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    Suraksha Diagno.

    SURAKSHA
    Healthcare·6 Feb 2026
    Management Summary

    Suraksha Diagnostic Limited reported robust Q3 FY26 results with total income growing 30.3% YoY to INR 783.09 million, driven by strong volume growth and strategic expansion into genomics. While EBITDA margins compressed temporarily to 30.6% due to new center ramp-up costs, management is focused on achieving scale and expects margin improvement from Q3 FY27. The company is aggressively expanding its network and strengthening its genomics vertical, maintaining a healthy net cash position.

    Highlights

    5
    • Total income for Q3 FY26 grew by a solid 30.3% year-on-year to INR 783.09 million, driven by volume expansion and product mix.

    • Tests performed in Q3 FY26 increased by 30.7% year-over-year to 2.06 million, indicating strong operational growth.

    • The company successfully commissioned 12 new centers in nine months, with an additional 6 facilities in the execution phase.

    • The genomics and molecular vertical, 'Suraksha Sutra,' has shown positive clinical adoption, with a current run rate of INR 2.1-2.2 million per month and a target of INR 4+ crores for FY27.

    • The company maintains a strong balance sheet with negligible gross debt (INR 1-1.5 crores) and a positive net cash position of approximately INR 29 crores.

    Concerns

    3
    • EBITDA margin compressed to 30.6% in Q3 FY26 (from 32.1% in 9M FY26) due to higher initial operating costs of new centers, impacting PAT margin to 9.3% from 10.1% in Q3 FY25.

    • Management expects FY26 EBITDA margin to be around 32%, lower than the initial guidance of 33-34%, due to pre-operative expenses for new centers.

    • The company acknowledges potential price reduction in genomics due to new entrants and patents expiring, though they believe their technology and service will differentiate them.

    Key financials

    Metrics

    12

    Periods

    2

    Q3 FY26

    7
    • Total Income
      783.09 Mn
      YoY+30.3%
    • Tests Performed
      2.06 Mn
      YoY+30.7%
    • Patients Served
      0.36 Mn
      YoY+23%
    • EBITDA
      237.82 Mn
      YoY+26.1%
    • EBITDA Margin
      30.6%

    9M FY26

    5
    • Total Income
      2,313.81 Mn
      YoY+21.9%
    • EBITDA
      734.04 Mn
      YoY+12.8%
    • EBITDA Margin
      32.1%
    • Revenue per Patient
      ₹2,140
    • EBITDA per Patient
      ₹686

    Segment breakdown

    Service Mix (9M FY26)
    46% Radiology48% Pathology6% Doctor/OPD
    Customer Mix (9M FY26)
    92% B2C7% B2B
    List

    Capital allocation

    3
    high confidence
    CategoryHeadline
    Capex

    Capex disclosed

    Debt

    Gross ₹1.5 crores · Net ₹-29 crores

    M&A

    Fetomat

    acquisition · integrated

    Guidance & targets

    8
    CategoryTargetPriority
    Revenue
    FY26 Revenue Growth
    better than 15%
    High
    Revenue
    Genomics Annual Revenue Run Rate
    INR 4+ crores
    High
    Margin
    FY26 EBITDA Margin
    around 32%
    High
    Margin
    EBITDA Margin Improvement
    improvement
    High
    Capacity
    New Centers Added Annually
    12 to 15 centers
    High
    Capacity
    New Centers Operational (Q4 FY26)
    60-70% of 6 centers
    High
    Capacity
    Total Centers
    100 centers
    High
    Capex
    Annual Capex for New Centers
    INR 70 crores
    High

    New Centers Operational (Q4 FY26)

    Q4 FY26 / next financial year
    Current6 centers in execution for Q4 FY26
    Target60-70% of 6 centers operational

    Why it matters

    Indicates progress on network expansion and potential for future revenue growth.

    For Q4. So I believe 60%, 70% of this will definitely be operational and one or two might spill onto the first month of the next financial year.

    How to verify

    guidance_and_targets[category='Capacity'][metric='New Centers Operational (Q4 FY26)']

    Risks & concerns

    3
    RiskSeverity

    EBITDA Margin Compression due to New Center Ramp-up

    Aggressive network expansion leads to higher initial operating costs, temporarily compressing EBITDA margins. Management views this as a strategic investment for long-term dominance and scale.Management acknowledged

    medium

    Low Margins and Receivables in PPP Projects

    Management actively avoids PPP projects due to their inherently low-margin nature and potential challenges with receivables, preferring to deploy capital in other centers.Management acknowledged

    low

    Price Reduction in Genomics Market

    The genomics market is evolving, with patents expiring and new entrants expected, which could lead to price reductions. Management believes their technology and service differentiation will help navigate this.Management acknowledged

    medium

    Q&A highlights

    8

    “The Q3 margins are always the quarter three is the weakest quarter in healthcare. That is almost a given for... it's a seasonal thing basically and that's almost a given for any kind of healthcare anywhere.”

    Clarifies that the lower Q3 EBITDA margins are a seasonal effect common in the healthcare industry, not a company-specific issue.

    asked by Dhruv Maheshwari

    2 min read6 chapters

    Detailed Narrative

    01

    Strong Topline Growth Driven by Volume and Product Mix

    Suraksha Diagnostic Limited reported a robust 30.3% year-on-year growth in total income for Q3 FY26, reaching INR 783.09 million. This growth was primarily fueled by a combination of volume expansion from new centers and an improved product mix, particularly from the genomics vertical. The number of tests performed increased by 30.7% year-over-year to 2.06 million, and patients served grew by 23% to 0.36 million in the quarter, demonstrating strong operational momentum.

    02

    Strategic Investment in Genomics and Digital Pathology

    The company has made significant strides in advanced diagnostics, establishing the first complete genomic lab in Eastern India, offering cytogenetics, microarray, PCR, and next-gen sequencing. All molecular lab tests are CAP validated. Furthermore, Suraksha is building one of the first digital pathology platforms under the leadership of Dr. Geetashree and applying AI for CT and MRI reporting, aiming for quicker turnaround times and improved efficiency. These initiatives are expected to drive future growth and differentiate the company.

    03

    Network Expansion and Temporary Margin Compression

    Suraksha's aggressive network expansion saw 12 new centers fully commissioned and operational within nine months, with an additional six facilities currently in the execution phase for Q4 FY26. This expansion, while driving topline growth, led to a temporary compression in EBITDA margins, which stood at 30.6% in Q3 FY26, down from 32.1% for the nine-month period. The management views this as a conscious investment in scale, expecting margins to improve from Q3 FY27 as the new centers mature and achieve economies of scale.

    04

    Genomics Vertical - 'Suraksha Sutra' Traction

    The genomics and molecular vertical, branded 'Suraksha Sutra,' has garnered significant clinical adoption, proving to be a key differentiator against price commoditization in routine testing. The current run rate for genomics is INR 2.1-2.2 million per month, with Q3 contributing INR 53 lakhs. The company projects this vertical to achieve an annual revenue run rate of INR 4+ crores for FY27, highlighting its strategic importance and growth potential.

    05

    Capital Allocation and Debt Management

    The company maintains a very healthy financial position with negligible gross debt, reported at INR 1-1.5 crores, and a positive net cash position of approximately INR 29 crores. For FY27, Suraksha plans to add 12-15 new centers, excluding PPP projects, with an estimated capex of INR 70 crores. Management explicitly stated a preference for deploying capital in centers with better margins and manageable receivables, thus generally avoiding PPP models due to their low-margin and high-receivable nature.

    06

    Market Positioning and Competitive Landscape

    Suraksha positions itself as the leading organized diagnostic player in Eastern India, emphasizing its complete genomic lab and advanced technological capabilities. While acknowledging the entry of larger players like Dr. Lal and Metropolis into genomics, Suraksha believes its regional focus, faster turnaround times for specialized tests, and strong technology team provide a distinct competitive advantage. The company aims to reach 100 centers by FY28, further solidifying its market presence.

    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.