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Narayana Hrudayalaya
STRATEGIC MANAGEMENT
CONTENT
 Organisational structure
 Organisation Portfolio
 Internal analysis
 External analysis
 Financial analysis
 Recommended strategies
ORGANISATIONAL
STRUCTURE
 Narayana Health is a chain of multi- specialty hospitals, heart centers and
primary care facilities with its headquarters in Bengaluru, India.
 Founded by Dr. Devi Shetty in 2000.
 The first facility in Bengaluru with 225 beds and has grown to 23 hospitals, 7
heart centers, 19 primary care facilities across India and an international hospital
in the Cayman Islands.
 The group now features over 6,000 operational beds.
ORGANISATIONAL CHART
ORGANISATION
PORTFOLIO
BOARD OF DIRECTORS
Dr. Devi Prasad Shetty
Chairman & Executive
Director
Dr. Ashutosh Raghuvanshi Vice
Chairman, Managing Director &
Group CEO
Mr. Viren Shetty
Executive Director
Mr. Dinesh Krishna Swamy
Independent Director
Ms. Kiran Mazumdar Shaw
Non-Executive Director
Mr. Arun Seth Independent
Director
Mr. Muthuraman Balasubramanian
Independent Director
MANAGEMENT
Dr. Ashutosh Raghuvanshi
Vice Chairman, Managing Director
& Group CEO
Dr. Emmanuel Rupert Group
Director - Medical Services
Mr. Sumanta Ray
Chief Marketing Officer
Mr. Srikanth Raman
Head Internal Audit
Mr. Kumar K V
Group Head- Information
Technology
Mr. Nagarajan Anantharaman
Senior Vice-President Finance
Mr. Debangshu Sarkar
Head - Business Development &
Investor Relations
“
”
To provide high quality and
affordable health care for
masses worldwide with care
and compassion on a large
scale.
OUR VISION
OUR MISSION
 Our mission is to deliver high quality, affordable healthcare services to the
broader population in India.
 Our core values are represented by the acronym "iCare", which
encompasses innovation and efficiency, Compassionate care,
Accountability, Respect for all, and Excellence as a culture.
 At the same time, we seek to generate a strong financial performance and
deliver long-term value to our shareholders through the execution of our
business strategy
MEDICAL SERVICES
 CARDIOLOGY
 ELECTROPHYSIOLOGY AND PACING
 PULMONOLOGY
 NEPHROLOGY
 PAEDIATRICS
 RADIATION ONCOLOGY
 CRITICAL CARE MEDICINE
 FAMILY MEDICINE
 RHEUMATOLOGY
 ENDOCRINOLOGY& DIABETOLOGY
 ORTHOPEDICS
 DENTAL
 GENERAL MEDICINE
 MEDICAL GASTROENTEROLOGY
 MEDICAL ONCOLOGY
 CANCER CARE
 DERMATOLOGY
 HEMATOLOGY
 NEUROLOGY
 PSYCHIATRY AND PSYCHOLOGY
 ONCOLOGY PAIN AND PALLIATION
DIAGNOSTICS AND SUPPORT
 Anesthesia
 Nutrition and dietics
 Blood banks
 Physiotherapy
 Imaging and radiology
 Yoga
 Laboratory medicine and nuclear medicine
OUR PROCEDURES
INTERNAL
ANALYSIS
THREE CIRCLE ANALYSIS
G. WHITE SPACE
A. points
Of difference
E. Our dis equity /
Potential equity
B. Points of
parity
C. Points of
difference
F. Their dis
equity/
Potential equity
D. Common
Dis equity /
Potential equity
CIRCLE E- COMPANY’S OFFERING
 Proven centre of excellence in cardiac and renal sciences.
 Focus on becoming a true PAN- India healthcare provider.
 Patient well-being- the centrepiece of the group vision.
 Accomplish the highest degree of surgical precision possible.
 Digitising Healthcare, touching lives (social mobile analytics and cloud).
 Growing contribution of international patients through Telemedicine network.
 Asset light model.
 Concentrated in South India; especially Bangalore/ Karnataka.
 Emergence of new players- IHH strengthening Fortis etc.
CIRCLE G- CUSTOMERS NEEDS
 Utilisation rate of hospital services.
 Length of ‘promise gap’.
 Balance between technology and human touch.
 Lack of awareness among people.
CIRCLE F- COMPETITORS OFFERING
 Major competitors are Apollo, Fortis and Max.
 Accessible from almost every major area of country.
 Strong social media presence.
 CSR initiatives for the welfare of society.
 World class specialist doctors for every service.
CIRCLE A- COMPETITOR’S POINT OF DIFFERENCE
 Easily accessible from every part of country.
 More focus on social media presence.
 Strong brand identity.
 Optimum utilization of capital.
 Profitability is preferred over affordability.
CIRCLE C- COMPANY’S POINT OF DIFFERENCE
 International patient network.
 Telemedicine to serve distant rural areas and countries like Malaysia and Pakistan.
 Strong footing on the financial paddle.
 World’s largest Paediatric cardiac sciences program.
 Very low cost of diagnostic services; 23 surgeries a day; heart surgery for Rs 45000.
 Brand name.
 Progressing with a purpose.
CIRCLE D- COMMON OFFERING
 Digitising healthcare.
 Emerging competition.
 Quality of patient services.
 Innovative technologies for better treatment and patient
satisfaction.
CIRCLE B- POINT OF PARITY
 Brand name.
 CSR initiatives for society well- being.
 Innovation and efficiency.
 Multispecialty services for patients.
 Accreditations with NABH and JCI i.e, Quality of care.
 Academics and research.
EXTERNAL
ANALYSIS
• Competitors
• Creditors
• Customers
• Suppliers
• Labour
OPERATIONAL
• Entry barrier
• Supplier power
• Buyer power
• Substitute availability
• Competitive rivalry
INDUSTRY
• Political
• Economic
• Social
• Technological
• Ecological
REMOTE
EXTERNAL ANALYSIS
 Hospital industry is a capital intensive industry with a high entry barrier.
 Supplier concentration in South India, Mumbai region and NCR.
 North, west and Central India is an opportunity for large and efficient healthcare players.
 Government policies and growth of insurance industry also favours the same.
 Ample headspace available for the growth of hospitals like Narayana (Avg. bed availability
of 0.8 against WHO standards of 4/1000).
 Bargaining power stays with credible healthcare providers- NH believes in
low cost healthcare.
 Only a few players enjoy ‘strong & credible ‘ brand identity.
 Healthcare industry expected to grow atv16-17% CAGR – expected to
touch US $ 372billion by 2022.
 Healthcare industry witnessing 22-25% growth in medical tourism.
 Regulatory interventions like cap on prices of products.
CONTD.
 Increase in prosperity and affordability levels.
 Demand for quality healthcare is rising.
 Increasing Urbanization
 Rise in insurance penetration
 Increase in expenditure on healthcare by govt. – Ayushmann Bharat
 Rise in lifestyle diseases.
CONTD.
FINANCIAL
ANALYSIS
FINANCIAL RATIOS NARYANA APOLLO SHALBY FORTIS
BASIC EPS (Rs.) 2.53 8.44 3.95 -19.46
Net profit margin
(%)
2.45 0.71 11.17 -21.65
Return on Assets
(%)
2.02 1.36 4.42 -11.70
Total debt/
Equity
0.71 1.02 0.12 0.34
Current ratio(%) 0.94 1.42 2.02 0.60
Asset turnover ratio
(%)
89.95 95.71 39.43 52.89
Enterprise Value
(cr.)
6,393.47 17,802.39 2,182.04 8,836.21
RECOMMENDED
STRATEGIES
 Increase presence in North and Western India.
 Balance out between low cost and quality healthcare.
 Engage government to rationalize cost of surgeries under Ayushman Bharat in coordination
with industry bodies.
 Market the company well to attract medical tourists.
 De-risk revenue generation by focusing on revenue growth in hospitals across the country.
 Capture market being vacated by Fortis Hospitals .
 Tie up with expanding health insurance companies for health insurance - help in expanding
market.
BIBLIOGRAPHY
 https://www.narayanahealth.org/about-us
 http://www.yourarticlelibrary.com/marketing/marketing-mix/useful-notes-on-
competitive-advantage-explained-with-examples/41094
 http://knowledge.wharton.upenn.edu/article/narayana-hrudayalaya-a-
model-for-accessible-affordable-health-care/
 https://scroll.in/brandstudio/abbott/857719/putting-the-patient-first-insights-
for-hospitals-to-meet-customer-service-expectations
 www.moneycontrol.com
STRATEGIC MANAGEMENT OF NARAYANA HRUDRALAYA

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STRATEGIC MANAGEMENT OF NARAYANA HRUDRALAYA

  • 2. CONTENT  Organisational structure  Organisation Portfolio  Internal analysis  External analysis  Financial analysis  Recommended strategies
  • 4.  Narayana Health is a chain of multi- specialty hospitals, heart centers and primary care facilities with its headquarters in Bengaluru, India.  Founded by Dr. Devi Shetty in 2000.  The first facility in Bengaluru with 225 beds and has grown to 23 hospitals, 7 heart centers, 19 primary care facilities across India and an international hospital in the Cayman Islands.  The group now features over 6,000 operational beds.
  • 7. BOARD OF DIRECTORS Dr. Devi Prasad Shetty Chairman & Executive Director Dr. Ashutosh Raghuvanshi Vice Chairman, Managing Director & Group CEO Mr. Viren Shetty Executive Director Mr. Dinesh Krishna Swamy Independent Director Ms. Kiran Mazumdar Shaw Non-Executive Director Mr. Arun Seth Independent Director Mr. Muthuraman Balasubramanian Independent Director
  • 8. MANAGEMENT Dr. Ashutosh Raghuvanshi Vice Chairman, Managing Director & Group CEO Dr. Emmanuel Rupert Group Director - Medical Services Mr. Sumanta Ray Chief Marketing Officer Mr. Srikanth Raman Head Internal Audit Mr. Kumar K V Group Head- Information Technology Mr. Nagarajan Anantharaman Senior Vice-President Finance Mr. Debangshu Sarkar Head - Business Development & Investor Relations
  • 9. “ ” To provide high quality and affordable health care for masses worldwide with care and compassion on a large scale. OUR VISION
  • 10. OUR MISSION  Our mission is to deliver high quality, affordable healthcare services to the broader population in India.  Our core values are represented by the acronym "iCare", which encompasses innovation and efficiency, Compassionate care, Accountability, Respect for all, and Excellence as a culture.  At the same time, we seek to generate a strong financial performance and deliver long-term value to our shareholders through the execution of our business strategy
  • 11. MEDICAL SERVICES  CARDIOLOGY  ELECTROPHYSIOLOGY AND PACING  PULMONOLOGY  NEPHROLOGY  PAEDIATRICS  RADIATION ONCOLOGY  CRITICAL CARE MEDICINE  FAMILY MEDICINE  RHEUMATOLOGY  ENDOCRINOLOGY& DIABETOLOGY  ORTHOPEDICS  DENTAL  GENERAL MEDICINE  MEDICAL GASTROENTEROLOGY  MEDICAL ONCOLOGY  CANCER CARE  DERMATOLOGY  HEMATOLOGY  NEUROLOGY  PSYCHIATRY AND PSYCHOLOGY  ONCOLOGY PAIN AND PALLIATION
  • 12. DIAGNOSTICS AND SUPPORT  Anesthesia  Nutrition and dietics  Blood banks  Physiotherapy  Imaging and radiology  Yoga  Laboratory medicine and nuclear medicine
  • 15. THREE CIRCLE ANALYSIS G. WHITE SPACE A. points Of difference E. Our dis equity / Potential equity B. Points of parity C. Points of difference F. Their dis equity/ Potential equity D. Common Dis equity / Potential equity
  • 16. CIRCLE E- COMPANY’S OFFERING  Proven centre of excellence in cardiac and renal sciences.  Focus on becoming a true PAN- India healthcare provider.  Patient well-being- the centrepiece of the group vision.  Accomplish the highest degree of surgical precision possible.  Digitising Healthcare, touching lives (social mobile analytics and cloud).  Growing contribution of international patients through Telemedicine network.  Asset light model.  Concentrated in South India; especially Bangalore/ Karnataka.  Emergence of new players- IHH strengthening Fortis etc.
  • 17. CIRCLE G- CUSTOMERS NEEDS  Utilisation rate of hospital services.  Length of ‘promise gap’.  Balance between technology and human touch.  Lack of awareness among people. CIRCLE F- COMPETITORS OFFERING  Major competitors are Apollo, Fortis and Max.  Accessible from almost every major area of country.  Strong social media presence.  CSR initiatives for the welfare of society.  World class specialist doctors for every service.
  • 18. CIRCLE A- COMPETITOR’S POINT OF DIFFERENCE  Easily accessible from every part of country.  More focus on social media presence.  Strong brand identity.  Optimum utilization of capital.  Profitability is preferred over affordability. CIRCLE C- COMPANY’S POINT OF DIFFERENCE  International patient network.  Telemedicine to serve distant rural areas and countries like Malaysia and Pakistan.  Strong footing on the financial paddle.  World’s largest Paediatric cardiac sciences program.  Very low cost of diagnostic services; 23 surgeries a day; heart surgery for Rs 45000.  Brand name.  Progressing with a purpose.
  • 19. CIRCLE D- COMMON OFFERING  Digitising healthcare.  Emerging competition.  Quality of patient services.  Innovative technologies for better treatment and patient satisfaction. CIRCLE B- POINT OF PARITY  Brand name.  CSR initiatives for society well- being.  Innovation and efficiency.  Multispecialty services for patients.  Accreditations with NABH and JCI i.e, Quality of care.  Academics and research.
  • 21. • Competitors • Creditors • Customers • Suppliers • Labour OPERATIONAL • Entry barrier • Supplier power • Buyer power • Substitute availability • Competitive rivalry INDUSTRY • Political • Economic • Social • Technological • Ecological REMOTE
  • 22. EXTERNAL ANALYSIS  Hospital industry is a capital intensive industry with a high entry barrier.  Supplier concentration in South India, Mumbai region and NCR.  North, west and Central India is an opportunity for large and efficient healthcare players.  Government policies and growth of insurance industry also favours the same.  Ample headspace available for the growth of hospitals like Narayana (Avg. bed availability of 0.8 against WHO standards of 4/1000).
  • 23.  Bargaining power stays with credible healthcare providers- NH believes in low cost healthcare.  Only a few players enjoy ‘strong & credible ‘ brand identity.  Healthcare industry expected to grow atv16-17% CAGR – expected to touch US $ 372billion by 2022.  Healthcare industry witnessing 22-25% growth in medical tourism.  Regulatory interventions like cap on prices of products. CONTD.
  • 24.  Increase in prosperity and affordability levels.  Demand for quality healthcare is rising.  Increasing Urbanization  Rise in insurance penetration  Increase in expenditure on healthcare by govt. – Ayushmann Bharat  Rise in lifestyle diseases. CONTD.
  • 26. FINANCIAL RATIOS NARYANA APOLLO SHALBY FORTIS BASIC EPS (Rs.) 2.53 8.44 3.95 -19.46 Net profit margin (%) 2.45 0.71 11.17 -21.65 Return on Assets (%) 2.02 1.36 4.42 -11.70 Total debt/ Equity 0.71 1.02 0.12 0.34 Current ratio(%) 0.94 1.42 2.02 0.60 Asset turnover ratio (%) 89.95 95.71 39.43 52.89 Enterprise Value (cr.) 6,393.47 17,802.39 2,182.04 8,836.21
  • 28.  Increase presence in North and Western India.  Balance out between low cost and quality healthcare.  Engage government to rationalize cost of surgeries under Ayushman Bharat in coordination with industry bodies.  Market the company well to attract medical tourists.  De-risk revenue generation by focusing on revenue growth in hospitals across the country.  Capture market being vacated by Fortis Hospitals .  Tie up with expanding health insurance companies for health insurance - help in expanding market.
  • 29. BIBLIOGRAPHY  https://www.narayanahealth.org/about-us  http://www.yourarticlelibrary.com/marketing/marketing-mix/useful-notes-on- competitive-advantage-explained-with-examples/41094  http://knowledge.wharton.upenn.edu/article/narayana-hrudayalaya-a- model-for-accessible-affordable-health-care/  https://scroll.in/brandstudio/abbott/857719/putting-the-patient-first-insights- for-hospitals-to-meet-customer-service-expectations  www.moneycontrol.com