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MRI Market – India
May 2012
Executive Summary

                 The MRI market in India is growing at a rate of 18% and is likely to reach A bn by 20‐‐
                 Type 1 Tesla MRI is the most popular MRI in India
  Market         Big government and private hospitals prefer new MRI machines
                 Region 1 in India accounts for maximum MRI demand 
                Drivers                                                  Challenges
                    – Increasing demand from hospitals and                   – Currency fluctuation
                      imaging centers
                                                                             – Lack of affordability among 


                                                                                 
  Drivers &         – Increase in health insurance and per 
                                                                               patients



                                                                             LE
 Challenges           capita disposable income
                    – Growth in medical tourism


                                                 P
                    – Increase in health budget
                    – Increase in awareness


   Trends

                                             S AM
                 Refurbished MRI gaining popularity
                 MRI equipment installation through PPP mode
                 Tele‐radiology

                 Government encouraging projects through public private partnership
Government
                 Reduction in import duties of medical equipments
participation
                 Government Health Insurance Schemes

                                                             Major Players
Competition
                          Player 1                              Player 2                      Player 3


                                         MRI MARKET IN INDIA 2012.PPT                                         2
•Introduction
•Market Overview
•Drivers & Challenges
•Import‐Export
•Government Participation
•Technological Developments
•Trends
•Competition
•Strategic Recommendations
•Appendix
         MRI MARKET IN INDIA 2012.PPT   3
Magnetic resonance imaging is used in radiology to visualise 
detailed internal structures

                                                                         LE  
                                        P
                                                      Introduction



                                    M
  • Magnetic Resonance Imaging (MRI) is a medical imaging technique 


                                   A
  • Helps in diagnosis of any disease by  providing images of the magnetic field and radio waves 


                                 S
  • Provides detailed pictures of organs, soft tissues, bones and any other internal body in any plane


                                                    Characteristics




                                       E  
   • Works on magnetic resonance technique


                                      L
   • Uses powerful magnetic field, radio waves and a computer to produce images




                                 M  P
   • Has a high soft tissue resolution, higher than a CT scan
   • Has the ability to alter the contrast of the images which is particularly beneficial as different contrasts can 
     differentiate between tissues



                              S A
   • Can detect masses of soft tissues in the body ,bone tumors, cysts
   • Special precaution needs to be taken while conducting MRI with pacemakers, metal implants, insulin 
     pumps, cardiac defibrillators etc. 

                                                       Strength
  • Strength of a MRI is measured by Tesla (T) [Tesla is standard unit of magnetic flux density]
  • Higher the magnetic strength , better is the clarity of the image
  • MRI with higher magnetic strength is able to diagnose  even small tumors with a diameter of 5 mm 
    (including prostrate cancer)

                                                MRI MARKET IN INDIA 2012.PPT                                            4
Indian MRI market has witnessed strong growth over the 
last few years
Indian MRI Market – Overview  (1/2)                                               Market Size & Growth (Value wise)
• Indian market is expected to witness significant 
  growth over the  next few years, at around a CAGR 
                                                                                                          a%
  of a %                                                                                                                                  T
                                                                                                                           R
                                                                                                          E
• Cost of a single MRI scan is INR   XYZ                                                          W



                                                                                           
                                                                                             Q




                                                                                       LE
• Dominated by foreign players with only a handful of 
  local manufacturers                                                            0
• Market is witnessing entry of some Chinese players


                                                       MP                               20‐‐     20‐‐e   20‐‐e          20‐‐e          20‐‐e
                                                                                                              Note: Figures are for calendar year


Segmentation
     A Tesla         B Tesla    C  Tesla
                                                    S A                           Market Size & Growth (Volume wise)


                                                                                                          b%                              L
                                            B Tesla is the 
                                                                                                                           J
                                           most common                                                    G
               M %                         type of  MRI in                                         D
                                                                                             A
                               N %              India

               B %
                                                                                 0
                                                                                         20‐‐    20‐‐e   20‐‐e          20‐‐e          20‐‐e



                                                              MRI MARKET IN INDIA 2012.PPT                                                          5
Drivers & Challenges – Summary 




                                                                    LE  
  Drivers
  Increasing demand from hospitals and 

                                          MP
  imaging centers

  capita disposable income
                                       S
  Increase in health insurances and per 
                                         A                          Challenges

                                                                    Currency fluctuation

  Growth in medical tourism                                         Lack of affordability among patients

  Increase in health budget

  Increasing awareness




                                           MRI MARKET IN INDIA 2012.PPT                                    6
Indian MRI markets is heavily dependant on imports 
specially from the US
Imports of MRI Equipments – Overview                            Total Imports  
•Imports are from technologically advanced 
 countries including  country 1 , country 2 etc.                                                           K%
                                                               4,000                                                      R              T
•Country 1 accounts for the largest share                                                                   E
                                                               3,000


                                                                                  
                                                                                             W
•Reduction in import duties  has increased                                    Q


                                                                               E
                                                               2,000
 volume of  imports over the last few years


                                              P
                                                               1,000
                                                                    0
                                                                              L
                                             M
                                                                           20‐‐‐‐‐        20‐‐‐‐‐         20‐‐‐‐‐      20‐‐‐‐‐        20‐‐‐‐‐




                                           SA
Imports – Region wise (20‐‐‐‐‐)                                 Imports – Region wise (20‐‐‐‐‐)

                  8%                     Germany                                     9%                                       Germany
            11%                          U S A                                6%                                              USA
                             28%                                                                       29%
                                         China                                                                                China
        2%
                                         Japan                          14%                                                   Netherlands
       8%
                                         Singapore                                                                            Japan
                                         Netherlands                                                                          Others
        10%
                                         Others
                                                                              18%
                                                                                                    23%
                       34%

                                                                                          Note: All figures are for  the respective financial years

                                            MRI MARKET IN INDIA 2012.PPT                                                                          7
Government Initiatives – Summary 


                                    Public Private Partnership (PPP) 
                                                Projects




                                           Government
                                            Initiatives



     Government Health Insurance                                        Reduction in Import Duties on 
             Schemes                                                        Medical Equipments




                                         MRI MARKET IN INDIA 2012.PPT                                    8
Rapid developments in technology such as faster scan times and 
higher imaging quality…
     Manufacturers are trying to develop more compact MRI  equipment with reduced acoustic noise and 
                                          superior imaging quality




                                                                            
  • Demand for high field MRI is increasing, as they consume less power but deliver high images



                                                                        LE
  • Development of dedicated MRI addressed to extremities, musculoskeletal parts, knee joints



                                            P
  • Development of 3T scanners, known as gold standards, have provided an additional impetus
      3T scanners can show blood vessels as small as 200‐300 microns




    growth of MRI market
                                        S  M
      They have 3‐4 times higher signal to noise ratio



                                          A
  • Introduction of whole body MRI which helps in detecting bone metastasis and black blood MRI increases 

  • Development of technology in the fields of cancer screening, neurosurgery planning and angioplasty
  • Increased applications such as identification of multiple sclerosis




            A lot of research is now being increasingly dedicated to increasing the applications of MRI 
            A lot of research is now being increasingly dedicated to increasing the applications of MRI 



                                                    MRI MARKET IN INDIA 2012.PPT                             9
Trends‐ Summary 


                         Refurbished MRIs
                         Gaining Popularity 




                                Key 
                               Trends

                                                             MRI Equipment 
        Tele‐radiology                                  Installation Through PPP 
                                                                  Model 




                         MRI MARKET IN INDIA 2012.PPT                               10
Public : Domestic Company – Company 1
Company Information                                                     Offices and Centres – India 
                    Block ABC
Corporate Address   City XYZ


Tel No.             123456

Fax No.             1234567




                                                                    
Website             http://www.abc123com/
Year of 
Incorporation
                    20‐‐



                                     P                          LE                 City A



Products and Services
      Category

Product 1           P1,p2,p3     S AM
                                Products/Services
                                                                        Key People
                                                                                       Name                  Designation

                                                                        ABC                            abc

                                                                        XYZ                            xyz

                                                                        MNO                            mno



                                                    MRI MARKET IN INDIA 2012.PPT                                           11
Public: Domestic Company – Company 1
Financial Snapshot                                                                 Key Ratios
                                                                                                                    y‐o‐y change 
                                                                                              Particulars                           20‐‐      20‐‐   20‐‐       20‐‐
                                  Revenue          Net Income                                                          (20‐‐‐‐‐)
                                                                                    Profitability Ratios
 6                                                          x4          0.15         Operating Margin                    a1          a         a2     a3         a4
                                            x3
                                                                                     Net Margin                          b1          b         b2    b3         b4
 4         x1              x2                                           0.10
                                                                                     Profit Before Tax Margin            c1          c         c2     c3         c4
 2                                                                      0.05         Return on Equity                    d1          d         d2    d3         d4
                                                                                     Return on Capital Employed          e1          e         e2     e3         e4
 0                                                                      0.00         Return on Working Capital           f1          f         f2     f3         f4
          20‐‐            20‐‐              20‐‐           20‐‐                      Return on Assets                    g1          g         g2     g3         g4

Financial Summary                                                                    Return on Fixed Assets              h1          h         h2    h3         h4




                                                                                                                   
                                                                                    Cost Ratios
• The company incurred a net profit of INR  A mn in FY 20‐‐, as 



                                                                                                                E
                                                                                     Operating costs (% of Sales)        i1          i         i2     i3         i4
  compared to net profit  of INR B mn in FY 20‐‐



                                                                                                               L
                                                                                     Administration costs (% of 
                                                                                                                         j1          j         j2     j3         j4
• The company reported total Income of  INR X mn in FY 20‐‐,                           Sales)
  registering an increase  of  r % over FY 20‐‐
• The company earned an operating margin of  d1  % in FY 20‐‐ an 
  decrease of  k  %  points over FY 20‐‐

                                                                            MP       Interest costs (% of Sales)
                                                                                    Liquidity Ratios
                                                                                     Current Ratio
                                                                                                                         k1


                                                                                                                         l1
                                                                                                                                     k


                                                                                                                                     l
                                                                                                                                               k2


                                                                                                                                               l2
                                                                                                                                                      k3


                                                                                                                                                      l3
                                                                                                                                                                 k4


                                                                                                                                                                 l4




                                                                           A
                                                                                     Cash Ratio                         m1           m         m2    m3         m4
• The company reported debt to equity ratio of  g  in FY 20‐‐, an 



                                                                         S
                                                                                    Leverage Ratios
  increase of r % over FY 20‐‐                                                       Debt to Equity Ratio                n1          n         n2    n3         n4

Financial Summary                                                                    Debt to Capital Ratio               01          o         o2    o3         o4
                                                                                     Interest Coverage Ratio             p1          p         p2    p3         p4
        Indicators                   Value (DDD/MMM/YYYY)                           Efficiency Ratios
Market Capitalization (INR)                        a                                 Fixed Asset Turnover                q1          q         q2    q3         q4
Total Enterprise Value (INR)                       b                                 Asset Turnover                      r1          r         r2     r3         r4

EPS (INR)                                                                            Current Asset Turnover              s1          s         s2     s3         s4
                                                   c
                                                                                     Working Capital Turnover            t1          t         t2     t3         t4
PE Ratio (Absolute)                                d
                                                                                     Capital Employed Turnover           u1          u         u2    u3         u4

                                                                                                                                         Improved     Decline

                                                                  MRI MARKET IN INDIA 2012.PPT                                                                        12
Public: Domestic Company – Company 1.
Key Business Segments                                                       Key Geographic Segments 
                     Enamelled Wire and Strips
                                                                                                                India


  6,000                                                                    6,000                       c1
                                                   d                                            b1
                                         c                                 4,000
  4,000                       b                                                           a1
               a



                                                                                                   
  2,000                                                                    2,000

      0
              20‐‐          20‐‐        20‐‐     20‐‐


                                                                 P
                                                                               0
                                                                                       20‐‐

                                                                                               LE
                                                                                                20‐‐   20‐‐




                                                                M
Key Recent Developments

     Description 
Overview
Production facilities
                                                             S A                   News
                             • It sells product A under the brand name of ‘abg’ & ‘def’
                             • In India the company has k manufacturing hubs and  j marketing offices 
Shareholding pattern         • Promoters of the company hold j % of the share while k % is held by general public
Clients                      • Clients are spread across ghj countries spanning across t continents
Investments                  • The company wants to invest INR K mn in a company through a  joint venture in Country 2 
                               producing product a and product b
                             • So far the company invested INR 0.C mn in company A in country A


                                                        MRI MARKET IN INDIA 2012.PPT                                      13
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                                                          MRI MARKET IN INDIA 2012.PPT                                                       14

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Market Research Report :MRI market in India 2012

  • 2. Executive Summary  The MRI market in India is growing at a rate of 18% and is likely to reach A bn by 20‐‐  Type 1 Tesla MRI is the most popular MRI in India Market  Big government and private hospitals prefer new MRI machines  Region 1 in India accounts for maximum MRI demand  Drivers Challenges – Increasing demand from hospitals and  – Currency fluctuation imaging centers – Lack of affordability among    Drivers &  – Increase in health insurance and per  patients LE Challenges capita disposable income – Growth in medical tourism P – Increase in health budget – Increase in awareness Trends S AM  Refurbished MRI gaining popularity  MRI equipment installation through PPP mode  Tele‐radiology  Government encouraging projects through public private partnership Government  Reduction in import duties of medical equipments participation  Government Health Insurance Schemes Major Players Competition Player 1 Player 2 Player 3 MRI MARKET IN INDIA 2012.PPT 2
  • 4. Magnetic resonance imaging is used in radiology to visualise  detailed internal structures LE   P Introduction M • Magnetic Resonance Imaging (MRI) is a medical imaging technique  A • Helps in diagnosis of any disease by  providing images of the magnetic field and radio waves  S • Provides detailed pictures of organs, soft tissues, bones and any other internal body in any plane Characteristics E   • Works on magnetic resonance technique L • Uses powerful magnetic field, radio waves and a computer to produce images M P • Has a high soft tissue resolution, higher than a CT scan • Has the ability to alter the contrast of the images which is particularly beneficial as different contrasts can  differentiate between tissues S A • Can detect masses of soft tissues in the body ,bone tumors, cysts • Special precaution needs to be taken while conducting MRI with pacemakers, metal implants, insulin  pumps, cardiac defibrillators etc.  Strength • Strength of a MRI is measured by Tesla (T) [Tesla is standard unit of magnetic flux density] • Higher the magnetic strength , better is the clarity of the image • MRI with higher magnetic strength is able to diagnose  even small tumors with a diameter of 5 mm  (including prostrate cancer) MRI MARKET IN INDIA 2012.PPT 4
  • 5. Indian MRI market has witnessed strong growth over the  last few years Indian MRI Market – Overview  (1/2) Market Size & Growth (Value wise) • Indian market is expected to witness significant  growth over the  next few years, at around a CAGR  a% of a % T R E • Cost of a single MRI scan is INR   XYZ W   Q LE • Dominated by foreign players with only a handful of  local manufacturers 0 • Market is witnessing entry of some Chinese players MP 20‐‐ 20‐‐e 20‐‐e 20‐‐e 20‐‐e Note: Figures are for calendar year Segmentation A Tesla B Tesla C  Tesla S A Market Size & Growth (Volume wise) b% L B Tesla is the  J most common  G M % type of  MRI in  D A N % India B % 0 20‐‐ 20‐‐e 20‐‐e 20‐‐e 20‐‐e MRI MARKET IN INDIA 2012.PPT 5
  • 6. Drivers & Challenges – Summary  LE   Drivers Increasing demand from hospitals and  MP imaging centers capita disposable income S Increase in health insurances and per  A Challenges Currency fluctuation Growth in medical tourism Lack of affordability among patients Increase in health budget Increasing awareness MRI MARKET IN INDIA 2012.PPT 6
  • 7. Indian MRI markets is heavily dependant on imports  specially from the US Imports of MRI Equipments – Overview  Total Imports   •Imports are from technologically advanced  countries including  country 1 , country 2 etc. K% 4,000 R T •Country 1 accounts for the largest share E 3,000   W •Reduction in import duties  has increased  Q E 2,000 volume of  imports over the last few years P 1,000 0 L M 20‐‐‐‐‐ 20‐‐‐‐‐ 20‐‐‐‐‐ 20‐‐‐‐‐ 20‐‐‐‐‐ SA Imports – Region wise (20‐‐‐‐‐) Imports – Region wise (20‐‐‐‐‐) 8% Germany 9% Germany 11% U S A 6% USA 28% 29% China China 2% Japan 14% Netherlands 8% Singapore Japan Netherlands Others 10% Others 18% 23% 34% Note: All figures are for  the respective financial years MRI MARKET IN INDIA 2012.PPT 7
  • 8. Government Initiatives – Summary  Public Private Partnership (PPP)  Projects Government Initiatives Government Health Insurance  Reduction in Import Duties on  Schemes Medical Equipments MRI MARKET IN INDIA 2012.PPT 8
  • 9. Rapid developments in technology such as faster scan times and  higher imaging quality… Manufacturers are trying to develop more compact MRI  equipment with reduced acoustic noise and  superior imaging quality   • Demand for high field MRI is increasing, as they consume less power but deliver high images LE • Development of dedicated MRI addressed to extremities, musculoskeletal parts, knee joints P • Development of 3T scanners, known as gold standards, have provided an additional impetus  3T scanners can show blood vessels as small as 200‐300 microns growth of MRI market S M  They have 3‐4 times higher signal to noise ratio A • Introduction of whole body MRI which helps in detecting bone metastasis and black blood MRI increases  • Development of technology in the fields of cancer screening, neurosurgery planning and angioplasty • Increased applications such as identification of multiple sclerosis A lot of research is now being increasingly dedicated to increasing the applications of MRI  A lot of research is now being increasingly dedicated to increasing the applications of MRI  MRI MARKET IN INDIA 2012.PPT 9
  • 10. Trends‐ Summary  Refurbished MRIs Gaining Popularity  Key  Trends MRI Equipment  Tele‐radiology Installation Through PPP  Model  MRI MARKET IN INDIA 2012.PPT 10
  • 11. Public : Domestic Company – Company 1 Company Information Offices and Centres – India  Block ABC Corporate Address City XYZ Tel No. 123456 Fax No. 1234567   Website http://www.abc123com/ Year of  Incorporation 20‐‐ P LE City A Products and Services Category Product 1 P1,p2,p3 S AM Products/Services Key People Name Designation ABC abc XYZ xyz MNO mno MRI MARKET IN INDIA 2012.PPT 11
  • 12. Public: Domestic Company – Company 1 Financial Snapshot Key Ratios y‐o‐y change  Particulars  20‐‐ 20‐‐ 20‐‐ 20‐‐ Revenue Net Income (20‐‐‐‐‐) Profitability Ratios 6 x4 0.15 Operating Margin a1 a a2 a3 a4 x3 Net Margin b1 b b2 b3 b4 4 x1 x2 0.10 Profit Before Tax Margin c1 c c2 c3 c4 2 0.05 Return on Equity d1 d d2 d3 d4 Return on Capital Employed e1 e e2 e3 e4 0 0.00 Return on Working Capital f1 f f2 f3 f4 20‐‐ 20‐‐ 20‐‐ 20‐‐ Return on Assets g1 g g2 g3 g4 Financial Summary  Return on Fixed Assets h1 h h2 h3 h4   Cost Ratios • The company incurred a net profit of INR  A mn in FY 20‐‐, as  E Operating costs (% of Sales) i1 i i2 i3 i4 compared to net profit  of INR B mn in FY 20‐‐ L Administration costs (% of  j1 j j2 j3 j4 • The company reported total Income of  INR X mn in FY 20‐‐,  Sales) registering an increase  of  r % over FY 20‐‐ • The company earned an operating margin of  d1  % in FY 20‐‐ an  decrease of  k  %  points over FY 20‐‐ MP Interest costs (% of Sales) Liquidity Ratios Current Ratio k1 l1 k l k2 l2 k3 l3 k4 l4 A Cash Ratio m1 m m2 m3 m4 • The company reported debt to equity ratio of  g  in FY 20‐‐, an  S Leverage Ratios increase of r % over FY 20‐‐ Debt to Equity Ratio n1 n n2 n3 n4 Financial Summary  Debt to Capital Ratio 01 o o2 o3 o4 Interest Coverage Ratio p1 p p2 p3 p4 Indicators Value (DDD/MMM/YYYY) Efficiency Ratios Market Capitalization (INR) a Fixed Asset Turnover q1 q q2 q3 q4 Total Enterprise Value (INR) b Asset Turnover r1 r r2 r3 r4 EPS (INR) Current Asset Turnover s1 s s2 s3 s4 c Working Capital Turnover t1 t t2 t3 t4 PE Ratio (Absolute) d Capital Employed Turnover u1 u u2 u3 u4 Improved Decline MRI MARKET IN INDIA 2012.PPT 12
  • 13. Public: Domestic Company – Company 1. Key Business Segments  Key Geographic Segments  Enamelled Wire and Strips India 6,000 6,000 c1 d b1 c 4,000 4,000 b a1 a   2,000 2,000 0 20‐‐ 20‐‐ 20‐‐ 20‐‐ P 0 20‐‐ LE 20‐‐ 20‐‐ M Key Recent Developments Description  Overview Production facilities S A News • It sells product A under the brand name of ‘abg’ & ‘def’ • In India the company has k manufacturing hubs and  j marketing offices  Shareholding pattern • Promoters of the company hold j % of the share while k % is held by general public Clients • Clients are spread across ghj countries spanning across t continents Investments • The company wants to invest INR K mn in a company through a  joint venture in Country 2  producing product a and product b • So far the company invested INR 0.C mn in company A in country A MRI MARKET IN INDIA 2012.PPT 13
  • 14. Thank you for the attention The MRI  Market – India report is part of Research on India’s  Healthcare Series. For more detailed information or customized research requirements please contact: Phone: +91 33 4064 6214 E‐Mail: sales@netscribes.com Follow us on: About Netscribes Netscribes is a knowledge‐consulting and solutions firm with clientele across the globe. The company’s expertise spans areas of investment &  business research, business & corporate intelligence, content‐management services, and knowledge‐software services. At its core lies a true  value proposition that draws upon a vast knowledge base. Netscribes is a one‐stop shop designed to fulfil clients’ profitability and growth  objectives. Disclaimer: This report is published for general information only. Although high standards have been used in the preparation, “Netscribes” is  not responsible for any loss or damage arising from use of this document. This document is the sole property of Netscribes and prior  permission is required for guidelines on reproduction. MRI MARKET IN INDIA 2012.PPT 14