Metropolis AR 2020-21 notes -
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Incepted in 1980, one of the largest diagnostic player in South and West India. Present in 19 states and 210 cities. Total clinical labs - 125, Patient service centers - 2555
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FY 21 Sales at 998 cr vs 856 cr. Non COVID sales at 77 pc of the total. EBITDA at 301 cr vs 233 cr. EBITDA margins up 290 bps at 30.2 pc. Contribution of specialty tests among Non - Covid tests at 42 pc vs 37 pc …showing encouraging signs. Specialty tests command better margins and realizations. Company seeing continuous increase in home care revenues
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Company revamped its website, app, digital presence and marketing efforts. Website traffic up 15X, Call volumes up 10X, greater growth in revenues from home visits. Added 8 lakh new customers via Covid tests. Out of them, 10 pc have already come back to Metropolis for non Covid tests
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Company keeps acquiring unorganized players as a part of its inorganic growth strategy. Company intends to go to tier -2/3 towns in states of Maharashtra and Gujarat where Metropolis already has descent brand equity. Plan to increase own presence in UP, MP, Jharkhand, Odisha, Telangana, AP where-in the company currently operates via franchise model.
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Growth drivers - intend to add 90 more labs and 1800 service collection centers in the next 3 yrs. Looking to expand into 150 new cities within next 3 yrs. Company also setting up third party patient service centers in India, Africa and Middle East
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Last 3yr stats -
FY 19 FY 20 FY 21
Tests ( mil ) 17 19.6 19
Rev/ Test (rs) 447 436 524
EBITDA ( cr) 200 232 288
PAT (cr) 124 128 196
Cash held (cr) 111 223 421
- Breakdown of tests -
Routine tests - blood chemistry, urine examination, blood cell counts. rrent volume contribution - 41 pc, **Revenue contribution - 13 pc
Semi Specialised - thyroid, viral and bacterial cultures, histology ( study of tissues and their structures ), cytology ( study of single cells - primarily used for cancer diagnosis ) , infectious disease tests. Current volume/revenue contribution - 36/26 pc
Specialised tests - cogulation studies, autoimmunity tests, cytogenetics, molecular diagnostics. Current volume/revenue contribution - 22/56 pc
Wellness - current volume/revenue contribution - 01/06 pc
- Digital initiatives -
Mobile app launched. Key functions - customized checkups, booking appointments, sharing and storing reports, fitness tracker, inner health tracker, medication tracker
Investing heavily in IT to integrate and automate processes ranging from registration, bar coding, billing of specimens, reporting of test results. These things help achieve standardization across operations, reduce errors due human interventions, track company’s key monitorables, provide convenience to customers to book appts track and access reports online
- Domestic Diagnostics Industry - Size @ 67000 cr. Likely to grow at 10 pc CAGR over next 5 yrs. Key drivers - preventive testing, lifestyle disease, higher per capita, deeper penetration, spread of healthcare, asset light expansion, insurance penetration. Industry divided into 2 segments - pathology testing ( in vitro ) and imaging - primarily CT scans ( computerized tomography ) , MRI ( magnetic resonance imaging ) and PET- CT scans ( positron emission tomography ). Pathology is 58 pc of the mkt by revenues.
Market shares of diagnostic industry participants -
Hospitals - 37 pc
Standalone centers - 47 pc
Diagnostic chains - 16 pc out of which - regional chains - 11 pc, Pan India chains - 5 pc
Urban / Rural divide - 65 pc vs 35 pc
Industry tailwind factors -
Ageing population
Corporate packages and preventive screening
Rising income levels
Convivence - via in house sample collections
Increased govt outlays for health
PPP models taking help of private players for better healthcare access for rural areas
Govt regulations - ensuring min std criteria for tests
Disc : Holding hence biased. Recent purchase