Krsnaa Diagnostics - what is the diagnosis?

Sector scan:

Company Q3FY22 Topline Q3FY21 Topline EBITDA Margins Q3FY22 Margins Q3FY21 Covid Revenues Q3FY22 Covid Revenues Q3FY21
Dr. Lal Pathlabs 497 452 22% (28% excluding one off) 31% 11.87% 24.33%
Metropolis 293 275 26% 32% 17% 19%
Krsnaa 106 98 29% 19% 1.1% 19.5%
Vijaya 111 100 43% 46% 7.8% 14.4%
Thyrocare 117 138 31% 36% 5.6% 19.68%

KPI:

Company Q3FY22 Tests Conducted Q3FY21 Tests Conducted Q3FY22 Number of Patients Q3FY21 Number of Patients
Dr. Lal Pathlabs 16.9 million 13.5 million 6.6 million 5.5 million
Metropolis 6.3 million 5.1 million 3.3 million 2.7 million
Krsnaa 4.68 million 3.07 million 1.97 million 1.42 million
Vijaya 2.32 million 1.91 million 0.85 million 0.68 million
Thyrocare 4.06 million 4.7 million 3 million -
  • Currently, Vijaya and Thyrocare are market leaders on margins.

  • All players have suffered from covid test revenues dropping off a cliff. Krsnaa has the least exposure presently with 1% of their revenues coming from covid. Metropolis has the most to lose, followed by Dr. Lal.

  • FY23 could see Krsnaa overtake/close in on Metropolis’ tests taken / footfall.

My takeaways from the concall:

  • Krsnaa’s management plans to double all existing capacity, which is already at comically low capactiy utilisation. This means we won’t see their true asset turns/RoCE numbers until they stop expanding. I didn’t get a chance to ask which their best performing center is - I wanted to know if they’ve been successful in hitting 70%+ utilisation, this is needed to know if they can replicate this in rural centers.

  • Crucial - while they’re present in PPP tenders, they are agnostic to clients that walk in. If walk ins are referred by governments, they get free treatment. However in metros, 50% of the footfall are private, even HNI patients. Governments don’t discriminate between private/public walk ins. Therefore, the PPP centers can be thought of being akin to standalone diagnostic centers with free rent, and disruptive prices.

  • There have been instances in the past where other players outbid them in tenders, but very quickly realised they could not compete, and the bid came up for re-tender, and Krsnaa picked these tenders up.

  • Despite going from 2 centers → 1800, tip of the iceberg for PPP model. There are 750 districts, they’re only in 76. 26,000 public hospitals and Krsnaa’s present only in a handful.

  • Scope for leveraging their network gained through PPP - B2C product offerings and more partnerships with private hospitals. Goals are for revenues to be a 50/50 split between PPP and private. More details in Q1FY23.


@Dev_S this repurchase by Phi Capital is bizarre, I don’t think I’ve seen many instances of this. Phi Capital offloaded 1.6 million shares through an OFS during the IPO, and have now bought back nearly 10% of what they sold (purchases in Jan + Feb).


PS: I had earlier flagged that CFO pay was strangely low - 3.7 lakhs in FY21. I deleted that post as I found the answer, and realised I had posted incorrectly - CFO was appointed late in FY21, and worked for only 1-2 months with the company. Therefore 3.7 lakhs looks low for FY21, but annualising the rate makes it much more reasonable.

Disclosure - Invested, biased

Edit: added in Thyrocare for comparison

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