Huge difference between small family owned hospitals and big hospitals- Doctors!
Latest rumor in the industry is Medanta is not doing well because top doctors have started leaving the place.
But- a family run small hospital is typically run by husband and wife- both doctors and later kids join in as doctors too.
They are the owners, adminstrators and the key doctors as well. Their profit is their salary.
In a big hospital, you have to pay top dollar to top doctors- and even then the competition poaches them at even higher price. Trehan had given top doctors- an Audi each. Latest I heard is Jaguars. Even, then the doctors are leaving.
Small hospitals run by oweners who are themselves doctors are not comparable to hospitals where the key resource- doctors is a big issue.
And, yes some hospitals of big chains including Max, Fortis are in losses. Standalone hospitals- many are in losses, Not sure of Apollo
Anyone can build a building and put some MRI, CT scan etc. What matters is the doctors!