GPT Healthcare Limited

Financial Performance Highlights

Q2 FY27 Performance:

  • Revenue from operations: ₹135.6 crores, representing 14.1% year-on-year growth
  • EBITDA: ₹29.8 crores, growing 23.9% year-on-year
  • EBITDA margin: 21.5% (expanded 150 basis points from 20.0% in Q2 FY26)
  • Profit after tax: ₹15.4 crores, increasing 45.2% year-on-year
  • PAT margin: 11.1% (expanded 230 basis points)

H1 FY27 Performance:

  • Revenue from operations: ₹261.8 crores, representing 15.8% year-on-year growth
  • EBITDA: ₹56.0 crores, growing 30.3% year-on-year
  • EBITDA margin: 21.0% (expanded 221 basis points from 18.8% in H1 FY26)
  • Profit after tax: ₹28.1 crores, increasing 53.9% year-on-year
  • PAT margin: 10.5% (expanded 256 basis points)

Operational Metrics

Q2 FY27 Operational Performance:

  • Average Revenue Per Occupied Bed (ARPOB): ₹40,721 (7.1% year-on-year growth)
  • Network occupancy: 50.3% (compared to 47.4% in Q2 FY26)
  • Mature hospitals occupancy (excluding Raipur): 59.8%

H1 FY27 Operational Performance:

  • ARPOB: ₹41,490
  • Network occupancy: 47.9% (compared to 44.7% in H1 FY26)
  • Mature hospitals occupancy (excluding Raipur): 56.7%

Hospital-wise Performance Breakdown

ILS Salt Lake:

  • H1 occupancy: 65.4%
  • ARPOB: ₹43,284 (highest in network)
  • Year-on-year growth: 12%
  • Completed 850+ robotic surgeries

ILS Dum Dum:

  • H1 revenue: ₹84.8 crores (largest network contributor)
  • Occupancy: 69.4%
  • ARPOB: ₹43,086
  • Commenced cardiothoracic and vascular surgery unit
  • Nephrology department contribution reduced to <15% from previous 30%

ILS Agartala:

  • Year-on-year growth: 8.1% in H1 FY27
  • ARPOB: ₹40,254
  • Oncology program: 3,200+ radiation therapy procedures, 1,000+ PET scans

ILS Howrah:

  • Revenue growth: 25% year-on-year in H1 FY27
  • Occupancy: 45.8%
  • Strengthened orthopedic capabilities with MAKO robotic knee surgery system
  • Nearing 100 robotic procedures milestone

ILS Raipur (New Facility):

  • Achieved NABH accreditation in first year
  • Performed first TAVI procedure and liver transplant in Q2 FY27
  • Completed 11 renal transplants in under one year
  • Q2 FY27 losses: Approximately ₹9 crores
  • H1 FY27 losses: ₹6.5 crores (in line with expectations)

Expansion and Capital Allocation

Jamshedpur Project:

  • 155-bed tertiary care hospital
  • Expected commissioning: March-April 2027
  • Lease expense: Approximately ₹4 crores per year (similar to Raipur)
  • Expected FY28 EBITDA loss: Approximately ₹10 crores

Brownfield Expansion Capacity:

  • Agartala: Capability to add 100 beds
  • Raipur: Capability to add 100 beds

Capital Structure and Liquidity

  • Cash and equivalents: ₹45 crores in mutual funds
  • Total borrowings: ₹35 crores
  • Target ROE and ROCE: Approximately 25%

Management Guidance and Outlook

  • FY27 growth target: 15-16% year-on-year
  • Raipur breakeven timeline: Revised to Q1 FY28 (previously Q3 FY27) due to clinical talent attrition
  • Raipur target breakeven occupancy: 35%
  • Expansion strategy: Evaluating opportunities in Eastern India, both greenfield and acquisition

Q&A Session Key Points

Raipur Operations:

  • Clinical talent attrition occurred due to new competition (Artemis hospital entry)
  • Insurance empanelment: 70% completed, working on remaining providers
  • Patient mix: Ayushman Bharat, corporate patients (SAIL, Coal India)
  • Corporate ARPOB: Better than Ayushman rates, payment cycle within 90 days

Occupancy Targets:

  • Optimal occupancy target: 70% across mature hospitals
  • Maximum practical occupancy: 80% (difficult to exceed due to operational constraints)
  • Current ALOS: Salt Lake (2.9-3 days), Dum Dum (4.3 days, reduced from 5.5)

International Patients:

  • Bangladesh patient flow showing slow recovery
  • Increased visa request letters indicating momentum improvement

Regulatory Environment:

  • Monitoring Supreme Court judgment on trade margins for essential medicines (expected clarity in November 2nd week)
  • Room rent capping discussions ongoing - service delivery comparable to Apollo/Fortis/Manipal with 10-15% discount

Oncology Segment:

  • Current revenue contribution: 4%
  • Expected stabilization: 10-15% in next 4 quarters