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    Krsnaa Diagnost.

    KRSNAA
    Healthcare·13 May 2025
    Management Summary

    Krsnaa Diagnostics reported a robust FY25, with revenue growing 16% to ₹7,172 million and EBITDA expanding 370 bps to 27%. Net profit saw a significant 37% increase. Despite missing its revenue growth aspiration due to project delays and strategic tender decisions, the company demonstrated strong operational efficiency and rapid retail expansion. Management expressed confidence in improving receivables and continued margin expansion in the upcoming quarters.

    Highlights

    5
    • FY25 Revenue grew 16% YoY to ₹7,172 million, driven by increased awareness, patient volumes, and pricing efficiency.

    • FY25 EBITDA increased 34% YoY to ₹1,958 million, with margins expanding by 370 basis points to 27%, reflecting strong operating leverage.

    • FY25 Net Profit grew 37% YoY to ₹776 million, achieving an 11% margin.

    • Q4 FY25 Revenue grew 12% YoY to ₹1,861 million, and EBITDA grew 23% YoY to ₹542 million with a 29% margin.

    • The retail footprint expanded 4x in one year across 4 states, showing promising early results and strong brand recall.

    Concerns

    3
    • FY25 revenue growth of 16% was below the aspiration of 20-25% due to delays in Maharashtra CT MRI projects and early conclusion of the BMC project.

    • Receivables stood at 128 days for FY25, primarily due to transitional delays in Himachal Pradesh and Karnataka, with ₹140-150 crores outstanding from these two states.

    • The new BMC tender was not pursued due to revised conditions and budgetary caps that would have impacted long-term profitability.

    What Changed3

    vs Q1 FY26

    Guidance items9 → 7 (-2)Risks discussed2 → 6 (+4)Q&A highlights6 → 8 (+2)
    Key financials

    Metrics

    10

    Periods

    2

    Q4 FY25

    5
    • Revenue
      1,861 Mn
      YoY+12%
    • EBITDA
      542 Mn
      YoY+23%
    • EBITDA Margin
      29%
    • Net Profit
      206 Mn
    • Net Profit Margin
      11%

    FY25

    5
    • Revenue
      7,172 Mn
      YoY+16%
    • EBITDA
      1,958 Mn
      YoY+34%
    • EBITDA Margin
      27%
    • Net Profit
      776 Mn
      YoY+37%
    • Net Profit Margin
      11%

    Segment breakdown

    Radiology SharePathology Share
    Radiology & Pathology Mix (FY25)50%50%
    Radiology & Pathology Mix (FY24)60%40%
    Heatmap· 2 shared metrics

    Capital allocation

    4
    high confidence
    CategoryHeadline
    Capex

    ₹1,000 million

    Debt

    Gross ₹1,655 million

    Dividend

    ₹2.75/share (final)

    Payout ratio 55.0%

    Liquidity

    Cash ₹1,760 million

    Guidance & targets

    7
    CategoryTargetPriority
    Revenue
    Revenue Growth
    better than the industry
    Medium
    Revenue
    Retail Revenue Share
    5% to 8%
    High
    Margin
    EBITDA Margin
    continue to improve
    Medium
    Receivables
    Receivable Days
    100-odd days
    High
    Market Share
    Retail B2C/B2B Mix
    70% B2C, 30% B2B
    Medium
    Capex
    Total Capex
    ₹100-150 crores
    High
    Capex
    Practical Cash Outflow for Capex
    less than ₹100 crores
    High

    Receivable Days Normalization

    Q1 FY26 and coming quarters
    Current128 days (FY25), ₹140-150 crores from HP/Karnataka
    Target~100 days by FY26

    Why it matters

    Improvement in receivable days is crucial for cash flow and working capital management.

    We are hoping it to be in the range of about 100-odd days. It will come down significantly. In fact, the upcoming quarter is where we expect the receivables to come down significantly. But just to give you on a ballpark basis, we expect it to be in the range of about 100-odd days, 90 to 100 days by FY26.

    How to verify

    capital_allocation.debt.receivable_days

    Risks & concerns

    6
    RiskSeverity

    High Receivables from Himachal Pradesh and Karnataka

    Receivables stood at 128 days for FY25, with ₹140-150 crores from HP and Karnataka, due to NHM funds allocation and procedural delays. Management is confident in recovery.Both acknowledged

    high

    Delays in Maharashtra CT MRI Projects

    Delays in site handovers and infrastructure readiness impacted FY25 revenue growth, with 15 centers expected to go live in H1 FY26.Management acknowledged

    medium

    Early Conclusion of BMC Project

    The BMC project concluded early due to budget exhaustion, contributing to lower-than-expected FY25 revenue growth.Management acknowledged

    medium

    Non-pursuit of BMC Tender due to Unprofitability

    The company chose not to pursue the new BMC tender due to revised conditions and budgetary caps making it unprofitable, impacting potential growth.Management acknowledged

    medium

    Rationalization of Exposure in Certain Regions

    Conscious decisions were made to rationalize exposure in regions with disproportionately stretching receivables, impacting top-line growth but improving revenue quality.Management acknowledged

    medium

    Income Tax Demand Order

    Demand orders were received, but the company has filed an appeal and is confident in defending the claims, not expecting significant liability.Both downplayed

    low

    Q&A highlights

    8

    “The market is not slowing down. What we've done is we've been very careful and calibrated in terms of showing what are the realistic numbers. The market, as I mentioned earlier, in fact, from a government policy perspective, the government wishes to have more than 2,000 radiology centers, and we are just a few hundred. But again, from a guidance perspective as well as from what we see as a realistic outlook, and a very selective and calibrated outlook, these are the numbers that we believe are prospects in the making.”

    Analyst questioned the slower growth in radiology and conservative FY27 projections, prompting management to clarify their strategic, calibrated approach to growth and market potential.

    asked by Lokesh Manik

    2 min read7 chapters

    Detailed Narrative

    01

    FY25 Financial Performance Highlights

    Krsnaa Diagnostics reported a strong FY25, with revenue growing 16% year-on-year to ₹7,172 million. EBITDA increased by 34% to ₹1,958 million, and margins expanded by 370 basis points to 27%, showcasing robust operating leverage. Net profit also saw significant growth of 37% to ₹776 million, achieving an 11% margin. For Q4 FY25, revenue stood at ₹1,861 million, a 12% YoY increase, with EBITDA at ₹542 million, up 23% YoY, and a 29% margin.

    02

    Strategic Model and Market Position

    The company emphasized its unique PPP-based model, which enables it to offer high-quality diagnostics at prices 60-70% lower than market rates while maintaining sustainable EBITDA margins of 25-27%. In FY25, Krsnaa served over 19 million patients and conducted over 61 million tests, demonstrating its model's resilience. The company believes it is not just following the market but actively helping to build it, especially in underserved geographies.

    03

    Retail Expansion and Future Outlook

    Krsnaa's retail footprint, operating under the RPL brand, expanded significantly, growing 4x in one year across Maharashtra, Punjab, Assam, and Orissa. Retail contributed approximately 3.5% to the overall revenue in Q4 FY25, with a target to increase this to 5-8% in FY26. The long-term aspiration for the retail B2C/B2B mix is 70:30, with B2C offering better margins and being a key growth driver.

    04

    Receivables Management and Challenges

    As of March 31, 2025, receivables stood at 128 days, primarily due to transitional delays in Himachal Pradesh and Karnataka, where ₹140-150 crores were outstanding. Management acknowledged these delays were due to NHM funds allocation and procedural aspects but expressed confidence in normalizing receivable days to around 100-odd days by FY26, citing ongoing system implementations and strong stakeholder relationships.

    05

    Impact of Project Delays and Tender Decisions

    FY25 revenue growth of 16% was below the aspirational 20-25% due to external timing factors, including delays in site handovers for Maharashtra CT MRI projects and the early conclusion of the BMC project due to budget exhaustion. The company also strategically decided not to pursue the new BMC tender, as revised conditions and budgetary caps would have made it unprofitable, prioritizing long-term profitability over short-term volume.

    06

    Capital Expenditure and Growth Plans

    The company's FY25 capex was ₹111 crores, primarily allocated to new radiology centers in Madhya Pradesh, Maharashtra, and Delhi, as well as pathology collection centers in Assam and Orissa. For FY26, the planned capex is between ₹100-150 crores, with the practical cash outflow expected to be less than ₹100 crores, reflecting an asset-light expansion strategy. This capex supports the expansion of PPP leadership and retail footprint.

    07

    Radiology and Pathology Mix Evolution

    The revenue mix for FY25 was 50:50 between radiology and pathology, a shift from FY24's 60:40 split (radiology:pathology). Management anticipates a higher share of growth from the radiology business in the coming quarters due to a strong pipeline of radiology tenders. The company continues to focus on integrated diagnostic offerings, including teleradiology, and maintaining high-quality accreditations.

    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.