Says The Asia Media Journal, Hong Kong in its recent issue, “Balsara is a man of quiet but significant achievement. His stature far exceeds his physical presence, which is characterized by a thin, dry voice and limited height. His influence in the Indian advertising industry is considerable and his rise mirrors the growth and development of the industry itself."

The Economic Times, Brand Equity Ad Agency Reckoner ranks him as the “Most Influential Person in Media" and “The 6th Most Influential Person in Advertising". A leading Mumbai daily rates him as one of the commercial capital's 50 most influential people.

Sam, is currently the head of the completely Indian owned Madison World, which has 8 specialist units of Creative, Media, PR, Outdoor, Rural, Retail and Entertainment. Over the past 18 years, Madison has grown to become a Rs. 12 billion company employing over 450 communication experts, with offices in Mumbai, Delhi, Bangalore, Chennai, Kochi, Hyderabad and Kolkata.