Detailed Narrative
FY26 Full Year Performance Overview
Entero Healthcare Solutions reported a strong full year FY26, with like-for-like revenue growing by 31.5% to INR6,591 crores, significantly outperforming the IPM by 1.6x. The company achieved a 4% EBITDA margin, up 67 basis points year-on-year, with total EBITDA reaching INR266 crores. PAT for the year stood at INR146 crores, marking a 36% year-on-year growth and a 2.2% PAT margin. Operating cash flow for the full year was INR96.2 crores, reflecting improved working capital management.
Q4 FY26 Quarterly Performance Highlights
The fourth quarter of FY26 demonstrated solid growth momentum, with revenue increasing 42.6% year-on-year, driven by 17.1% organic growth and 26% from new acquisitions. Gross margin expanded by 110 basis points to 10.9%, leading to a 59% year-on-year growth in gross profit to INR207 crores. EBITDA for the quarter was INR86 crores, up 76% year-on-year, with the margin at 4.5%, an 85 basis points expansion. PAT grew 44% to INR45.1 crores, achieving a 2.4% margin, and operating cash flow was INR104.6 crores.
FY27 Guidance and Strategic Focus
For FY27, Entero Healthcare aims for a consolidated revenue growth of 23% year-on-year, excluding any new acquisitions, and targets a 5% EBITDA margin. The company also expects to achieve an EBITDA to operating cash flow conversion ratio of at least 50%. Management emphasized a focus on profitable revenue growth, operational efficiencies, and leveraging the existing platform, including the MedTech segment, rather than pursuing new acquisitions in the near term.
MedTech Expansion and Contribution
The company has significantly expanded its presence in the MedTech segment, closing 3 acquisitions in this space during FY26, including Anand Chemiceutics, Ace Cardiopathy, and Biode Technology. The MedTech segment now contributes over INR1,000 crores in annualized revenue and accounts for more than 15% of the total revenue, with potential to grow to 20%. MedTech margins are higher than pharma due to the company's commercial role in demand generation and sales for manufacturers.
Working Capital and Cash Flow Optimization
Entero Healthcare continued to optimize its working capital, with net working capital days improving to 59 days in Q4 FY26 from 64 days in the previous quarter. The increase in payables was primarily attributed to the MedTech segment, which typically has longer payment cycles compared to pharma. The company's strategy includes releasing working capital from low-margin businesses to invest in more profitable assets, contributing to improved operating cash flow.
Acquisition Strategy and Integration
During FY26, the company completed 7 acquisitions, which contributed 26% to Q4 revenue growth and 16% to full-year inorganic growth. Management stated that they typically acquire partial stakes with call options for full ownership within 3-5 years, based on predetermined valuations (5-7x EV/EBITDA). The focus for the next 6-8 months is on integrating and driving organic growth from these acquired entities, with all key management personnel from recent acquisitions remaining with the company.