# YouFirst Annual Report 2017 - 18 Apollo Hospitals’ Mission is “to bring healthcare of international standards within the reach of every individual. We are committed to the achievement and maintenance of excellence in education, research, and healthcare for the benefit of humanity.” CONTENTS 2 From the Chairman 4 Corporate Review Business Review 133 4 Business Snapshot Management Discussion and Analysis 133 10 Our Value Proposition Clinical Governance 165 12 We are uncompromising in our quality practices 16 We offer differentiated patient care across our facilities Financial Statements 175 Auditors’ Report on 36 We are responsive to our patients’ needs Standalone Financial Statements 175 48 We invest in cutting-edge technology Standalone Financial Statements 182 to enhance patient care Statement pursuant to Section 129 of the 52 Well positioned to provide the healthcare of tomorrow Companies Act, 2013 256 56 Statutory Section Auditors’ Report on Consolidated Financial Statements 258 56 Board Members Consolidated Financial Statements 264 57 Corporate Information 58 Directors’ Report to the Shareholders 99 Corporate Governance Report — Business Responsibility Report* * Business Responsibility Report is a separate enclosure and forms a part of this Annual Report. Note: Patient names have been withheld from all case studies and patient testimonials in this report in order to protect patient privacy. The Attendance Slip/Proxy Form and AGM Notice are being sent by speed post/email separately. We believe good health is paramount to your happiness. We believe equally that no matter who you are or where you come from, east, west, north or south, that you deserve the best care to preserve and sustain your well-being. Which is why we consistently put You First in our healthcare delivery strategy and leave no stone unturned to bring to you differentiating expertise in the various aspects of personal healthcare. Our aim is simple - to provide you strategic healthcare value across Wellness, Diagnosis, Prescription, Consultation, Tertiary and Quarternary Care; punctuated with leading clinical outcomes and outstanding patient experience. Above all, to give you Assurance, both in terms of the Outcomes and the Value Proposition. We stand testimony to the saying, "The Whole is Greater than the Sum of its Parts". The phrase aptly defines the synergy we have achieved in our care delivery value chain. Our value offerings from Preventive Health to Consultation and Treatment, focus primarily on patient needs rendering our patient care singular and invaluable. The value of good health cannot be measured in monetary terms. It is our sustained endeavour to provide our patients value that goes beyond the sticker price resulting in unmatched outcomes. Your body is Priceless. We believe we have a responsibility to put #YouFirst in all that we do. We believe you deserve it. | APOLLO HOSPITALS ENTERPRISE LIMITED | FROM THE CHAIRMAN Diabetes, largely brought on by lifestyle, is the single largest healthcare burden, accounting for nearly 69 million diabetics and claiming more than a million lives a year. As a country, it is now time to go to war against NCDs. The Government of India has just announced Ayushman Bharat — the National Health Protection Mission, which will provide Universal Health Coverage to 500 million people. This is an inflection point in the healthcare journey of our nation and will enable healthcare access to millions of under-served families across the country. Apollo Hospitals is a pioneer in Public-Private-Partnership and we look forward to working with the Government as they roll-out the programme, helping to ensure that the highest quality care reaches the citizens on a sustained basis. Additionally, the government’s move to convert its 150,000 PHCs to Health and Wellness Centers that will offer a more comprehensive package of services, marks a pivotal shift towards preventive healthcare and reaffirms what we at Apollo have always been saying — keeping a nation’s Dear Shareholders, citizens healthy, helps the country realize their full potential. Our 300+ clinicians in our various cardiac I look back nearly 35 years to when we initially set out to centres across the country, have performed 10,000+ heart build the first corporate hospital, and then to the journey surgeries this year. We have preventive health checks thereafter, in nurturing it into the world-class healthcare which can diagnose cardiac problems before they develop institution it has grown into today. Our motivation for the into a serious heart condition. We want to educate people pursuit of our goals has not wavered a bit through this to ‘Act Before the Attack’. Our solid organ transplant centre eventful and challenging journey. We have remained is the busiest in the world. Our 35 transplant surgeons relentless during all this time in putting the patient at the across the network have performed 1,500+ transplants in core of all that we do, and bringing to them differentiated FY18, of which 904 were kidney transplants. and loving care to alleviate the pain of illness and keep In putting the patient first in our strategy, we have made them well. Then, as now, we remain equally single minded substantial investments to set up leading edge Cancer in wanting to bridge the huge demand supply gap in India Centers with expert physicians and the latest for quality hospitals and patient focused healthcare. technologies for treating cancer, one of the most crucial Rising challenges posed by Non-Communicable Diseases among NCDs. Our ‘Proton Treatment Centre’, a cancer (NCDs) like diabetes, heart disease and cancer, drive us to treatment and research facility in Chennai, will be strive even harder each day. Our country is facing a huge operational soon. This facility will give patients access to threat in the form of NCDs. Current analyses suggest that Proton Beam Therapy, an advanced organ specific by 2020, as many as 300+ million people will be at risk of radiation treatment for removing malignant tumors from dying from NCDs in India. According to WHO, NCDs like the head, neck, brain, pancreas, and prostate. cardiac diseases, respiratory disorders, and cancer, Our clinical excellence, marked by quality processes and Annual Report 2017–18 Annual Report account for nearly 60% of deaths in this country; patient safety practices, and on-going commitment to specifically, 26% of deaths in the 30 to 70 age group. innovation — the lifeline of any business, has not only 2 Corporate Statutory Business Standalone Consolidated Review Section Review Financials Financials helped us make quality healthcare more accessible and patient experience, transforming care delivery through affordable, but has placed us on the cutting-edge of telemedicine and optimized protocols, digitalizing and healthcare delivery, affording us several differentiators in democratizing health through mobile solutions and our various Centers of Excellence. telemedicine, and working with Artificial Intelligence and For any hospital to render uncompromised care to its Big Data to develop India-specific patterns for disease patients, continuous improvement in service delivery is a detection and cure. must. To me, this is non-negotiable. We have over the As a nation, let us be committed to the health and years, determinedly and consistently invested in the well-being of our people. ‘Health for All’ demands that we latest technologies and sophisticated systems. This ensure universal health insurance coverage, put in place enables our doctor fraternity to harness the best comprehensive programs for preventive health, and treatment options for our patients — similar to those continue building world-class infrastruc¬ture. We should available elsewhere in the world. Today, I take pride that also implement technology-enabled access and build Apollo Hospitals is on par with leading international strong health care skills. Above all, we need to focus on healthcare institutions. We provide world-class healthcare at significantly lower prices while delivering clinical empowering the individual to take charge of his own outcomes that are better or on par with them. The key to health, and be responsible for his well-being. The right this success has been our consistent and on-going combination of all of the above is the perfect prescription dedication to patient satisfaction and need-based for a healthy India. healthcare services. We strongly believe that it is not It is our strong belief that we have built a well diversified enough to merely treat our patients’ diseases, but that it and responsive business model, which has stood the test is important to first treat them as human beings, with care of a sometimes challenging and changing external and respect. This is the foremost reason generation after environment. We have made internal changes as needed, generation our patients come back to us, honoring us with to position ourselves strongly so as to leverage local their trust. It is this sort of patient relationship that we demand, the roll-out of NHPS and the increasing numbers work hard to nurture by putting the patient first in our of medical value travelers. We remain quietly confident business strategy. about our prospects in the years to come. To purposefully deliver healthcare in a country of more than a billion people, it is necessary to build a robust Our Standalone revenues for the year stood at ` 71,830 system that can serve both the urban and rural areas. This mio, registering a 14% growth. EBITDA was at ` 8,297 mio requires specialty hospitals, clinics, primary health care showing a growth of 7%. PAT stood at ` 2,332 mio. centers, and remote health care services where Our Consolidated revenues for the year was ` 82,435 mio. technology can be leveraged most optimally for the showing a growth of 14%. EBITDA was at ` 7,932 mio, patients. We have to challenge traditional ways of showing a growth of 9%. PAT was at ` 1,174 mio. rendering care and instead use disruptive technology to scale reach and reduce costs.