1. The Hospital is highly dependent on its healthcare professionals including doctors and nurses, and any future inability to attract/ retain such professionals will adversely affect the Hospital business, financial condition and results of operations.
2. Its revenues are significantly dependent on its hospital in Thane. Further, all the hospitals are located in the western regions of India. Any impact on the revenues of its Thane hospital or any change in the economic or political circumstances of western India or particularly in or around Thane, could materially affect its business, financial condition and results of operations.
3. The Hospital industry is highly regulated and requires it to obtain, renew and maintain statutory and regulatory permits, accreditations, licenses and comply with applicable safety, health, environmental, labour and other governmental regulations. Any regulatory changes or violations of such rules and regulations may adversely affect its business, financial condition and results of operations.
4. Any inability to pass on its costs including high medical equipment cost, manpower cost and infrastructure maintenance and repair cost, to its patients, may have an adverse impact on its business, financial condition and results of operations.
5. Its ability to provide affordable healthcare depends on the maintenance of a high volume of patients, occupancy rates, managing project costs and effective capital management. Any increase in such costs could adversely affect its business, financial condition and results of operations.
6. The Hospital may experience delays in construction or commencement of operations of its proposed hospitals or the Hospital may be unsuccessful in implementing its growth plans of expansion in western India in a timely manner or at all, which may have an adverse effect on its business, financial condition and results of operations.
7. The Hospital relies on certain third parties, including suppliers, and also enter into contracts with third-party payers such as insurance Hospital, third party administrators, corporations and government departments. Termination, non- renewal or any breach of the conditions of such contracts could have a material adverse impact on its business, financial condition and results of operations.
8. Pricing regulations and related government reforms in the healthcare industry and associated uncertainty may adversely affect its business, financial condition and results of operations.
9. An inability to keep pace with technological changes, new equipment, replacement of obsolete equipment and service introductions, changes in patients' needs and evolving industry standards as well as failure or malfunction of its medical or other equipment could adversely affect its business, financial condition and results of operations.
10. Any failure to maintain and enhance its brand and reputation, and any negative publicity and allegations in the media against the hospital, may adversely affect the level of trust in its services and market recognition, which could further result in an adverse impact on its business, financial condition and results of operations.