point of reference and make the concept easier to understand. The section is immediately followed by Major Application Area section which talks about the various healthcare areas within which telemedicine has gained a significant amount of traction over the years. Players operating in these areas are witnessing a steady growth and a strong boost is further anticipated in the enduing years. Government Initiative section talks about all the major steps taken so far by the Government of India (GoI). The key steps identified so far includes the formation of departments and organization such as Department of Information Technology, Indian Space Research Organization, Ministry of External Affairs and Ministry of Health and Family Welfare. The report features a comprehensive list of all the major initiatives taken by these fundamental bodies. The section will be useful in figuring out the key incentives or the benefits that players in the market are subjected to.

1. Telemedicine Market – India
Telemedicine Market India
July 2012

2. Executive Summary
 The Indian telemedicine market is currently valued at INR xx mn and is expected to attain a CAGR
of 20% to reach INR xx mn by 2015
Market  The market has received plenty of government attention which in turn has inflicted positive
g
growth rate
 With the continual improvement in the field of telecommunications, the market will reach a state
of full swing in the ensuing years
 Point to Point
Telemedicine
T l di i  Point to Multi Point
Technology
 Multi Point to Multi Point
Drivers Challenges
 Favorable demographics  Weak ecosystem for stake holders
Drivers and  Continual improvement in connectivity  Implementation Issues
Challenges  Shortage of healthcare professionals in rural areas
 Increasing ageing population
Increasing ageing population
Key Telemedicine Players
Competition Teleradiology Solutions Televital India
Religare Technologies Apollo Telehealth Services
TELEMEDICINE MARKET IN INDIA 2012.PPT 2

3. •Market Introduction
•Market Overview
•SWOT Analysis
•Telemedicine Technology
•Major Application Areas
•Government Initiatives
•Drivers and Challenges
•Strategic Insights – New Entrants
•Major Players
j l
•Strategic Recommendations
•Appendix
A di
TELEMEDICINE MARKET IN INDIA 2012.PPT 3

4. SAMPLE
Telemedicine ‐ Summary
Communication Biomedical
Technology
gy Engineering
g g
Telemedicine
Information
Medical Science
Technology
TELEMEDICINE MARKET IN INDIA 2012.PPT 4

5. Telemedicine is gaining a robust growth rate and is
expected gain further traction in the years to come
Telemedicine Market ‐ Overview
• Indian telemedicine market is currently at its nascent stage, however it has tremendous potential to unfold in the
years to come
• The market has been constantly under the priority sectors of the government as a result of which plenty of initiatives
have been taken so far which in turn has infused tremendous growth opportunities
accounts for approximately xx%
SAMPLE
SAMPLE
• The overall healthcare industry shells out an amount close to INR 47 bn on a yearly basis, out of which telemedicine
• Primarily, a public private partnership (PPP) is considered to be the most appropriate business model for the Indian
telemedicine market
 In the business model, infrastructure support can be provided by GoI, whereas the private operators can cater to the healthcare human
resource requirements
Telemedicine – Market Size & Growth
INR mn
a
b xx
c
0
2011 2012e 2013e 2014e 2015e
TELEMEDICINE MARKET IN INDIA 2012.PPT 5

6. SAMPLE
Telemedicine Market – Snapshot (1/2)
Increasing Awareness
Prime Reasons for
Growth Government Initiatives
XXXXX
Urban market share is very small
Urban Market
Scenario YYYYYY
XXXXX
Average Setup Cost Primarily ranges between INR 0.05 mn – INR 2 mn
TELEMEDICINE MARKET IN INDIA 2012.PPT 6

7. Strength
SAMPLE
Telemedicine Market ‐ SWOT Analysis Summary
Weakness
•Favorable Demographics
•Lack of Technological Awareness
Lack of Technological Awareness
•Government Initiatives
•XXX
•XXXX
•YYYY
•YYYY
SWOT Analysis
Opportunity Threat
•Lack of Confidence
•Arrival of 4G Spectrum
•XXXXX
TELEMEDICINE MARKET IN INDIA 2012.PPT 7

8. Types of telemedicine is basically distinguished on the basis
SAMPLE
of the participants involved
Point to Point Point to Multi Point
Types of Telemedicine
Multi Point to Multi
Point
TELEMEDICINE MARKET IN INDIA 2012.PPT 8

9. SAMPLE
Point to Point Telemedicine – Framework
Patient End
P ti t E d Doctors End
D t E d
Digital Camera
Doctor’s Chamber
Scanner
Switch Switch
Webcam Display Unit
Display Unit
The Framework depicted is indicative
TELEMEDICINE MARKET IN INDIA 2012.PPT 9

10. Telemedicine has find its implementation across a wide
range of areas SAMPLE
Tele Consultation
Used to facilitate
communication, so as to
Tele Diagnosis provide patients and local
doctors with the initial lines of
treatment
XXXX
Telemedicine Primarily implemented to
Implementation YYYYY
provide educational services
provide educational services
including training and
Tele Training
guidance to doctors and
paramedics
To provide monitoring services
To provide monitoring services
ZZZZZZ for intensive and emergency
situations
Used to provide support
AAAAA
services in case of any disaster
TELEMEDICINE MARKET IN INDIA 2012.PPT 10

11. Government Initiatives ‐ Summary
SAMPLE
Department of Information Indian Space Research
Technology Organization
Initiatives
Ministry of Health and Family
Ministry of External Affairs
Welfare
TELEMEDICINE MARKET IN INDIA 2012.PPT 11

12. SAMPLE
Department of Information Technology (DIT)
• Eyeing the tremendous growth prospects in telemedicine, the Department of Information Technology (DIT) has played a
crucial role in the upliftment of the sector
• So far the organization has taken certain concrete initiatives including development of technology, launching pilot
schemes and standardization of the overall market in India
• Further to standardize telemedicine services, DIT has drafted the ‘Recommended Guidelines & Standrads for Practice of
Telemedicine in India’
• Framework used to define the guidelines and standrads can be illustrated as below:
Telemedicine Service Providers Technology Providers
XXXXX Information Exchange Standards
Security
AAAAAAA
Technology
Telemedicine Consultation Primary
Protocols
XXXXXX Secondary
Guidelines and Standards
Tertiary
Process Guidelines System Requirements
TELEMEDICINE MARKET IN INDIA 2012.PPT 12

13. Indian Space Research Organization
SAMPLE
• ISRO as a government body has been active towards the upliftment of Indian telemedicine market since its inception
 Primarily, these initiatives have been started under the GRAMSAT programme
• Some of the major steps taken for the telemedicine market includes the following:
 Linking of Indian National Satellite (INSAT) to rural areas including Jammu, Kashmir & Ladakh, Andaman, Lakshadweep and North
k f l ll ( ) l l h kh kh h
Eastern state hospitals and health centres
 It is also engaged in providing seamless connectivity between remote/ rural hospitals and super specialty hospitals so as to facilitate tele
consultation, treatment & training, Continuing Medical Education (CME) and mobile telemedicine units for rural areas
XX Hospitals YYY
District / Rural Hospitals
District / Rural Hospitals
ISRO Telemedicine
Network
B Mobile Vans
B Mobile Vans A Super Specialty Hospitals
A Super Specialty Hospitals
TELEMEDICINE MARKET IN INDIA 2012.PPT 13

14. SAMPLE
Ministry of Health and Family Welfare (1/2)
So far, the Ministry of Health and Family Welfare (MoH&FW) has taken an array of initiatives for the Indian
telemedicine market, some of which can be , mentioned as below:
Joined hands with ISRO for the implementation of Disease Surveillance Programme
Establishing the OncoNET India network, which connects 25 regional
cancer centres and 1– peripheral centres to provide comprehensive
cancer centres and 1– peripheral centres to provide comprehensive
cancer treatment facilities and facilitate cancer prevention and research
activities
Has approved tele‐ophthalmology project to provide eye care specialty
services in the rural areas of Punjab, Uttar Pradesh, West Bengal, with
the aide of mobile vans
TELEMEDICINE MARKET IN INDIA 2012.PPT 14

15. Ministry of External Affairs
SAMPLE SAARC Telemedicine Network
• Has initiated a pilot project wherein one or two hospitals from each of the SAARC nations have been
i i i d il j h i h i l f h f h S C i h b
connected to super specialty hospitals in India
• Super specialty hospitals identified for this project includes AIIMS, SGPGIMS, PGIMER and CARE hospital
e p ojec s e pec ed o b g o e a ced usage o e e ed c e a eg o a e e s a d e co ec
• The project is expected to bring forth enhanced usage of telemedicine at regional levels and interconnect it
with other necessary areas including education, business process outsourcing and mass communication
Pam‐African e network Project
• MEA has joined hands with Telecommunications Consultants India Ltd. (TCIL) so as to establish a VSAT based
tele‐medicine and tele‐education market for African countries in 53 nations of the African Union
t l di i d t l d ti k t f Af i t i i 53 ti f th Af i U i
• For this purpose, 10 super specialty hospitals have been identified to cater to the tele‐health service for 53
African hospitals
p g y
• This initiative will push the demands in the Indian market significantly
TELEMEDICINE MARKET IN INDIA 2012.PPT 15

16. Drivers & Challenges – Summary
SAMPLE
Drivers Challenges
Favorable demographics Weak ecosystem for stake holders
Continual improvement in
Continual improvement in
connectivity Implementation Issues
Shortage of healthcare professionals in
rural areas
Increasing ageing population
TELEMEDICINE MARKET IN INDIA 2012.PPT 16

17. Improvement in the field of connectivity will act as a major
boon for the overall market in India
Continual improvement in connectivity Impact
• The overall concept of telemedicine is majorly dependant on the connectivity medium available
• Generally, internet and satellite connections are the prime modes to interconnect a remote
y, p
health centre to the concerned healthcare authority
more opportunities for players
more opportunities for players SAMPLE
• Currently, the overall connectivity (both internet as well as satellite) in India has gained
significant momentum and is expected to grow further in the years to come, thereby providing
• Additionally, improvement in connections will improve the standard and quality of services,
thereby gaining trust and confidence of end users
Total Internet Subscribers – India
Rural Subscribers Urban Subscribers
Subscriber Base mn
a
b
c
d
e
f
0
2010 2011 2012e 2013e 2014e 2015e
TELEMEDICINE MARKET IN INDIA 2012.PPT 17

18. New players in the market can largely benefit from the rural
market in India SAMPLE
• The healthcare infrastructure prevailing, especially in the rural parts of India is weak, unreliable and faces acute
shortage of proper healthcare professionals
• It is this opportunity gap which can be effectively targeted by new entrants in the market can establish a stronger
foothold
foothold
• Below listed are the details of health infrastructure prevailing in rural India:
Rural Healthcare
Infrastructure
Sub Centres Primary Health Centres Community Health Centres
TELEMEDICINE MARKET IN INDIA 2012.PPT 18

19. SAMPLE
Rural Health Infrastructure ‐ Coverage
Average Rural Population
Category Norms Present coverage
Sub Centre xxx Xxx
Primary Health Centre Xxx Xxx
Community Health Centre Xxx Xxx
Average Rural Area
Average Rural Area
Category Present coverage (Sq. Km)
Sub Centre Xxx
Primary Health Centre
Pi H l hC Xxx
X
Community Health Centre Xxx
Average No. of Villages
Average No. of Villages
Category Present coverage
Sub Centre Xxx
Primary Health Centre
Primary Health Centre Xxx
Xxx
Community Health Centre Xxx
TELEMEDICINE MARKET IN INDIA 2012.PPT 19

20. State/ UT
SAMPLE
Rural Infrastructure – In Position (x/x)
Population (2011) Health Infrastructure (Established 2007‐12) Health Infrastructure (Functional)
Total Rural X Y Z X Y Z
Xxx 84665533 56311788 12522 1624 281 12522 1624 281
xxx 1382611 1069165 286 97 48 286 97 48
xxx 31169272 26780516 4604 938 108 4604 938 108
xxx 103804637 92075028 9696 1863 70 9696 1863 70
xxx 25540196 19603658 5076 741 148 5076 741 148
xxx 1457723 551414 175 19 5 175 19 5
xxx 60383628 34670817 7274 1123 305 7274 1123 305
xxx 25353081 16531493 2508 444 107 2508 444 107
xxx 6856509 6167805 2067 453 76 2067 453 76
xxx 12548926 9134820 1907 397 83 1907 397 83
xxx 32966238 25036946 3958 330 188 3958 330 188
xxx 61130704 37552529 8870 2310 180 8870 2310 180
xxx 33387677 17455506 4575 809 224 4575 809 224
xxx 72597565 52537899 8869 1156 333 8869 1156 333
xxx 112372972 61545441 10580 1809 365 10580 1809 365
xxx 2721756 1899624 420 80 16 420 80 16
xxx 2964007 2368971 405 109 29 405 109 29
xxx 1091014 529037 370 57 9 370 57 9
TELEMEDICINE MARKET IN INDIA 2012.PPT 20

21. Major Public Companies ‐ Summary
Net Profit/Loss
3,000
Size of the Bubble represents Market Capitalization in INR bn
2,500
2,000
1,500
1,000
500
bbb
SAMPLE
SAMPLE
0 xxx
ccc
‐500
‐1,000
‐2,000 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000
Total income
aaa bbb ccc
Note: All figures are in INR mn and are based on the latest financials available
TELEMEDICINE MARKET IN INDIA 2012.PPT 21

22. Public: Foreign Company – Player A (1/3)
Company Information
SAMPLE Offices and Centres – India
Corporate Address
Tel No.
Gurgaon
Fax No.
Website
Year of Incorporation
Ticker Symbol
Stock Exchange
India Office
Products and Services
Products and Services
Category Products/Services
Key People
Name
N Designation
D i ti
Note: The list of products and services is not exhaustive
TELEMEDICINE MARKET IN INDIA 2012.PPT 22

23. Public: Foreign Company – Player A (2/3)
Financial Snapshot
i i lS h
SAMPLE Key Ratios
K i
Revenue Total Income Net Profit/Loss Profit y‐o‐y change
Particulars 2011 2010 2009 2008
INR mn INR mn (2011‐10)
79418.1
80000 8000 Profitability Ratios
52366.1 54353.8 Operating Margin 2.83 11.33% 8.50% 8.96% 10.49%
60000 44877.7
44877 7 6000
Net Margin 3.46 9.07% 5.61% 5.16% 7.03%
40000 4000 Profit Before Tax Margin 3.08 9.84% 6.75% 6.99% 9.06%
20000 2000 Return on Equity 4.09 9.91% 5.82% 4.73% 7.82%
0 0 Return on Capital Employed 3.20 11.41% 8.21% 7.58% 10.62%
Return on Working Capital 10.44 22.85% 12.41% 10.63% 19.73%
2008 2009 2010 2011
Return on Assets 2.94 7.36% 4.42% 3.60% 5.92%
Financial Summary Return on Fixed Assets 42.43 104.43% 62.01% 61.39% 97.93%
Cost Ratios
• The company incurred a net profit of INR 7207 mn in FY 2011, as Operating costs (% of Sales) ‐2.83 88.67% 91.50% 91.04% 89.43%
compared to net profit of INR 3051.4 mn in FY 2010 Administration costs (% of
‐3.00 34.56% 37.57% 35.05% 34.01%
• The company reported total income of INR 79418.1 mn in FY 2011, Sales)
as compared to INR 54353.8 mn in FY 2010
as compared to INR 54353 8 mn in FY 2010 Interest costs (% of Sales)
Interest costs (% of Sales) ‐0.01 0.00%
% 0.01%
% 0.00%
% 0.00%
%
Liquidity Ratios
• The company earned an operating margin of 11.33 per cent in FY
Current Ratio ‐9.39% 2.65 2.93 2.93 2.79
2011, an increase of 2.83 percentage points over FY 2010
Cash Ratio ‐12.26% 1.65 1.88 1.93 1.53
• The company reported debt to equity ratio of 0.35 in FY 2011, a Leverage Ratios
decrease of 9.30 per cent over FY 2010 Debt to Equity Ratio 9.30% 0.35 0.32 0.32 0.32
Debt to Capital Ratio
b i l i
Key Financial Performance Indicators N.A. 0.00 0.00 0.00 0.00
Interest Coverage Ratio N.A. N.A. 624.33 N.A. N.A.
Indicators Value (dd/mm/2012) Efficiency Ratios
Market Capitalization (INR mn)* 102732.3 Fixed Asset Turnover 4.14% 11.50 11.04 11.90 13.83
Asset Turnover 2.97% 0.81 0.79 0.70 0.84
Total Enterprise Value (INR mn)* 71473.4
Current Asset Turnover 7.76% 1.57 1.46 1.36 1.79
EPS (INR)
EPS (INR) 0.65 Working Capital Turnover 13.88% 2.52 2.21 2.06 2.79
PE Ratio (Absolute) 16.08 Capital Employed Turnover 5.27% 1.09 1.04 0.92 1.10
* Figures are taken as on 2nd of Jul, 2012 Improved Decline
TELEMEDICINE MARKET IN INDIA 2012.PPT 23

24. Key Business Segments
SAMPLE
Public: Foreign Company – Player A (3/3)
Key Geographic Segments
Communications Equipment a b c
79,375 The company has been
The company has been
100% 100%
operating in the
57% 56% 54% 51%
communications equipment
50% segment since 2008 50%
26% 25% 25% 25%
17% 20% 21% 24%
0% 0%
2011 2008 2009 2010 2011
Key Information
Description Details
Overview • xxx
Product Portfolio
Product Portfolio • xxx
Note: Business Segments and Geographic Segments are based on total revenues
TELEMEDICINE MARKET IN INDIA 2012.PPT 24

25. Major Private Companies ‐ Summary
Net Profit/Loss
2,000
Size of the Bubble represents Total Assets in INR mn
1,500
AAA
1,000
500
0
‐500
DDD
CCC
BBB
SAMPLE
EEE
‐1,000
‐1,500
‐2,000 0 2,000 4,000 6,000 8,000 10,000 12,000 14,000 16,000 18,000 20,000 22,000 24,000 26,000
Total Income
AAA BBB CCC DDD EEE
Note: All figures are in INR mn and are based on the latest financials available
TELEMEDICINE MARKET IN INDIA 2012.PPT 25

26. Private: Domestic Company – Player B (1/2)
Company Information
SAMPLE Offices and Centres – India
Corporate Address
Tel No.
Fax No.
Website
Year of Incorporation Hyderabad Head Office
Products and Services
Products and Services
Category Products/Services
Key People
Name
N Designation
D i ti
Note: The list of products and services is not exhaustive
TELEMEDICINE MARKET IN INDIA 2012.PPT 26

27. SAMPLE
Private: Domestic Company – Player B (2/2)
Business Highlights
Description News
Overview • xxx
Services • xxx
TELEMEDICINE MARKET IN INDIA 2012.PPT 27

28. Thank you for the attention
The Telemedicine Market – India 2012 report is a part of Netscribes Information Technology
Industry Series.
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TELEMEDICINE MARKET IN INDIA 2012.PPT 28