National Stock Exchange of India Limited BSE Limited
National Stock Exchange of India Limited BSE Limited
Dear Sir/Ma’am,
Please find enclosed Corporate Presentation for November 2024 pursuant to Regulation 30 of
the SEBI (Listing Obligations and Disclosure Requirements), Regulation 2015.
Thanking you,
Your faithfully,
For Yatharth Hospital and Trauma Care Services Limited
Ritesh Mishra
Company Secretary & Compliance Officer
Enclosed: As above
Corporate Presentation
November 2024
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2
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3
Overview
Super specialty hospital in North India
One-stop destination for patient needs providing all levels of
7 10 87% healthcare services from primary to tertiary
Hospitals(1) Center of Excellence Beds in Metros(1)
2019
Noida Extension
2024
450 beds
Model Town, Delhi
~300 beds
2013
2,300+ Rs. 30,597 61%
Bed Capacity (1) ARPOB (2) (H1FY25) Occupancy (H1FY25)
Noida
2024 250 beds
Faridabad
~400 beds
2010
Greater Noida
2024 400 beds
Gr. Faridabad
200 beds Rs. 6,705 mn 26.8% 17.1%
Revenue (FY24) EBITDA Margin(3) (FY24) PAT Margin(4) (FY24)
2022
Jhansi-Orchha
305 beds
29% 27% 27%
Revenue CAGR (5) EBITDA CAGR (5) ROCE(6) (FY24)
(FY22-24) (FY22-24)
Upcoming Hospitals
Notes: 1) As of September 30, 2024 and Includes upcoming hospitals in Delhi & Faridabad which has bed capacity of 300 beds & 400 beds respectively; 2) ARPOB (Average Revenue per Occupied Bed) = Revenue from operations
5/ Total occupied beds; 3) EBITDA Margin = EBITDA / Revenue from operations; where EBITDA = Profit Before Tax + Finance Cost + Depreciation Cost – Other Income; 4)
PAT Margin = Profit after tax / Revenue from operations; 5) 5
CAGR = Computed Annual Growth Rate; 6) ROCE (Return on Capital Employed) = EBIT / Avg. Capital Employed; where Capital Employed = Gross Debt (including lease liabilities)+ Networth – Cash & Cash Equivalent
Our Journey
Growing presence across regions and services
Established our first Expansion of our first Acquisition of 4th hospital - Acquired 5th hospital –
hospital in Greater hospital, Greater Noida Jhansi Orchha hospital 200 beds in Gr. Faridabad;
Noida hospital, to 400 beds adding 305 beds, pursuant to 6th & 7th hospital being
acquisition of subsidiary, acquired in Delhi &
Ramraja Faridabad
Incorporation of Established our Commencement of our third Listing on NSE & BSE
company and second 250 bedded hospital, Noida Extension
commencement of hospital, in Noida hospital, in May 2019,
operations pursuant to the acquisition of
subsidiary AKS in 2016
6 Acquisitions
6
Our Hospitals
Built on foundation of talent, trust, technology, service and infrastructure
Noida
22% Occupancy Rate 66% 83% 60% 47% 28%*
Noida
Extension
37% ARPOB(1) (Rs.) 34,444 28,732 37,727 12,397 28,598
66% Occupancy
Greater Noida Provides a wide spectrum of super specialty services in the field of
2010 Incorporated Rs.34,444 ARPOB (1) cardiology, cardiovascular and thoracic surgery, neurology,
400 Beds; 112 ICU Beds neurosurgery, urology, nephrology, oncology, gastroenterology etc.
83% Occupancy
Noida Provides services across 30 specialties, including cardiac sciences,
Rs.28,732 ARPOB (1) orthopedics, nephrology, urology, neurosciences, gastroenterology,
2013 Incorporated
etc.
250 Beds; 81 ICU Beds
5.15 days ALOS (2)
Noida Extension and robotic surgeries. In Mar’24, radiation oncology line was
inaugurated to provide comprehensive suite of oncology
2019 Incorporated Rs.37,727 ARPOB (1) treatments
47%
Jhansi – Occupancy
Hospital in Jhansi-Orchha-Gwalior region, has
Orchha
infrastructure to operate all the major super specialties
Rs.12,397
ARPOB(1)
2022 Acquisition Acquired in FY22
305 Beds; 76 ICU Beds
3.82 days
ALOS(2)
Faridabad Rs.28,598
major insurance/TPAs in place
28,571 30,597
23,511 26,538
5.20
4.78
4.32 4.42
Notes: 1) ARPOB (Average Revenue per Occupied Bed) = Revenue from operations / Total occupied beds; 2) ALOS (Average length of stay) – Total occupied beds / Inpatient Volume 10
Financial Performance
20%
19%
1600
18%
2300
2295 30%
2290
2285
2280
2275
2270
2265
2260
2255
2250
2245
2240
2235
2230
2225 29%
2220
2215
2210
12.6% 17.1%
2205
2200
11.0%
17%
14.3%
219 5
26.8%
218
218 0
2175
2170
216
216 5
0
215
215 5
0 28%
214
214 5
0
2135
2130
2125
2120
2115
2110 1400
210
210 50
2095
2090
2085
2080
2075
2070 27% 16%
2065
2060
2055
2050
2045
2040
2035
2030
2025
2020
2015
2010
2005
2000
1995
1990 26%
1985
1980
1975
1970
1965
1960
1955
1950
1945
1940 15%
1935
1930
1925
1920 25%
1915
1910
1905
1900
1895
1890
1885
1880
1875
1870
1865
1860
1855
1850
1845
1840 24%
1835
1830
1825
1820
1815
1810 120 0 14%
1805
1800
1795
1790
1785
1780
1775
1770
176
176 50 23%
1755
1750
1745
1740
1735
1730
1725
1720
1715
1710
1705
1700
1695
1690 22%
1685
1680 13%
1675
1670
1665
1660
1655
1650
1645
1640
1635
1630
1625
1620
1615
1610 21%
1605
1600
1595
1590
1585
1580
1575
1570
1565
1560
1555
1550 12%
1545
1540
1535
1530 20%
1525
1520
1515
1510 1000
1505
1500
1495
1490
1485
1480
1475
1470
1465
1460 19%
1455
1450
1445
1440
1435
1430
1425
1420 11%
1415
1410
1405
1400
1395
1390
1385
1380 18%
1375
1370
1365
1360
1355
1350
1345
1340
1335
1330
1325
1320
1315
1310
1305
1300 17%
129
129 55
0 10%
128
128 0
1275
1270
126
126 5
125 0
125 5
0
124
124 5
0
1235
1230 16%
1225
1220
1215
1210
120
120 5
0 80 0
119 5
119 5
0
118
118 0
1175
1170
116
116 5
0 9%
115
115 5
0 15%
114
114 5
0
1135
1130
1125
1120
1115
1110
6,705
110
110 5
0
1095
1090
1085
1080
1075
1070 14%
1065
1060
1055
1050
1045
1040
1035
1030 8%
1,799
1025
1020
1015
1010
1005
1000 13%
99 5
1,145
99 5
98 0
98
975 0
970
96 5
96
95 05
95
94 0
5
94
935 0
930
925
920
915 12%
910
90 5 60 0 7%
5,203
90
89 0
5
89 5
88 0
88
875 0
870
86 5
86
85 0
85 5
84 0
5 11%
84
835 0
830
825
820
815
810
80 5
80 0
1,338
795
790
785
780
4,296
775
770 10% 6%
765
760
755
750
745
740
4,009
735
730
725
720
715
710
705
700
69
69 5
0 9%
68 5
1,108
68
675 0
1,083
670
66 5
66
65 0
5
65
64 0
5 5%
64
635 0
630
625
658
620
615 8%
610
60 5 40 0
60
59 0
5
613
59 5
58 0
58
575 0
570
56 5
56
55 05
55
54 0
5
54
535 0 7%
530
525
520
515 4%
510
50 5
50
49 0
5
49 5
48 0
48
475 0
470
46 5
442
46
45 05 6%
45
44 0
5
44
435 0
430
425
420
415
410
40 5
40
395 0
390
385 5% 3%
380
375
370
365
360
355
350
345
340
335
330
325
320
315
310
305 4%
300
295 200
290
285
280
275
270
265
260
255 2%
250
245
240
235
230
225 3%
220
215
210
205
200
195
190
185
180
175
170
165
160
155 2%
150
145
140
135
130
125 1%
120
115
110
105
100
95
90
85
80
75 1%
70
65
60
55
50
45
40
35
30
25
20
15
10
5
0 0% 0 0%
FY22 FY23 FY24 H1FY25 FY22 FY23 FY24 H1FY25 FY22 FY23 FY24 H1FY25
125
Net Working Capital Days(7)
120
110
95
90
750 0 4.5 0 85
80
4.0 0 75
650 0
70
3.5 0 65
550 0
112
60
104
3.0 0 55
45% 44%
450 0
50
7,062
2.5 0 45
6,260 68
350 0 40
4,090
250 0
1.5 0 25
14% 150 0
1.0 0
20
15
10
500
0.5 0 5
36.82%
28.93%
25.90%
21.74% 21.47% 21.40% 20.64% 19.95%
ROCE(2) 11.34%
FY24
NA
Yatharth Tyagi
Sanjeev Upadhyaya
Whole-time Director
Independent Director
Bachelor’s in business management from Leeds Beckett
20+ yrs of experience
University
Bachelor’s in medicine, surgery
Master’s of science in International Health Management from
Doctor of medicine in community medicine
Imperial College, London
KMPs
Amit Kumar Singh Nitin Gupta Pankaj Prabhakar Neeraj Vinayak Sonu Goyal
Chief Executive Officer COO & President - Finance Chief Financial Officer Head, Strategy & Investor Relations Group Finance Controller
13
Industry
Overview
Healthcare Delivery Market in India is at Nascent stage
Indian hospital market to grow at a CAGR of 10-12% to reach INR 10tn by FY28 Globally India has one of the lowest bed density/10,000 population
70
(INR tn)
50
9.4-9.8
27
6.3 2.6 26
3.9 1.8 25
1.3 7.2 24
4.5
2.6 20
FY19 FY24E FY28P 15
IPD OPD 9 World Average: 33
Hospitals constitute the largest share of the healthcare market in India Pvt. hospitals share is expected to increase 70% by FY28P
30%
9% Hospitals 33%
9%
Domestic Pharmaceuticals FY24 E FY28 P
20% FY24 E 67%
62% Diagnostics
70%
Medical Devices
North India hospital market is expected to grow at a CAGR of 12-14%... …Growing at a faster rate than the overall industry
(INR tn) (INR tn)
9-11% 10-12%
3.9 6.3 9.4-9.8
3.1-3.2 10-12% 11-13%
22.5-23.5% 22-24% 22-25%
9-11% 10-12%
11.5-12.5% 10.5-12.5% 10-13%
1.9-2.0
Low concentration of private chains in North India Bed density of Delhi-NCR is below WHO recommendations
Total hospital beds (‘000)
Delhi
Rajasthan
UP
HP
Chandigarh
Haryana
Chennai
Bengaluru
Delhi NCR
Mumbai
Hyderabad
Source : Crisil Report
16
Growth
Strategy
Core strategies driving growth
Optimizing Infrastructure
Enhancing occupancy and ARPOB across our hospitals
01
Capacity Addition
02 Greenfield and brownfield expansion
Leverage Technology
03 Advanced and high-end medical equipment
and technology
04
Clinical Expertise
Attracting best talent to drive super specialties
Optimizing
Capacity Expansion Leverage Technology Clinical Expertise 18
Infrastructure
Optimizing existing infrastructure
67%
63% 61%
55% 54%
50% 50% Improve
45% 42% Diversifying
customer
specialties
service
23%
8%
NM
17,692 14,935
17,429
NM
Optimizing
19 19
Infrastructure
Expanding specialties across hospitals
H1
21% 12% 10% 10% 10% 8% 7% 6% 5% 4% 3%
FY2025 Pediatrics
3% Oncology
Pulmonology
18%
5%
Gynecology
5%
FY2024 28% 10% 4% 10% 10% 7%
Orthopedics, Spine
& Rheumatology Internal
7% Noida Ext. Medicine
12%
Gastroenterology H1 FY25
FY2022 50% 7%
General Surgery
Internal Medicine Neurosciences
7%
Nephrology & Urology
Oncology Cardiology
12%
Nephrology & Urology General Surgery Neurosciences
8% Cardiology
Pulmonology Orthopedics, Spine & Rheumatology
11%
Gastroenterology Gynecology
Pediatrics Others
Optimizing
Infrastructure 20
Capacity addition - greenfield and brownfield expansion
Capacity addition trend and roadmap ahead
Acquired in
Acquired in Oct-24
May-24 Oct-24
Apr-22
May-19
• Acquired super specialty hospital in Model Town, New Delhi, with an expandable capacity of 300+ beds, through e-
auction under SARFAESI Act 2002 in Oct-24
• Entered in strategic collaboration agreement to acquire majority (~60%) stake in yet to commence ~400 bedded-
hospital in Faridabad, Haryana
21 Capacity Expansion 21
Expanding footprints in New Delhi market, with ~300 beds
Established in 2019
22 Capacity Expansion 22
Acquiring majority stake in 400-bedded Faridabad hospital
Proposed Capacity 400 Beds ❖ Strategic collaboration agreement for ~60% stake
acquisition in ~400 bed-hospital in Faridabad
23 Capacity Expansion 23
Advanced medical equipment and technology
• Hospitals are equipped with machines and devices with sophisticated technology
• Strive to introduce medical technology and state-of-the-art equipment
No. of procedures
200+ 500+ 1,000+
performed till date
• Catheterization Laboratory
• We have NABH certificates for all other hospitals
• Computerized Tomography Scan (CT Scan)
Diagnostic except Faridabad & Jhansi. We have applied for
• Magnetic Resonance Imaging (MRI) Certifications
Equipment the NABH certificate for Faridabad hospital.
• Imaging equipment - Mammography, Advanced
• We have NABL certification for all our hospitals
EEG, Nerve conduction velocity, advanced
+
except Jhansi and Faridabad
surgical equipment etc.
24 Leverage Technology 24
Attracting talent to drive super specialties
Strategic initiatives
aimed to ease attrition
Integrating talent from First mover advantage in
allied workforce building out network across
Tier II/III cities
❑ Applied DNB program across 8
specialties in 2 of the hospitals
❑ DNB program to reduce attrition of
Resident Medical Doctors
❑ Total 27 resident doctors have joined the
DNB program till date
Clinical Expertise 25
Annexures
Awards and Accreditations
➢ Awarded 1st in ➢ Covid Thank You award ➢ 5-star grading by ➢ Awarded UP Ratan ➢ Awarded Best Brand for
Swachhta Ranking (for by Niva Bupa Infomerics Analysts & Samman by Dainik Excellence in Healthcare
quarter ended Sep 2019) ➢ Accreditation from NABH Research for our Jagran Inext at Economic Times (ET)
in Swachh Survekshan to the Noida Extension hospitals located at ➢ Accreditation (ISO Edge Best Brands
League 2020 by Noida Conclave, for consistent
Hospital Greater Noida 15189:2012) from NABL for
Authority innovation and
medical testing to the
➢ Recognized as Emerging customer-centricity
Noida Extension Hospital
Hospital Chain in Delhi ➢ Noida extension hospital
NCR by Medico Trip India accredited by Joint
➢ Accreditation (ISO Commission
15189:2012) from NABL for International (JCI) –
molecular testing being 1st in UP & 7th in
(RTPCR-Covid 19) for the North India to get this
Noida Extension Hospital accreditation
27
Profit & Loss Summary
2
8 28
Balance Sheet
Particulars (Rs Mn) Sep-24 Mar-24 Particulars (Rs Mn) Sep-24 Mar-24
Shareholders Equity 9,323 8,743 Fixed Assets (incl. Goodwill) 5,090 4,405
29
Thank You
Yatharth Hospital & Trauma Care Services Ltd
CIN: L85110DL2008PLC174706
www.yatharthhospitals.com