Chennai Meenakshi Multispeciality Hospital Ltd Management Discussions.

INDUSTRY STRUCTURE AND DEVELOPMENTS

After independence India has come a long way in terms of improving the health of its citizens. Consequently the life expectancy at birth has risen more than two folds. While the Government has taken significant steps to improve access to quality care, the Health sector has seen the emergence of private players due to the growing health care needs of the people.

The population growth and increase in lifestyle related diseases coupled with rising purchasing power of the middle class and higher awareness of chronic illnesses will improve the performance of the medical sector. The population in rural India which accounts for over 70% is expected to improve demand source.

Shortage of qualified medical professionals, para-medical are challenges in the Indian Health care Industry in India.

OUTLOOK

With the increase in disease burden the health care sector in the country needs further development. Investment and focus on health care are important for healthy citizens. India faces many challenges in the healthcare system. The country still faces a shortage of hospitals, specialists and experienced doctors, who are further supported by a team of highly qualified, experienced and dedicated support staff and cutting edge technology. Increasing awareness among the public is expected to improve the growth of the Health care industry.

THE COMPANY

The hospital has an infrastructure comprising of around 105 Beds including ICU Beds, Operating Theatre, a modern dialysis Unit besides a host of other facilities. Your Company has a pool of talented and experienced doctors who are further supported by a team of highly qualified and experienced and dedicated support staff and cutting edge technology.

RISKSAND CONCERNS

Competition from the Healthcare providers spreading their wings in the area in which your hospital situate is a potential risk to the company. Government is also playing an active role in healthcare field by introducing various schemes for the people who live below poverty line. Getting further investment to meet the modern technology is another concern for the industry.

INTERNAL CONTROL SYSTEMS AND THEIR ADEQUACY

Adequate internal control systems combined with delegation of powers to safeguard funds to ensure accurate financial reporting are followed by your Company. The Company has a dedicated independent team of Internal Auditors who review the entire operations of the Company and submit their findings to the Audit Committee with suggestions for improvements on a quarterly basis. The Audit Committee takes note of the same and guides the management in the implementation of suggestions. The InternalAuditors also review the action taken on its suggestions.

OPPORTUNITIES AND THREATS

Increasing demand for healthcare services will provide opportunities for the industry. However large-scale investments by foreign investors in the healthcare industry is a threat to the local health care providers.

HUMAN RELATIONS

Your Company provides the Best Working atmosphere to its employees. The number of employees as on 31stMarch, 2019 was 113 (previous year- 65).

OPERATIONAL FINANCIAL PERFORMANCE

During the year under review, the number of inpatients was 3481 during the year under review as against 4009 in the previous year. The number of outpatients was 30754 during the year under review against 28563 in the previous year. The average occupancy was 58.33% (Previous year - 64.12%).

During the year 2018-19 there was decline in the overall performance of the company due to stiff competition. The gross income during the year under review was र 2285.73 Lakhs as against र 2368.93 Lakhs in the previous year. There was a profit of र 4.24 Lakhs (After Tax) during the year under review as against र 156.55 Lakhs (AfterTax) in the previousyear.

By strengthening of existing facilities and addition of new facilities and services with restructuring of tariff keeping always the affordability factor in mind are expected to improve the performance.

Improvements in Patient Care services is expected to result in revenue growth.

Strengthening of existing facilities and addition of new facilities and services with restructuring of tariff keeping always the affordability factor in mind will boost the performance

DETAILS OF IPAND OPFOR2017-18AND 2018-19

Year Inpatients Outpatients Total
2017-18 4009 28563 32572
2018-19 3481 30754 34235

CAUTIONARY STATEMENT

Statements in this management discussion and analysis describing the companys objections projections, estimates and expectations may be "forward looking statement" within the meaning o applicable laws and regulations. Actual results may differ substantially or materially from those expressed or implied. Important developments that could affect the companys operations include Government regulations, tax laws and significant changes in the political and economic environment in India.