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Q1 FY27 concall · earnings callMax Healthcare Institute Limited

Max Healthcare posted strong revenue growth and continued its capacity expansion while embarking on a new medical education business.

Positive tone4-minute briefPublished the same day as the call

Numbers
MetricThis quarterChangeFive-quarter trend
Network Gross Revenue₹2,982 Cr16% YoY, 12% QoQ
Network Operating EBITDA₹704 Cr15% YoY, 3% QoQ
Network Operating EBITDA Margin24.8%—
Profit After Tax (PAT)₹357 Cr—
Average Revenue Per Occupied Bed (ARPOB)INR 81,9005% YoY, 5% QoQ
Network Average Occupancymore than 75%—
International Patient Revenue₹247 Cr18% YoY
Digital Revenue₹941 Cr—
Financials

From filed quarterly results. YoY and QoQ compare each metric on the same accounting basis.

QuarterRevenueNet profit (PAT)Basic EPS
Q3 FY25₹1,868.31 Cr+40% YoY+9.4% QoQ₹238.80 Cr-17.5% YoY-15.3% QoQ₹2.46-17.4% YoY-15.2% QoQ
Q2 FY25₹1,707.46 Cr+25.3% YoY+10.7% QoQ₹281.81 Cr+1.9% YoY+19.3% QoQ₹2.90+1.8% YoY+19.3% QoQ
Q1 FY25₹1,542.95 Cr+20.1% YoY+8.4% QoQ₹236.27 Cr-1.6% YoY-6.1% QoQ₹2.43-1.6% YoY-6.2% QoQ
Q4 FY24₹1,422.90 Cr+17.2% YoY+6.6% QoQ₹251.54 Cr+0.2% YoY-13.1% QoQ₹2.590% YoY-13.1% QoQ
Q3 FY24₹1,334.97 Cr+17% YoY-2.1% QoQ₹289.34 Cr+30.1% YoY+4.6% QoQ₹2.98+30.1% YoY+4.6% QoQ
TL;DR
  • Network revenue grew 16% YoY and 12% QoQ to INR 2,982 crore.
  • Operating EBITDA grew 15% YoY but margins were muted at 24.8% due to new capacity commissioning.
  • Occupancy remained above 75% despite a 13% increase in operational beds.
  • Acquired Kalinga Hospital in Bhubaneswar, targeting significant improvement in its 50% occupancy and INR 35,000 ARPOB.
  • Board approved new medical education business, expecting over 25% ROCE.
  • Multiple brownfield and greenfield expansion projects are on track for commissioning over the next few years.
Said on the call

“We are efficient providers of healthcare... I believe as far as efficiency is concerned; we are outliers.”

Abhay Soi
From the Q&A
TopicWhat management said
Parliamentary Committee ReportAbhay Soi believes the report focuses on affordability but the need for new beds and investment viability must be balanced; the company is not reassessing its expansion plans.
Kalinga Hospital TurnaroundManagement sees a 50-80% headroom for growth from the current 50% occupancy and INR 35,000 ARPOB, targeting a turnaround over the next 12 months through renovation and clinical program upgrades.
Max Smart & Nanavati Ramp-upCommissioned beds at Max Smart are at 80% occupancy; profitability ramp-up follows a standard trajectory of first occupancy, then revenue, then EBITDA, expected over the next couple of quarters.
Insurance RenewalsOngoing negotiations with GIPSA and other insurers; a previously agreed 6% automatic price revision is due, and discussions are ongoing for inflation-linked increases.
Medical Education BusinessThe board has given in-principle approval; a 150-seat college requires ~INR 300 crore capex, expected to deliver >25% ROCE, and will be funded through internal accruals.
Oncology Business PressureOncology revenue was impacted by discontinuation of high-value chemo drugs for institutional patients; normalization is expected from Q3 FY27 onwards as the impact annualizes.
Institutional Revenue ShareManagement stated the share of institutional business is coming down as a result of concerted effort and this trend is expected to continue.
Free Cash Flow & DSOLower free cash flow conversion (56% vs typical 62-65%) was due to a INR 250 crore build-up in accounts receivable (DSO increased from 87 to 95 days), partly from CGHS portal issues, which is expected to normalize.
Guidance
  • Remaining 50% of 400-bed brownfield tower at Max Smart to be handed over in current quarter.
  • Remaining 50 beds at Nanavati Max to be operationalized in current quarter.
  • Phased commissioning of 500-bed Gurgaon Sector 56 facility expected by end of this year.
  • Kalinga Hospital (Bhubaneswar) turnaround targeted over next 12 months.
  • Oncology business to start normalizing from Q3 FY27.
  • Medical college commercial operations expected to start in the next few years.
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