India Single Specialty Hospitals and Clinics Industry Outlook to 2019 - Day Care Specialty Clinics to Impel Growth

Published: Dec, 2014 | Pages: 254 | Publisher: Ken Research Private Ltd
Industry: Healthcare | Report Format: Electronic (PDF)

Executive Summary

The report titled “India Single Specialty Hospitals and Clinics Industry Outlook to 2019- Day Care Specialty Clinics to Impel Growth” presents a comprehensive analysis of the industry covering aspects including market size by revenue and market segmentation by single specialty hospitals and clinics covering therapeutic classes such as Cardiology, Oncology, Orthopedics, Maternity and Urology and dental, eyecare, IVF and kidney dialysis. State wise presence of hospitals in each category is also presented as a segment of the market. A detailed analysis on total number of hospitals in major therapeutic classes, average revenue per bed per day in a therapeutic class, cost of treatments has been provided in the report. The report also entails a detailed description on the recent trends and developments, private equity investments in the sector, growth drivers and challenges and competitive landscape of major players in key therapeutic classes with revenue. Future Prospects of the industry along with future projections have been discussed.

India has the largest number of patients paying out of pocket expenses for medical purposes. This phenomenon has led to the emergence of the ‘healthcare consumer’ who is treated like a consumer and not just as a patient. The high expectations of healthcare consumers and the rise of branded private hospital chains have led to a shift in the consumer attitude towards doctors and hospitals. The healthcare sector in India which witnessed an initial wave of private investments in tertiary multi specialty hospitals, over the last decade, has witnessed spurring investments in single specialty chains. Some major names in single specialty hospitals in the country include: Fortis Escorts Heart and Research Centre (New Delhi), Tata Memorial Cancer Hospital (Mumbai), Sankara Nethralaya (Chennai), Vasan Eye Care (Chennai), HOSMAT Hospital (Bengaluru) among others.

Single specialty hospitals and clinics market in India has shown double digit growth rates over the last few years. The market revenue has escalated from INR ~ million in FY’2010 to INR ~ million in FY’2014. The industry has recorded a CAGR of 12.6% over the years FY’2010-FY’2014. Low capital investment and investment friendly business models have led to a spur of investments made in this business in India in the recent years. The share of hospitals in single specialty chains in total market value in the country stood at ~% in FY’2014, demurring from ~% in FY’2010. 

Cardiology accounts for the maximum share of ~% in single specialty hospital market in India in terms of revenue, as recorded in FY’2014. Players such as Fortis Escorts Hearth Institute, Frontier Lifeline Hospital, Narayana Hrudayalaya have been recording impressive turnovers in the recent times, thus driving the market for cardiology hospitals in India. Oncology is the second largest revenue contributor to the SSH market in India. Maternity segment, at 4th largest position, was valued at INR ~ million in FY’2014 and has grown from INR ~ million in FY’2010. The specialties’ share in the overall SSH market has risen from ~% in FY’2010 to ~% in FY’2014. Urology forms a niche segment of single specialty hospitals industry in India with a share of ~% as recorded in FY’2014, however, the urology single specialty hospitals industry in the country has been displaying double digit growth rates in the past few years. The eyecare single specialty centres industry in India too has showcased stupendous growth of 30.8% over the years FY’2010-FY’2014. 

Major healthcare chains such as Fortis healthcare, Apollo Hospitals have invested greatly in setting up single specialty centres for dialysis, maternity centres, and dental care centres in the country in the recent years. Fortis and Apollo have also established maternity centres in the country under the brand names, Fortis La Femme and Apollo Cradle, respectively.

The rapidly evolving single specialty hospital and clinics industry in India will change the facade of the healthcare sector in the coming years. The emergence of single specialty chains across a gamut of sub specialties with business models thriving on the ability to craft a custom solution for a specific requirement, backed by specialized infrastructure and medical personnel’s focused on providing quality care to the consumer will continue to drive growth in the coming years.

Key Topics Covered In The Report

-	Market Size of India Single Specialty Hospitals and Clinics Industry by Revenue, FY’2010-FY’2014
-	Market Segmentation by Single Specialty Hospitals (Cardiology, Oncology, Orthopedics, Maternity and Urology) and Clinics (dental, eyecare, IVF and kidney dialysis), FY’2010-FY’2014
-	Market Size of each therapeutic class (Cardiology, Oncology, Orthopedics, Maternity and Urology, dental, eyecare, IVF and kidney dialysis)
-	Market Segmentation by States by therapeutic classes: Cardiology, Oncology, Orthopedics, Maternity and Urology, dental and eyecare
-	List of major hospitals in major therapeutic classes by Bed Strength and State Presence
-	Detailed Analysis on Investment Required to Set up Single Specialty Hospitals by therapeutic classes
-	Competitive Landscape of Major Players in each therapeutic class ( Covering of No. of beds, Year of Establishment, services offered, revenue)
-	Growth Drivers and Challenges in the Industry
-	Private Equity Investments in the Industry
-	Future Outlook and Projections of India Single Specialty Hospitals and Clinics Industry, FY’2015-FY’2019

 Table of Contents
1.India Single Specialty Hospitals and Clinics Industry Introduction- Evolvement and Current Status
1.1.	Why India’s Healthcare Delivery System is Under Penetrated? 
1.2.	Changing Face of Healthcare in India: Rising Investments in Single Specialty Chains
1.3.	Factors Considered to Set up a Single Specialty Hospital/Clinic in India
2.	India Single Specialty Hospitals and Clinics Market Size, FY’2010-FY’2014
3.	India Single Specialty Hospitals and Clinics Market Segmentation
3.1.	By Single Specialty Hospitals and Clinics, FY’2010-FY’2014
3.1.1.	Single Specialty Hospitals Market Segmentation by Therapeutic Class, FY’2010-FY’2014
3.1.2.	Single Specialty Clinics Market Segmentation by Therapeutic Class, FY’2010-FY’2014
4.	India Cardiology Specialty Hospitals Industry Introduction
Growth Factors for Rising Incidences of Cardiovascular Diseases among Indians
Number of Heart Patients, Cardiologists and Cardiologist to Patient Ratio in India
Cardiac Procedures Performed in the Country: Key Facts
Key Challenges Faced by Cardiac Care in India
Evolvement of Cardiology Single Specialty Centres- A step to overcome the Challenges Faced by the Sector
4.1.	Investment Required to Set up Single Specialty Cardiology Hospital
4.2.	List of Major Cardiology Specialty Hospitals in India- State Presence and Number of Beds
4.3.	Cost of Key Cardiology Procedures in Cardiac Specialty Hospitals in India
4.4.	India Cardiology Specialty Hospitals Market Size, FY’2010-FY’2014
4.4.1.	Sample Model for Calculation of Revenue of a Cardiology Specialty Hospital
Approach and Assumptions
4.4.1.1.	For a Private Hospital
4.4.1.2.	For a Public Hospital
Limitations in the Model
4.5.	India Cardiology Specialty Hospitals Market Segmentation
4.5.1.	By States, FY’2014
4.5.2.	By Surgical and Diagnostic Procedures, FY’2014
4.6.	Revenue of Major Cardiology Specialty Hospitals in India, FY’2014
4.7.	Competitive Analysis of Major Cardiology Specialty Hospitals in India
4.8.	India Cardiology Hospitals Market Future Outlook and Projections, FY’2015-FY’2019
5.	India Oncology Specialty Hospitals Market Introduction
Key Factors for Rising Burden of Cancer in India and the Most Prevalent Type of Cancer Detected among Indians
Increasing Number of Cancer Patients in India: Males v/s Females
Number of Oncologists, Oncologists to Cancer Patients Ratio, Dedicated Cancer Hospitals in India
Lack of Eminent Oncology Specialists Posing a Challenge
Evolvement of Single Specialty Oncology Hospitals in the Country
Business Models that can be adopted by Hospitals Delivering Cancer Care in India in the Coming Years
5.1.	Challenges Faced by Oncology Specialty Hospital Industry in India: Solutions Suggested
Highly Capital Intensive and Long Gestation Period
Lack of Accessibility of Services in Smaller Cities
Inconvenience Faced by Cancer Patients in India
Manpower Catastrophe
Lack of Adequate Research and Development
5.2.	Investment Required to Set up Oncology Specialty Hospital in India
Estimating the Set up Cost of a Oncology Specialty Hospital in India
5.3.	List of Major Oncology Specialty Hospitals in India- State Presence and Number of Beds
5.4.	Cost of Key Oncology Procedures in India
Average Cost Procedure for Lung Cancer in India
Average Cost Procedure for Breast Cancer in India
5.5.	India Oncology Specialty Hospitals Market Size, FY’2010-FY’2014
5.5.1.	Sample Model for Calculation of Revenue of Oncology Hospitals Market in India
Approach and Assumptions
5.6.	India Oncology Hospitals Market Segmentation by States, FY’2014
5.6.1.	By States, FY’2014
Future Opportunities to Set up Cancer Specialty Centres in Different States Across India
5.6.2.	By Type of Cancers, FY’2014
5.7.	Revenue of Major Oncology Hospitals in India, FY’2014
5.8.	Competitive Analysis of Major Oncology Speciality Hospitals in India
5.9.	India Oncology Hospitals Market Future Outlook and Projections, FY’2015-FY’2019
6.	India Maternity Specialty Hospitals Market Introduction
Need for Adequate Maternal Care in India
Standalone Maternity Centres Capturing Corporate Attention
Rapid Investments in Maternity and Childcare Centres in India
Government Initiatives in Maternity Speciality Hospitals Industry in India
Geographic Expansion Plans of Hospitals from Bangalore, Hyderabad and Mumbai to Smaller Cities in India
Relative Comparison of Delivery Packages in Premium Birthing Boutiques and Average Maternity Hospitals in India
7.1.	Investment Required to Set up Maternity Specialty Hospital in India
7.2.	List of Major Maternity Specialty Hospitals in India- State Presence and number of Beds
7.3.	India Maternity Specialty Hospitals Market Size, FY’2010-FY’2014
7.3.1.	Sample Model to Evaluate the Revenue of Maternity Hospitals Market in India
Approach and Assumptions
Limitations in the Model
7.4.	India Maternity Specialty Hospitals Market Segmentation by States, FY’2014
7.5.	Revenue of Major Maternity Specialty Hospitals in India, FY’2013
7.6.	Competitive Analysis of Major Maternity Specialty Hospitals in India
7.7.	India Maternity Hospitals Future Outlook and Projections, FY’2015-FY’2019
8.	India Orthopedic Specialty Hospitals Market
Orthopedics: An Overview
India: A Prime Destination of Quality Orthopedic Treatments
Cost of Key Orthopedic Procedures in Hospitals in India
Challenges Faced by Orthopedic Hospitals Industry in India
8.1.	India Orthopedic Specialty Hospitals Market Size, FY’2010-FY’2014
8.1.1.	Sample Model for Calculation of Revenue of Orthopedic Hospitals Market in India
Approach and Assumptions
8.2.	India Orthopedic Hospitals Market Segmentation by States, FY’2014
8.3.	Revenue of Major Orthopedic Specialty Hospitals in India-State Presence and number of Centres
9.	India Urology Specialty Hospitals Market
9.1.	Urology: The Advent and Growth of a New Sub Specialty in India
Urological Disorders: Number of Patients Suffering, Number of Urologists and Urology Specialty Hospitals in India
Cost of Key Urological Procedures in India
9.2.	Evolvement of ‘RG Stone Hospitals’: The Only Super Specialty Chain for Urology Treatments in India
Hospital Profile
Funds Raised by RG Stone Hospitals
Investment Required to Set up a Centre of RG Stone Hospitals
Key Performance Indicators
Expansion Plans of RG Stone Hospitals
9.3.	List of Other Urology Specialty Hospitals in India
9.4.	India Urology Specialty Hospitals Market Size, FY’2010-FY’2014
9.5.	India Urology Hospitals Market Segmentation by States, FY’2014
9.5.1.	By States, FY’2014
10.	India Dental Clinics Market Introduction
Dental Tourism in India: Gaining Pace
Investment Required to set up a Dental Care Centre in India
Number of Dentists in India: By Rural and Urban Areas, 2008-2013
Dentist-to-Population Ratio in India
10.1.	Cost Analysis of Major Dental Services in India
10.2.	Profile of Dental Patients in India
10.3.	India Dental Clinics Market Size, FY’2010-FY’2014
10.4.	India Dental Clinics Market Segmentation
10.4.1.	By Type of Dental Care Services, FY’2014
10.4.2.	By Cities, FY’2014
10.5.	Competitive Landscape of Major Dental Chains Operating in India
10.6.	India Dental Clinics Market Future Outlook and Projections, FY’2015-FY’2019
11.	India Eyecare Specialty Centres Market Introduction
Growth of Optometry as a Profession in India
Number of Optometrists, Ophthalmologists, Prevalence of Blindness, Optometrists to Patient Ratio in India
Number of Cataract Surgeries Performed in India, FY’2008-FY’2014
Key Areas of Concern for Provision of Quality Eyecare Services in India
What can Government Do to Void the Gap in Eyecare Medical Field? 
Evolvement of Single Specialty Healthcare Model in Ophthalmology in India
11.1.	Investment Required to Set up Eyecare Specialty Centre in India
Economic Valuation of an Eyecare Specialty Centre in India
11.2.	List of Major Eyecare Specialty Chains in India by Number of Centers
11.3.	India Eyecare Specialty Centres Market Size, FY’2010-FY’2014
11.4.	India Eyecare Specialty Centres Market Segmentation
11.4.1.	By States, FY’2014
11.4.2.	By Types of Services, FY’2014
11.5.	Revenue of Major Eyecare Specialty Chains in India, FY’2014
11.6.	Competitive Analysis of Major Eyecare Specialty Chains in India
11.7.	India Eyecare Hospitals Future Outlook and Projections, FY’2015-FY’2019
12.	India In-Vitro Fertilization (IVF) Clinics Market Overview
Present Scenario in India: Couples Suffering from the Disorder, Penetration Rate in India compared with the World, Treatment Cost
Investment Required in Setting up an IVF Clinic: Corporate Connections
The Corporate Connection
Challenges in Providing High Quality Fertility Services in India
Number of IVF Clinics and IVF Procedures Performed in India, 2003-2011
IVF Market Size in India, 2009-2013
13.	India Kidney Dialysis Services Market Overview
General Overview
Investment Required to Set up a Dialysis Centre
Challenges in Kidney Dialysis Services Market in India
How can these Challenges be Addressed? 
Business Model
13.1.	India Kidney Dialysis Services Market Size, FY’2010-FY’2014
13.2.	Competitive Landscape of Key Players In Kidney Dialysis Services Market In India
13.2.1.	Nephroplus
Profile
Pricing of Dialysis Sessions at a Nephroplus Centre: Compared to Corporate Hospitals
Evolving Business Model of Nephroplus
Funds Raised by Nephroplus
USP of Nephroplus Chain of Kidney Care Centres
Future Plans of Nephroplus Chain
13.2.2.	Davita Nephrolife
13.2.3.	Apex Kidney Care
13.3.	India Kidney Dialysis Market Future Outlook and Projections, FY’2015-FY’2019
14.	Trends and Developments in Single Specialty Hospitals and Clinics Industry in India
Spurring Investments in Single Specialty Centres in India
Leading Hospitals forming Alliances with Single Specialty Chains
Rising Incidence of Life Style Disorders Leading to Increase in Outpatient Visits in Specialty Clinics’
Expansion Plans of Specialty Centres in Rural Towns across India
Emerging Concept of Day Care Facilities/Single Specialty Clinics in India
15.	Private Equity Investments in Single Specialty Chains in India
16.	Growth Drivers and Challenges of Single Specialty Hospitals and Clinics Industry in India
Growth Drivers of Single Specialty Hospitals and Clinics Industry in India
Issues and Challenges Faced by Single Specialty Hospitals and Clinics Industry in India
17.	India Single Specialty Hospitals and Clinics Industry Future Outlook and Projections, FY’2015-FY’2019
17.1.	By Single Specialty Hospitals and Clinics, FY’2015-FY’2019
17.2.	Cause and Effect Relationship between Single Specialty Hospital Industry Factors and Industry Prospects
18.	Macro Economic Factors of Single Specialty Hospitals and Clinics Industry in India
18.1.	Population Demography in India, 2009-2018
18.2.	Healthcare Spending in India, 2009-2018
18.3.	Personal Disposable Income, FY’2010- FY’2019
18.4.	Number of Private Hospitals in India, FY’2010-FY’2019
18.5.	Medical Tourists in India, 2009-2018
19.	Analyst Recommendation
20.	Appendix
20.1.	Market Definitions
20.2.	Abbreviations
20.3.	Research Methodology
Data Collection Methods
Variables (Dependent and Independent) 
Multi Factor Based Sensitivity Model
Final Conclusion           
20.4. Disclaimer

List of Tables
Table 1: Comparative Analysis of Single Specialty and Multi Specialty Hospitals in India by Parameters
Table 2: India Single Specialty Hospitals and Clinics Market Segmentation by Single Specialty Hospitals and Specialty Clinics on the Basis of Revenue in INR Million, FY’2010-FY’2014
Table 3: Comparative Analysis of a Single Specialty Hospital and a Clinic by Space Requirement, Ownership of Land, Initial Set up Cost, Break Even Time and Monthly Operation Costs
Table 4: India Single Specialty Hospitals Market Segmentation by Therapeutic Classes on the Basis of Revenue Contribution in Percentage (%), FY’2010-FY’2014
Table 5: India Single Specialty Hospitals Market Segmentation by Therapeutic Classes on the Basis of Revenue in INR Million, FY’2010-FY’2014
Table 6: India Single Specialty Clinics Market Segmentation by Therapeutic Classes on the Basis of Revenue in INR Million, FY’2010-FY’2014
Table 7: Top 5 Causes of Deaths in India by Demography, Gender and Class of People in India
Table 8: List of Major Single Specialty Cardiology Hospitals in India by State Presence and Number of Beds
Table 9: Average Cost of Key Procedures at Cardiology Hospital in India in INR
Table 10: Operating Margin, Average Realization per Patient, Surgery Time and Average Cost of a Cardiac Procedure in a Cardiac Specialty Hospital in India
Table 11: Average Cost of Stent and Pacemaker to a Patient in INR
Table 12: Average Length of Stay of Patients in a Cardiac Specialty Hospital by Cases
Table 13: Sample Model for Estimating Revenue of Fortis Escorts Heart Institute
Table 14: Sample Model for Estimating Revenue of Sri Jayadeva Institute of Cardiovascular Sciences & Research
Table 15: Revenue of Major Cardiology Single Specialty Hospitals in India in INR Million, FY’2014
Table 16 : Competitive Landscape of Major Cardiology Single Specialty Hospitals in India
Table 17: Cancer Incidence in Males in India by Type, 2012
Table 18: Cancer Incidence in Females in India by Type, 2012
Table 19: Number of Oncologists and Oncologist to Cancer Patient Ratio in India and the US
Table 20: Classification of a 100 Bedded Oncology Specialty Hospital by Number of Transit and Other Beds
Table 21: Estimated Cost in Setting up Different Blocks in a 100 Bedded Oncology Specialty Hospital
Table 22: Estimated Cost Break for Establishment of a 100 bed Oncology Specialty Hospital in India
Table 23: List of Major Single Specialty Oncology Hospitals in India by State Presence and Number of Beds
Table 24: List of Major Regional Cancer Care (RCC) Centres in India by State and City Presence
Table 25: Average Cost of Treatment of Lung Cancer by Diagnosis, Chemotherapy and Radiation Sittings and Medicinal Costs in INR
Table 26: Average Cost of Treatment of Breast Cancer by Chemotherapy and Radiation Sittings and Medicinal Costs in INR
Table 27: India Oncology Single Specialty Hospitals Market Segmentation by States in Percentage (%), FY’2014
Table 28: Analysis of Future Opportunities to Set up Oncology Single Specialty Hospitals in India by Different States
Table 29: Cancer Incidence in India by States, 2011-2013
Table 30: Revenue of Major Oncology Single Specialty Hospitals in India in INR Million, FY’2014
Table 31: Competitive Analysis of Major Oncology Single Specialty Hospitals in India
Table 32: Comparative Analysis of Normal and Cesarean Delivery Package Costs in Premium Birthing Boutique Centres by Types of Rooms
Table 33: List of Major Maternity Specialized Hospitals in India by Total Number of Centres, State/City Presence and Number of Beds by Each Centre
Table 34: Relative Comparison of Leading Maternity and Childcare Hospitals in India by Establishment Year, City of Origination, Investors, Target Customers and Future Growth Plans
Table 35: Revenue of Major Maternity Hospitals in India in INR Million, FY’2013
Table 36: Competitive Landscape of Major Maternity Specialty Hospitals in India
Table 37: Average Cost of Key Orthopedic Surgeries in the US and India in INR
Table 38: Major Orthopedic Hospitals in India by State Presence, Number of Centres, Bed Strength and Revenue, FY’2014
Table 39: Average Cost of Treatment of Kidney Removal in India
Table 40: Average Cost of Major Urinary Treatments in India
Table 41: RG Stone Urology & Laparoscopy Hospital by Number of Centres by States/Cities
Table 42: List of Urology Hospitals in India by State Presence
Table 43: Cost Comparison of Different Dental Treatments in India with Other Countries in World in INR
Table 44: Dentist-to-Population Ratio in India from 1980’s to 2013
Table 45: Price Range, Treatment Time, Stay Period and Target Audience of Major Dental Services in India
Table 46: Profile of Dental Patients in India
Table 47: India Dental Clinics Market Segmentation by Tier-1 cities, Tier-2 cities and Slum, Rural and Semi-urban Areas on the Basis of Revenue Contribution by Different Services in Percentage, FY’2014
Table 48: Competitive Landscape of Major Dental Chains in India
Table 49: Cataract Surgeries Performed in India by States in 2013-2014
Table 50: Average Length of Stay, Treatment Time, Average Realization Per Patient, Average Operating Margins for a Eyecare Specialty Centre in India
Table 51: Capital Investment Incurred by Eyecare Specialty Hospital in Year Zero by Types in INR Million
Table 52: Expenditure Incurred by the Hospital: Actual and Projected by Types in INR Million
Table 53: Cost, Revenue and Net Profit of the Hospital: Actual and Projected in INR Million
Table 54: Revenue of the Hospital by Departments: Actual and Projected in INR Million
Table 55: List of Major Eyecare Single Specialty Hospitals in India by Number of Centers
Table 56: Revenue of Leading Eyecare Single Specialty Hospitals in India in INR Million and Number of Centres in India, FY’2014
Table 57: Competitive Landscape of Major Eyecare Specialty Hospitals in India
Table 58: Infertility Scenario in India by Total Number of Married Females and % of Infertility cases, 2011
Table 59: Comparison of Penetration of IVF Cycles per Person in India with Other Countries in the World
Table 60: Infertility Treatment Cost Range in India by Key Activities in INR
Table 61: Number of Cycles of IVF Procedures Performed by NARI, 2000, 2006, 2010 and 2011
Table 62: Success Rate of ART Methods in India by Age Bracket
Table 63: Number of Nephroplus Dialysis Centres by States/Cities in India
Table 64: Investment Value, Number of Investors, Number of Transactions in Single Specialty Hospitals in India, 2011-2013
Table 65: Recent PE/VC Deals in Single Specialty Hospitals in India
Table 66: India Single Specialty Hospitals and Clinics Market Future Projections by Hospitals and Clinics on the Basis of Revenue in INR Million, FY’2015-FY’2019
Table 67: The Cause and Effect Relationship between Dependent and Independent Factors Prevailing in Single Specialty Hospital Industry in India
Table 68: Correlation Matrix of India Single Specialty Hospitals and Clinics Market
Table 69: Regression Coefficients Output of India Single Specialty Hospitals and Clinics Market