Fortis Healthcare Q4 concall highlights -
Consolidated numbers -
For Q4-
Revenues at 1643 cr, up 19 pc
EBITDA at 285 cr, up 25 pc
PAT at 128 cr, up 47 pc (excluding exceptional items )
Net Debt at 330 cr, down 40 pc !!!
Hospitals business -
Revenues at 1350 cr, up 29 pc
EBITDA at 230 cr, up 60 pc. Hospitals EBITDA margins at 17 pc
Occupancy at 67 vs 59 pc yoy
Diagnostics business -
Revenues at 332 cr, down 9 pc
EBITDA at 55 vs 84 pc
EBITDA margins at 16.5 vs 22.5 pc
Adjusted for COVID, diagnostics revenues were up 12 pc
For full FY 23 -
Hospitals revenues at 5107 cr, up 20 pc
EBITDA margins at 18.1 vs 15.8 pc !!!
Diagnostics revenues at 1347 cr, down 16 pc
EBITDA margins at 19.5 vs 26.5 pc ( due loss of COVID revenues )
Company guiding for Consol EBITDA margins at 20 pc for FY 24
For FY 23, Intl patients revenues at 425 vs 215 cr yoy !!!
Fortis’s main therapeutic focus areas with revenue shares -
Cardiac- 19 pc
Ortho- 9 pc
Renal- 7 pc
Neuro- 8 pc
Gastroenterology- 5 pc
Oncology- 13 pc
Gynae- 4 pc
Pulmo- 3 pc
Domestic Cash - 36 pc
Intl - 8 pc
ECHS - 6 pc
CGHS - 4 pc
PSUs - 9 pc
Insurance - 35 pc
Hospitals margins profile -
EBITDA …No of Hospitals… Revenue Contribution
25 pc …2 …20 pc
20-25 pc …9 …31 pc
15-20 pc …3 …27 pc
10-15 pc …3 …12 pc
< 10 pc …5 …10 pc
Current Bed capacity - aprox 4000 beds
Added 140 beds in FY 23
Brown field additions planned over next 4-5 yrs - aprox 1400 beds (looks like a huge positive as this should not involve heavy capex)
In addition, company would pursue inorganic hospital acquisitions
Acquisition of Meteor Hospital Manesar -
To acquire for 225cr. Deal signed in Apr 23
Bed capacity - 350, spread across 5 acres
Aim to operationalise this Hospital within 9 months
Also added a 200 bed Multi Speciality Hospital in Noida
Added a new cancer day care centre in New Delhi in FY 23
SRL diagnostics added 1100 touch points in FY 23 to take the total beyond 3500 touch points
SRL has not taken any price hikes in FY 23
Govt business may reduce slightly going fwd (presently at 18 pc), improving margins
Brownfield expansions will improve economies of scale going fwd
Expect double digit revenue growth in FY 24 in Hospitals business
Expect to take the acquired Manesar’s hospital from 150 to 300 beds over time. Manesar has good catchment area wrt patients
Aim to divest 02 facilities which are loss making over next 1-2 yrs. If this happens, EBITDA margins for FY 24 may go to 21-22 pc
Maint + expansion Capex for FY 24 to be around 600-700 cr (Manesar facility requires expenditure of aprox 100 cr to bring it to Fortis standards)
Looking to acquire assets in the existing markets subject to sensible pricing ( NCR/ Mumbai/ Punjab/ Bangaluru/ Kolkata ). Should be around 150-250 beds kind of asset
Assuming a 7000 cr topline and 20 pc EBITDA, Fortis should do around 1400 cr EBITDA next yr
PAT should be around 700 cr or thereabouts. Not a bad deal at 21k cr Mkt cap for a brand with national recall and good return ratios
Disc: hold a tracking position, biased, only expressing my opinion