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Thursday, 16 January 2025

Narayana Hrudayalaya Lts

Narayana Hrudayalaya Ltd

ABOUT 

Narayana Hrudalaya Ltd is engaged in providing economical healthcare services. It has a network of multispecialty and super specialty hospitals spread across multiple locations.

KEY POINTS 

Hospital Portfolio
- India: 19 owned/operated hospitals, 2 heart centers, 18 clinics, and dialysis centers.
- Cayman Islands: 1 hospital.
** - Total:** 40 healthcare facilities with 5,789 operational beds (including Cayman).

Multi Speciality Hospital
Cardiac Sciences (32%): Advanced cardiac surgeries, including robotic and pediatric interventions.
Oncology (15%): Comprehensive cancer care with state-of-the-art radiation and surgical technologies.
Medicine & GI Sciences (13%): Treating complex medical and gastrointestinal conditions.
Renal Sciences (10%): Kidney transplants, nephrology, and dialysis.
Neurosciences (8%): Neurology and neurosurgery.
Orthopedics (4%): Joint replacements and robotics.
Others (17%): Pulmonology, pediatrics, and ENT.

PAN India Presence

** East: 7 hospitals, 4 clinics, 1 dialysis center; 1,994 beds.
West: 2 hospitals; 351 beds.
** South: 6 hospitals, 2 heart centers, 12 clinics; 2,006 beds in hospitals, 128 in heart centers.
** North:** 4 hospitals, 1 clinic; 1,200 beds.

Business Mix

Owned Hospitals: 70%.
Operated Hospitals: 27%.
Heart Centers and Ancillary Businesses: 3%.

Payor Mix

Domestic Walk-ins: 45%
Insured Patients: 29%
Government Schemes: 20%
International Patients: 7%

Key Data Points

Average Length of Stay (ALOS): 4.3 days.
Average Revenue Per Patient (ARPP): ₹104k.
Outpatient footfalls: 710k.
ICU Occupied Bed Days: 135k.

International Presence in Cayman Islands

- Revenue: 6.5% of overall revenue
- Discharges: 524.
- Outpatients: 8,819.

The company plans to foray into the Middle East and South-East Asia.

Domestic Revenue Bifurcation
Bangalore: 36%.
Southern Peripheral (Mysore, Shimoga, etc.): 10%.
Kolkata: 26%.
Eastern Peripheral (Jamshedpur, Guwahati, etc.): 9%.
Northern: 14%.
Western: 8%.

Venture into IT Sector
It incorporated a WoS named "MEDHA AI PVT LTD" on Dec,23, to conduct business in various IT services, encompassing software development, solutions, design, testing, and more.

FY24 CAPEX
Co. incurred 382 Crs of capex spent on replacement, maintenance, and expansion.

FY25 Projected CAPEX
a) Greenfield and inorganic growth: 221 Crs
b) Facility transformation and medical equipment upgrades: 218 Crs
Major Investments:
- NICU, PICU, orthopedic robotics, and single rooms.
- New clinics and land for expansion
The Scrip traded around on Thursday 16 Jan 2025 ₹1309

Overall:
NHL seems well-positioned for long-term growth, thanks to its strong brand, focus on affordability, and the expanding healthcare market in India.
It's good buy for Long-term.

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