CONFIDENTIAL

Healthcare Outsourcing to India – A

Brief Overview

Presentation

Zinnov LLC
July, 2006

This report is solely for the use of Zinnov client and Zinnov personnel.
No part of it may be circulated, quoted, or reproduced for distribution
outside the client organization without prior written approval from Zinnov
LLC.
AGENDA

• Healthcare Outsourcing in India

– The payer market in US and the major outsourcing

initiatives

– The payer market in US and the major outsourcing

initiatives*

1
Executive Summary

- The US healthcare industry is having a high spending for the past three
years and hence need to outsource most of the processes to low cost
destinations

- The recommendations from HIPAA for automating the entire provider

services by the end of current year can clearly initiate a new outsourcing
wave.

- The US healthcare market is divided into two segments – The Payers

and The Providers

- The US payers outsource more than the providers and the net spending
of the US healthcare industry on outsourcing was U$39.6 billion in 2003-
2004

- The comparison of the various low cost destinations clearly shows that
India has all the advantages individually provided by various countries

- The US payers initiated the outsourcing initiatives to India by late 1990s

2
Executive Summary

- Claims processing is the major process outsourced by US payers to

India in terms of revenue

- The availability of the HIPAA trained talent pool in India is driving the
momentum in claims processing

- The payer BPO vendors of Indian healthcare market specialize in

individual claim formats than going for a horizontal integration.

- The KPO market in India is growing with more and more vendor
presence offering service

- The key process in KPO space for Indian vendors is medical analytics

- The Indian BPO vendors if they could provide the data analytics they
could integrate their existing service and can command a piece of KPO
pie

- The US providers followed the trend of outsourcing started by payers

and medical transcription was the first process outsourced.

3
Executive Summary

- The revenue from the medical transcription process in India recently

declined by 30% due to lack of trained talent pool in the country

- The process of medical billing and coding hold the top rank in the
revenue portfolio of Indian vendors for providers

- The newer avenues of outsourcing like medical tourism is gaining

momentum in India

- The Indian medical ecosystem is very conducive with rich talent pool and
well maintained facilities

- Medical tourism in India is expected to generate a revenue of about

U$2300 million in 2012

- The future of Indian vendors catering the US provider network is in

offering innovative services like teleradiology and medical graphics.

4
Healthcare Outsourcing in India – A brief overview

ƒ The payer market in US and the major outsourcing

initiatives

- The Outsourcing initiatives in US payer market

- The Indian Healthcare Ecosystem
- The comparison of India against its competitors
- The Healthcare processes outsourced to India
- The complexities of payer healthcare processes

ƒ The provider market in US and the major outsourcing

initiatives

- The outsourcing initiatives in US provider market

- The healthcare processes outsourced to India
- Medical tourism and teleradiology
- The complexities of provider healthcare processes

Appendix

5
 Goldmanand
The spending of US payers Sachsproviders
India and Vendors – Location
in healthcare outsourcing is
expected to grow over U$38 billion during 2007-2008 and…

US Payer spending in Outsourcing US Provider spending in Outsourcing during

during 2003- 2004, $ millions 2003-2004 , $ millions
U$15.3 billion U$ 14.2 billion

11,000 Claims Medical 7,500

Processing Billing

3,300 HR
Services Medical 4,100

Customer 48% 52%

Coding
872 care
Medical 2,600
Finance and Transcription
204
Accounts

The BPO component of the The Indian ITES revenue in The trend in US KPO
spending from global payers healthcare is expected to creates new professions in
and providers together is grow over 230 million Indian health industry like
about 350 Billion US$ during during 2007-2008 healthcare analytics , 2D-
2003-2004 3D medical animators etc

Source: Zinnov Analysis , Reports and BPO proposals from various Indian vendors 6
...the Indian healthcareGoldman Sachs India
ecosystem is and
veryVendors – Locationfor the US players
conducive
with positive industry trends and significant advantages

Indian Medical Tourism Revenue , $ million

No of registered
States in India
doctors
2,300
Maharashtra 95,299
CAGR – 32% Tamil Nadu 72,725
Karnataka 64,492
333
West Bengal 53,456

2005 2012E
India offers a cost
advantage of about 50%
Indian Healthcare Infrastructure Investment in various states, $ million across the various
outsourced BPO activities
$189 from US payers and
$157 providers

$111
$94

India offers a cost

advantage of about 60% to
80% in various medical
Maharashtra Delhi Karnataka Meghalaya treatments compared to US

Source: Zinnov Analysis , India Stat 2006 7

 Goldman
The comparison of India withSachs Indianations
other and Vendors – Location
shows the high potential of
Indian vendors and their competencies…
Key Competencies Key Outsourcing Areas in focus
High Quality Talent pool
Proven Track record Medical Tourism
India
India Favorable Governmental Policies for Healthcare Customer care
healthcare Network support
Cost savings Healthcare BPO outbound
Conventional Medicinal Facilities like Healthcare analytics
Ayurveda
High Quality infrastructure
Cost Benefits Healthcare Customer Care
Philippines
Philippines The US accent Talent pool
The cultural affinity with US

Bigger talent pool at a lower cost  Healthcare Customer Care

China
China
 Network Support
High end medical facilities  Traditional medical facilities
Conventional Chinese medicine

 Quick deployment Oral and Surgical facilities especially in

Eastern
Eastern Europe
Europe  High Quality output and Facilities Ophthalmology
 Cost savings Healthcare Customer service
Healthcare BPO outbound
Service oriented culture  Medical tourism
Thailand
Thailand
High Quality facilities at low prices

Source: Zinnov Analysis , IBM reports on healthcare outsourcing to Eastern Europe, Business week 8
…However, the IndianGoldman Sachs
service India and Vendors
providers – Location
accounted for only U$115 million
worth of outsourcing/ offshoring, during 2005-2006
Projected share of spending by US payers in
BPO activities (2008)
BPO processes The major processes are
outsourced still broken down into
4 simpler individual tasks
Claims Processing 1 3 with specialized vendors
offering services
HR Services 2 1
Customer care 3
Finance and 4
Accounting 2 Independent KPO vendors
and vendors integrating
KPO and BPO services are
both present in the market
Top 3 Indian BPO
organizations in healthcare
segment Focused Processes
All types of Health Insurance
Lason India Claims
The IT service companies
Claims Processing specially employ a set of healthcare
ACS dental claims specialists for understanding
the client needs and hence do
General Health insurance an effective knowledge
HTMT Claims transfer to the developer
community

Source: Interviews, Zinnov Analysis 9

The total outsourcing Goldman Sachs India
is expected and Vendors
to grow at a –CAGR
Location of 150% during 2003-

2004 and 2007-2008

2003-2004 2007-2008

Payer outsourcing Discussion

Claims processing will
U$15.4 billion US $ continue to dominate
which includes all non the outsourcing as it
Market Size clinical activities has an expected
Customer care, Claims market of U$22 billion
processing, HR
Major services, Finance and
Services involved Accounting

Claims processing is the major

process outsourced from US
Payer Outsourcing Discussion
market (11 billion US $)
Market Size U$38.5 billion by 2008
Claims processing, HR
services, and customer
Major services Involved service

Source: Research Reports, Zinnov Analysis , projections in BPO proposals by various Indian vendors 10
 Goldman
Claims processing has a highSachs India and for
potential Vendors – Location
Indian BPO vendors in terms of
revenue

Claims Processing
does not provide
A Claim being made by a The accurate set of much revenue per
customer to a payer company claim documents are transaction to the
sent to US for the vendors and hence
1 8 Adjudication process it becomes a pure
volume game
Receiving
Scanned
copies of the 2
claim and 3 Dental Claims 7 The claims which are
other processed will be
Process Cycle sampled for checking
documents
accuracy

4 6
Sort the batches Capture the data
of claims received 5 present using tools
The considerable size of
based on claims like neurascript
HIPAA trained talent pool in
commissions India provides the country
Randomly provide the
sorted claims to claim with an added advantage for
managers attracting major US players

Source: Interviews, Zinnov Analysis 11

The complexity of the Goldman Sachs India
outsourced and Vendorshas
processes – Location
increased over the last
10 years and…
Before 2000 
The
The maintenance
maintenance contracts
contracts of
of legacy
legacy
systems IT Services Complexity
The vendors were systems were
were outsourced
outsourced to
to India
India
dependent on low 
The
The design
design and
and development
development of
of applications
applications Integrated
end IT services were
were in
in Unix
Unix based
based or
or IBM
IBM CICS
CICS systems
systems Insurance
applications like Application
maintenance 
 The
The entire
entire outsourcing
outsourcing was
was focused
focused in
in IT
IT
services
services Maintenance of
legacy
applications
2000- 2006 
The
The complex
complex and
and integrated
integrated application
application
development
development is
is outsourced
outsourced to
to India
India Data mining
The projects on
Integrated 
The
The execution
execution of
of business
business processes
processes and
and Data
development customer
customer care
care for
for various
various payer
payer services
services is
is Management
and BPO became started
started delivered
delivered from
from India
India
revenue sources

The
The industry
industry has
has undergone
undergone an
an effort
effort to
to BPO Services Complexity
integrate
integrate the
the IT
IT services
services and
and BPO
BPO offerings
offerings
Claims
Beyond 2006 
The
The KPO
KPO centric
centric new
new players
players will
will emerge
emerge Processing
with
with technical
technical competencies
competencies
The KPO , BPO
and Integrated IT 
The
The existing
existing players
players will
will try
try to
to integrate
integrate KPO
KPO HR Services
solution providers with
with BPO
BPO and and IT
IT services
services to
to create
create an
an entry
entry
will have the barrier Customer Care
barrier to
to new
new players
players
maximum benefits Finance and

The
The US
US organization
organization will
will become
become more
more lean
lean
concentrating
concentrating only
only on
on key
key service
service offerings
offerings Accounting
Very Complex Complex simple Very Simple
Source: Interviews, Zinnov Analysis 12
…India now offers a great value proposition in KPO as well

Service Category BPO KPO***

Overall Vendor 3 vendors* 2 vendors*

Assessment**

HIPAA certified 3 vendors 1 vendor

Talent pool

Client 3 vendors 2 vendor

Referrals

Process 2 vendors 1 vendors

Maturity

Proven Track 3 vendors 1 vendors

records

Infrastructure 2 vendors 2 vendors

Facilities

Very
Satisfactory Good Excellent
Good
*Vendors catering to the Top 5 FORBES Health plan organizations * * Based on the service *** The KPO includes
Medical analytics and customer analytics
Source: Zinnov Analysis 13
Healthcare Outsourcing in India – A brief overview

ƒ The payer market in US and the major outsourcing

initiatives

- The Outsourcing initiatives in US payer market

- The Indian Healthcare Ecosystem
- The comparison of India against its competitors
- The Healthcare processes outsourced to India
- The complexities of payer healthcare processes

ƒ The provider market in US and the major outsourcing

initiatives

- The outsourcing initiatives in US provider market

- The healthcare processes outsourced to India
- Medical tourism and teleradiology
- The complexities of provider healthcare processes

Appendix

14
 Goldmanprocess
Medical Billing is the major Sachs Indiaoutsourced
and Vendors – Location
by the providers from the
US market and …
2003-2004 2007-2008

Provider
Discussion
outsourcing Medical Billing and
U$14.2 billion which Collection will
includes all clinical dominate the provider
Market Size activities outsourcing with an
expected 16.223 billion
Major Medical Transcription, US $ market size
Services involved Coding and billing

Medical Billing is the

major process outsourced Payer Outsourcing Discussion
from the US provider
U$30.6 billion (by
market (7.5 billion US $ )
Market Size 2008)
in market size
Medical Transcription,
Major services Involved Coding and Billing

Source: Research Reports, Zinnov Analysis , Projections in BPO proposals by various Indian vendors 15
 Goldman Sachs India and Vendors – Location
..the activities outsourced accounted to U$110 million in financial year
2005-2006, which is low as compared to what payers outsourced
Projected share of Spending by US providers in
BPO activities (2008)

3 The market of Indian

BPO processes Vendors for providers is
outsourced 1 highly fragmented without
a clear market leader
Medical Billing 1
Medical Coding 2
2
Medical Transcription 3
A trend of integrating the
billing and coding
processes along with
medical facilities is seen in
Indian Hospital Vendors

Provider Cost benefit

Processes (percentage)
One simple medical bill
Medical Coding 50% reduction in for a small clinic( CMS
Fortune 100) takes 30 The KPO processes like
and Billing cost of processing
minutes to process and teleradiology is gaining
Medical 40% reduction in cost 4-5US$ momentum in Indian
per bill market
Transcription cost of transcribing

Source: Interviews, Zinnov Analysis 16

Medical Transcription which is the most mature process outsourced from
the US market has seen a loss of revenue in financial year 2005-2006...
Medical Transcription Earnings History of Indian Vendors, $million

The compulsion from

HIPAA for automation of
entire provider system can
The decline in revenue is boost the outsourcing
driven by the scarcity of revenue for transcription
38.00 qualified medical this year
transcription professionals

26.00
the limitation of talent pool
Is one of the major
hindrance for the growth of
medical transcription in
India

A standard medical
transcription cycle has a
duration of minimum 30
2004-2005 2005-2006 minutes with a standard
remuneration of 10-15 US$

Source: Research Reports, Zinnov Analysis , rediff.com 17

 Goldman
…However, the availability ofSachs
worldIndiaclass
and Vendors – Location
medical facilities in India has
boosted the healthcare revenues

Cost (USD)* Cost Savings

India/ India/ India/
Procedure US UK Thailand India US UK Thailand
Heart Surgery 40,000 23,000 7,500 6,000 85% 73.9% 20%
Bone Marrow Transplant 250,000 150,000 62,500 26,000 89.6% 82.7% 52%
Liver Transplant 300,000 200,000 – 69,000 77% 65.5% –
Knee Replacement 27,000 16,000 8,000 6,000 77.8% 62.5% 25%
Hip replacement 19,000 15,000 – 5,000 73.7% 66.7% –
Angioplasty 30,000 23,000 – 4,500 85% 80.4% –
Angiography 2,800 2,000 – 400 85.7% 80% –
Cosmetic Surgery 20,000 10,000 3,500 2,000 90% 80% 42.9%

The recent relaxation of

The talent pool of medical
professionals in India is
currently 650,000 with
20,000 freshmen added
every year
The medical colleges and
immigration norms for
Para medical institutions
medical professionals can
increased their yearly
create a talent pool
intake of fresh men to cater
depletion in domestic
this on going demand
market

Source: Interviews, Zinnov Analysis, Escorts Heart Institute and Research centre limited, Business world India 18
 Goldman
The central and the west Sachs
coast US India and Vendors
hospitals – Location
have been the key drivers of
outsourcing in the US provider space…

List Of US Hospitals outsourcing

to India
Altoona Hospital, Pennsylvania

St. Mary's Hospital in Waterbury

Grand View Hospital in Sellersville
Bayfront Medical Center
Cambridge Health Alliance
St. Anthony’s Hospital
West Georgia Medical Center
Shore line Hospital
Arlington Memorial Hospital
Spun Hospital
Kleberg Hospital

Location of Major Hospitals Albert Einstein Medical Center

outsourcing to India

Source: Hospital Websites, Zinnov Analysis 19

… mainly to preferred Goldman
vendors Sachs India andin
located Vendors – Location cities of India
metropolitan

Key Destinations

NCR

Mumbai
Chennai
Bangalore

Indian Medical Destinations

Source: Hospital Websites, Zinnov Analysis 20

The complexity of the Goldman Sachs India
processes and Vendorsto
outsourced – Location
India by the providers is
lower compared to that of the payers
Before 2000 
Medical
Medical transcription
transcription was
was one
one of
of the
the first
first
processes IT Services Complexity
The outsourcing processes outsourced
outsourced to
to India
India
wave started 
This
This process
process created
created aa niche
niche market
market with
with Provider
with medical specialized
specialized vendors
vendors due due to
to the
the slightly
slightly Management
transcription complex
complex nature
nature of
of it.
it. Applications
in late 90s

Data Maintenance
and Management
2000- 2006 
The
The medical
medical coding
coding and
and billing,
billing, with
with HIPAA
HIPAA
regulations
regulations to
to adhere,
adhere, has
has started
started to
to be
be
The medical coding BPO Services Complexity
outsourced
outsourced toto India
India
and billing followed
the trend with IT 
The
The transcription
transcription companies
companies in
in India
India tried
tried to
to
companies started integrate
integrate the
the billing
billing and
and coding
coding functions
functions
providing integrated Medical Billing
solutions

The
The IT
IT companies
companies started
started providing
providing
management
management softwares
softwares for
for small
small clinics,
clinics, ERs
ERs Medical Coding
Medical
Beyond 2006 
The
The transcription
transcription companies
companies will
will grab
grab this
this Transcription
opportunity
opportunity due
due to
to lack
lack of
of medical
medical
The future lies in
transcription
transcription professionals
professionals in in India
India
the KPO intensive
teleradiology,2D 
KPO
KPO providers
providers will
will soon
soon become
become aa separate
separate The training centers for
and 3D medical segment
segment like
like BPO
BPO medical transcription
animation process process faces a scarcity in

The
The IT
IT services
services organizations
organizations in
in India
India will
will trainable talent pool
start
start focusing
focusing on
on Biomedical
Biomedical market
market as
as well
well In India

Very Complex Complex simple Very Simple

Source: Interviews, Zinnov Analysis 21
 Goldman Sachsprocess
The highest revenue generating India and Vendors
for the– Location
Indian Vendors is Medical
Billing and Coding with the entire back office processes outsourced but..
Billing

Front End
Medical Coding precoding Charge Entry
Checking

Provider One simple medical bill

enrollment for a small clinic( CMS
Fortune 100) takes 30
C-Report S-Report
Receipts , Receipts , minutes to process and
Rejections for Rejections for cost 4-5US$
re-filing Mcd re-filing per bill
Mcr BcBs Commercials

Paper Claims Transmit Claims

US office

Clearing House Secondary

Tertiary
Night Calling Team
Cash Posting Appeal
Post
Claims Rec
Confirmed
Paid /EOBs

Carrier
Denied
Carrier Called
AR Analysts
45th day
confirm
Rejected
Carrier Called 15
th

day transmission Low paid EOBs

Bombed Claims not in
System Refile

Source: Literature Search, Interviews, Zinnov Analysis 22

..newer processes like teleradiology is served by just one Indian vendor;
which is the next big wave

The main driver for

Teleradiology is the
shortage of
radiologists in US 
The
The only
only Indian
Indian vendor
vendor is
is the
the Bangalore
Bangalore
based
based Teleradiology
Teleradiology Solutions
Solutions which
which has
has
US certified and licensed radiologists.
US certified and licensed radiologists.

Teleradiology
Teleradiology also
also has
has aa center
center in
in Delhi.
Delhi.

Wipro
Wipro Infotech
Infotech began
began using
using non-U.S.
non-U.S.
licensed
licensed radiologists
radiologists to
to provide
provide "preliminary"
"preliminary"
interpretations
interpretations of images for U.S. hospitals
of images for U.S. hospitals
in
in 2003.
2003.
Due the shortage of
radiologists in India
the practice has not
grown much beyond
one vendor
The increase of radiologist
talent pool will be
witnessed within another 4
years time due to increased
intake in paramedical
institutions across India

Source: Interviews, Zinnov Analysis 23

..newer processes like teleradiology is served by just one Indian vendor;
which is the next big wave

The
The only
only Indian
Indian vendor
vendor is
is the
the Bangalore
Bangalore
based
based Teleradiology
Teleradiology Solutions
Solutions which
which has
has
US
US certified and licensed radiologists. ItIt
certified and licensed radiologists.
also
also has
has aa center
center in in Delhi.
Delhi. ItIt has
has 40-50
40-50
hospitals
hospitals asas its
its clients
clients and
and many
many ofof them
them
are US hospitals
are US hospitals

Wipro
Wipro Infotech
Infotech began
began using
using non-U.S.
non-U.S.
licensed
licensed radiologists
radiologists toto provide
provide "preliminary"
"preliminary"
interpretations
interpretations ofof images
images for
for U.S.
U.S. hospitals
hospitals
in 2003. Wipro halted the service because
in 2003. Wipro halted the service because
of
of intense
intense criticism
criticism

The
The American
American College
College of
of Radiology
Radiology
maintains
maintains that
that only
only US
US Board
Board certified
certified
radiologist
radiologist with
with malpractice
malpractice insurance
insurance
should be involved in Teleradiology
should be involved in Teleradiology
Due
Due the
the shortage
shortage of
of such
such radiologists
radiologists in
in
India it has not grown much beyond
India it has not grown much beyond oneone
vendor
vendor

The increase of radiologist

talent pool will be
witnessed within another 4
years time due to increased
intake in paramedical
institutions across India

*PACS - picture archiving and communication systems

Source: Interviews, Zinnov Analysis 24
Healthcare Outsourcing in India – A brief overview

ƒ The payer market in US and the major outsourcing

initiatives

- The Outsourcing initiatives in US payer market

- The Indian Healthcare Ecosystem
- The comparison of India against its competitors
- The Healthcare processes outsourced to India
- The complexities of payer healthcare processes

ƒ The provider market in US and the major outsourcing

initiatives

- The outsourcing initiatives in US provider market

- The healthcare processes outsourced to India
- Medical tourism and teleradiology
- The complexities of provider healthcare processes

Appendix

25
Appendix

- The US Healthcare market Structure

- The profiles of payer market leaders in US
- The profiles of provider market leaders in US
- The profiles of BPO vendor market leaders
- Healthcare BPO Case studies

26
Health-care system inGoldman Sachs India and
US is primarily Vendors by
defined – Location
the payers and the
providers

Patient Key Entities

Payer- An organization or individual

that pays for medical service. e.g.
insurance organizations
• Manages the doctors lists Provider- An organization or
HMO/ PPO* • Performs Pre-Adjudication individual that provides medical
process service. e.g. doctors, small clinics

Administrative service
organizations (ASO)- Captive
• Provides medical centers of various insurance
Provider facilitates organizations

Third Party Administrators (TPA’s)

– Small organizations formed by
• Performs Adjudication corporate to manage their in-house
Insurer • Provide fulfillment of insurance funds
payment

*HMO: Health maintenance organization; PPO: Preferred provider organization

Source: Zinnov Analysis 27
 Additional information on the following
topics are available in our full report. To
obtain a copy of the full report, please
send a mail to info@zinnov.com

Appendix

- The US Healthcare market Structure

- The profiles of payer market leaders in US
- The profiles of provider market leaders in US
- The profiles of BPO vendor market leaders
- Healthcare BPO Case studies

28
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29
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Zinnov a very good exposure to
researching technical questions
Researching
technical Rich
questions Expertise
Zinnov’s Capabilities

• Zinnov has the requisite research

expertise to do IP research

• Zinnov has also written a whitepaper on

Patent IP protection environment in India
Searches

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D. Business Research: Zinnov has a strong Business Research Capability
as well, covering various facets of business
Illustrative
Financial
Analysis

SWOT Business
Analysis Strategy/ Plans

Strong
M&A Executive capability
Analysis Business Movement
to do
Research Business
Research

Era Analysis Projections

Best Practice
Analysis

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E. Market Mapping – Competitive Mapping and Benchmarking
Illustrative

Financial Strength and Soundness Capability Analysis

Margins - Gross Management Team Expertise

Margins - Operating Technological Capability

Competitive
Margins - Net Products/ Services Benchmarking

Returns on Equity Quality Processes

Returns on Assets Market Share

Returns on Capital Employed R&D Investment/ Initiatives

Solvency ratios - Debt to equity Marketing Strategies

Solvency ratios - Debt to total capital Geographical Presence

Solvency ratios- Interest Coverage Years of existence

Liquidity ratios - Current Ratio Personnel Best

Past successes and failures Practices
Liquidity ratios – Quick Ratio
Liquidity ratios - Cash Ratio Future strategies/ plans

Top line - Compounded annual growth rate Clientele

(CAGR) Alliances/ Partnerships/ M&A
Trading Multiples Enterprise Business Solutions

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Our clients are benefited by cost and time effective research that Zinnov
offers

Customized Market
Intelligence

Go-to- Competitor
market analysis -
strategy to customized
enter new
Increased focus on
research &
markets core-competencies for
analysis
Client

Higher Client Impact

at lesser cost
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Zinnov is proud to maintain 100% client references. Our clients include
reputed consulting firms and industry organizations

Your comprehensive report on our
competitors enabled us to make informed
and objective decisions on penetrating
global markets
-SVP, Marketing
Incentive Management Software
Thanks for the quick turnaround of the survey
analysis. We look forward to your help in
producing similar reports for all our industry
surveys
- Executive Director
Industry Organization

You help us compete with McKinsey in India

- Principal, Management Consulting Firm

The level of details you capture and analyze is The quantitative analyzer is one of the most
great. flexible model I have ever seen. We used it
for analyzing ‘what if’ scenarios in our
- VP, Operations meeting with the client and they loved it!
Employment Screening Company - Principal
Management Consulting Firm

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 Thank You !

Zinnov Contact
www.zinnov.com info@zinnov.com

29/4, 3Rd Floor H M Strafford 575 N. Pastoria Ave 138, South Queenscliff Cir
7th cross, Vasanth Nagar Sunnyvale The Woodlands
Bangalore 560052 CA – 94085 TX-77382
India
Phone: +91-80- 51127925/6 Phone: 408-716-8432 Phone: 832-326-3854

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implied, with respect to such information including but not limited to warranties of merchantability, fitness for a particular purpose, title, non-infringement and implied warranties arising
from course of dealing or course of performance. Zinnov will not be liable for any damages of any kind arising from the use of this information including but not limited to direct, indirect,
incidental punitive and consequential damages, Zinnov does not represent or warrant that the information provided is accurate, complete or current.
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