Artemis Medicare -
Q4 and FY 26 results and concall highlights -
Q4 highlights -
Revenues - 279 cr, up 16 pc
EBITDA - 59 cr, up 23 pc ( margins @ 21 vs 20 pc )
PAT - 30 vs 23 cr, up 32 pc
ARPOB @ 84.5k vs 78.8k
Occupancy @ 64 vs 61 pc
IP volumes @ 8.7k vs 7.9k
FY 26 highlights -
Revenues - 1081 cr, up 15 pc
EBITDA - 218 cr, up 18 pc ( margins @ 20.2 vs 19.7 pc )
PAT - 103 vs 81 cr, up 26 pc
Bed capacity @ 620
Occupancy @ 63 vs 64 pc
IP volume @ 34.4k vs 31.4k
ARPOB @ 82.4k vs 76.4k
A 300 bed hospital at Raipur is expected to open in Q1 FY 27 @ Raipur
A 650 bed hospital in South Delhi is expected to go live in 2029
Current facilities -
Artemis Gurugram - 540 beds. Another 100 beds are expected to come on stream in H2 FY 27. Plus another 200 beds are expected to be commissioned at the same site in FY 28
Also manage a 100 bedded hospital @ Mauritius
Rest of the beds are distributed between - Daffodils ( South Delhi, Jaipur, Gurugram ) - Aprox 40beds ( Luxury mother and Childcare hospitals ) + Artemis Lite ( South Delhi, Gurugram ) - aprox 40 beds
Have also entered into an Operations and management contract for a 100 bedded hospital @ Mauritius. Expected to go live in Q1 current FY
Notes from Q4 concall -
Q4 payor mix -
International patients - 31 pc
Insurance patients - 31 pc
Cash patients - 22 pc
Govt schemes - 16 pc
See most of international patient inflow from - ME, CIS, Africa
Aim to reach 2000 bed capacity by 2030
Have announced 700 fundraise via QIP to fund their South Delhi expansion
Had previously raised 330 cr via Convertible Debentures. Shall be converted to equity in H2 current FY. Shall lead to an equity dilution of aprox 12 pc ( @ a conversion price of Rs 175 / share ). Out of these, 137 cr have been deployed in the business. Rs 193 cr lie parked in FDs
Aim to keep the share of international patients driven revenues @ 30 pc mark
Company’s ARPOB is the highest in NCR ( actually a big deal - wrt their reputation )
Their first hospital @ Mauritius has started making profits. Second hospital @ Mauritius went live towards the end of Apr 26
Expecting continued expansion in absolute EBITDA in FY 27 led by strong occupancy gains that are expected @ Gurugram + the addition of 100 new beds. This should offset the initial losses as the Raipur facility should take 12-15 months to ramp up
South Delhi capex estimates - First 450 beds @ 350 cr - Phase 1. Another 200 beds @ 150 cr - Phase 2. Total @ aprox 500 cr
Expecting Raipur facility to clock aprox 90 cr in revenues and 13-14 cr of EBITDA losses in FY 27. This should impact company’s overall EBITDA margins by 1-1.5 pc. Absolute EBITDA should still grow on back of strong ramp up @ Gurugram
In Phase - 1, shall open 150 beds @ Raipur. Then another 150 beds as the patient traffic improves
Additional 100 beds @ Gurugram are ready. Will commission them if they hit 70 pc occupancy in Q1/Q2/Q3 - as the case may be
FY 27 capex estimate @ 100 cr - residual capex for Raipur + towards incremental 200 beds @ Raipur
Saw a dip in international patients in March. Has reversed now ie in Mid May. Domestic demand kept improving in Q4. EBITDA margins @ Gurugram facility should be higher than FY 26
Confident of clocking 70 pc occupancy @ Gurugram by Q2 - that would unlock their additional bed capacity that’s already in place
Company’s ARPOB is so high because of their better case mix. Otherwise, they are cheaper than Fortis/Max
Company is going to have the first mover advantage @ a promising market like Raipur. Its densely populated + has high per capita + absence of national level players at the moment
Raipur hospital should go live in Jun 26
Expecting Raipur to clock 30-35k kind of Raipur - to begin with. As they start to better higher complexity case mix, ARPOBs should then increase. Expecting to start breaking even towards the end of FY 28
Tier 2 hospitals generally clock higher EBITDA margins vs Tier 1 hospitals due lower cost structures ( despite lower ARPOBs )
Expecting Gurugram hospital to grow topline by 15-17 pc in FY 27. Expecting similar growth from Gurugram in FY 28, 29 as well. Incremental revenues @ Gurugram should clock 30 pc kind of EBITDA from hereon
Should add more projects ( both Greenfield + Brownfield ) to their pipeline ( since their cash position would be further boosted post QIP ). Shall announce the same by Q2 or so
Have EWS commitment @ 20 pc at Gurugram, 10 pc at Delhi, expecting 10 pc at Raipur
Disc: initiated a tracking position, inclined to add more, not SEBI registered, biased, posted only for educational purposes