CHAPTER-1

INUSTRY PROFILE

1.1 INTRODUCTION
Healthcare has become one of India’s largest sectors, both in terms of revenue and
employment. Healthcare comprises hospitals, medical devices, clinical trials, outsourcing,
telemedicine, medical tourism, health insurance and medical equipment. The Indian
healthcare sector is growing at a brisk pace due to its strengthening coverage, services,
and increasing expenditure by public as well as private players.

India’s healthcare delivery system is categorized into two major components - public and
private. The government, i.e., the public healthcare system, comprises limited secondary
and tertiary care institutions in key cities and focuses on providing basic healthcare
facilities in the form of Primary Healthcare Centers (PHCs) in rural areas. The private
sector provides the majority of secondary, tertiary, and quaternary care institutions with a
major concentration in metros, tier-I, and tier-II cities.

India's competitive advantage lies in its large pool of well-trained medical professionals.
India is also cost-competitive compared to its peers in Asia and Western countries. The
cost of surgery in India is about one-tenth of that in the US or Western Europe. The low
cost of medical services has resulted in a rise in the country’s medical tourism, attracting
patients from across the world. Moreover, India has emerged as a hub for R&D activities
for international players due to its relatively low cost of clinical research.

1.2 ORIGIN AND DEVELOPMENT

Origins:
Ancient Roots:
 Ayurveda: Dating back over 5,000 years, Ayurveda emphasizes holistic wellness
through natural remedies, diet, and lifestyle practices. Imagine serene depictions
of herbal concoctions and yoga postures.
 Unani: Introduced in the 8th century by Arab and Persian influences, Unani
focuses on maintaining balance in the body's four humours. Think intricate charts
 and personalized herbal treatments.
 Traditional Chinese Medicine: With a 2,000-year legacy, TCM incorporates
acupuncture, moxibustion, and herbal medicine to restore balance and energy
flow. Picture delicate needles placed on specific points on the body.
Colonial Influence:
 Western Medicine: British rule in the 19th century introduced Western medical
practices, hospitals, and medical education. Think grand colonial-era hospitals
with white coats and stethoscopes.
 Allopathy: The dominant system today, allopathy relies on pharmaceuticals and
evidence-based treatment for various diseases. Imagine modern laboratories and
advanced medical equipment.
Post-Independence Growth:
 Government Initiatives: Since independence, the Indian government has played a
significant role in establishing healthcare infrastructure, launching programs like
National Rural Health Mission. Think vibrant posters promoting healthcare
awareness in rural areas.
 Private Sector Boom: The past few decades have witnessed a surge in private
hospitals, clinics, and diagnostic centers, offering specialized care alongside
affordability. Picture gleaming skyscrapers housing modern healthcare facilities.
Challenges and Opportunities:
 Unequal Access: The vastness and diverse demographics of India pose challenges
in ensuring healthcare accessibility across rural and urban areas. Think contrasting
images of remote villages and bustling metropolises.
 Affordability: While costs have come down, quality healthcare remains out of
reach for many. Imagine a spectrum of healthcare options ranging from expensive
to affordable.
 Medical Workforce: Shortages of doctors and nurses, particularly in rural areas,
present another hurdle. Think charts highlighting disparities in doctor-to-patient
ratios.
Future Glimpse:
 Telemedicine: The rise of telemedicine offers promising solutions for bridging
 geographical gaps and improving access to specialists. Imagine a doctor
consulting a patient remotely through a video call.
 Ayurveda Integration: Combining traditional wisdom with modern science holds
potential for holistic healthcare solutions. Think an image of an Ayurvedic doctor
and a modern physician collaborating.

India's healthcare industry is a fascinating tapestry woven from ancient traditions and
modern advancements, continuously evolving to address its unique challenges and
embrace new opportunities. As the nation strives for equitable and accessible healthcare
for all, its rich history continues to guide its path towards a healthier future.

Development:
Growth Trends:
 Market size: Expected to reach US$372 billion by 2022 and US$570 billion by
2030, making it one of the largest sectors in the Indian economy.
 Employment: Generating over 5 million jobs by 2025, making it a significant job
creator.
Key Drivers:
 Rising income levels: Leading to increased demand for quality healthcare.
 Aging population: Increased need for geriatric care.
 Urbanization: Growth of city-based healthcare infrastructure.
 Government initiatives: Programs like Ayushman Bharat increasing health
insurance coverage.
 Digital transformation: Adoption of telemedicine, AI, and health tech solutions.
Key Sectors:
 Hospitals: Strong growth, with increasing focus on specialization and technology.
 Medical devices: Rising demand for affordable and innovative devices.
 Pharmaceuticals: Growing domestic production and exports.
 Health insurance: Expanding penetration, driven by government initiatives.
 Telemedicine: Booming due to improved internet connectivity and accessibility.
Challenges:
 Unequal access to quality healthcare: Rural areas remain underserved.
 Shortage of healthcare professionals: Need for increased training and deployment.
 High out-of-pocket expenditure: Lack of adequate insurance coverage.
 Quality concerns: Need for improved regulation and standardization.
Overall, the Indian healthcare industry is on an upward trajectory with immense potential
for growth. However, addressing the challenges is crucial to ensure equitable and quality
healthcare for all in the country.

1.3 CURRENT SCENARIO

Global Scenario:
Challenges:
 Pandemic recovery: The ongoing impacts of COVID-19 continue to strain
healthcare systems, with challenges in vaccine accessibility, healthcare worker
burnout, and long-term health consequences.
 Inequalities: Unequal access to healthcare remains a major issue, with disparities
in affordability, quality, and availability between developed and developing
countries, and even within individual nations.
 Aging populations: Growing numbers of older individuals put pressure on
healthcare systems, requiring specialized care and increased resources.
 Rising costs: Increasing costs of pharmaceuticals, medical technology, and
administrative overhead burden healthcare systems globally.
 Climate change: The health impacts of climate change, such as extreme weather
events and air pollution, add new challenges to healthcare systems.

Opportunities:
 Digital health: Advancements in telemedicine, artificial intelligence, and data
analytics offer innovative solutions for improving access, efficiency, and
personalization of healthcare.
 Personalized medicine: Tailoring treatments to individual patient needs based on
genetic and other factors holds promise for more effective and efficient care.
  Global collaboration: Sharing knowledge, resources, and best practices across
borders can address global health challenges and improve healthcare for all.
 Preventive healthcare: Emphasis on prevention through healthy lifestyles, early
detection of diseases, and vaccination can reduce healthcare costs and improve
population health.
 Sustainable healthcare: Integrating environmental considerations into healthcare
delivery can reduce the industry's environmental footprint and promote long-term
sustainability.

National Scenario:
 Government policies: Many countries are implementing policies to improve
healthcare access, affordability, and quality.
 Public-private partnerships: Collaboration between governments and private
companies can accelerate innovation and access to healthcare services.
 Focus on primary care: Strengthening primary care systems can improve
preventative care and reduce the burden on hospitals.
 Data integration: Leveraging data analytics can improve healthcare
planning, resource allocation, and decision-making.
 Community engagement: Empowering communities and individuals to take
charge of their health can lead to better health outcomes.

1.4 INDUSTRY STRUCTURE:

The healthcare industry is a complex ecosystem with a multifaceted structure, often
segmented into various actors playing interconnected roles.
Providers:
 Hospitals: These institutions offer a wide range of services, from primary care to
complex surgeries, and can be further categorized by type (specialty hospitals,
general hospitals, teaching hospitals).
 Clinics: Smaller facilities offering primary care, specific services like dentistry or
mental health, or specialized care within a particular area (e.g., diabetic clinic).
 Individual practitioners: Doctors, nurses, therapists, and other healthcare
 professionals providing services in private practice or employed by hospitals or
clinics.
Payers:
 Government: Public health insurance programs like Medicare and Medicaid in the
US, or Ayushman Bharat in India, providing coverage for specific segments of the
population.
 Private insurance companies: Offering various health insurance plans to
individuals and groups, covering medical expenses in exchange for premiums.
 Out-of-pocket: Patients directly paying for their healthcare services without
relying on insurance.
Suppliers:
 Pharmaceutical companies: Develop, manufacture, and market drugs and other
pharmaceutical products.
 Medical device manufacturers: Produce and sell medical equipment, from simple
bandages to complex diagnostic tools and surgical robots.
 Technology companies: Offer software solutions for electronic health records,
telemedicine, and other healthcare applications.
Other stakeholders:
 Government agencies: Regulate the industry, set standards, and promote public
health initiatives.
 Research institutions: Conduct medical research and develop new treatments and
technologies.
 Patient advocacy groups: Represent the interests of patients and their families,
promoting access to quality and affordable healthcare.
Dynamics and Trends:
 Consolidation: Mergers and acquisitions among hospitals, insurance companies,
and other players are increasing, shaping the competitive landscape.
 Value-based care: Focus is shifting from fee-for-service to models rewarding
providers for improving patient outcomes and reducing costs.
 Technological advancements: Telemedicine, artificial intelligence, and other
technologies are transforming healthcare delivery and data management.
1.5 MAJOR PLAYERS
depending on your perspective and the specific sub-sector within the healthcare industry.
However, here are some of the prominent players across different segments:
Pharmaceuticals:
 Global Giants: Johnson & Johnson, Novartis, Roche, Pfizer, GlaxoSmithKline
(GSK), Bayer, Merck & Co., Abbott Laboratories, Sanofi
 Indian Leaders: Sun Pharma, Cipla, Dr. Reddy's Laboratories, Zydus Cadila,
Torrent Pharmaceuticals, Lupin
Medical Devices:
 Global Leaders: Medtronic, Johnson & Johnson, Siemens Healthineers, Philips
Healthcare, Abbott Laboratories, GE Healthcare
 Indian Companies: Trivitron Healthcare, Wipro GE Healthcare, TransAsia
Healthcare, HMD Medical India, Vascon Medical
Hospitals & Healthcare providers:
 Multi-chain Private Hospitals: Apollo Hospitals, Fortis Healthcare, Max
Healthcare, Manipal Hospitals, Aster DM Healthcare
 Public Hospitals: All India Institutes of Medical Sciences (AIIMS), Government
Medical Colleges, State-run Hospitals
 Diagnostic Chains: Metropolis Healthcare, SRL Diagnostics, Thyrocare
Technologies, Dr. Lal PathLabs
Health Insurance:
 Public Sector: Life Insurance Corporation of India (LIC), National Health
Insurance Company (NHIC)
 Private Sector: HDFC Life, ICICI Prudential Life Insurance, Star Health and
Allied Insurance, Max Bupa Health Insurance
Others:
 Medical Tourism Companies: Apollo Med Tour, Vaidam Health, Max Healthcare,
Fortis Healthcare
 Telemedicine Platforms: Practo, Doctor Insta, Lybrate, Med Plus
 Pharmaceutical Retail Chains: Apollo Pharmacy, Med Plus, Midlife, Guardian
Pharmacy
1.6 GOVERNMENT POLICIES
Poshan Abhiyan is a Centrally Sponsored Scheme with the implementation of the scheme
being done by States/UTs. To ensure that all Anganwadi Centers are equipped with
Smartphones and Growth Monitoring devices (GMDs) such as Infant meter,
Stadiometers, and Weighing Scale for Mothers and Infant, the Ministry has released
revised guidelines for technical specifications and replacement of GMDs by the States.
In the Union Budget 2023-24:

 Under the Union Budget 2023-24, the Ministry of Health and Family Welfare has
been allocated Rs. 89,155 crore (US$ 10.76 billion), an increase of 3.43%
compared to Rs. 86,200.65 crore (US$ 10.4 billion) in 2021-22.

 Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) was allocated Rs. 3,365
crore (US$ 0.41 billion)

 Human Resources for Health and Medical Education was allotted Rs. 6,500 crore
(US$ 780 million).

 National Health Mission was allotted Rs. 29,085 crore (US$ 3.51 billion).

 Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) was

allotted Rs. 7,200 crore (US$ 870 million).

 In July 2022, the World Bank approved a US$ 1 billion loan towards India's
Pradhan Mantri-Ayushman Bharat Health Infrastructure Mission.

 To promote medical tourism in the country, the government of India is extending

the e-medical visa facility to the citizens of 156 countries.

 In May 2022, the Union Government approved grants for five new medical
colleges in Gujarat with a grant of Rs. 190 crore (US$ 23.78 million) each. These
colleges will come up in Navsari, Porbandar, Rajpipla, Godhra and Morbi.

 In November 2021, the Government of India, the Government of Meghalaya, and

the World Bank signed a US$ 40-million health project for the state of
Meghalaya. The project will improve the quality of health services and strengthen
 the state’s capacity to handle future health emergencies, including the COVID-19
pandemic.

 In September 2021, Prime Minister Mr. Narendra Modi launched the Ayushman
Bharat Digital Mission. The mission will connect the digital health solutions of
hospitals across the country. Under this, every citizen will now get a digital health
ID and their health record will be digitally protected.

 In September 2021, the Telangana government, in a joint initiative with World

Economic Forum, NITI Aayog and HealthNet Global (Apollo Hospitals),
launched the ‘Medicine from the Sky’ project. The project will pave the way for
drone delivery of life-saving medicines and jabs in far-flung regions of the
country.

 According to a spokesperson, the Indian government is planning to introduce a

credit incentive programme worth Rs. 500 billion (US$ 6.8 billion) to boost the
country’s healthcare infrastructure. The programme will allow firms to leverage
the fund to expand hospital capacity or medical supplies with the government
acting as a guarantor and strengthening COVID-19-related health infrastructure in
smaller towns.

 In July 2021, the Ministry of Tourism established the ‘National Medical &
Wellness Tourism Board’ to promote medical and wellness tourism in India.

 In July 2021, the Union Cabinet approved the continuation of the National Ayush
Mission, responsible for the development of traditional medicines in India, as a
centrally sponsored scheme until 2026.

 In July 2021, the Union Cabinet approved the MoU between India and Denmark
on cooperation in health and medicine. The agreement will focus on joint
initiatives and technology development in the health sector, to improve the public
health status of the population of both countries.

 In June 2021, the Ministry of Health, and Family Welfare, in partnership with
UNICEF, held a capacity-building workshop for media professionals and health
 correspondents in Northeastern states on the current COVID-19 situation in India,
to bust myths regarding COVID-19 vaccines & vaccination and reinforce the
importance of COVID-19 Appropriate Behavior (CAB).

1.7 INDUSTRY OUTLOOK

The outlook for the healthcare industry is optimistic, with continued growth and
transformation expected in the coming years. Here are some key points to consider:
Positive trends:
 Market expansion: The global healthcare market is projected to reach US$10.4
trillion by 2028, driven by factors like aging populations, rising incomes, and
technological advancements.
 Increased investment: Governments and private investors are pouring money into
healthcare, especially in areas like digital health, personalized medicine, and
artificial intelligence.
 Growing demand for specialized care: Increasing focus on specific areas
like oncology, cardiology, and neurology due to rising prevalence of chronic
diseases.
 Shift towards preventive care: Growing awareness of the importance of
prevention is leading to increased demand for wellness programs and early disease
detection.
 Technological advancements: Innovations in areas like telemedicine, wearable
devices, and big data are transforming healthcare delivery and improving patient
experiences.
Challenges to address:
 Affordability and access: Ensuring equitable access to quality healthcare remains
a challenge, particularly in developing countries.
 Workforce shortages: The healthcare industry faces a global shortage of medical
professionals, which needs to be addressed through increased training and
recruitment.
 Data privacy and security: Protecting patient data in the digital age requires robust
cybersecurity measures and regulations.
  Regulatory challenges: Navigating complex healthcare regulations can be a hurdle
for innovation and growth.
 Ethical considerations: New technologies raise ethical questions that need to be
addressed, such as the use of AI in healthcare decisions.
Overall, the healthcare industry is poised for significant growth and transformation in the
coming years. By addressing the challenges and capitalizing on the opportunities, the
industry can play a crucial role in improving the health and well-being of people around
the world.

1.8 ROAD AHEAD

India’s healthcare sector is extremely diversified and is full of opportunities in every
segment, which includes providers, payers, and medical technology. With the increase in
the competition, businesses are looking to explore the latest dynamics and trends which
will have a positive impact on their business. The hospital industry in India is forecast to
increase to Rs. 8.6 trillion (US$ 132.84 billion) by FY22 from Rs. 4 trillion (US$ 61.79
billion) in FY17 at a CAGR of 16–17%.
India is a land full of opportunities for players in the medical devices industry. The
country has also become one of the leading destinations for high-end diagnostic services
with tremendous capital investment for advanced diagnostic facilities, thus catering to a
greater proportion of the population. Besides, Indian medical service consumers have
become more conscious towards their healthcare upkeep. Rising income levels, an ageing
population, growing health awareness and a changing attitude towards preventive
healthcare are expected to boost healthcare services demand in the future. Greater
penetration of health insurance aided the rise in healthcare spending, a trend likely to
intensify in the coming decade.
The Government aims to develop India as a global healthcare hub and is planning to
increase public health spending to 2.5% of the country's GDP by 2025.
 CHAPTER-2
ORGANIZATION PROFILE

2.1 BACKGROUND

Neuro Bharat Hospital was established in the Gregorian calendar month 2021. There is
services to society to care customer best suggestion quality health care there ten members
partners in hospital As a medical professional, entrepreneur he believes in “WORK IS
WORSHIP”. He is a man of great learning as well as achievements and at the same time a
man of great humility.

A selfless social worker in him is clearly visible in his routine activities of public interest
like, tree plantations, Awareness Programmed on various public interests, observing
National festivals by hosting creative programs for youth and engaging them to
understand the “IDEA OF INDIA”

“NEUROBHARAT Brain Spins &Trauma HOPITAL” Healthcare has become one of the
largest sectors in India, each in terms of revenue and jobs. The business includes
hospitals, medical devices, clinical trials, outsourcing. telemedicine, medical trading
companies, insurance and medical devices. The Indian attention business is growing at an
amazing rate owing to services and increased spending from similar public players.
enhanced coverage.
The Indian procurement system is categorized into 2 main parts public and personal. the
government is. the public care system contains restricted secondary and tertiary care
facilities in key cities and focuses on providing basic care facilities in the variety of health
centers, primary attention (PHC) in rural areas. The personal sector provides the majority
of secondary, tertiary, and quaternary care facilities with a significant concentration in
metropolises. Tier 1, and Tier II cities.

This Hospital has been designed to deliver best services exclusively for the child and
mother care. This Hospital provides the art Neonatology care units, Pediatric Intensive
care facilities, Pediatric and Maternity related surgeries including surgeries, procedure
rooms, laboratory services, dedicated clinics for chronic ailments, preventive health,
developmental disorders and counselling services,

Round the clock emergency services along with hrs. pharmacy. Our hospital will leave no
stone unturned in providing the best pediatric and gynecological care. We are running
clinics with association of best pediatric hospitals. A lot of thought has gone into making
the process of healing as child-friendly as possible. The ambience, the mood, the culture
has all been shaped around the young patient.

This Hospital also includes many departments like Human Resource, Finance section,
Marketing, clerical and it is having many of the employees who is working in the
different department, This Hospital is built

Nuro Bharat hospital started at 2021. Neuro Bharat hospital is a 40 bedded super
specialty care, will have well equipped with the latest technology and trained medical
staffs who will dedicated and specialist in the Neuroscience, Orthopedics, General
Medicine and Nephrology. The hospital will have care services with 15 bedded central
monitor critical care units. 6 OT facilities included 2 Laminar Air Flow modular OT for
major Neuro surgeries.

LOCATION OVERVIEW:

The organization was established in the year 2021, Neuro Bharat Hospital in Durgigudi,
this well-known establishment acts as a destination servicing customers both local and
from other parts of Shivamogga. Over the course of its journey, the belief that customer
satisfaction is an important as their products and services, have helped this establishment
garner a vast base of customers, which continues to grow by the day. This business
employs individuals that are dedicated towards their respective roles and put in a lot of
efforts to achieve the common vision and larger goals of the company. this business aims
to expand its line of the products and services and cater to a smaller clint base. In
Shivamogga, this establishment occupies a prominent location in Durgigudi. It is an
effortless task in commuting to this establishment as there are various modes of transport
readily available. Jewel rock road, next to BJP office, Shivamogga, Karnataka 577201,
which makes it easy for visitors in locating this establishment.

BACKGROUND INFORMATION:

Neuro Bharat Hospital was established in the Gregorian calendar month 2021. There is
services to society to care customer best suggestion quality heath care there ten members
partners in hospital As a medical professional, entrepreneur he believes in “WORK IS
WORSHIP”. He is a man of great learning as well as achievements and at the same time a
man of great humility.

A selfless social worker in him is clearly visible in his routine activities of public interest
like, tree plantations, Awareness Programmed on various public interests, observing
National festivals by hosting creative programs for youth and engaging them to
understand the “IDEA OF INDIA”

2.2 NATURE OF BUSINESS

NEUROBHARAT Brain Spins & Trauma Hospital in Shimoga is a specialized medical
facility focusing on neurological and trauma care.
 Neurology: Diagnosis and treatment of brain and nervous system disorders like
epilepsy, stroke, Alzheimer's, Parkinson's, migraines, and multiple sclerosis.
 Neurosurgery: Surgical procedures for brain, spinal cord, and peripheral nerve
conditions.
 Trauma: Dedicated team specializing in treating brain and spine injuries
(concussions, fractures, spinal cord injuries).
  Diagnostics: Advanced tests like MRI, CT scans, EEGs, and neuropsychological
testing for accurate diagnosis.
 Treatment: Medications, physical therapy, occupational therapy, speech
therapy, and surgery depending on the condition.
 Rehabilitation: Programs to regain function and improve quality of life after
treatment.
NEUROBHARAT is a specialized centre for neurological and trauma care in Shimoga,
offering a wide range of services for patients with brain and spine conditions. They
leverage advanced technology and a multidisciplinary approach to provide
comprehensive and specialized care.

2.3 VISION AND MISSION STATEMENT:

VISION:

Maximum Care and Utmost Concern: Do nothing to stop us from providing reasonable,
holistic care and compassion to each and every one.

MISSION

Mixing the simplest human resource and the best of technology Innovate to create a
sustainable health care delivery system to prevent early diagnosis and timely cure.

To avoid illness and relax in the market, while being aware of limiting monetary and
emotional prices

VALUES:

Extraordinary quality services operational excellence integrity and responsibility.

2.4 WORKING CAPITAL CLASSIFICATION:

2.5 PRODUCTS AND SERVICES:

PRODUCTS:

Neuro Bharat Hospital in offers a long range of goods and offerings to meet the diverse
needs of its clients. The staff at this establishment are patient and provide promt service.
to answer your questions Otolaryngologists, Neurologists, Hospitals, Etc. Help the area.

SEVICES:

CLINICAL SERVICES

1. General Medicine

2. Emergency medicine

3. Intensive Care

4. Neurology

5. ENT
6. IVF and Research Centre

7. Neurosurgery

8. Nephrology

9. Orthopedic surgery

10. Interventional Radiology

11. Pathology

12. Nutrition and Dietetics

13. Physiotherapy

14. Yoga Therapy

DIAGNOSTIC SERVICES:

1. Central Laboratory

2. ECG, TMT

3. EEG

4. CT Imaging

5. Digital X-Ray

6. Endoscopy

OTHER FACILITIES:

1. 24/7 Trauma Care

2. 24/7 Pharmacy

3. Preventive health check-up

INFRASTRUCTURE FACILITIES:

• Hospital is having own building.

• Lift facilities.

• Centralized air condition facility.

• Space and good building.

• Oxygen cylinder.

• Good Beds position.

• Fire safety.

• Electricity power.

• Best employees.

• Facilities.

• Vehicle service facilities.

COMPETITORS INFORMATION:

At present competition rate has become very intensive with reference to hospital industry
competitors are with every hospital industry.

• Bharath Hospital

• Metro United Health Care.

• Tejas Neuro Hospital

• Subbaiah Multi Specialty Hospital.

• Adarsha Hospital
 CHAPTER-3
MCKINEY’S 7’S FRAMEWORK AND PORTER’S FIVE FORCE MODEL WITH
SPECIAL REFERENCE TO ORGANIZATION UNDER STUDY

i. Mckensy’s 7 s framework reference to the organization

Mckensy’s 7 s framework model can be categorized under two heads which are known to
be as follows:

1. Hard Elements

2. Soft Elements.

Hard Elements such as Structure, Strategy, System and Soft Elements such as Shared
Values, Skill, Style, Staff. According to the study below mentioned is the Framework of
Neuro Bharat Hospital. Explained in detail.
Strategy:

Strategy refers to the detailed plan and action of an organization to gain the competitive
advantage. Here the organizations plan is to sustain in the society and to achieve,
compassion to achieve optimal quality life for the people they serve and Passionate to
deliver the dedicate the quality care with committed healthcare professionals at affordable
price.

Structure:

Structure here refers to the chain of command or the way of an organization is organized
with accountability relationships that forms its organization chart. As per the study it
gives us the result as the Neuro Bharat hospital is organized in such a manner that there is
no confusion with regarding to the authority or employees. The chain of command is
clear that it flows from the superior like; Founder, Admin, HRD and Finance to the
Subordinates like; Department heads and employees of different departments

System:

System entails the business and technical infrastructure of the company or an

organization and the workflow to complete routine activities. Here in the organization the
employees have to follow some certain guidelines Since the day starts till the evening,
they will be having the shift in work timings under different departments, where they
supposed to give Biometric then into their responsible works.

Shared values:

Shared values are the mission, objectives and the values from the foundation these are
also known to be as core values. Say that to provide leading edge healthcare services with
commitment, compassion to achieve optimal quality life for the people they serve and
passionate to deliver the dedicate the quality care with committed healthcare
professionals at affordable price

Style:

style here refers to the way of interaction and symbolic decision-making, which forms the
management style. According to this study the organization is follows Multi Criteria
Decision making and Decision support system as both them require a set of criteria to be
employed to give weights for alternatives, both MSDM and DSS are capable of handling
complex decisions.

Staff:

Staff referred to as size of the existing workforce, it also involves talent management,
according to the study in this organization there are 1 Human resource person for
recruiting, selecting, and screening the employees and 2 Accountants to maintain the
accounts functioning and there are 46 Staff nurses, 2 Lab technicians, 1biomedical staffs,
42peration Theatre staffs, 2 Ambulance drivers, 3 Marketing heads, 2 Information
technology teams, 9 Doctors from both MBBS and BAMS with 15+ yeas experience and
2-3 Securities who are currently working in the organization.

Skills:

Skills referred to as the capabilities and the competencies of the employees to achieve the
organizational objectives. According to this study there are many number of employees
who are working in the Saraji Super specialty hospital they need to be trained under
different skill set such as they can be categorized as Medical as well as Non-medical such
as medical staff need to be having the certification in their particular fields like
Paramedical, Lab technical, Pharmacy courses, Lactation, X-Ray etc.…, Non medicals
like they should be having minimum educational qualification of Degree and special skill
set like communication and writing and also computer knowledge
 ii. PORTER’S FIVE FORCE MODEL OF THIS STUDY

Porter’s Five Force is a model that identifies and analyses five competitive forces that
shape ever industry and helps determine an industry’s weakness and strengths. Porter’s
Five Force analysis is frequently used to identify an industry’s structure to determine
corporate strategy.

Porter’s model can be applied to any segment of the company to understand the level of
competition within the industry and enhance a company’s long-term profitability. The
Five Forces model is named after Harvard Business School professor Michael E. Porter.

Competitive rivalry:

It means the competition surrounded and what is the unique thing that your organization
have. According to this study the Neuro Bharat hospital having many competitors
surrounded by them such as tejas Neuro hospital, Nanjappa life care Hospital. But Neuro
Bharat is for maternity related surgeries and pediatric intensive care facilities. Which the
other hospitals surrounded by Neuro do not have.
Bargaining power of suppliers:

According to the study this Neuro Bharat is dealing with many of the suppliers in various
fields and department like pharmacy instruments and medications, computer systems,
laboratory instruments, X-Ray machines, general store items (everything related towards
for patients). There is very frequent pressure by the supplier in increasing the price but no
reduction in the product availability, or reducing the quality of the product.

Bargaining power of buyer:

It refers to customer pressure to vendors in order to provide better customer services and
lower the product prices and increase the quality of product or services. According to this
study there is high power for bargaining by the buyer as said in the above information
there is different department where the buying and providing services are taking place at
moment. Here the buyer means the different department heads whom the bargaining
power had given from the authority they often use this power when they order product
from the suppliers and also they often take responsibilities’ to provide better customer
services to the outpatients.

Threat of Substitution:

According to this study there is very low because this organization is unique from their
obvious competitors as patients from different places do visit for more than times as the
patients are not shifting to other doctors or hospital as they like the facilities provided for
them and they have been given clear information by the staffs, furthermore as per there
the Technology is changing the people are expecting the advanced featured treatment for
their child and by the organizational point of view this study gives us clear picture that
the customers are not switching for the Homeopathic treatment.
Threat of New Entry:

It refers to as the ability of new economies to enter into an industry, companies or an

organization that enter a market for the first time. The new threat of new entrants reflects
how market players impose to the existing market players. If the industry will be
profitable and barriers to enter the industry will be low, it will attract more players hence,
the threat of new entries will be high. The Threat of new entry is quite high, if anyone
looks as if they’re making a sustained profit, new competitors can come into the industry
easily, reducing profits. Ex: Fortis, Max, Nanjappa.
 CHAPTER-4
SWOT ANALYSIS

SWOT stands for Strengths, Weaknesses, Opportunities, and Threats, and so a SWOT
analysis is a technique for assessing these four aspects of your business.

A SWOT analysis examines both internal and external factors – that is, what's going on
inside and outside your organization. So, of these factors will be within your control and
some will not. In either case, the wisest action you can take in response will become
clearer once you've discovered, recorded and analyzed as many factors as you can

1) STRENGTHS:

Support from management. Strong Bounding.

Partnership with public health. 10+ years of experienced doctors. Shared Decision
making.

Consolidation of organizational resource.

2) WEAKNESS:

Competition between hospitals and clinics limits efforts to some degree. Staff
participation limitation.
3) OPPORTUNITIES:

Consistent massages in programs Technology upgrade

Establishing great brand reputation

Students in health care-orient to our organization Increased brand efforts

New market brand

4) THREATS/ CHALLENGES:

Government Regulation

Adverse changes in Reimbursement or regulation Changing insurance plans and contracts

for major areas Economic Shifts.
 CHAPTER-5
FINANCIAL ANLYSIS

Financial statement analysis (or financial analysis) is the process of reviewing and
analyzing a company’s financial statements to make a better economic decision. These
statements include the income statements, Balance sheet, statement of cash flows, and a
statement of changes in equity. Financial statement analysis is a method or process
involving specific techniques for evaluating risks, performance, financial health, and
future prospects of an organization.

Financial statement analysis involves gaining an understanding of an organization’s

financial situation by reviewing its financial statements. This review involves identifying
the following items for a company’s financial statements. This review involves
identifying the following item for a company’s financial statements over a series of
reporting periods. Financial statement are the end products of the accounting process,
which reveals the financial results of the specified period and financial position as on
particular date. It is the basic and formal annual report through which a business
communicates financial information to its various user groups.

Key Elements of Financial Analysis

 Comparative Statement Analysis

 Common size Statement Analysis

 Trend Analysis

 Ratio Analysis
 Table 5.1 PROFIT AND LOSS ACCOUNT OF NeuroBharat HOSPITAL

PARTICULARS 31.3.2022 31.3.2023

(Cr) (Cr)

INCOME

Revenue from operations [gross] 2023.09 2188.01

Less: excise/service tax 161.02 169.76

Revenue from operation [net] 1862.07 2018.25

Other operating revenue 154.20 154.62

Total operating revenue 2016.27 2172.87

Other income 1.86 3.19

TOTAL REVENUE 2018.13 2176.06

EXPENSES

Cost of material consumed 1326.09 1423.81

Change in inventories of FG, WIP and stock in 2.51 5.56

trade

Employee benefit expenses 255.06 252.34

Finance cost 57.58 47.79

Depreciation and amortization expenses 60.45 63.92

Other expenses 290.11 304.37

TOTAL EXPENSES 1961.80 2097.79

Profit/loss before exceptional, extraordinary 56.33 78.27

items and tax
 PROFIT/LOSS BEFORE TAX 56.33 78.27

Tax expenses-continued operations

Current tax 56.33 18.35

Deferred tax 3.74 0.16

Total tax expenses 16.34 18.96

Profit/loss after tax and before 39.99 59.31

extraordinary items

profit/loss from continuing operations 39.99 59.31

PROFIT FOR THE PERIOD 39.99 59.31

Table: 5.2 BALANCESHEET OF NeuroBharat HOSPITAL

PARTICULARS 31.3.2022 31.3.2023

Cr Cr

EQUITIES AND LIABILITIES

SHAREHOLDERS FUNDS

Equity share capital 12.03 12.03

Total equity capital 12.03 12.03

Reserves and surplus 448.32 396.13

Total reserves and surplus 448.32 396.13

Total shareholder fund 460.35 408.16

NON-CURRENT LIABILITIES

Long term borrowings 136.11 188.56

Deferred tax liabilities 67.17 66.56

Other long-term borrowings 1.20 2.03

Long term provision 3.72 3.86

Total non-current liabilities 208.20 261.01

CURRENT LIABILITIES

Short term borrowings 146.26 147.49

Trade payable 416.35 367.51

Other current liabilities 112.86 74.15

Other term provision 21.30 30.76

Total current liabilities 696.77 619.91

TOTAL EQUITIES AND LIABILITIES 1365.32 1289.08

ASSETS

NON-CURRENT ASSETS

Tangible assets 524.50 516.82

Intangible assets 1.84 1.59

Fixed assets 548.27 535.15

Non-current investment 10.95 11.31

Long term loans and advances 27.66 25.54

Other non-current assets 14.87 12.28

Total non-current assets 601.75 584.28

CURRENT ASSETS

Current investment 0.00 0.00

Inventories 279.23 266.50

Trade receivables 415.79 377.81

Cash and cash equivalents 10.38 4.96

Short term loans and advances 57.68 55.21

Other current assets 0.49 0.32

Total current assets 763.57 704.80

TOTAL ASSETS 1365.32 1289.08

5.3 KEY FINANCIAL RATIOS OF NeuroBharat HOSPITAL

Table no: 5.3.1 Return on Share Holder Fund

Year Net profit Shareholder fund ROSF

2022 39.99 408.16 0.098

2023 59.31 460.35 0.13

Interpretation: Above table and graph show that the Return on shareholder fund is not
same in two years. In year 2022 the Return on shareholder fund is 0.098 and in year 2023
0.13. so, the return on shareholder fund is 2023 is more than 2022.
 Table No. 5.3.2 Current Ratio

Year Current assets Current liability Current ratio

2022 704.80 619.91 1.13

2023 763.57 696.77 1.10

Current ratio
1.135
1.13
1.13
1.125
1.12
1.115
Total
1.11
1.105
1.1
1.1
1.095
1.09
1.085
2022 2023

Interpretation: The above table shows that the current ratio of the organization is
different by year to tear that in the year 2022 is 1.13 and the year 2023 is 1.10 which
means the current ratio of 2022 is more than 2023

Table No. 5.3. Cash Ratio

Year Cash and cash Current Liability Cash Ratio

equivalent

2022 4.96 619.91 0.008

2023 10.38 696.77 0.015

 CASH RATIO
0.016

0.014

0.012

0.01
Total
0.008

0.006

0.004

0.002

0
2022 2023

Interpretation: The above table and Graph shown that the cash ratio of an organization
increased from 2022 to 2023 which is increased from 0.008 to 0.015. It shows that the
organization is maintained the cash ratio year by year well.

Table No. 5.3.4 fixed asset

Year Fixed Asset Shareholder Fixed Asset to Net Worth

Fund ratio

2022 535.15 408.16 1.31

2023 548.27 460.35 1.19

Interpretation: The above table and graph shown that the fixed asset net worth ratio of
the organization that is the ratio of the year 2023 decreased form 2022 that it decreased
from 1.31 to 1.19.
 Table No. 5.3.5 financial leverage ratio

Year Total assets Shareholder fund Financial leverage

ratio

2022 1289.08 408.16 4.16

2023 1487.05 531.08 3.97

FINANCIAL LEVERAGE RATIO

4.2

4.15

4.1

4.05 Total

3.95

3.9

3.85
2022 2023

Interpretation: The above table and graph shown that the financial leverage of the
organization is different from year by year that is, in 2023 is 4.16 to 3.97 by 2023.
 CHAPTER-6

LEARNING EXPERIENCE

The learning experience during my internship was great. In the organization I learn h ow
the activities take place in real world in the business organization. I researched and
learned a lot of topics that are carried out in organizations during my four-week
organization study in this service industries. I saw over there how issues are discussed
and decisions are taking place. In all the functional departments the employees with multi
skills and their commitment and job effectiveness are utilized. Each employee has the
freedom to give his opinion for the organization.

I learn about the company profile, structure of the organization, the roles of the various
departments, and the working habits of the staff. I now have more information about the
management process overall

The internship in NeuroBharat HOSPITAL had given me great experience in learning

about each and every department and my knowledge has been enhanced in such a way
that, how exactly the functional department will work in reality.

Things I have learnt the various managerial skills, time management, coordination,
decision making and execution in the work environment.

I would like to thanks the person who has coordinated in the period of internship and also
thanks to my coordinator for guiding me.