Rainbow Children's Medicare - Niche player in Hospital Industry

Thanks for sharing this. This was very helpful in assessing company.

1 Like

Rainbow Children’s Medicare -

Q4 and FY 26 results and conceal highlights -

Q4 outcomes -

Revenues - 460 cr, up 24 pc

EBITDA - 145 cr, up 26 pc

PAT - 78 cr, up 38 pc

Bed capacity @ 2375, up 23 pc

IP patients @ 27.2k, up 16 pc

Deliveries @ 5.1k, up 22 pc

Occupancy @ 45 pc, down 3 pc

ARPOB @ 62.4k, up 8 pc

Mature hospital ( > 5 yrs ) occupancy @ 52 vs 50 pc ( No of beds @ 1371, flat YoY )

New hospitals ( < 5 yrs ) occupancy @ 36 vs 36 pc ( No of Beds @ 1004, up 76 pc )

Mature : New hospitals ARPOB @ 67.3k : 52.4k

FY 26 outcomes -

Revenues - 1703 cr, up 12 pc

EBITDA - 544 cr, up 11 pc

PAT - 281 cr, up 15 pc

Current bed capacity -

Hyderabad + Telangana - 1040 ( include acquisition of Prasanthi hospital @ Warangal in Q2 FY 26 ) - 8 hospitals in Hyderabad + 1 in Warangal

Bengaluru - 605 ( Electronic City hospital commenced operations in last week of Jan 26 and 1 more hospital @ HRBR went live in first week of May 26 ) - 6 hospitals

NCR - 24 - 1 hospital ( excludes Malvia Nagar hospital where the company provides medical services )

AP - 359 - 3 hospitals

NE - 150 ( via acquisition of Pratiksha hospital @ Guwahati in Q3 FY 26 ) - 1 hospital

Chennai - 270 beds - 3 hospitals

Total - 23 hospitals

Upcoming bed capacity -

Coimbatore - 130 beds in H2 FY 28

Gurugram - 325 + 125 beds in H2 FY 28

Pune - 150 beds in FY 29

Bengaluru - 80 beds in FY 29

Indore - 100 beds in FY 29

Notes from previous concalls -

Newly commissioned hospitals at Rajamundhry ( AP ) and Electronic City Bengaluru are off to a very good start. The two acquired hospitals are also performing as per expectations

Have added a lot of new beds ( aprox 700 beds ) in last 2 yrs. Next round of meaningful bed additions should happen after 18 months or so. They have this interim window to ramp up occupancies

In the process of making a roadmap to open clinics in catchment areas to drive more traffic towards company’s speciality hospitals ( to ramp up their occupancies )

Company believes, they were trailing the mkt wrt their digital marketing initiatives. Have now identified this weakness and are now trying to fix it in an aggressive fashion. Digital reviews r replacing the word of mouth marketing. Company is now waking up to this reality

Notes from Q4 concall -

Net cash on books @ 575 cr - sufficient to drive all organic and inorganic growth initiatives ( as they also generate ample cash )

Capex in FY 26 stood @ 217 cr

Not looking to acquire assets below 50 beds ( with an option to expand to 100 beds or so ). Also looking to enter new micro markets

Construction of building @ Indore shall be done by company’s partner and then lease out the building to Rainbow. Company shall spend on the equipment / installations etc

IVF revenues in FY 26 stood @ 61cr. Revenues from International patients stood @ 29 cr for full FY

Also operate 3 standalone IVF centers ( 2 in Bengaluru + 1 in Hyderabad ). Rest are co-located with company’s hospitals. IVF business should keep growing @ 25 CAGR for next 3 yrs or so

Avg maint capex / yr is around 45 - 50 cr

Avg capex / new bed addition is generally @ 70 - 75 lakhs per bed

Have a very good mkt share in the super speciality paediatric / neonatal work

Disc: holding, investment position, not SEBI registered, not a buy/sell recommendation, posted only for educational purposes

2 Likes