To the Esteemed Shareholders
Our vision of providing affordable quality healthcare to a broad spectrum ofpopulation formed the genesis of NH back in 2000. With this single-minded focus we havebeen progressing towards this stated objective and the year 2017 was no exception as wetreated ~2.6 mn patients across our network underlying the scale of operations at NH.
Year 2017 turned out to be a momentous year for your Company. It gives me great comfortto share that NH is advancing well along its business strategy and I am confident that theongoing efforts shall be fulfilling for all stakeholders.
Targeting Universal Healthcare Coverage
The fiscal year 2017 observed one of the most significant developments in thehealthcare sector in India which according to us will set precedents for achieving thelong-term goals of the affordable high quality healthcare for all in India.
I take this opportunity to commend the Central Government's committed move to set up anambitious plan for achieving universal health coverage by 2030 through its recentlyannounced National Health Policy. While the policy suggests the need for some sweepingoverhauls it categorically highlights the pivotal role of private healthcare providers inmeeting the desired goals. As private players deliver over 70% of healthcare services inIndia it is imperative for them to leverage their strengths and work inclusively toachieve the broader set of goals.
We at NH are working in tandem with government bodies various NGOs and institutionsto deliver healthcare services on a large scale to realize the ambitious goals thegovernment has set for private players through this policy.
Inadequate Infrastructure but Sector's Growth Story Intact
As the sector encounters burgeoning demand from the ageing population changinglifestyle and rising affordability it continues to experience the supply sideconstraints. The country confronts inadequate healthcare infrastructure with mere 6% sharein global hospital beds and 8% share in doctors viz a viz 20% share of the global diseaseburden (Source: FICCI and E&Y). By 2030 deaths due to Non-Communicable Diseases(NCDs) are expected to be 74% of total deaths in 2030 compared with 60% in 2012.
India is reemphasizing the evolution of healthcare sector which anticipates 23% revenueCAGR over 2015-20 to reach US$ 280 bn. India's per capita income is expected to grow at aCAGR of 11% over 2016-21.
Indian healthcare industry is in its nascent stages of evolution as it is experiencingmushrooming demand for healthcare professionals revolutionary technology and insufficientbut rising health insurance thus pointing towards the growth spurts developing in thesector for NH to explore.
Digital Medicine: Technology takes the Lead
Through emerging digital services like teleradiology and telemedicine NH is seamlesslyconnecting the farfetched places of the country. Our prowess in collaborating technologywith healthcare and driving results out of it has drawn attention of various corporates.During the year your company has collaborated with BPCL a leading oil refining andmarketing Public Sector Undertaking (PSU) for a pilot project to provide specializedhealth related offering to its fleet owners and drivers at their retail outlets coveringhighways and rural markets.
We believe that India can become the first country to dissociate healthcare and otheressentials from affluence through a digital sharing economy. Seamless connect the keyessence of technology will break the geographical barrier and will enable doctors toconnect with patients sitting miles away. Only surgeries and procedures will demandpatients' presence rest all will be done on a shared digital platform. Our recentlylaunched digital initiatives encompass host of services like enhanced monitoring ofpatients round the clock accessing medical records online and consolidation of useridentities to manage multiple applications under one user. These small steps towardsdigitizing the healthcare environment at NH will help in statistical documentation ofpatients.
Our incessant spirit to provide the highest degree of clinical precision possible hashelped us make major strides in Minimal Invasive techniques.
Our recently launched Da Vinci Robotic Surgical System Program is one such step in thisdirection to overhaul the manner in which surgeries are conducted in India.
We are of the view that with the digital push India is experiencing today healthcaredelivery system will become more virtual and less real leading to a simulated healthcareenvironment.
Caring for Future
We continue to adhere to our motto of Healthcare for all All forhealthcare by providing affordable healthcare services which is aimed at bringingsmile on the faces of unprivileged people. Through our charitable programs we conducted~150 cardiac surgeries till date on children from 13 neighbouring islands at our Cayman
Islands hospital. We run various CSR programs and enter into several engagements aimedat community building. Some of these initiatives are as follows:
Extending our decade old West Bengal focussed Udayer Pathe program aimed atcreating an opportunity for bright students from economically weaker of society to studymedicine by providing scholarships and mentorship to underprivileged children NH launchedproject Udaan in 2016 on the same lines in Karnataka. Selections are donethrough a streamlined process and it is ensured that deserving and bright students canfulfil their dreams.
Shorapur Maternal Obstetric Monitoring Program
This program is focused on maximum coverage of ANC (Antenatal care) clinical evaluationin Shorapur Taluk Karnataka. From November 2016 more than 2000 pregnant women had freeUltrasonography evaluations done by NH and the high risk pregnancy detection has gone upby more than 50%.
Community Radio Program
Started in 2017 with an objective to support preventive health efforts by using locallanguages to communicate directly with diverse listeners' groups we have acquired thewireless operating license and we are establishing a community radio station at HealthCity Bengaluru.
Environmental Social Governance
Our continuous focus on judicious utilisation of resources is reflected in the factthat we have cut down water consumption at our Health City Campus by ~50% and one thirdacross the group in 2017 compared to 2014 through a slew of innovative controls andmeasures despite a significant ramp up of operations across the network.
We believe community health and awareness can bring a major overhaul in how Indianhealthcare will function in coming years.
Predictive Healthcare: A Potent Prescription for Sector
Our goal of healthy disease-free India cannot be achieved unless we go an extra mileand not just rely on diagnosis but also use prognosis as a potent weapon. After having setthe benchmark in preventive healthcare
NH is now gearing up for predictive healthcare by unlocking the potential of genomicsto understand diseases and their varied impact on individuals.
This will help us provide customized healthcare solutions to our patients by studyingthe impact a particular body had from a certain drug.
With all these initiatives we make sure that patients' well-being is the epicentre ofthe group's strategy who according to our belief need utmost care and attention. From thevery first day of NH's inception we embarked on a mission of developing a healthy societywhere no one gets turned away from availing healthcare services because of dearth offunds. We will continue to channelize all our energy and resources in this directiontowards realizing the goal of universal health coverage for all while ensuring valuecreation for all our stakeholders.
Devi Prasad Shetty