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    FUNDS FLOW STATEMENT

    INDUSTRY PROFILE

    SALN College of Engg & Mngt Page 1

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    INDUSTRY PROFILE

    This chapter presents a brief sketch of the profile of HOSPITAL INDUSTRY.

    Hospital is a not for profit making. It is a social institution to make available to

    society the required Medicare services. As the specified hospitals are growing in number,

    each is trying to create a distinct positioning for it self. You must be aware that there are

    hospitals, specializing in cardiac surgery, cancer care, spinal injury, eye hospitals, abortion

    clinic, maternity homes etc. Each one is trying to take care a unique identity & wants to

    create to a specific segment of the market.

    Hospitals were setup for as a charitable institution to take care of the sick and poor.

    Today the hospitals are a place for the diagnosis & treatment of humanity, the education &

    training and research promoting health care activities and to some extent a center helping

    bio-social research consider hospital as a social institution for delivering health care,

    offering considerable advantage to both patients and society.

    HOSPITAL SYSTEM AND FUNCTIONS:

    1. When a patient enters a hospital many groups are involved and outside the hospital.

    Inside, to name only few, the patient is concerned with admission, doctors, nurses,

    dietetics, business office, and house keepers, externally, to name a few, the patient is

    involved with relatives, friends and a third party i.e. the payer and is influenced by

    governments regulations, accreditation and community

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    INFLUENCES THAT WORK ON PATIENTS, DOCTORS AND

    HOSPITALSRECEPTIVITY:

    INFLUENCES ON PATIENTS:

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    Patients

    Social

    Status

    EconomicsConditions Kind of illness

    Employers

    Other pressing

    needs

    Level of

    knowledge

    Urgency fortreatment

    Friends and

    Relatives

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    INFLUENCE ON DOCTORS:

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    Doctors

    Structure of the

    organization

    Socio Economic

    Conditions of patients

    Employer

    Improving

    Professional ability Peer Group

    Government

    Regulations

    PROFESSIONAL

    ETHICS

    Facilities available

    at Hospital

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    INFLUENCES ON HOSPITALS:

    The key inputs of the hospitals are patients-other important inputs are skill &

    knowledge of doctors, nurses, and support staff, the level of sophistication of equipment

    utilized etc.

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    Hospital

    Medical Ethics

    Non Medical Staff

    Para-Medical Staff

    Patients

    Medical

    Administrative

    Organizations

    Gove

    rnment

    Socio Economic

    Condition of nationfood

    Medical Staff

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    COMPONENTS OF INTERNAL HOSPITAL SYSTEM:

    The three major components of internal hospitals system are:

    1. The medical staffs, who diagnose, admit and treat patients and perform quality control

    procedure through their paramedical staff organization.

    2. Programmers for the detection of illness and direct care and cure of patients such as

    nursing, X- ray and laboratory.

    3. Support and administrative services such as record keeping finance and administration.

    The functions of hospitals appear to be obvious, but in reality, these are quite

    complex they keep changing with time and evolution of new techniques in the field of

    medicine.

    FUNCTIONS 0F HOSPITALS:

    Some of main functions of hospitals are

    1. Patient care function:

    It is important to remember that, besides treatment, the attitudes and behavioral

    pattern of health professional is known to have an important influence on patient care as

    they are directly related to quality of care. The different systems affecting the patients and

    their effects are discussed beside.

    a. Environmental system

    b. Social system

    c. Cultural relationships

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    d. Seasons have a direct influence on diseases and illness especially in the

    context of our country where the variations are too wide.

    2. Providing a workshop for physicians:

    It has to be understood that the physician is not so much a part of hospital, as the

    hospital is part of the physicians practice.

    3. Working as community health centre:

    Hospitals have been increasing in number to save the population, rather than

    sticking to the reactive role of crisis care.

    4. Growth and Prestige:

    Serving the institution itself is achieving perpetuation, growth and prestige for

    institution, its staff and community.

    FEATURES OF HOSPITALS:

    Some peculiar features of hospitals are given below, which must be kept in mind.

    Hospitals are dominated by professionals registered with the medical council. There fore

    certain peculiarities of their organizations are

    i. The inconsistency between the organizational objectives and of the professional

    body cannot be ruled out. This is further complicated by the fact that the rewards received

    for achieving the professional objectives may be greater than those received for obtaining

    organizational ones.

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    ii. These professionals work on management activities in the hospitals on a part

    time basis. Most of time the work the consultant does is similar to that done by their

    subordinates.

    iii. The consultants often prefer to work independently.

    iv. In hospitals, the professional qualities of the doctor and Para medical staff are

    of primary importance, other considerations being secondary.

    v. Promotions are on the criteria established by the organization, and tend to be

    time based .Not much emphasis is paid to effectiveness and efficiency in the working of

    the hospital.

    vi. The professional medical education lays stress on professional discipline, and

    does not usually include management education.

    vii. Although the leadership job in a non profit organization may require more

    management skills, traditions often require that the managerial skills to be a unit in the

    professional.

    The Hospital produces intangible services rather than tangible goods

    Service cannot be stored, these are perishable. It is not easy to measure quality of

    service produced. The quality of service cannot be inspected in advance like the goods.

    The literature on control techniques tends to emphasize the production environment rather

    than on service organization. Example given for explaining techniques like, standard costs,

    variance analysis, statistical quality controls, inventory controls etc., do not generally

    pertain to service organizations as they are less efficient, even though the statistical

    comparisons are not possible in the absence of data on productivity.

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    TYPES OF HOSPITALS

    Hospital Types:

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    Size Path Owner ship Objective

    Teaching

    District

    Taluk

    PrimaryHealth

    Allopathic

    Ayurveda

    Homeopathy

    Unani

    Others

    Government

    SemiGovernment

    VoluntaryAgencies

    PrivateCharitable

    Teaching cumResearch

    General

    Special

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    On the basis of the objective, hospitals are classified as three types such as

    teaching-cum-research for developing medicos & promoting research to improve the

    quality of medical aid. General hospital for treating general aliments & special hospitals

    for specialized services in one (or) a few selected areas.

    Types of ownership are four. They are of government hospitals which are owned,

    managed & controlled by government. Semi government hospitals which are partially

    shared by government voluntary organizations which in addition to the charitable

    activities also run hospitals.

    On the basis of path of treatment, we find allopath (or) say the system which is

    promoted under the English system. Ayurveda is based on Indian system where herbals

    are used for preparing medicine like this we find Unani & others.

    On the basis of size, we find variation in the size of hospitals. Such as teaching

    hospitals generally have five hundred beds which can be adjusted in tune with the number

    of students. The district hospitals generally have two hundred beds which can be raised to

    three hundred in the face of changing requirements. The Taluk hospitals generally have

    fifty beds that can be raised to one hundred depending upon the requirements. The primary

    health centers generally have six beds that can be raised to ten beds.

    EMERGING TRENDS:

    A number of spectacular successes have been achieved in India in respect of

    medical services, Small pox stands eradicated and plague is on longer a problem,

    Morbidity & morality on account of malaria. Cholera and various other diseases have also

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    declined; considerably despite a number of constraints we have also been successful in

    devising sophisticated world class medical aid.

    The crude birth rate and infant morality rate have also been found showing a down

    word trend. At the same time, it is important to mention that we still have the largest

    number of leprosy patients in the world, cholera is still around & often appears as an

    epidemic. Tuberculosis is greater killer, Explaining hospitals and rural health centers but

    we have one doctor for 2,165 people where as in Italy it is only for 195 people one doctor

    is available. Malaria which had been eradicated (or) dramatically reduced in 17 countries

    in the 1960 has now returned to India & the available medicines are found ineffective.

    Black fever is found spreading like epidemic. Dengue has been found aggravating and the

    magnitude of the problem is very huge.

    Hospitals & health centers support and make available to the society the quality of

    medical aid. It is amazing that government hospitals are found dying & the rural health

    centers have virtually became non existent. Buildings are there, equipments are there,

    patients are there, doctors are also there actually but they are busy in their private clinics.

    The patients do not get medical aid as minor surgical items are not available in the stores.

    The situation is more critical in the rural areas since poorer sections of society fail

    in getting the services of rural health center. It is the most vulnerable segment. Viral &

    communicable diseases are spreading but hospitals in towns & cities are in a depleted

    condition. Malaria, black fever, cholera are spreading like wide fire but the police makers

    are found satisfied with the fake data.

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    To be more specific in the decades 1980s &1990s, we have witnessed frequent

    innovations and inventions in medical sciences but the sophisticated developments

    remained confined to the cities precincts only.

    The educational institutions, the municipalities, the local bodies, the corporations,

    the government& private hospitals and even the voluntary organizations failed in

    inculcating mass awareness for rural population. Ultra modern urban elites have played a

    big role in making the environment disease prone. We have failed in improving the

    Medicare facilities keeping pace with the growing requirements but have been successful

    in making the environment unhealthy which is found raising the pressure on both the

    government as well as private hospitals.

    In view of the prevailing conditions, we expect much more from hospitals

    managed by either government (or) private. They are supposed to play an out standing

    role. We cannot serve others unless we are strong enough to face rough and tough weather.

    This necessitates managerial proficiency, by marketing Medicare services. The hospitals

    would not only serve masses but would also be efficacious in inculcating mass awareness

    to prevent aliments and to reduce the number of prospects. Contrary to other

    organizations, the success rate of a hospital is coiled in the essence of creating mass

    awareness and playing an incremental role in preventing aliments & minimizing the

    number of prospects.

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    COMPANY PROFILE

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    APOLLO HOSPITAL PROFILE:

    Apollo hospital had begun with the establishment of the first corporate hospitals in

    the Chennai in 1983 with 150 beds. It was the vision of the founder & the promoter,

    Dr.Prathap C Reddy that embarked on a significant and challenging journey in the field

    of health care. Apollo group had setup a full-fledged, multi-specially hospital with the

    latest technology & a large team of dedicated specialists & consultants in Chennai in the

    year 1983 as its pioneer hospital.

    When it comes to health, Apollo believes that there should be no compromise &

    that you deserve only the best, the best doctors, the best nurses, the best medical care

    system with the most advanced equipment and treatment procedures.

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    The Company is committed to provide to their patients the best possible health

    care & this commitment is reflected in the entire Apollo group situated at major cities in

    India. Each of these is a landmark in high quality health care delivery system.

    VISSION

    Most essential institutions in society have developed in response to an overwhelming

    need...

    Sixteen years ago; I lost a patient in India who couldn't make it to Texas for an

    open heart surgery. But now people have the opportunity in India to access the best that

    healthcare has to offer worldwide. Our state-of-the-art equipment, backed by the world's

    best professionals, equals those available globally. To that extent, Apollo's mission may

    have been accomplished. Fifteen years into being called a pioneer and leader in

    revolutionizing healthcare in India may have been ample reason, traditionally, to rest on

    our laurels. Not at Apollo though. We realize that today, people measure companies'

    strengths by an array of more demanding criteria than just who-came-first. Quite the way

    Apollo measures itself. By constantly measuring our deliverables, we have succeeded in

    creating infrastructure that meets the needs of the future that incorporates the latest

    technology and provides superior healthcare delivery systems. Our immediate agenda

    includes setting up of healthcare facilities in all major Indian cities, 23-hour hospitals,

    pharmacies, a pharmaceuticals business and finally, a Health Maintenance Organization

    that will give millions of people access to all these facilities. This is an agenda for a

    country which is seeing rapid growth. Our mission is also to transcend the realm of

    curative care. With a new focus on preventive care, Apollo is going beyond medicine to

    bring health to the individual. As the 21st century approaches, we stand committed to

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    building an infrastructure that will create an environment that protects and nurtures our

    future generations.

    THE MAIN HIGHLIGHTS OF THESE ARE

    High Qualified Specialists and Doctors:

    A specialists consultant manages every department with many years of work

    experience in India & abroad. In addition to this house doctors are available for all major

    specialties, round the clock.

    Sophisticated Equipment and Backup Facilities:

    Apollo has the state of art equipment for a multi specialty hospital to offer the best

    and complete service under one roof in a safe and speedy way.

    Highly Trained Paramedics and Support Staff:

    Experienced nurses, technicians and paramedics work as closely knitted groups

    committed for excellence in their service and great importance is given for their training.

    Personalized Patient Care:

    At Apollo patient are given individual attention in a unique family oriental

    environment with great attention and care. They believe in taking care of the emotional

    needs along with the physical ones.

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    HISTORY OF APOLLO GROUP:

    The mission of the Apollo group is to bring health care of international standards

    within the research of every individual. They are committed to the achievement and

    maintenance of excellence in education, research & health care for the benefit of

    humanity.

    The Apollo Hospitals Enterprises Limited journey begun with the establishment of

    the first co-operate hospitals at Chennai in 1983. It was the vision of the founder &

    promoters, Dr. Prathap C Reddy that embarked on a significant & challenging journey in

    the field of health care. As pioneers, they had a terrific responsibility, in a country where

    medicine, medical institution & individual medical performances, is mainly in the hands

    of Government Apollo group has set up full-fledged, multi-specialty hospital with the

    latest technology & large of dedicated specialist & consultants.

    Their commitment & results succeed in touching the hearts & minds of the

    community. Patients start pouring in not only from South India but from allover the

    country, and abroad as well. This acceptance of the patients and the financial strength, the

    company has built up over the years, which has helped them to expand the Apollo

    Hospitals Enterprise Limited group in India as well as overseas. In 2004, Apollo, is the

    largest private hospitals having retail pharmacies across India with Health & Life style

    franchisee clinics and their global presences is felt by the centers in Srilanka, Bangladesh,

    UAE, Nepal, Ghana, Nigeria, UK & the kingdom of Saudi Arabia their overall asset value

    has grossed Rs.7591.78 Millions.

    Along the way to reaching these milestones, they have established commitment to

    quality. They have also established position of leadership in the field of health care with

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    measures like family health plan, corporate health packages, and facilitating companies in

    the public & private sector, Health & Life style clinics laying an emphasis on preventive

    medicine, and education and research in hospital administration, nursing, emergency

    medicine and physiotherapy.

    The Apollo Hospitals Enterprise Limited. (AHEL) evolved with the merger of

    IHCL (Indian Hospital Corporation Ltd), DHCL (Deccan Hospital Corporation Ltd) and

    OHSL (Om Sindoor Hotels Ltd). The enterprise today controls the wide spread activities

    of the group.

    On September 18 2008, Apollo Hospitals Enterprise Limited group, Indias first

    and Asias largest private health care provider, completed twenty five years of dedicated

    service to the people of India, and patients from abroad. What made the occasion even

    more important was that it coincided with Apollo Hospital Enterprise Limited group

    emerging as the worlds third largest private health services provider. After the modest

    beginning in 1983 with a 150 bed hospital of Chennai, they have grown & performed

    consistently, touching over 10 million lives & presently having a network of over 43

    hospitals, owning & managing more than 10, 000 beds in India. On 27 th anniversary,

    Apollo shared plans for growth and reaching out to the global audience. They have already

    taken the first definitive steps in the direction of utilizing Indias potential to emerge as the

    preferred global health care destination.

    The 25th anniversary celebrations were started by Apollo, the first child born at

    Apollo Hospitals Enterprise Limited in 1983 & were followed by a pledge by Apollo

    Hospitals Enterprise Limited groups 16000 employees, from 46 hospitals, 53 clinics &

    from it offices in India & abroad, to reorganization of their commitment to Apollo and to

    every patient they treat. The entire program was also available on web. The web sites are

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    www.apollolife.com,www.apollohospitals.com,www.apollohospitalsgroup.com and

    www.medvarsity.com wherein for people to participate from anywhere in the world to be

    a part of the celebrations to mark a milestones in Indian health care.

    Apollos mission has been made possible by a leadership that sets the highest

    professional standards, provides an inspiring and supportive work environment,

    emphasizes the safe and ethical practice of medicine. This is what has made the Apollo

    Hospitals Enterprise Limited team of employees & medical professionals take giant strides

    in the field of health care, even in the face of challenges and competition. The Apollo

    Hospitals Enterprise Limited group is the single largest private hospital group in Asia. It is

    widely recognized as the architect of modern health care in India what distinguishes the

    Apollo Hospitals Enterprise group is effective resource management and able deployment

    of technology and knowledge to service the mankind.

    The mission began with the establishment of the corporate hospital in

    Chennai in 1983. Today they have Apollo Hospitals Enterprise Limited in many Indian

    cities, and have extended their reach to all the regions of the country.

    APOLLO HOSPITALS ENTERPRISE LIMITED HAS LAID EMPHASIS

    ON PROMOTING MEDICAL TOURISM IN INDIA:

    A trend of international patients coming to India, for medical treatment has been

    on the rise. Patients prefer to travel here as international standards of health care are

    provided at reasonable costs. Apollo has initiated the process of medical tourism by

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    http://www.apollolife.com/http://www.apollohospitals.com/http://www.apollohospitalsgroup.com/http://www.apollohospitalsgroup.com/http://www.medvarsity.com/http://www.apollolife.com/http://www.apollohospitals.com/http://www.apollohospitalsgroup.com/http://www.medvarsity.com/
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    targeting middle-East Asia, South-East Asia, CIS countries, Eastern Africa and Indias

    neighboring countries. AHEL has started Tele medicine centers in Kazakhstan, Sudan and

    Ethiopia. Apollo is trying to bring together the best of East and West, to capitalize on the

    image health business trough Apollo through Apollo health & diet clinics, Apollo

    Aesthetic surgical center, international dental clinics, Ayurveda, Aromatherapy, panic

    healing, etc. Apollo Hospitals Enterprise Limited, through its managed care projects in

    Mauritius, Ghana, Nigeria, Kuwait, Malaysia and Nepal, is on an expansion mode.

    Expansion plans in India include managed hospital in Punjab, Fatehpur and Jaipur. The

    group is leveraging opportunities in medical business process outsourcing by claims

    processing for insurance companies abroad. The medical business process outsourcing

    model, one of Apollos latest ventures, has created employment opportunities and valuable

    foreign exchange.

    QUALITY POLICY:

    The people at Apollo Hospitals Enterprise Limited are committed to provide health

    care solutions of international standards by creating the ideal work environment and

    ensuring the practice of safe and ethical medicine. This firms the basis of their ISO quality

    management systems.

    QUALITY PROGRAMMERS:

    The Hospital is accredited by JCI.( Joint Commission International)

    First hospitals to be awarded ISO 9002 certification for quality management

    systems.

    NABL accreditation in process.

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    The groups stringent infection control practices meet W.H.O standards.

    Setting standards in quality of service monitored by quality circles.

    Being sensitive to the needs and expectations of the customers.

    Formulating statutory & regulatory requirements.

    Quality planning.

    Business planning.

    Bringing in accountability at all levels & ensuring effective communication.

    Safety and risk management committee.

    Professional indemnity.

    Hospital insurance.

    Infection control.

    Preventive maintenance of equipment.

    Staff training.

    Statutory compliance.

    Medical advisory committees constantly monitor.

    MEDICAL AUDIT COMMITTEE:

    To evaluate medical care rendered to patients infection control committee.

    Promotes & advises on best practice.

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    Develops & reviews policy.

    Provides link for surveillance activity.

    Provides guidance of all units pertaining to out break investigation, control of

    infectious diseases & isolation.

    OPERATION THEATRE COMMITTEE:

    Devices policy for theatre operating systems.

    Academic council.

    Improves academic & research activity.

    Drug committee.

    Reviews and approves the quality of documentation, plans & programmers of

    medical records.

    CORPORATE HIGH LIGHTS:

    New milestones, now achievements that has been the story of Apollo Hospitals

    year after. Some of the more notable achievements and recognition are listed below.

    Dr. Prathap C Reddy executive chairman became the first recipient of the Asia

    Pacific bio-business leadership award. The award sponsored by global bio-business

    initiative, a program of the University of Southern California Marshall Center for global

    business excellence (C-GLOBE), recognizes leading individuals, organizations (or)

    corporations that best exemplify the spirit of innovation, enterprise, a field that

    incorporates health care, bio medical, agricultural, food, environmental and emerging

    technology areas.

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    The legation for the award said, Through his revolutionizing of modern health

    care delivery in South Asia, Dr. Reddy had brought world-class health care and the

    benefits of advances technology within the economic and geographic reach of millions of

    patients for the first time.

    The Dr.B.C.Roy award for excellence in teaching conferred on Dr.T.V.Devarajan,

    consultant physician.

    Apollo Hospitals, 11 hospitals have been accredited by JCI in the SAARC region.

    Recognized as the Super Brand of India in the health care sector in both 2003 &

    2004.

    Health care excellence award to Chennai Hospital as

    Operational Excellence and Overall Best Hospital

    Apollo hospitals, Chennai rated the Best Private Sector Hospital for the second

    consecutive year by The Week Magazine.

    First super specialty corporate hospital, set up in Bangladesh Apollo hospitals,

    Dhaka with over 50 specialty departments.

    Record-breaking project implementation six centers of excellence in health care

    open in just 65 days.

    South East Asias first 16-slice PET CT imaging system launched at Apollo

    Hospitals Jubileehills and Hyderabad.

    Indias largest third party administrator of health insurance, covering 5 million

    lives.

    The largest pharmacy chain with 800 pharmacies across the country, including in

    hospital-in-clinic.

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    BUSINESS EXPANSION:

    In 2009, Apollo is the Largest Private Hospital Group in Asia with a network of

    hospitals, retail pharmacies across India, health and style franchise clinics and a global

    presence with centers in Srilanka, Bangladesh, UAE, Nepal, Ghana, Nigeria, UK and the

    kingdom of Saudi Arabia. This overall asset value has crossed 1050 cores in 2007-08.

    Apollo group Indias Largest Private Health Care Provider completed twenty-six

    years of dedicated service in 2009. On this occasion Apollo group shared its vision of

    making India the preferred global health care hub.

    Apollo Telemedics networking foundation the non-profit organization of AHEL

    has tied up with the Anna University & has launched a certificate course on telehealth

    technology. This is the formal course of its kind in Asia. It also has a tie up with BCCL

    under which the group will extend its medical services to members of cricket fraternity.

    COMPANY FACTS:

    AHEL is the largest private health provider in Asia and Fourth Largest in the

    world. It has evolved in to a health care powerhouse with interests across the entire health

    care space. Besides owning and managing hospitals, the group has leadership positions in:

    Hospital project consulting.

    Health cares IT and Education.

    Manpower sourcing & placement.

    Medical business process outsourcing.

    Retail pharmacies.

    Health & life style clinics.

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    OWNED HOSPITALS:

    46 Hospitals with 10,000 beds.

    10 cardio thoracic units.

    5 oncology units.

    700 Intensive care beds.

    MANAGED HOSPITALS:

    3107 beds.

    PHARMACY OPERATIONS:

    Largest retail pharmacy chain in India.

    Over 800 pharmacies.

    FAMILY HEALTH PLAN:

    Largest third party administrator in Asia.

    Manages 10 million lives.

    23 operating offices.

    Affiliated to 1700 major corporate.

    APOLLO HEALTH STREET:

    Information technology arm of the group.

    Tele medicine solutions.

    Medical BPO services.

    Med varsity, E-learning platform for medical professionals.

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    APOLLO EDUCATION & RESEARCH FOUNDATION:

    7 colleges of nursing.

    Post-Graduate courses in hospitals administration.

    Technician courses.

    College of physiotherapy.

    Clinical trails.

    Courses in emergency medicine.

    Examination center for FRCS.

    Training center for DBN in 16 medical disciplines.

    MEDICAL HIGHLIGHTS:

    In the delivery of clinical care Apollo Hospitals:

    1. Has performed till-date over 7, 50,000 major surgeries and over 1,000,000

    minor surgical procedures with success rates on par with international

    standards.

    2. Has performed over 60,000 cardiac surgeries with a 99.6% success rate.

    3. 70% success rate in bone marrow transplants.

    4. Has performed over 200,000 Angiograms, 16,200 Angioplasties (PTCA).

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    5. Have over 4,000 specialists and super specialists, 3,000 medical officers

    spanning 53 clinical departments in patient care.

    6. Has employee strength over 15,927 highly motivated and dedicated

    professionals who provided the highest quality of patient focused service.

    This includes over 15,927 employees as on 31st March2008 in various

    administrative positions for smooth and efficient operations in its hospitals.

    THE AWARDS RECEVIED:

    1. Apollo has received many awards & accolades in recognition of its pioneering

    achievement in Indian health care.

    a) Apollo hospital Chennai overall best hospitals of the year.

    b) Apollo hospital Chennai operational excellence.

    c) Apollo specialty hospital, Chennai leveraging global opportunity.

    d) Apollo health city, Hyderabad sustained growth.

    e) Apollo health city, Hyderabad patient care.

    2. Apollo hospital Chennai rated best private sector hospital in India by the

    week magazine for 2003, 2004 & 2007.

    3. Apollo hospitals recognized as a super brand of India in the health care sector for

    2003 & 2004.

    4. Apollo clinics awarded franchisor at the year for 2003 & 2004.

    5. Asiapacific bio business leadership award 2005 to Dr. Prathap C Reddy founder

    chairman Apollo hospital group.

    SALN College of Engg & Mngt Page 27

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    6. Modern medicine excellence award 2006-2007 award to Dr. Prathap C Reddy

    founder chairman Apollo hospital group. By ICICI group, to honour outstanding

    achievements in the health care industry.

    7. Save a childs heart runner up in the corporate governance category at

    hospitals, Mgt Asia 2004 a major hospital expo in Bangkok, Thailand.

    8. Avaya global connect award for the third successive year in 2007, to Apollo

    hospitals, Hyderabad for customer responsiveness in the health care sector based

    on a ration wide polling exercise.

    CENTER OF CARDIOLOGY & CARDIO THRACIC SURGERY:

    The center of cardiology & cardio thoracic surgery at Apollo hospitals is one of

    the largest cardiovascular setup in the world. The commitment of its Cardiologists &

    cardio thoracic surgeons to the prevention & treatment of heart disease has led to the

    achievement of better outcomes & improved quality of life for thousands of cardiac

    patients who visit Apollo hospitals each year. Several of the doctors have been recognized

    for their contributions to the specialty through national and international awards.

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    LIST OF BOARD OF DIRECTORS

    Executive chairman : Dr. Prathap C Reddy

    Managing directors : Smt. Preetha Reddy

    Director finance : Smt. Suneetha Reddy

    Director operations : Smt. Sangita Reddy

    Directors : Shri. P Obul Reddy

    Shri. Rajkumar Menon

    Shri. Rafeeque Ahmed

    Shri. N. Veghul

    Shri. Deepak vaidya

    Shri. T. K. Balaji

    Shri. Habibullah Basha

    Shri. Khairil Anuar

    Shri. G. Venkatraman

    Shri.StevenJThompson

    Shri. Neeraj

    Bharadwaj

    SALN College of Engg & Mngt Page 29

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    Shri. Sandeep Naik

    (Alternate Director to Shri. Neeraj Bharadwaj)

    Chief financial officer

    & company secretary : Shri. S K Venkata

    Rama

    Group president : Shri. K Padmanabhan

    LIST OF BRANCHES

    There are many branches of AHEL spread all over the world. But due to timed

    geographical constraint. I couldnt visit all the branches present. I have done my study

    only at Hyderabad & the branches that are spread over in the city, which can be depicted

    in the following chart.

    SALN College of Engg & Mngt Page 30

    APOLLO HEAD OFFICE CHENNAI

    APOLLO - HYDERABAD

    Jubilee Hills

    Malakpet DRDO

    Kukatpally

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    The AHEL has its branches spread over through out the world. The places where

    they are situated are: Mauritius, Ghana, Nigeria, Kuwait, Malaysia, and Nepal. Its

    expansion plans in India include managed hospital in Punjab, Fathehpur & Jaipur.

    Chairmans Profile

    Dr. Prathap C Reddy, Chairman

    Apollo Hospitals Group

    His dream is to make India the Healthcare Destination of the World.

    Two decades ago, Dr. Reddy lost a patient who couldnt make it to Texas

    for an open heart surgery. This was the milestone in the Indian Healthcare

    Industry. Today people have the opportunity in India to receive the best that

    SALN College of Engg & Mngt Page 31

    Vikrampuri

    Hyderguda International

    Airport

    Mehdipatnam

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    healthcare has to offer world wide. Driven by a deep urge to create world-class

    medical infrastructure in India and make it more accessible and affordable to a

    large cross section of our people, Dr. Prathap Reddy opted to give up his

    successful practice in the US to return to India in the early eighties. Thus, Dr.

    Reddy began what was truly the process of revolutionizing the path of the Indian

    Healthcare Industry. Undeterred by initial constraints Dr. Reddy succeeded in

    setting up the first center of the Apollo Hospitals Group in Chennai in1983. This

    was soon followed by Indias first hospital consultancy body the Indian Hospitals

    Corporation and the commissioning of two more Tertiary Care Centers in India.

    Not only did he set a precedent for corporate healthcare in the country, but the

    Government of India soon recognized his enterprising efforts leading to Financial

    institutions amending their funding legislation to include hospitals On an upswing

    since then, today the Apollo Hospitals Group has over 22 centers in major

    metropolises in India with a combined turnover of over US $ 100 million. Apollo

    over the last decade has demonstrated that Indian skills are equivalent to the best

    centers in the world and has produced world-class results in the most complicated

    Cadaver Transplant. Having steered the Apollo Hospitals Group to a number of

    locations within India, Dr. Reddy embarked on an Asian expansion plan with the

    first clinic in Dubai established in March 1999. Now, projects in Sri Lanka, Africa,

    Bangladesh and Oman are on the anvil. His newest initiative is to integrate into

    healthcare, the digital nervous system that will eventually create a virtual Apollo

    Center anywhere any time. Apollos major Web initiative, Med Varsity a virtual

    medical university providing total access to experts in the field of medicine

    anywhere in the world and MEDNET Hospital Systems Management package are

    SALN College of Engg & Mngt Page 32

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    FUNDS FLOW STATEMENT

    slated to transform the way medicine is practiced in the country. His plans for

    improved accessible and affordable healthcare for the millions of our people are an

    ongoing process and to bring country-wide, comprehensive health insurance

    scheme to our people is now his obsession. The telemedicine technology that has

    been successfully introduced by Dr. Reddy in India will be a key enabler in

    transforming the healthcare delivery in India. His blueprint for the nation includes

    setting up of many rural hospitals. Dr. Reddy is now looking at secondary health

    centers in semi urban and smaller cities and has already identified 23 sites for the

    same. The maiden effort in this venture has been at Aragonda, his native village

    and Dr. Reddy envisages that this center will serve as a model for all such projects

    of the Apollo Group in rural India. Dr. Reddy has been a keen promoter of active

    research and exchange programmes for Doctors at Apollo with leading medical

    institutions for providing excellent opportunities for clinical interaction with their

    counterparts abroad and also for constant update of their knowledge for the

    optimum benefit of the mankind. Recognizing his pioneering role in transforming

    the Indian healthcare industry, the Government of India awarded him the

    prestigious Padma Bhushan in February 1991. He was also presented with the Sir

    Neel Ratan Sarkar Award for medical excellence in June 1998. Nominated by

    Business India as one of the Top Fifty personalities, who have made a difference to

    the country in the fifty years since Independence, the country has certainly

    recognized his contributions. The Royal college of Surgeons of Edinburgh has

    conferred the Award of fellowship Adhominem. Dr. Reddys firmly believes that

    the Indian doctors have not got their true entitlement. He is convinced that India is

    not only well poised to meet the healthcare challenges of the millennium, but also

    SALN College of Engg & Mngt Page 33

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    equipped with the talent and strength to contribute in further developing the health

    and economy of the world.

    GROUP OF HOSPITALS:

    Indraprastha Apollo

    Hospitals

    Sarita Vihar, MathuraRoad

    NEW DELHI - 110 076Tel: +91-011 -26925801/26925858Fax: +91-011-26823629

    Website:www.apollohospdelhi.com

    Apollo Hospitals

    21, Greams Lane OffGreams RoadCHENNAI 600 006Tel: +91-044- 28293333 /28290200Fax: +91-044-2834429

    Website:www.apollohospitals.com

    SALN College of Engg & Mngt Page 34

    http://www.apollohospdelhi.com/http://www.apollohospitals.com/http://www.apollohospdelhi.com/http://www.apollohospitals.com/
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    Apollo Hospitals

    Jubilee Hills, HYDERABAD - 500033Tel: +91-40-23607777

    FAX: +91-40-23608050email: [email protected]

    Apollo Gleneagles Hospital

    #58, Canal Circular RoadKolkata - 700 054Tel: + 91 033-23203040 / 2122 /2003 / 2004 / 2006email:[email protected]

    SALN College of Engg & Mngt Page 35

    mailto:[email protected]?subject=Apollo%20Hospital%20Mail%20Through%20apollohospdelhi.commailto:[email protected]?subject=Apollo%20Hospital%20Mail%20Through%20apollohospdelhi.commailto:[email protected]?subject=Apollo%20Hospital%20Mail%20Through%20apollohospdelhi.commailto:[email protected]?subject=Apollo%20Hospital%20Mail%20Through%20apollohospdelhi.com
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    Apollo Hospitals

    Limited

    Plot No. 1A , Bhat GIDC

    EstateGandhinagar, Gujarat-382428Tel : +91-079 - 66701800

    email:[email protected]

    Apollo Heart & Kidney

    Center

    10-50-80, WALTAIR MAINROADVISHAKPATNAM - 530002Ph: 0891-2529618/19/20/21/22FAX: 0891 -2560858Website:www.apollohospitalgroup.com

    Apollo HospitalsSeepat Road,BILASPUR - 495 006Tel: +91-07752-243300Website:www.apollobilaspur.com

    Apollo NoidaE - 2, Sector - 26, Noida(Adjacent to Club 26)Tel: +91-120-4012000 /2445353Fax: +91-120-2445355Email:[email protected]

    SALN College of Engg & Mngt Page 36

    mailto:[email protected]?subject=Apollo%20Hospital%20Mail%20Through%20apollohospdelhi.comhttp://www.apollohospitalgroup.com/http://www.apollobilaspur.com/mailto:[email protected]?subject=Apollo%20Hospital%20Mail%20Through%20apollohospdelhi.commailto:[email protected]?subject=Apollo%20Hospital%20Mail%20Through%20apollohospdelhi.commailto:[email protected]?subject=Apollo%20Hospital%20Mail%20Through%20apollohospdelhi.comhttp://www.apollohospitalgroup.com/http://www.apollobilaspur.com/mailto:[email protected]?subject=Apollo%20Hospital%20Mail%20Through%20apollohospdelhi.commailto:[email protected]?subject=Apollo%20Hospital%20Mail%20Through%20apollohospdelhi.com
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    Apollo Hospitals Bangalore

    154/11, Opp. I.I.M., BannerghattaRoad,

    Bangalore - 500 069.Tel: +91 80 4030 4050Website:www.apollohospitalsbangalore.com

    APOLLO GROUP OF COMPANIES:

    Apollo Hospitals Enterprise Limited

    Apollo Pharmacies

    Keimed.com Limited

    Apollo Health and Lifestyle Limited (AHLL)

    Apollo Health Street Limited (AHSL)

    MedVarsity Online Limited (MOL)

    Apollo Telemedicine Enterprises Limited (ATEL

    Apollo Hospitals Education and Research Foundation (AHERF)

    Family Health Plan Limited (FHP)

    Online Hospital Equipment Services Private Limited (Equipment World)

    SALN College of Engg & Mngt Page 37

    http://www.apollohospitalsbangalore.com/http://www.apollohospitalsbangalore.com/
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    FUNDS FLOW STATEMENT

    FUNDS FLOW STATEMENT

    SALN College of Engg & Mngt Page 38

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    FUNDS FLOW STATEMENT

    INTRODUCTION:

    Funds flow statement summarizes for a particular period the resources made

    available to finance the activities of an enterprise and the uses to which such resources

    have been put.

    Funds flow statement is based on accrual concept of profit. The Company prepares

    a statement of funds flow to cater Purchase of fixed assets and investments, redemption of

    debentures and preference shares and repayment of loans, payment of dividend, payment

    of tax, and increase in working capital.

    It is the responsibility of the organization to maintain a standard level of funds flow

    neither excess or deficit.

    Here, funds means working capital and flow means movement

    VARIOUS FORMS OF ANSWERS TO FUNDS FLOW STATEMENT:

    It refers to the sources and uses of funds received through the year.

    It is the statement of changes in financial position prepared determine only the

    sources and uses of working capital between dates of 2 balance sheets.

    Inflow and outflow working capital for a business.

    Change in working capital for the particular period, sources and application for one

    year

    Funds flow statement indicates the flow of funds in certain period and it helps to

    compare the past and present statements.

    It is a statement showing changes in financial position, in sources (FUND

    RECEIVED) AND application ( USAGE OF FUND)

    SALN College of Engg & Mngt Page 39

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    FUNDS FLOW STATEMENT

    MANNAR WITH FOLLOWING BASIS

    1) Working capital base.

    2) Cash flow (cash budget) base.

    3) All resources base.

    Fund Flow is statement which analyzes the inflow and out flow of funds of an

    organisation or firm in a particular period.

    Fund flow statement is a shown the source and uses of application and change in

    working capital an organization or a firm in a financial.

    It shows the difference between the opening & closing value of the asset &

    liability. This may be due to the purchase/investment/sale of an asset,

    increase/decrease in liability.

    Fund flow mean inflow and outflow of fund in the orgnization. It includes

    Schedule of change in working capital, P/L or source of application and Funds

    flow statement.

    In this we never write To and By.

    Funds flow statements are the statements which give a clear picture of the

    movement of funds in a certain period

    A simple funds flow statement can be arrived at by comparing the balance sheets at

    the stating of the period with the balance sheet at the ending of the period

    Fund flow statement consists with two word fund and flow. Fund means cash or

    working capital or all resource of fund and flow means change.

    Fund flow refers to change in financial position in beginning of financial period to

    end of year.

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    FUNDS FLOW STATEMENT

    MEANING AND CONCEPT OF FLOW OF FUNDS

    The term flow means movement and includes both inflow and outflow. The

    term flow of funds means transfer of economic and values from one asset of equity to

    another. Flow of funds is said to have taken place when any transaction makes changes in

    the amount of funds available before happening of the transaction. If the effect of

    transaction results in the increase of funds it is called source of funds and if it results in the

    decrease of funds it is known as an applications of funds the term flow of funds refers to

    the movement of funds in the working capital it is said to be a source or inflow of funds

    and if it results in the decrease of working capital, it is said to be an application or outflow

    of funds.

    MEANING AND DEFINITION OF FUNDS FLOW STATEMENT

    Funds flow statement is a method by which we study changes in the financial

    position in the business enterprise between beginning and ending financial statement

    dates. It is a statement showing sources and uses of funds for a period of time.

    A statement of sources and applications of funds is a technical device designed to

    analyze the changes in the financial condition of a business enterprise between two dates.

    The term Funds means working capital, i.e., the excess of current assets over

    current liabilities.

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    FUNDS FLOW STATEMENT

    According to Robert Anthony "the funds flow analysis describes the

    sources fro which additional funds were derived and the uses to which these funds

    were put.

    Funds flow statement is called by various names such as sources and application of

    funds; statement of changes in financial position, sources and uses of funds, summary of

    financial operations, where came in and where gone out statement, where got, where gone

    statement; movement of working capital statement movement of funds statement, funds

    received and disbursed statement; funds generated and expended statement, funds

    statement etc.

    NEED OF FUNDS FLOW STATEMENT:

    Fund may be interpreted in various ways as (a) Cash, (b) Total current assets. Net

    working capital, (d) Net current assets. For the purpose fundflow statement the term fund

    means net working capital. The flow fund will occur in a business, when a transaction

    results in a change i increase or decrease in the amount of fund.

    According to Robert Anthony, the Fund Flow Statement describes t sources from which

    additional funds were derived and the uses to which these funds were put.

    Different Names of Fund-flow Statement:

    * A Funds Statement

    * A statement of sources and uses of fund

    * A statement of sources and application of fund

    * Where got and where gone statement

    * Inflow and outflow of fund statement

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    FUNDS FLOW STATEMENT

    USES, SIGNIFICANCE AND IMPORTANCE OF FUNDS FLOW

    STATEMENT:

    It helps in the analysis of financial operations.

    It throws light on many perplexing questions of general interest.

    It helps in the formation of realistic dividend policy.

    It helps in the proper allocation of resources.

    It acts as a future guide.

    It helps in a appraising the use of working capital.

    It helps knowing the overall credit worthiness of a firm.

    The FFS furnishes the information about the sources from which the company

    mobilized the resources or fund during the year.

    The statement is most useful to the lending authorities for the sanction of loans to

    the company.

    LIMITATIONS OF FUNDS FLOW STATEMENT

    The funds flow statement has a number of uses, how ever it has certain limitations

    also which are listed below:

    It should be remembered that a funds flow statement is not a substitute of an

    income statement or a balance sheet. It provides only some additional information

    as regards changes in working capital.

    It can not reveal continuous changes.

    It is not an original statement but simply, arrangement of data given in the

    financial statements.

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    FUNDS FLOW STATEMENT

    It is essential historic in nature and projected funds flow statement cannot be

    prepared

    Changes in cash are more important and relevant for financial management than

    the working capital.

    It indicates only the post position and not future

    FINANCIAL MANAGEMENT

    Management of funds is an important aspect of financial

    management. Management of funds acts as the primary concern

    whether it may be in a business undertaking or in an educational

    institution. Financial management, which is simply meant dealing

    with management of money matters.

    According to Phillippatus, "Financial management is concerned

    with the managerial decisions that result in the acquisition and

    financing of short term and long term credits for the firm.

    PROCUREMENT OF FUNDS

    As funds can be obtained from different sources so procurement of funds is

    considered as an important problem of business concerns.

    Funds procured from different sources have different characteristics in terms of

    risk, cost and control.

    SALN College of Engg & Mngt Page 44

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    FUNDS FLOW STATEMENT

    Funds issued by the issue of equity shares are the best from risk point of view for

    the company as there is no question of repayment of equity capital except when the

    company is under liquidation.

    From the cost point of view equity capital is most expensive source of funds as

    dividend expectations of shareholders are normally higher than prevalent interest

    rates.

    Financial management constitutes risk, cost and control. The cost of funds should

    be at minimum for a proper balancing of risk and control.

    General Rule:

    The flow of funds occurs when a transaction changes on the one hand a non

    current account and on the other a current account and vice versa.

    A current asset and a fixed asset.

    A fixed asset and a current liability.

    A current asset and a fixed liability.

    A fixed liability and a current liability.

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    FUNDS FLOW STATEMENT

    LIST OF CURRENT OR WORKING CAPITAL ACCOUNTS

    Current Asset:

    Cash in hand

    Cash at bank

    Bills Receivable

    Sundry debtor (or) Accounts receivable

    Short - term Loans & Advances

    Temporary or Marketable investments

    Inventories or stocks such as

    a. Raw materials

    b. Work in process

    c. Stores and spares

    d. Finished goods

    Prepaid expanses

    Accured incomes

    Current Liabilities:

    o Bills payable

    o Sundry creditors (or) Accounts payable

    o Accured or Oustanding expanses

    o Dividends Payable

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    FUNDS FLOW STATEMENT

    o Bank over draft

    o Short term loans & Advances

    o Provision against current assets

    o Provision for taxation, if it does not amount to appropriation of profits

    o Proposed dividend ( may be current or non current liability)

    Non Current or Permanent Liabilities:

    o Equity Share capital

    o Preference share capital

    o Redeemable preference share capital

    o Debenture

    o Long term loans

    o Share premium account

    o Share forfeited account

    o Profit & loss account

    o Capital reserve

    o Capital redemption reserve

    o Provision for depreciation against fixed assets

    o Appropriate of profits

    a. General reserve

    b. Dividend equalization fund

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    FUNDS FLOW STATEMENT

    c. Insurance fund

    d. Compensation fund

    e. Sinking fund

    f. Investment fluctuation fund

    g. Provision for taxation

    h. Proposed dividend

    Non Current or Permanent Assets:

    Preliminary Expenses

    Other differed expenses

    Discount on issue of debentures

    Discount on issue of shares

    Debit balance of Profit & loss account

    Long-term investment

    Patent rights

    Trade Marks

    Furniture & fittings

    Plant & Machinery

    Building

    Land

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    FUNDS FLOW STATEMENT

    Goodwill

    PROCEDURE FOR KNOWING WHETHER A TRANSACTION

    RESULTS IN THE FLOW OF FUNDS OR NOT:

    1. Analyze the transaction and find out the two accounts involved.

    2. Make Journal Entry of the transaction.

    3. Determine whether the account involved in the transaction are current or non-

    current.

    4. If both the accounts involved are current i.e., either current assets or current

    liabilities, it does not result in flow of funds.

    5. If both the account involved are non-current i.e., either permanent assets or

    permanent liabilities, it still does not results in the flow of funds.

    6. If the account involved are such that one is a current account while the other is a

    non current liability and i.e., current asset and permanent liability, or current

    asset and fixed asset, or current liability and fixed asset, or current liability and

    permanent liability then it results in the flow of funds.

    FUNDS WILL EFFECT ONLY IN THE FOLLOWING SITUATION ONLY:

    FLOW OF FUNDS

    SALN College of Engg & Mngt Page 49

    NO YES

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    DIAGRAM DEPICTING FLOW OF FUNDS

    FLOW OF FUNDS?

    NO

    YES YES YES

    SALN College of Engg & Mngt Page 50

    WHEN BOTH

    CURRENT

    OrNON- CURRENT

    ACCOUNTS ARE

    INVOLVED

    WHEN ONE

    CURRENT

    And

    OTHER NON

    CURRENT

    ACCOUNT ARE

    INVOLVED

    CURRENT ASSETS CURRENTLIABILITIES

    NON-CURRENTASSETS

    NON-CURRENTLIABILITIES

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    NO

    BALANCE SHEET

    Balance sheet is the most significant financial statement. It indicates the financial

    condition or the state of affairs of a business at a particular moment of time. More

    especially balance sheet contains information about resources and obligations of a

    business entity and about its owners interests in the business at a particular point of time.

    Thus, the balance sheet reveals the firms financial position on specific date. In the

    language of accounting balance sheet communicates information about assets, liabilities

    and owners equity for a business firm as on a specific date. It provides a snapshot of the

    financial position of the firm at the firms accounting period. The balance sheet is a stock

    or status statement as it shows assets, liabilities and owners equity at a point of time.

    DISTINCTION BETWEEN BALANCE SHEET AND FUNDS FLOW

    STATMEN:

    Balance sheet is a statement showing the financial position of the concern on a

    particular date. The asset side portrays the development of resources in various

    types of properties a liabilities side indicates the manner in which these resources

    are obtained. It shows all assets and liabilities whether current or fixed, tangible or

    intangible etc., while Funds Flow Statement shows the changes in current assets an

    current liabilities during a particular period of time.

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    FUNDS FLOW STATEMENT

    Balance Sheet shows the total financial position on a particular date and in this

    way, it is of a historical nature and therefore, its utility is very limited for the

    management. On the other hand, Funds Flow Statement is a comparative statement

    of assets and liabilities and depicts the changes in working capital during the

    period of two Balance sheets.

    Funds Flow Statement is an analysis and control device for the management.

    Management can ensure the long term and short term solvency of the firm by

    studying the internal funds flow cycles. It is a modern technique of knowing the

    inflows and outflows of funds during a particular period. Balance Sheet represents

    the balance of various assets and liabilities and does not present analysis of any

    kind.

    There are two views of h financial position of the firm-long term and short-term.

    Short-term financial position means the technical solvency of the firm in the near

    future while on the other hand, long-term financial position means future financial

    structure of the firm. Both are inter-relate but there is a differences in their

    analysis. The short-term view of the financial position of the firm ca not be had

    from the Balance Sheet.

    CASH FLOW STATEMENT

    A revenue or expense stream that changes a cash account over a given period. Cash

    inflows usually arise from one of three activities - financing, operations or investing -

    although this also occurs as a result of donations or gifts in the case of personal finance.

    Cash outflows result from expenses or investments. This holds true for both business and

    personal finance.

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    FUNDS FLOW STATEMENT

    An accounting statement called the "statement of cash flows", which shows

    the amount of cash generated and used by a company in a given period. It is calculated by

    adding noncash charges (such as depreciation) to net income after taxes. Cash flow can be

    attributed to a specific project, or to a business as a whole. Cash flow can be used as an

    indication of a company's financial strength.

    DISTINCTION BETWEEN THE FUNDS FLOW STATEMENT AND

    CASH FLOW STATEMENT:

    Funds Flow Statement is concerned with all items constituting funds (Working

    Capital) for the business while Cash Flow Statement deals only with cash

    transactions. In other words, a transaction affecting working capital other than cash

    will affect Funds statement, and not the Cash Flow Statement.

    In Funds Flow Statement, net increase or decrease in working capital is recorded

    while in Cash Flow Statement; individual item involving cash is taken into

    account.

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    FUNDS FLOW STATEMENT

    Funds Flow statement is started with the opening cash balance and closed with the

    closing cash balance records only cash transactions.

    Cash Flow Statement is started with the opening cash balance and closed with the

    closing cash balance while there is no opening or closing balances in Funds Flow

    Statement.

    CONSTRUCTION OF FUNDS FLOW STATEMENT:

    Funds flow statement is a method by which we study changes in the financial position of

    business enterprises between beginning and ending financial statements dates. Hence, the

    funds flow statement is prepared by comparing two balance sheets and with the help of

    such other information derived from the accounts as may be needed. Broadly speaking, the

    preparation of a funds flow statement consists of two parts:

    1. Statement or Schedule of changes in working capital.

    2. Statement of Sources and Application of funds.

    Statement or Schedule of changes in Working Capital:

    The increase or decrease in working capital can be calculated by preparing

    the schedule of changes in working capital. Working capital means the excess of

    current assets over current liabilities. Statement of changes in working capital is

    propose to show the changes in the working capital between two balance sheets

    data. This statement is prepared with the help of current assets and current

    liabilities derived from two balance sheets.

    While preparing a schedule of changes in working capital, it should be note that:

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    FUNDS FLOW STATEMENT

    Increase in Current Assets, Increases the Working Capital.

    Decrease in Current assets, Decreases the Working Capital.

    Increase in Current Liabilities, Decreases the working capital.

    Decrease in Current Liabilities, Increases the Working Capital.

    An increase in current assets and increase in current liabilities does not affect

    working capital.

    A decrease in current assets and decrease in current liabilities does not affect

    working capital.

    Changes in fixed (non-current) assets and fixed (non-current) liabilities affect

    working capital.

    The changes in all current assets and current liabilities are merged into one

    figure only either an increase of decrease in working capital over the period for which

    funds statements has been prepared.

    If the working capital at the end of the period is more than the working

    capital at the beginning the difference is expresses as increase in working capital.

    On the other hand, if the working capital at the end of the period is less than

    at the commencement, the difference is called decrease in working capital.

    Working Capital = Current assets Current Liabilities

    Current Assets:

    The expression current assets denotes those assets, which are continually

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    FUNDS FLOW STATEMENT

    on the move. Since they are constantly in motion, they are known as the circulating capital

    of the business. These assets can or will be converted into cash during a complete

    operating cycle of the business.

    Current Liabilities:

    Current Liabilities are those liabilities, which are to be paid in the near

    future, i.e., during a complete operating cycle of the business.

    PROFORMA OF STATEMENT OF CHANGES IN WORKING CAPITAL

    Particulars Beginning Ending

    Changes inworking capital

    Increase Decrease

    Current assts (CA):

    Inventories: XXX XXX

    Raw material XXX XXX

    Consumable stores XXX XXX

    Finished goods XXX XXX

    Sundry debtors XXX XXX

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    FUNDS FLOW STATEMENT

    Cash in hand XXX XXX

    Balance with bank XXX XXX

    Other current assets: XXX XXX

    Deposits XXX XXX

    Income tax (advance tax) XXX XXX

    Sales tax XXX XXX

    Total Current assets XXXXXXXXXX

    Current liabilities:

    Trade creditors XXX XXX

    Dealers deposits XXX XXX

    Expenses payable XXX XXX

    Total current liabilities XXXXXXXXXX

    Working Capital (CA-CL)XXXXX

    Net Increase / decreaseworking capital XXXXX XXXXX

    XXXXX XXXXX XXXXX XXXXX

    STATEMENT OF SOURCES AND APPLICATION OF FUNDS:

    Funds flow statement is a statement, which indicates various sources for

    which funds have been obtained during a chain period and the uses or applications to

    which these funds have been put during that period.

    Sources of funds

    Application of Funds.

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    FUNDS FLOW STATEMENT

    Generally this statement prepared in two formats.

    Report form (Vertical form)

    T Form (An Account form)

    PROFORMA OF REPORT FORM OF FUNDS FLOW STATEMENT

    PARTICULARS AMOUNT

    SOURCES OF FUNDS

    Funds from Operations

    Issue of Share Capital

    Issue of debentures

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    FUNDS FLOW STATEMENT

    Receipts of dividend and Interest

    Sales Proceeds of Non-current asset

    Raising long term loans

    Sale of investments (long term)

    Receipts from partly paid up shares, called up

    Decrease in working Capital

    Total

    APPLICATION OF FUDS

    Funds Lost in OperationRedemption of Preference Share Capital

    Redemption of long term loans

    Repayment of Debenture

    Repayment of long term loans

    Purchase of non current (fixed ) assets

    Purchase of long term investments

    Non trading payments

    Payment of dividends

    Payment of tax

    Increase in working capital

    Total

    T FORM OR AN ACCOUNT FORM OF FUNDS FLOW STATEMENT

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    FUNDS FLOW STATEMENT

    Funds from trading

    factitively or

    Operating profit

    Issue of shares and

    debentures

    Receipts of dividend and

    Interest

    Sales Proceeds of Non-

    current asset

    Long term

    Borrowings

    Decrease in working

    Capital

    XXXX

    XXXX

    XXXX

    XXXX

    XXXX

    XXXX

    XXXX

    XXXXX

    Funds costs in operations

    Repayment of debentures

    Reduction in share Capital

    Interest and dividend paid

    Payment of Long-term

    loans.

    Increase in working capital

    XXXX

    XXXX

    XXXX

    XXXX

    XXXX

    XXXX

    XXXXX

    EXAMPLE PROBLEM:

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    FUNDS FLOW STATEMENT

    Balance sheet of XYZ Pvt. Ltd for the year 2005-2006

    Sources of funds 2006 2005

    Share holders funds:

    A) share capital 3976.36 3976.36

    B) Reserves and Surplus 3804.74 2160.18

    A) Secured Loans 10886.36 10723.23

    B) Unsecured Loans 9588.74 5404.59

    Differed tax Liability 424.17

    Total 28680.37 22264.36

    Application of funds:

    Fixed Assets: -

    A) Gross Block 2002136 17884.47

    B) Less: Depreciation 5417.03 4648.10

    Net Block 14604.33 13236.37

    Capital Work In Progress 6015.09 2652.95

    Investment 589.83

    Current Assets, Loans and Advances

    A) Inventories 7075.18 5294.05

    B) Sundry Debtors 7197.89 4098.66

    C) Cash and Bank Balance 247.72 447.49

    D) Loans and Advances 1616.75 1462.76

    Less: current Liabilities and Provisions

    A) Current Liabilities 8090.45 5052.57

    B) Provisions 586.14 572.72

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    FUNDS FLOW STATEMENT

    Net Current Assets 7460.95 5677.67

    Differed Tax Assets 683.48

    Miscellaneous Expenditure 10.17 13.83

    SOLUTION:

    STATEMENT OF CHANGES IN WORKING CAPITAL

    Particulars 2004-05 2005-06 Changes in working capitalIncrease Decrease

    Current assts (CA)

    Inventories 5294.05 7075.18 1781.13

    Sundry debtors 4098.66 7197.89 3099.23

    Cash and bank balances 447.49 247.72 199.77

    Loans and advances 1462.76 1616.75 153.99

    Total Current Assets 11302.96 16137.54

    Current liabilities (CL)

    Current liabilities 5052.57 8090.45 3037.88Provisions 572.72 586.14 13.42

    Total current liabilities 5625.29 8676.59

    Working capital (CA-CL) 5677.67 7460.95

    Net working capital 1783.28 1783.28

    7460.95 7460.95 5034.35 5034.5

    Net increase in the working capital is 1783.28.

    Interpretation:

    From the above table is observed that the networking capital of the

    company shows increasing trend. The total current assets of the company have increased

    from Rs.11302.96. in 2004-05 to Rs.16137.54 in 2005-06.

    But the bank balance decreased from Rs.447.49 to Rs.247.72 i.e., 199.77.

    The total current liabilities increased from Rs.5677.67 to Rs.8676.59. The net working

    capital increases Rs.1783.28.

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    FUNDS FLOW STATEMENT

    Statement of Sources and Applications of Funds for the year ended at 31st March

    2006.

    Sources Amount Applications Amount

    Secured loans

    Unsecured loans

    Funds from operation

    163.13

    4184.15

    3524.86

    7872.14

    Purchase of fixed assets

    Capital W-in-P

    Purchase of investments

    Increase in working capital

    2136.89

    3362.14

    589.83

    1783.28

    7872.14

    Interpretation:

    It is evident from the above table that the total flows during the period from

    2005-2006 amounts Rs. 7872.14 lakhs. In the total funds 3% of funds were received

    through secured loans, 87% of funds received through the unsecured loans and the

    remaining 10% of funds received from funds from operation.

    Regarding application of the funds the 63% were invested in fixed assets i.e.

    purchase of fixed assets and remaining 37% of funds were utilized for working capital.

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    FUNDS FLOW STATEMENT

    RESEARCH DESIGN

    The various purposes of this chapter are to describe the need of the study, to define

    its objectives and to discuss the methodology employ besides efforts are also made to

    outline scope, limitations and plan of the study.

    Funds flow statement is the statement that shows companies how funds are flowing

    between two period of times. It can be classified as sources of funds, application of funds,

    funs flow statement shows how funds floating (In flow & Out flow of funds) between two

    comparable periods.

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    FUNDS FLOW STATEMENT

    The management and Preparation of funds flow statement is vital importance to

    companies and firms to know in what are those ways company is getting major funds &

    how those funds are utilizing. Healthy flow of funds are essential for organization to run

    the business smoothly & safely.

    NEED FOR THE STUDY IN APOLLO HOSPITAL ENTERPRISE

    LIMITED:

    APOLLO HOSPITAL is committed to provide their patients the best possible

    health care and this commitment is reflected in the entire Apollo Group situated at major

    cities in India. Each of these is a landmark in high quality health care delivery system.

    This analysis provides a comprehensive view about companys strengths and

    weaknesses, significance of this analysis makes in judging the financial soundness of the

    firm and its probability. With these rations and conclusions we draw inferences about the

    performance of the firm.

    OBJECTIVES OF THE STUDY:

    To study the importance of funds flow statement in AHEL.

    To evaluate the funds flow position and its management through various

    working capital statements.

    To analyze the operating cycle of funds flow statement.

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    FUNDS FLOW STATEMENT

    To study the various elements of the funds flow statements, viz share

    capital, loans & advances, fixed assets, and investments etc.,

    To assess the liquidity position of the company.

    To give appropriate suggestions for the decision-making authority for

    effective working capital management in Apollo Hospitals Enterprise

    Limited.

    To analyze Apollos annual report, year-to-year performance.

    METHODOLOGY:

    Methodology is a systematic procedure of collecting information in order to

    analyze and verify a phenomenon. The collection of information is done through two

    principle sources viz.

    Primary data

    Secondary data

    PRIMARY DATA:

    It is the information collected directly without any reference. In the study, it is

    mainly interviews with concerned officers and staff either individually or collectively.

    Some of the information had been supplemented with personal observations.

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    FUNDS FLOW STATEMENT

    SECONDARY DATA:

    The secondary data was collected from already published sources such as annual

    reports and internal records. The data includes:

    Collection of required data from annual reports of Apollo Hospital

    Enterprise Limited.

    Reference from text books and journals relating to financial management.

    Articles published in business dailies like the economic times, Business

    time etc.

    SCOPE OF THE STUDY:

    The present study is design to make effort to understand the how funds are flowing

    in Apollo Hospitals Enterprise Limited with the help of working capital, so as to enable to

    determine the financial variability of the company.

    The scope of the study is the last five financial years i.e., from 2003-04 to 2007-08.

    LIMITATIONS OF THE STUDY:

    As Apollo Hospitals is a service oriented organization the data is classified. The

    audited accounts are taken for collection of the main data for the analysis.

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    FUNDS FLOW STATEMENT

    The main limitations of the project are:

    Time Constraint is the major limitation as the data has to be collected in

    real time; data could not be collected in great detail as Apollo Hospital-

    Hyderabad unit is only a branch and the head office is located at Chennai.

    Apollo Hospitals Group comes under service-oriented industry, so the

    financial statement analysis cannot be compared with any standards laid.

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    FUNDS FLOW STATEMENT

    DATA ANALYSIS

    AHEL BALANCE SHEET FOR THE YEAR ENDED 2003-04

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    FUNDS FLOW STATEMENT

    I. Sources of funds2004 2003

    (1) Share holders funds:

    Share capital A 395,186,880 395,186,880

    Reserves and Surplus B2,071,555,641 1,864,558,995

    (2) Loans & Advances:

    (a) Secured Loans C916,261,993 1,118,302,314

    (b) Unsecured Loans D647,625,224 607,106,641

    Deferred Tax Liability534,498,611 -----

    TOTAL4,565,128,349 3,985,154,830

    II. Application of funds:

    Fixed assets:

    A) Gross Block3,946,247,611 3,600,839,133

    B) Less: Depreciation1,232,187,391 1,061,446,007

    Net Block2,714,060,220 2,539,393,126

    Capital Work In Progress4,495,248 67,397,336

    Investment

    909,703,681 917,015,658

    Current assets, Loans & Advances:

    A) Inventories332,233,960 292,610,725

    B) Sundry Debtors722,483,822 682,835,869

    C) Cash and Bank Balance143,559,640 95,180,182

    D) Loans and Advances804,005,122 917,015,658

    Less: Current liabilities:

    A) Current Liabilities

    735,857,902 654,124,079

    B) Provisions386,040,967 738,083,452

    Net Current Assets880,383,675 397,556,415

    Miscellaneous Expenditure56,485,525 77,933,863

    TOTAL4,565,128,349 3,985,154,830

    STATEMENT SHOWING CHANGES IN WORKING CAPITAL OF

    AHEL FROM 2002-03 & 2003-04

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    FUNDS FLOW STATEMENT

    Particulars 2002-03 2003-04 Increase Decrease

    CURRENT ASSETS

    a) Inventories

    b) Sundry Debtors

    c) Cash & Bank balances

    d) Loan & Advances

    292,610,725

    682,835,869

    95,180,182

    719,137,170

    332,233,960

    722,483,822

    143,559,640

    804,005,122

    39623235

    39647953

    48379458

    44525770

    .

    .

    .

    .

    Total Current Assets (A) 1789763946 2002282544

    CURRENT LIABILITIES

    & PROVISIONS

    a) liabilities

    b) Provisions

    654,124,079

    738,083,452

    735,857,902

    386,040,967

    ..

    352,042,485

    81,733,823

    ..

    Total Current Liabilities (B) 1,392,207,531 112,189,869 75,285,800

    Net working Capital (A-B)397,556,666 880,383,675

    Increase in Working Capital 482,827,009 482,827,009

    TOTAL

    88083,,675 88,083,675 1,235,685,009 1,235685,009

    Interpretation:

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    FUNDS FLOW STATEMENT

    Current assets: (2002 -03 to 2003 -04)

    Inventory is increased.

    Sundry debtors are increased.

    Cash and bank balances are increased.

    Loans and advances are increased.

    As per our report totally current assets is increased.

    Current liabilities: (2002 -03 to 2003-04)

    Current liabilities are increased.

    Provisions are increased.

    As per our report totally current liabilities are decreased.

    COMPARISION:

    Current assets of 2002 -03 more than current liabilities of 2002 -03.

    Current assets of 2003 -04 more than current liabilities of 2003-04.

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    FUNDS FLOW STATEMENT

    Statement of Sources and Applications of Funds for the year ending at

    31st March 2004.

    SOURCES AMOUNT APPLICATIONS AMOUNT

    Issue of shares

    Un-secured

    Differed Tax liabilityPurchase of Investments

    Work In Progress

    Funds from operation:

    40,518,583

    534,498,611

    7,311,977

    62,902,088

    1,446,490,556

    Re pay of Secured Loans

    Purchase of Fixed assets

    Increase in working capital

    202,040,321

    1,406,854,485

    482,827,009

    2,091,721,815 2,091,721,815

    Interpretation:

    It is evident from the above table that the total flows during the period from

    2003-04 amounts Rs. 2,091,721,815. In the total funds 2% of funds received through the

    un-secured loans, 25% through differed tax liability, 3% through capital work in progress,

    1% from sale of Investments and the remaining 69% of funds received from funds from

    operation.

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    FUNDS FLOW STATEMENT

    Regarding application of the funds the 67% were invested in fixed assets

    i.e. purchase of fixed assets, 10% funds were used to re- pay the secured loans, and

    remaining 23% were utilized for working capital.

    AHEL BALANCE SHEET FOR THE YEAR ENDED 2004-05

    III. Sources of funds 2005 2004

    (3) Share holders funds:

    Share capital A415,986,180 395,186,880

    Reserves and Surplus B 2,862,213,464 2,071,555,641

    (4) Loans & Advances:

    (a) Secured Loans C 1,058,858,176 916,261,993

    (b) Unsecured Loans D308,687,000 647,625,224

    Deferred Tax Liability 535,649,884 534,498,611

    TOTAL5,181,394,704 4,565,128,349

    IV. Application of Funds:

    Fixed assets:

    A) Gross Block 4,304,258,110 3,946,247,611

    B) Less: Depreciation 1,427,712,198 1,232,187,391

    Net Block 2,876,545,912 2,714,060,220

    Capital Work In Progress41,034,904 4,495,248

    Investment 1,062,670,972 909,703,681

    Current assets, Loans & Advances:

    A) Inventories371,247,722 332,233,960

    B) Sundry Debtors 835,144,733 722,483,822

    C) Cash and Bank Balance219,098,299 143,559,640

    D) Loans and Advances 94,131,322 804,005,122

    Less: Current liabilities & provisions:

    A) Current Liabilities 698,440,243 735,857,902

    B) Provisions553,386,010 386,040,967

    Net Current Assets 1,167,795,823 880,383,675

    Miscellaneous Expenditure 33,347,093 56,485,525

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    FUNDS FLOW STATEMENT

    TOTAL 5,181,394,704 4,565,128,349

    STATEMENT SHOWING CHANGES IN WORKING CAPITAL OF

    AHEL FROM 2003-04 & 2004-05

    Particulars 2003-04 2004-05 Increase Decrease

    CURRENT ASSETS

    a) Inventories

    b) Sundry Debtors

    c) Cash & Bank balances

    d) Loan & Advances

    332,233,960

    722,483,822

    143,559,640

    804,005,122

    371,247,722

    808,181,529

    219,098,209

    102,194,526

    39,013,762

    85,697,707

    7,558,659

    217,089,404

    ..

    ..

    .

    ..

    Total Current Assets (A) 2002282544 2419622076

    CURRENT LIABILITIES

    & PROVISIONS

    c) liabilities

    d) Provisions

    735,857,902

    386,040,967

    698,440,243

    553,386,010

    37,417,659

    ..

    ..

    167,345,043

    Total Current Liabilities (B) 112,189,863 1,243,129,253

    Net working Capital (A-B)880,383,675 1,176,492,823

    Increase in Working Capital 296,109,148 296,109,148

    TOTAL1,176,492,823 1,,176,492,823 314,451,140 314,451,140

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    FUNDS FLOW STATEMENT

    Interpretation:

    Current assets: (2003 -04 to 2004 -05)

    Inventory is increased.

    Sundry debtors are increased.

    Cash and bank balances are increased.

    Loans and advances are increased.

    As per our report totally current assets is increased.

    Current liabilities: (2003 -04 to 2004-05)

    Current liabilities are increased.

    Provisions are increased.

    As per our report totally current liabilities are incr