INDRAMEDCO - Indrapr.Medical
Financial Performance
Revenue Growth by Segment
Total income from operations grew to INR 1,356.36 Cr in FY25 from INR 1,244.70 Cr in FY24, representing a YoY increase of 8.97%. Revenue per patient increased by 2% to INR 202,869, while revenue per bed day grew by 5% to INR 66,064.
Geographic Revenue Split
The company faces high geographic concentration with 90-95% of its revenues derived from the National Capital Region (NCR), specifically from its two primary hospital properties.
Profitability Margins
Net Profit Ratio improved to 12% in FY25 compared to 10% in FY24, a 200 bps increase. Profit before tax rose 30.2% YoY to INR 216.32 Cr from INR 166.11 Cr.
EBITDA Margin
OPBITDA margins were reported at 14.3% in 9M FY23, improving from 13.5% in FY22. The improvement is driven by better operating metrics and a higher share of international patients and elective surgeries.
Capital Expenditure
Capital expenditure for FY25 was INR 36.33 Cr, a significant reduction from the INR 69.39 Cr spent in FY24. This includes investments in property, plant, equipment, and intangible assets like software licenses.
Credit Rating & Borrowing
The company maintains a strong liquidity position with ~INR 350 Cr in free cash and liquid balances. It remains debt-free with minimal gearing, resulting in robust debt protection indicators.
Operational Drivers
Raw Materials
Specific raw material names like medical consumables and pharmaceuticals are not individually listed, but 'rising material costs' are identified as a key performance risk. Inventory stood at a net change of INR 0.54 Cr for the year.
Key Suppliers
Not disclosed in available documents; however, the company follows a stringent buy-back policy with vendors for e-waste and old medical equipment.
Capacity Expansion
Current operations are concentrated in two properties in the NCR. While specific MT/MW metrics are not applicable, the company focused on increasing discharges to 64,423 (up 7% YoY) and out-patient volumes to 596,285 (up 7% YoY).
Raw Material Costs
Material costs are noted as a risk factor that could influence performance, though specific percentage of revenue is not explicitly broken down in the provided snippets.
Manufacturing Efficiency
Bed occupancy was reported at 69% in 9M FY23. Average length of stay (ALOS) improved (decreased) to 3.07 days in FY25 from 3.16 days in FY24, enhancing bed turnover efficiency.
Strategic Growth
Expected Growth Rate
9-12%
Growth Strategy
Growth is targeted through clinical excellence, innovation, and operational efficiency. The company is focusing on high-margin elective surgical procedures and has implemented price revisions to boost Average Revenue Per Operating Bed (ARPOB).
Products & Services
Healthcare services including Oncology, Neurology, Cardiology, Nephrology, and elective surgical procedures, alongside outpatient consultations and diagnostic services.
Brand Portfolio
Indraprastha Apollo Hospitals, backed by the parent brand Apollo Hospitals Enterprise Limited (AHEL).
New Products/Services
Expansion of elective surgical procedures and specialized clinical service lines are expected to be the primary drivers for FY26 growth.
Market Expansion
The company is focused on strengthening its market leadership within the NCR through technological upgrades and clinical innovation.
Market Share & Ranking
The company is a leading healthcare player in the NCR region, leveraging the Apollo brand's national market leadership.
Strategic Alliances
Apollo Hospitals Enterprise Limited (AHEL) and its promoters hold a 25% stake in the company, providing significant operational, financial, and managerial linkages.
External Factors
Industry Trends
The healthcare industry is seeing a shift toward elective surgeries and specialized care (Oncology/Cardiology). There is a growing trend toward energy efficiency in hospital infrastructure and digital transformation in patient records.
Competitive Landscape
Operates in a 'heightened competition' environment in the NCR with multiple private and government healthcare providers.
Competitive Moat
The company's moat is built on the 'Apollo' brand equity, a 25% strategic stake by AHEL, and a dominant clinical reputation in the NCR. This is sustainable due to high switching costs for complex surgeries and established referral networks.
Macro Economic Sensitivity
Sensitive to changes in the political or economic landscape and tax regimes. Performance is also linked to the resumption and stability of international travel for medical tourism.
Consumer Behavior
Increased demand for elective surgical procedures and high-quality sustainable healthcare services.
Geopolitical Risks
International patient flow is subject to geopolitical stability and travel regulations, as evidenced by the significant revenue jump post-travel resumption.
Regulatory & Governance
Industry Regulations
Subject to price control measures and standard compliance requirements for medical services. It maintains cost records as prescribed under Section 148(1) of the Companies Act.
Environmental Compliance
Investments made in energy-efficient HVAC, water pumps, and chillers. Stringent buy-back policies for e-waste and medical equipment are in place to manage hazardous waste.
Taxation Policy Impact
The company is regular in depositing undisputed statutory dues including Income Tax and GST. Current tax liabilities stood at zero as of March 31, 2025, compared to INR 0.58 Cr the previous year.
Legal Contingencies
The company has disclosed pending litigations in Note 30.B and 30.C of its financial statements. While specific values are not in the summary, the auditor notes these could impact the financial position.
Risk Analysis
Key Uncertainties
Asset concentration risk is high as revenue is derived from only two properties. Regulatory interventions in pricing could impact earnings by 5-10% if aggressive caps are implemented.
Geographic Concentration Risk
90-95% of revenue is concentrated in the NCR, making the company vulnerable to regional policy changes or economic downturns.
Third Party Dependencies
Dependency on Apollo Hospitals Enterprise Limited (AHEL) for brand and managerial linkages, and on specialized vendors for medical equipment maintenance.
Technology Obsolescence Risk
Rapid technological changes in medical equipment require continuous capital reinvestment to maintain clinical excellence.
Credit & Counterparty Risk
Trade receivables increased to INR 19.36 Cr in FY25, though the company maintains a strong liquidity profile to manage working capital cycles.