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    Dr Agarwal's Hea

    AGARWALEYE
    Healthcare·21 May 2026
    Management Summary

    Dr. Agarwal's Healthcare Limited reported a strong Q4 and full year FY26, achieving record revenues over INR 2,000 crores and significant PAT growth. The company continued its aggressive greenfield expansion, adding 19 new facilities in Q4 and planning 60 more for FY27. While mature facilities showed robust same-store growth, new facilities incurred initial operating losses, and refractive surgery volumes saw some softness. The merger process is progressing, with an expected conclusion by Q3 FY27.

    Highlights

    7
    • Full year revenue from operations grew 21.6% YoY to INR 2,080 crores.

    • Full year Ind AS EBITDA grew 22.2% YoY to INR 614 crores, with margin at 28.9%.

    • Full year PAT grew 52.4% YoY to INR 168 crores, with margin at 7.9%.

    • Q4 revenue from operations grew 22.6% YoY to INR 564 crores.

    • Q4 Ind AS EBITDA grew 18.9% YoY to INR 174 crores, with margin at 30.2%.

    • Total doctor strength crossed 1,000 across the network.

    • Same-store sales growth for mature facilities (pre-FY22) was a strong 14%.

    Concerns

    3
    • Q4 other expenses increased due to one-time merger process costs (approx. INR 80 lakhs) and corporate office rental expenses (approx. INR 1 crore for the year).

    • New facilities opened in FY26 incurred an operating loss (burn) of approximately INR 30 crores.

    • Refractive surgery volumes experienced a 'softness' or 'slight slowness' compared to cataract growth, though high-end procedures grew 19% YoY.

    Key financials

    Metrics

    12

    Periods

    2

    Q4 FY26

    6
    • Total Income
      ₹577 Cr
      YoY+21.2%
    • Revenue from Operations
      ₹564 Cr
      YoY+22.6%
    • Ind AS EBITDA
      ₹174 Cr
      YoY+18.9%
    • EBITDA Margin
      30.2%
    • PAT
      ₹50 Cr
      YoY+17.4%

    FY26

    6
    • Total Income
      ₹2,125 Cr
      YoY+20.9%
    • Revenue from Operations
      ₹2,080 Cr
      YoY+21.6%
    • Ind AS EBITDA
      ₹614 Cr
      YoY+22.2%
    • EBITDA Margin
      28.9%
    • PAT
      ₹168 Cr
      YoY+52.4%

    Segment breakdown

    Revenue by Service Type (FY26)
    67% Surgical Services12% Diagnosis, Consultations, Non-Surgical21% Optical Products & Pharmacy
    Revenue by Region (FY26)
    ₹1,273 Cr Southern Region Revenue61% Southern Region Share₹341 Cr West Region Revenue16% West Region Share₹191 Cr North Region Revenue9% North Region Share
    Payor Mix (FY26)
    62.4% Cash (Overall)28.5% Insurance & TPA (Overall)9% Government Schemes (Overall)72% Cash (Domestic)22% Insurance & TPA (Domestic)6% Government Schemes (Domestic)
    List

    Capital allocation

    3
    high confidence
    CategoryHeadline
    Capex

    ₹380 crores

    Debt

    Debt disclosed

    M&A

    Dr. Agarwal's Eye Hospital Limited

    merger · pending regulatory

    Guidance & targets

    10
    CategoryTargetPriority
    Growth
    Overall growth pace
    similar pace to prior year
    High
    Profitability
    EBITDA Margins
    stable
    High
    Profitability
    Losses from new facilities
    reducing
    Medium
    Capex
    Total CapEx spend
    INR 380-400 crores
    High
    Capacity
    New facilities commissioned
    60
    High
    Capital Allocation
    Acquisition-related payments
    INR 60-65 crores
    High
    Capital Allocation
    Acquisition-related payments
    INR 60 crores
    High
    Merger
    Merger conclusion
    Q3 FY27
    Medium
    Operating Expenses
    Rental expenses for AEHL
    INR 32 crores
    High
    New Facility Launch
    New Chennai CMS facility launch
    October 1, 2026
    Medium

    New Chennai CMS facility launch

    Q3 FY27
    CurrentTargeting October 1, 2026
    TargetSuccessful launch and initial operational performance

    Why it matters

    This is a major new facility expected to significantly increase volumes and realization, impacting overall revenue and profitability.

    So we should be we are targeting a launch of -- hopefully, by October 1, 2026, is when we should have the new project up and running.

    How to verify

    guidance_and_targets[metric='New Chennai CMS facility launch']

    Risks & concerns

    4
    RiskSeverity

    Initial operating losses from new greenfield facilities

    New facilities opened in FY26 incurred an operating loss of approximately INR 30 crores, with significant losses from Delhi branches. Management expects these losses to reduce from FY27 onwards.Management acknowledged

    medium

    Softness in refractive surgery volumes

    Refractive surgery growth has not been commensurate with cataract growth, showing 'slight slowness'. Management is focusing on high-end procedures and seeking insurance support to boost volumes.Both acknowledged

    medium

    Bottlenecks in real estate acquisition and regulatory compliance for new facilities

    Challenges in securing suitable real estate at the right cost and navigating local state/clinical board compliance and licensing requirements can cause delays in expansion.Management acknowledged

    medium

    Delay in new Chennai CMS facility launch due to approval processes

    Approvals for the new Chennai CMS facility have been delayed due to factors like elections and code of conduct, pushing the target launch to October 1, 2026. Management expects timely completion despite this.Management acknowledged

    low

    Q&A highlights

    8

    “So for this year, we are looking at an overall outflow of about INR 380 crores to INR 400 crores, which includes all our capex for this year, including our new CMS facility. We're looking at adding about 40 surgical facilities and 20 clinics, and this would envisage a total CapEx spend of about INR 380 crores to INR 400 crores. And this includes the CapEx spend for our new CMS facility. ... Tushar, it will be approximately to the tune of about between INR 60 crores to INR 65 crores, Tushar. ... For FY '26, it was around close to INR 85 crores.”

    Provides clear financial targets for future capital expenditure and acquisition payments, crucial for cash flow analysis.

    asked by Tushar Manudhane

    3 min read6 chapters

    Detailed Narrative

    01

    Record Financial Performance and Milestones

    Dr. Agarwal's Healthcare Limited achieved a landmark year in FY26, crossing INR 2,000 crores in revenue for the first time, with total income reaching INR 2,125 crores, a 20.9% YoY increase. Revenue from operations grew 21.6% to INR 2,080 crores. The company delivered a robust Ind AS EBITDA of INR 614 crores, marking a 22.2% YoY growth and improving margins by 31 basis points to 28.9%. Profit After Tax (PAT) saw a significant increase of 52.4% YoY to INR 168 crores, with PAT margin expanding by 164 basis points to 7.9% for the year. The company also reached a total doctor strength of over 1,000 across its network.

    02

    Aggressive Network Expansion and Footprint Growth

    The company continued its aggressive greenfield expansion strategy, commissioning 19 new facilities in Q4 FY26, including 7 surgical centers and 12 primary facilities. For the full year FY26, the company launched one new facility every week, adding its footprint across 26 new cities. Since FY23, Dr. Agarwal's has added 148 new greenfield facilities, representing a 5.7x growth in annual additions. The total network now stands at 269 facilities in India and 19 in Africa, spread across 14 states and five union territories covering 155 cities. For FY27, the company plans to commission 60 new facilities, comprising 40 surgical centers and 20 clinics, with a significant focus on the North and West regions.

    03

    Clinical Excellence and Procedure Volumes

    In FY26, the company served over 30 lakh patients and performed over 3.23 lakh surgeries. High-end cataract surgeries accounted for 26.3% of the 62,800 total cataract procedures, with robotic Femto Cataracts growing robustly by 87% YoY, crossing 5,900 procedures. Retinal surgeries increased by 23% from last year, reaching 12,800 procedures. Surgical services remained the main revenue driver, contributing 67% to the group's revenue. The company also performed over 1,150 corneal transplants during the year. However, refractive procedures experienced some 'softness' compared to cataract growth, though high-end Lenticular Procedures grew 19% YoY.

    04

    Operational Efficiency and Same-Store Growth

    The company's sustained focus on operational efficiency and disciplined execution contributed to its strong performance. Mature facilities (opened prior to FY22) contributed INR 1,375 crores in revenue, reflecting a strong 14% same-store sales growth and accounting for 66% of group revenues. This growth was driven by approximately 7% volume growth (5.5% from OPD, rest from conversions) and 7% value growth (5% from premiumization, 1.5% from price hike). Management expects this growth trajectory to be sustainable. The company's new software, Neo, an AI-ready hospital management system, currently manages 20,000 patients daily and is built to scale beyond 5,000 branches and 2 million patients.

    05

    Merger Update and Capital Allocation

    Progress on the proposed merger of Dr. Agarwal's Healthcare Limited and Dr. Agarwal's Eye Hospital Limited continues, with NCLT Chennai bench allowing the joint first motion application and directing shareholder meetings on July 2, 2026. The merger is expected to conclude by Q3 FY27. In terms of capital allocation, the company plans an overall CapEx outflow of INR 380-400 crores for FY27, primarily for new facilities and a new CMS facility. Acquisition-related payments are projected to be INR 60-65 crores in FY27 and INR 60 crores for FY28-30. The company has systematically repaid INR 195 crores in loans from IPO proceeds, contributing to a reduction in finance costs.

    06

    Regional Performance and Future Outlook

    The Southern region remains the largest market, contributing 61% of group revenues with INR 1,273 crores, growing 22.6% YoY. The West region contributed 16% of revenues (INR 341 crores, up 19% YoY), and the North region 9% (INR 191 crores, up 20.7% YoY). The company expects growth to sustain at a similar pace in FY27, underpinned by deeper penetration, expansion into new geographies, and adoption of innovative surgical procedures. EBITDA margins are expected to remain stable despite aggressive greenfield expansion, reflecting underlying operating leverage. The company's expansion strategy in FY27 will see the North and West regions more than double their facility additions compared to FY26.

    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.