Rainbow Childrens Medicare Limited · NSE:RAINBOW
Rainbow Childrens Medicare — Q4 FY2024 Earnings Presentation
45 slides from Rainbow Childrens Medicare's earnings presentation, May 19, 2024
Slide 1: Q4 & FY23-24 Earnings Update
Q4 & FY23-24 EARNINGS UPDATE 19th May, 2024
Slide 2: Disclaimer
Disclaimer This presentation and the accompanying slides (“Presentation”), which have been prepared by Rainbow Children’s Medicare Limited, Rainbow or RCML (the "Company"), have been prepared solely for information purposes and do not constitute any offer, recommendation or invitation to purchase or
Slide 3: A testament to our Gold Standard in exceptional patient care
A testament to our Gold Standard in Exceptional patient care. • Country’s first pediatric hospital to have 2 flagship hub hospitals, one each in Hyderabad and Bengaluru, awarded with JCI Accreditation1 • Country’s first standalone fertility center BirthRight Fertility, Kondapur, Hyderabad awarded JC
Slide 4: Awards & Accolades
Our Vision Our aim at Rainbow Children’s Hospital is to provide highest standards of care for the mother, foetus, new born and children so that none of them is deprived of a tertiary care facility. Our Mission The measure of our success is in the number of smiling faces. Awards & Accolades Best Hosp
Slide 5: Company history and milestones 1999-2024
2018-2024 Successful listing on the stock exchanges - 2014-2017 NSE and BSE Largest chain of comprehensive pediatric Foray into newer cities – Bengaluru and care with cutting-edge quaternary care 2011-2013 New Delhi services Nurtured perinatal services Hub and Spoke model nurtured in Largest pediatr
Slide 6: Footprint of Rainbow Hospital
Footprint of Rainbow Hospital Capacity 19 Hospitals beds 1,935 Out-patient Out-patient 4 clinics visits1 1,277k+ In-patient 6 Cities admissions1 87.7k+ 800+ Doctors2 Deliveries 1 15.7k+ Note: 1 Numbers for FY24; 2 Including full time residents and DNB 6
Slide 7: An insight into the Rainbow approach
An insight into the Rainbow approach 7
Slide 8: Dr. Ramesh Kancharla
Dr. Ramesh Kancharla Pediatric Healthcare Visionary Chairman & Managing Director Dr. Ramesh comes from an agricultural background from a village in Andhra Pradesh, India where the accessibility to healthcare was very poor. This motivated Dr. Ramesh to pursue medical education Garnered rich experienc
Slide 9: A novel approach in pediatrics healthcare services
A novel approach in pediatrics healthcare services UNIQUE OPERATING MODEL Focused Multi-disciplinary Unique Hub and child centric approach doctor Spoke model healthcare engagement for wider city network model coverage Widest Suite of Pediatric Collaborative team Full-time, 24X7 and perinatal care ap
Slide 10: Ability to conceptualize, create and operate specialized children's hospitals
Ability to conceptualize, create and operate specialized children’s hospitals Children Centric Hospitals Allocation of Children centric significant portion of environment and capex towards soothing interiors interiors of hospitals help in children to for creating congenial recover faster environment
Slide 11: Doctor engagement model fostering loyalty and sustainability
Doctor engagement model fostering loyalty and sustainability with an institution-first approach ▪ 800+ full time doctors ▪ Recognised as MRCPCH Examination Centre ▪ A number of doctors trained or possess qualifications ▪ Recognised as training center1 by National Board of from the UK, USA, Canada, A
Slide 12: The specialist in comprehensive children's care
The specialist in comprehensive children’s care Full suite of Pediatric offerings Pediatric Secondary Care Pediatric Tertiary Intensive Care Pediatric Multi-specialty & Quaternary Care ▪ Pediatric outpatients ▪ Care of preterm babies with low/extremely ▪ Pediatric Surgery, urology and minimal invasi
Slide 13: Comprehensive perinatal care provider
Comprehensive perinatal care provider, with synergies between paediatric and perinatal services Comprehensive services for all pediatric care needs Pediatrics ▪ 24*7 full spectrum of Pediatric multi specialty cover with level 4 NICU care Accessibility/nativity/comfort/ Coordinated handholding for bo
Slide 14: Hub and Spoke approach to optimise delivery of patient care
Hub and Spoke approach to optimise delivery of patient care services at scale City level hub and spoke model Regional level “South Connect” model Regional spokes at 200-250 kms from Typically 50- 4-5 spokes city hubs 100 beds around a hub Typically 150- 250 beds Vishakhapatnam Regional spokes to pro
Slide 15: Hyderabad - Hub & Spoke Model
Hyderabad - Hub & Spoke Model ▪ Hub Hospital (Banjara) is centrally situated, providing accessibility from all part of the city ▪ Spokes hospitals are situated at areas experiencing rapid growth and development ▪ Strategically located to ensure convenient access for nearby towns and cities Hub Spoke
Slide 16: Bengaluru - Hub & Spoke Model
Bengaluru - Hub & Spoke Model • Hub Hospital (Marathahalli) is situated on the Outer Ring Road, ensuring convenient access from every part of the city. • Spokes hospitals are situated at areas experiencing rapid growth and development • Strategically positioned to ensure convenient access for nearby
Slide 17: Chennai - Hub & Spoke Model
Chennai - Hub & Spoke Model • Hub Hospital (Guindy) is situated at the heart of Chennai having convenient access from every part of the city. • Spokes hospitals are situated at areas experiencing rapid growth and development • Strategically positioned to ensure convenient access for nearby towns and
Slide 18: Robust governance framework
Robust governance framework High Governance Standard Board of directors Dr. Dinesh Kumar Chirla Whole-time Director Board composition Women Director 14% Dr. Adarsh Kancharla Non Executive Director Independent Director 57% Dr. Ramesh Kancharla Chairman & Managing Director MD (Pediatrics) & MBBS (UK)
Slide 19: Quarterly Performance
Z, Rainbow” Children’s Hospital oe
Slide 20: Q4 FY24 - Operational KPIs (1/2)
Q4 FY24 - Operational KPIs (1/2) No. of beds^ IP Discharges OP Consultations Deliveries +17% +4% +7% -6% 1,935 23,541 22,888 3,45,012 3,32,992 3,992 4,127 22,147 3,17,146 3,746 1,655 1,655 1,427 1,232 1,290 Q4 FY24 Q4 FY23 Q3 FY24 Q4 FY24 Q4 FY23 Q3 FY24 Q4 FY24 Q4 FY23 Q3 FY24 Q4 FY24 Q4 FY23 Q3 FY
Slide 21: Q4 FY24 - Operational KPIs (2/2)
Q4 FY24 - Operational KPIs (2/2) No. of beds Occupancy ARPOB ALOS +5% +11% +5% -12% 1,102 67.2% 56,702 58,990 2.77 1,052 1,052 2.65 2.54 59.2% 57.6% 50,968 860 845 845 Matured Hospitals* Matured Q4 FY24 Q4 FY23 Q3 FY24 Q4 FY24 Q4 FY23 Q3 FY24 Q4 FY24 Q4 FY23 Q3 FY24 Q4 FY24 Q4 FY23 Q3 FY24 Capacity
Slide 22: Q4 FY24 - Financial Performance
Q4 FY24 - Financial Performance Revenue (Mn) EBITDA (Mn) 7.6% 7.7% 3,411 3,360 1,181 3,170 1,055 980 30.5% 30.9% 30.9% 30.9% 35.1% PAT (Mn) Q4 FY24 Q4 FY23 Q3 FY24 Q4 FY24 Q4 FY23 Q3 FY24 -5.2% 626 511 539 15.0% 17.0% 18.6% Q4 FY24 Q4 FY23 Q3 FY24 XX.X% - Margins 22
Slide 23: Q4 FY24 - Payor Profile
Q4 FY24 – Payor Profile1 46.7% Q4 FY24 30.5% 49.9% 30.9% Q4 FY23 34.6% 50.1% 35.1% 35.3% 34.8% 53.3% 18.6% Cash 19.0% Insurance 19.0% 1The payor profile represents only Inpatient Income (IP) ; Outpatient Income is excluded 23
Slide 24: Yearly Performance
a Rainbow* Children’s Hospital
Slide 25: FY24 - Operational KPIs (1/2)
FY24 - Operational KPIs (1/2) IP Discharges OP Consultations No. of beds^ Deliveries +17% +1% +3% +7% 1,935 87,736 86,864 12,77,087 12,40,569 15,798 14,797 1,655 1,324 1,186 FY24 FY23 FY24 FY23 FY24 FY23 FY24 FY23 Capacity Beds Operational Beds Occupancy$ 14% ARPOB* ALOS# -14% -4% 55.4% 55,853 2.76
Slide 26: FY24 - Operational KPIs (2/2)
FY24 - Operational KPIs (2/2) No. of beds Occupancy ARPOB ALOS +5% +13% -2% -8% 1,102 61.1% 58,413 2.56 2.60 1,052 56.1% 51,763 849 840 Hospitals* Matured Matured FY24 FY23 FY24 FY23 FY24 FY23 FY24 FY23 Capacity Beds Operational Beds +38% No. of beds^ Occupancy ARPOB ALOS 24% 833 -20% -16% 41.6% 48,
Slide 27: FY24 - Financial Performance
FY24 - Financial Performance Revenue (Mn) EBITDA (Mn) 10.5% 8.2% 12,969 4,289 11,736 3,964 28.7% 30.5% 30.9% 34.6% 33.1% 33.8% 30.9% PAT (Mn) 2.8% FY24 FY23 2,183 2,124 FY24 FY23 16.8% 18.1% 16.9% FY24 FY23 XX.X% - Margins 27
Slide 28: FY24 - Payor Profile
FY24 – Payor Profile1 49.4% 47.9% 50.6% FY24 30.5% 30.9% FY23 34.6% 52.1% 35.1% 35.3% 34.8% Cash Insurance 18.6% 19.0% 1The payor profile represents only Inpatient Income (IP) ; Outpatient Income is excluded 28
Slide 29: Consolidated statement of profit and loss
Consolidated statement of profit and loss All numbers in INR mm Q4 FY24 Q4 FY23 YoY Growth Q3 FY24 QoQ Growth FY24 FY23 YoY Growth Income Revenue from operations 3,411.0 3,169.7 7.6% 3,359.6 1.5% 12,969.0 11,735.7 10.5% Other income 127.8 89.0 43.6% 86.1 48.4% 370.6 308.7 20.1% Total income 3,538.8
Slide 30: Key Developments
inbow® hie Children's e BirthRight Hospital ‘a ANBOW HOSPTALS G sis iit th Key Developments . SAL DNS
Slide 31: Key developments - Commencement of new hospital at Sarjapur Road, Bengaluru
Key developments - Commencement of new 90 beds hospital at Sarjapur Road, Bengaluru • Rainbow Children’s Hospital, Sarjapur Road is Rainbow’s 4th pediatric specialty hospital with integrated perinatal care in Bengaluru. • The Sarjapur Road region is an affluent residential and commercial area in Sou
Slide 32: Key developments - Commencement of new hospital at Anna Nagar, Chennai
Key developments - Commencement of new 80 beds hospital at Anna Nagar, Chennai • Rainbow Children’s Hospital, Anna Nagar is Rainbow’s 3rd pediatric specialty hospital with integrated perinatal care in Chennai • Anna Nagar is a well-developed locality in north-west Chennai with an excellent social in
Slide 33: FE Healthcare Awards - 2024
FE Healthcare Awards - 2024 Rainbow bagged 3 awards by the Financial Express, Healthcare award, 2024 • Healthcare Leader of the Year • Best Hospital for Mother & Childcare • Best Hospital for Obstetrics and Gynecology 33
Slide 34: IVF Expansion
IVF Expansion • Rainbow has commenced IVF Services at 8 hospitals during the current Financial year • Rainbow provides IVF services at 11 hospitals currently and plan to add IVF services across existing hospitals and add in new upcoming hospitals • Addition of IVF services will further strengthen th
Slide 35: Expansion Plan & Timelines
Expansion Plan & Timelines Current City / Cluster FY : 24-25 FY : 25-26 FY : 26-27 Total Capacity Hyderabad 940 940 Bengaluru 442 Hennur (~60) 502 Tamil Nadu 270 Coimbatore (~100) 370 Gurugram National Capital Region (NCR)# 24 Sector – 44 (~300) 424 Sector – 56 (~100) Andhra Pradesh 259 Rajahmundry
Slide 36: Shareholding – as on March 31, 2024
Shareholding – as on March 31, 2024 Others 13.2% Institutional Shareholders holding more than 1% as on March 31, 2024 Share Holding Sr. No Name of Shareholder (%) 1 AMANSA HOLDINGS PRIVATE LIMITED 2.92 2 DSP EQUITY & BOND FUND 2.78 FPIs & NRIs Shareholding 3 AXIS MUTUAL FUND TRUSTEE LTD A/C 2.17 24.
Slide 37: Thank You
Thank You “It takes a lot to treat the little” 37
Slide 38: Appendix
A Rainbow* a : Appendix q 38 aT
Slide 39: Pioneering comprehensive pediatric healthcare with robust infrastructure
Pioneering comprehensive pediatric healthcare with robust infrastructure Total No. of Beds 1,935$ Delhi Banjara Hills, 1999 Vikrampuri, 2007 Kondapur, 2013 Hydernagar, 2014 Malviya Nagar2, 2017 Rosewalk, 2019 # 250 # 110 # 50 # 110 # 130 # 24 Hyderabad Andhra Pradesh LB Nagar, 2016 RCHI1, 2019 Finan
Slide 40: Acute Liver failure child saved because of rare liver transplantation
Acute Liver failure child saved because of rare liver transplantation ▪ A 5 years old child was referred to Rainbow banjara hills hospitals for life threatening jaundice and worsening consciousness. ▪ The child was bleeding and suffering from kidney and liver failure ▪ The ICU care team along with a
Slide 41: Complicated Tracheo-Esophageal Fistula (TEF)
Complicated Tracheo-Esophageal Fistula (TEF) • Tracheo Esophageal Fistula (TEF) is an anomaly where there is an abnormal communication between breathing pipe and food pipe. The smaller the baby - more difficult it is to operate. When TEF is accompanied with anomalies like Congenital heart disease it
Slide 42: Annular Pancreas With Duodenal Atresia
Annular Pancreas With Duodenal Atresia “A Masquerader” • Full-term neonate, 2.2 kg , had a suspicion of pyloric stenosis (narrowing of the exit of the stomach) in the antenatal scans. • Ultrasound abdomen performed at outside hospital declared it as normal • Baby initially tolerated feeds, but later
Slide 43: Transcatheter management of Acute pulmonary thromboembolism
Transcatheter management of Acute pulmonary thromboembolism • 14 years old child presented with bleeding disorder along with high grade fever and progressive respiratory distress. • Investigations were suggestive of complete occlusion of left pulmonary artery (LPA) and CT angiogram confirmed Pulmona
Slide 44: LV submitral aneurysm managed by Trans-catheter route
LV submitral aneurysm managed by Trans-catheter route • 16 years old adolescent child from Nairobi Kenya, underwent sternotomy for LV aneurysmal repair at 10 years of age. Now presented with increased precordial activity after a blunt injury while playing football 6 months back • The child needed cl
Slide 45: About Us
About Us Rainbow network comprises of 19 hospitals and 4 clinics in 6 cities, with a total bed capacity of 1,935 beds. For further information please contact Our Pediatric services under “Rainbow Children’s Hospital” includes newborn and pediatric intensive care, pediatric multi-specialty services,
Rainbow Children's Medicare — Q4 FY2024 Earnings Presentation on 6ix