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    Shalby Limited

    SHALBY
    Healthcare·31 May 2025
    Management Summary

    Shalby reported mixed results for Q4 FY25, with strong top-line growth driven by the MedTech and Sanar businesses, but significant pressure on profitability. Consolidated revenue grew 8.4% YoY to INR 270 crores, while EBITDA declined 40.3% YoY to INR 26.2 crores due to strategic investments in doctors and the implant business. The company expressed confidence in future growth, particularly from its MedTech segment and the Sanar hospital, expecting double-digit growth in the coming years.

    Highlights

    5
    • Consolidated revenue grew 8.4% YoY to INR 270 crores in Q4 FY25. (Amit Pathak, Page 3)

    • Shalby MedTech (implant business) revenue surged 138% YoY to INR 29 crores in Q4 FY25. (Deepak Anand, Page 6)

    • Annualized FY25 consolidated revenue increased 16.9% YoY to INR 1,115 crores. (Amit Pathak, Page 3)

    • Stand-alone hospital ARPOB improved by 6.4% YoY to INR 41,585. (Amit Pathak, Page 4)

    • Sanar Hospital's IP count grew 20%, day care count grew 40%, and OP count grew 25%. (Shanay Shah, Page 10)

    Concerns

    4
    • Consolidated EBITDA for Q4 FY25 declined 40.3% YoY to INR 26.2 crores, with margins compressing to 9.7%. (Amit Pathak, Page 3)

    • Consolidated PBT for Q4 FY25 was negative INR 0.7 crores, down from INR 21 crores last year. (Amit Pathak, Page 3)

    • The company decided to skip dividend declaration for the quarter. (R. Vidhyashankar, Page 6)

    • Implant business recorded a loss of INR 16 crores in Q4 FY25, higher than INR 8 crores last year. (Amit Pathak, Page 8)

    What Changed2

    vs Q1 FY26

    Guidance items7 → 11 (+4)Risks discussed5 → 7 (+2)
    Key financials

    Metrics

    5

    Periods

    2

    Headline

    4
    • Consolidated Revenue
      ₹270 Cr
      YoY+8.4%
    • Consolidated EBITDA
      ₹26.2 Cr
      YoY-40.3%
    • Consolidated EBITDA Margin
      9.7%
    • Consolidated PBT
      ₹-0.7 Cr

    FY25

    1
    • Consolidated Revenue
      ₹1,115 Cr
      YoY+16.9%

    Segment breakdown

    Stand-alone Hospital
    ₹214 Cr Revenue₹38 Cr EBITDA17.7% EBITDA Margin₹25.7 Cr PBT41,585 Rs ARPOB3.68 days ALOS633 beds Occupied Beds45% Occupancy Rate
    Shalby Sanar Hospital
    ₹23 Cr Revenue84,647 Rs ARPOB3.88 days ALOS23% Occupancy Level60% International Business Share
    Shalby MedTech (Implant Business)
    ₹29 Cr Q4 Revenue12,727 Q4 Implant Components Sold₹93 Cr FY25 Revenue41,960 FY25 Implant Components Sold₹16 Cr Q4 Loss
    FOSO Business
    ₹2.19 Cr Revenue
    FOSM Business
    ₹0.76 Cr Revenue
    Home Care Business
    30,000 patients Patients Served5% Annualized Growth
    List

    Capital allocation

    4
    high confidence
    CategoryHeadline
    Capex

    Capex disclosed

    Debt

    Net ₹279 crores

    M&A

    Deal

    acquisition · integrated · Consideration ₹NaN (undisclosed)

    Liquidity

    Cash ₹23 crores

    Positive cash balance on a stand-alone basis.

    Guidance & targets

    10
    CategoryTargetPriority
    Tax
    Effective Tax Rate
    25%
    High
    Revenue
    Sanar Business Growth
    Similar or higher levels
    Medium
    Revenue
    Implant Business Growth
    Much higher growth levels
    Medium
    Revenue
    New Implant Products Revenue
    INR 40-50 crores
    High
    Revenue
    FY26 Consolidated Revenue Growth
    Higher single-digit
    Medium
    Product Launch
    New Implant Products Launch
    2 products
    High
    Capex
    Mumbai Hospital Project Completion
    6-9 months
    Medium
    Cost Efficiency
    MedTech Cost of Goods Sold Reduction
    30%
    High
    Cost Efficiency
    MedTech Supply Chain Cost Reduction
    15-20%
    High
    International Expansion
    MedTech New Country Operations
    4-5 new countries
    High

    Mumbai Hospital Project Progress

    next quarter
    CurrentAwaiting final agreements and BMC approvals
    TargetProject commencement or significant progress on approvals

    Why it matters

    Timely execution of this capex project is crucial for future growth and capacity expansion.

    Now we are waiting for the trustees to kind of send us the final agreements, etcetera. So we are waiting for them to share the details with us. (Shanay Shah, Page 14)

    How to verify

    capital_allocation.capex.purposes[description='Investment in Mumbai hospital asset']

    Risks & concerns

    7
    RiskSeverity

    Declining EBITDA and margins

    Consolidated EBITDA declined 40.3% YoY in Q4 FY25, and margins compressed to 9.7%, attributed to strategic investments.Analyst acknowledged

    medium

    Skipping dividend declaration

    Dividend was skipped to reserve cash for future investments and company performance.Analyst acknowledged

    medium

    Lack of predictability in financial results

    Analyst expressed concern over inconsistent performance and surprises, impacting investor confidence.Analyst acknowledged

    medium

    Losses in implant business

    Implant business recorded a loss of INR 16 crores in Q4 FY25, higher than previous year, due to significant investment for growth.Management acknowledged

    medium

    Slippage in stand-alone EBITDA

    Stand-alone EBITDA declined due to strategic investment in doctors (2% increase in cost) and changes in payer mix (1% increase in cost).Management acknowledged

    medium

    Delay in Mumbai hospital project

    Project is awaiting final agreements from trustees and BMC approvals, causing delays.Analyst acknowledged

    medium

    Risk of losing market share due to expansion delays

    Management believes they have sufficient growth avenues in existing setup and are expanding capacity in ROCE accretive businesses.Analyst downplayed

    low

    Q&A highlights

    8

    “So we just want to reserve the cash for some time. And once the company is going to perform well into the coming year, we will definitely come ahead with the appreciation in terms of the dividend for the shareholders.”

    Analyst questioned the decision to skip dividend despite a pre-planned agenda, and raised concerns about declining profitability, which management attributed to strategic investments.

    asked by R. Vidhyashankar

    3 min read6 chapters

    Detailed Narrative

    01

    Q4 FY25 Financial Performance Overview

    Shalby reported a consolidated revenue of INR 270 crores for Q4 FY25, marking an 8.4% year-on-year growth from INR 249 crores in the previous year. However, consolidated EBITDA saw a significant decline of 40.3% year-on-year, reaching INR 26.2 crores, with the EBITDA margin compressing to 9.7% from 17.6%. The company also reported a negative PBT of INR 0.7 crores for the quarter, compared to a positive INR 21 crores last year. For the full financial year FY25, consolidated revenue grew 16.9% year-on-year to INR 1,115 crores from INR 953 crores.

    02

    Hospital Business Performance (Stand-alone & Sanar)

    The stand-alone hospital business recorded a revenue of INR 214 crores in Q4 FY25, a modest 1.7% growth year-on-year. Stand-alone EBITDA declined by 10.8% to INR 38 crores, with margins at 17.7%, primarily due to strategic investments in doctors and a shift in payer mix. ARPOB for stand-alone hospitals improved by 6.4% year-on-year to INR 41,585, while ALOS was 3.68 days. The Shalby Sanar Hospital contributed INR 23 crores in Q4, with ARPOB at INR 84,647 and an occupancy level of 23%. International business accounts for 60% of Sanar's revenue, with 50% from the Middle East, and the hospital saw strong operational growth in IP (20%), day care (40%), and OP (25%) counts.

    03

    Shalby MedTech (Implant Business) Growth & Strategy

    Shalby MedTech, the orthopedic implant business, demonstrated robust growth, with Q4 FY25 revenue surging 138% year-on-year to INR 29 crores. For the full FY25, its revenue grew 67.2% to INR 93 crores. The number of implant components sold increased by 50% in Q4 and 40% in FY25. Despite this growth, the segment reported a loss of INR 16 crores in Q4, up from INR 8 crores last year, due to significant investments. Management plans to launch two new products this year, expected to contribute INR 40-50 crores annually, and aims for a 30% reduction in COGS and 15-20% supply chain cost reduction.

    04

    Strategic Investments & Future Outlook

    The company's profitability was impacted by strategic investments, including a 2% increase in doctor costs and a 1% increase due to payer mix changes. Shalby is investing over INR 250 crores in a new Mumbai hospital asset, with completion expected 6-9 months after project initiation. Management anticipates double-digit growth for the hospital business and much higher growth for the implant business in the coming years. They also plan to launch operations in 4-5 new countries for MedTech in FY26 and expect FY26 consolidated revenue to show higher single-digit growth compared to FY25.

    05

    Capital Allocation & Shareholder Returns

    Shalby maintains a strong balance sheet with a consolidated net debt of INR 279 crores and a gearing ratio of 0.2. On a stand-alone basis, the company has zero net debt and a positive cash balance of INR 23 crores. The Board decided to skip dividend declaration for the quarter, opting to reserve cash for future investments and growth initiatives. The company highlighted a large acquisition of approximately INR 300 crores in the last 15 months, contributing to its expansion strategy.

    06

    Talent Acquisition & Clinical Excellence

    Shalby is strategically hiring key talent, including a big GI team of 8 doctors at Indore to establish new verticals like GI and hepatobiliary disease and liver transplants. In Q4, 40 doctors were hired across different hospitals for super-specialty work development. The company also nurtures young talent through its academy vertical, with over 22,000 students registered in healthcare programs and 385+ paramedics enrolled in the current year, including 200+ for Team Indore and 50+ for Team Jabalpur.

    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.