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    Dr Agarwal's Hea

    AGARWALEYE
    Healthcare·31 Oct 2025
    Management Summary

    Dr. Agarwal's Health Care Limited reported a strong Q2 and H1 FY26, with H1 total income surpassing INR1,000 crores for the first time, growing 20.2% YoY to INR1,007 crores. Profitability saw significant improvement, with H1 EBITDA growing 24.9% to INR285 crores and PAT surging 88.4% to INR75 crores, driven by cost efficiencies and premiumization of services. The company continued its network expansion, adding 24 new Greenfield facilities, though growth in the North region was tempered by seasonal factors.

    Highlights

    5
    • Total income for H1 FY26 reached INR1,007 crores, up 20.2% YoY, surpassing INR1,000 crores for the first time.

    • H1 FY26 IndAS EBITDA was INR285 crores, reflecting 24.9% YoY growth, with margins improving by 100 bps to 28.3%.

    • PAT for H1 FY26 was INR75 crores, up 88.4% YoY, with PAT margins expanding by 270 bps to 7.2%.

    • Q2 FY26 IndAS EBITDA was INR144 crores, up 21.2% YoY, with margins improving by 70 bps to 28.4%.

    • Commissioned 24 new Greenfield facilities in H1 FY26, expanding footprint across 14 states and 5 union territories.

    Concerns

    2
    • Revenue growth in the North region was 14.2% YoY, lower than the Southern region's 22.2% and overall growth, impacted by unseasonal rains and festivities.

    • Africa business contribution to overall revenue declined from 10.4% in H1 FY25 to around 10% in H1 FY26.

    What Changed2

    vs Q3 FY26

    Guidance items14 → 9 (-5)Risks discussed4 → 2 (-2)
    Key financials

    Metrics

    17

    Periods

    2

    Headline

    11
    • H1 Total Income
      ₹1,007 Cr
      YoY+20.2%
    • H1 Revenue from Operations
      ₹986 Cr
      YoY+20.2%
    • H1 IndAS EBITDA
      ₹285 Cr
      YoY+24.9%
    • H1 IndAS EBITDA Margin
      28.3%
    • H1 PAT
      ₹75 Cr
      YoY+88.4%

    Q2

    6
    • Total Income
      ₹507 Cr
      YoY+18.2%
    • Revenue from Operations
      ₹499 Cr
      YoY+19.7%
    • IndAS EBITDA
      ₹144 Cr
      YoY+21.2%
    • IndAS EBITDA Margin
      28.4%
    • PAT
      ₹36 Cr
      YoY+71%

    Segment breakdown

    • Southern Region₹635 Cr74.1%
    • West Region₹150 Cr17.5%
    • North Region₹72 Cr8.4%
    Donut· Share of Revenue

    Capital allocation

    2
    high confidence
    CategoryHeadline
    Capex

    ₹310 crores

    Debt

    Debt disclosed

    Guidance & targets

    9
    CategoryTargetPriority
    Capex
    FY26 Capex
    INR310 crores + INR70 crores for flagship figures
    High
    Capacity
    New Facility Openings
    30 facilities
    High
    Market Share
    Delhi-NCR Market Expansion
    Significantly expand presence
    Medium
    Profitability
    Premiumization Growth
    4.5% to 5%
    High
    Profitability
    Greenfield Secondary Facility EBITDA Margins
    30% to 32%
    High
    Profitability
    Greenfield Secondary Facility Breakeven (Core Markets)
    6 to 7 months
    High
    Profitability
    Greenfield Secondary Facility Breakeven (Blended Basis)
    12 to 15 months
    High
    Profitability
    H2 FY26 Overall Margins
    similar levels as H1
    Medium
    Revenue
    H2 FY26 Overall Business Performance
    slightly stronger than H1
    Medium

    North Region Performance

    H2 FY26
    CurrentH1 FY26 revenue growth 14.2% YoY, impacted by rains and festivities.
    TargetImproved growth and recovery in H2 FY26.

    Why it matters

    The North region's performance was softer in H1 due to temporary factors; its recovery and contribution to overall growth in H2 will be key to meeting full-year targets.

    North typically seasonally is better in the second half of the year. So, we should see improvements coming in North in the second half of the year.

    How to verify

    key_financials.segment_breakdown[name='North Region'].metrics[label='YoY Growth']

    Risks & concerns

    2
    RiskSeverity

    Impact of unseasonal rains and festivities on business

    Unseasonal rains and early festivities impacted Q2 performance, particularly in the North and West regions, leading to slightly lower growth than expected.Management acknowledged

    medium

    Africa business contribution decline

    Africa business revenue grew 17.4% YoY, but its contribution to overall revenue declined from 10.4% in H1 FY25 to ~10% in H1 FY26.Management acknowledged

    low

    Q&A highlights

    8

    “We would be more or less in line with whatever we had guided towards at the start of the year, Binay.”

    Analyst questioned if strong H1 performance (20% growth) would lead to exceeding annual guidance, but management indicated they would remain 'more or less in line,' suggesting a more conservative outlook for H2 or that H1 was within expectations for the full year.

    asked by Binay from Morgan Stanley

    3 min read7 chapters

    Detailed Narrative

    01

    Strong H1 FY26 Financial Performance

    Dr. Agarwal's Health Care Limited achieved a significant milestone in H1 FY26, surpassing INR1,000 crores in total income for the first time, reaching INR1,007 crores, a 20.2% year-on-year increase. Revenue from operations also grew by 20.2% to INR986 crores. This robust top-line growth was accompanied by strong profitability, with IndAS EBITDA rising 24.9% to INR285 crores, and margins expanding by 100 basis points to 28.3%. PAT saw an even more impressive surge of 88.4% year-on-year to INR75 crores, with PAT margins improving by 270 basis points to 7.2%.

    02

    Q2 FY26 Performance Driven by Operational Efficiencies

    For the second quarter of FY26, the company reported a total income of INR507 crores, an 18.2% increase year-on-year, and revenue from operations grew 19.7% to INR499 crores. Q2 IndAS EBITDA stood at INR144 crores, reflecting a 21.2% year-on-year growth, with margins improving by 70 basis points to 28.4%. PAT for Q2 grew 71% year-on-year to INR36 crores, with PAT margins expanding by 220 basis points to 7.2%. Management attributed these margin improvements to cost efficiencies, particularly improved gross margins (from 77.1% to ~79%) and controlled doctor/employee costs.

    03

    Aggressive Network Expansion and Diversified Footprint

    In H1 FY26, Dr. Agarwal's Health Care served over 14.3 lakh patients and performed nearly 157,000 surgeries across its network of 258 facilities (29 hubs and 229 spokes). The company expanded its footprint by commissioning 24 new Greenfield facilities, with 11 added in Q2 alone. The network now comprises 239 facilities across 14 states and 5 union territories in India, covering 141 cities. The presence is well-diversified, with 31% of facilities in Tier 1 cities, 62% in other cities, and 7% internationally, demonstrating a balanced growth strategy.

    04

    Focus on Specialized Surgeries and Premiumization

    The company continues to emphasize specialized surgical procedures and advanced technology. In H1 FY26, high-end cataract surgeries accounted for 25.8% of total cataract procedures, with total cataract procedures increasing 41.7% year-on-year to 29,697. Robotic cataract surgeries (Femto Cataract) grew robustly by 69% year-on-year to 2,616 procedures. Lenticular (SMILE) surgeries increased 11.5% to 2,668, and retinal surgeries rose 23% to 6,205. Management noted that premiumization, contributing 4.5-5% growth this quarter, is a key driver for revenue per surgery and is expected to continue.

    05

    Regional Performance and Strategic Market Focus

    The Southern region remains the largest contributor, delivering INR635 crores in revenue (64% of total) with a strong 22.2% year-on-year growth. The West region contributed INR150 crores (15.2% of total), growing 16.6% year-on-year, despite some impact from festivities and rains. The North region, contributing 7.3% of total revenue, grew 14.2% year-on-year, experiencing a softer H1 due to unseasonal rains and early festivities, but is expected to improve in H2. The company plans significant expansion in the Delhi-NCR market over the next 12 months, reinforcing its confidence in the region's potential.

    06

    Vintage Performance and Future Expansion Plans

    Mature facilities (operational for over 3 years) contributed 75% of total group revenues, growing 13.4% to INR734 crores in H1 FY26. Facilities operational prior to FY22 grew 13.9% to INR685 crores, underpinning strong same-store sales growth. The company plans to launch another 30 facilities in the next two quarters of FY26, with a focus on the South (17 facilities), West (6), North (4), and East (4). Management highlighted the successful relocation and upgrade of the Whitefield facility in Bangalore, which saw a significant improvement in performance, with average monthly revenue of INR2.1 crores and 2,700 OPD visits.

    07

    Capital Allocation and Debt Management

    The company has been proactive in managing its debt, repaying INR195 crores in loans from IPO proceeds, which included INR128 crores in Q4 FY25 and the balance in H1 FY26. This debt reduction has contributed to lower finance costs and improved profitability. For FY26, the company's capital expenditure guidance remains at INR310 crores, with an additional INR70 crores allocated for flagship projects, indicating continued investment in growth and infrastructure.

    This is an AI-generated summary of a publicly available earnings call transcript. It is for informational purposes only and does not constitute investment advice, a recommendation, or an endorsement. inve.money is not a SEBI-registered investment advisor. Please consult a qualified financial advisor before making any investment decisions.