Metropolis Healthcare Ltd. · NSE:METROPOLIS
Metropolis Healthcare — FY2022 Earnings Presentation
68 slides from Metropolis Healthcare's earnings presentation, May 24, 2022
Slide 1: Intimation of Investor Presentation to exchanges
Ref: MHL/Sec&Legal/2022-23/15 Date: May 24, 2022 To, Head, Listing Compliance Department Head, Listing Compliance Department BSE Limited National Stock Exchange of India Limited Phiroze Jeejeebhoy Towers Dalal Street, Exchange Plaza, Plot No. C/1. G Block, Mumbai - 400 001. Bandra -Kurla Complex, Ba
Slide 2: Reaching Out Responsibly - Investor Presentation May 2022
Reaching Out RESPONSIBLY Investor Presentation - May 2022
Slide 3: Safe Harbor
Safe Harbor This presentation and the accompanying slides (the “Presentation”), which have been prepared by Metropolis Healthcare Limited (the “Company”), have been prepared solely for information purposes and do not constitute any offer, recommendation or invitation to purchase or subscribe for any
Slide 4: Q4 & FY22 Performance
Q4 & FY22 Performance...
Slide 5: FY22 Performance Snapshot
FY22 Performance Snapshot Revenue Non-Covid Revenue Rs. 1,228 Crores Rs. 1,036 Crores +23% YoY +35% YoY EBITDA (Before CSR, ESOP & one time acquisition cost) No. of Patients Rs. 362 Crores 13.4 Mn +20% YoY +37% YoY EBITDA Margin No. of Tests (Before CSR, ESOP & one time acquisition cost) 25.7 Mn 29.
Slide 6: Q4FY22 Performance Snapshot
Q4FY22 Performance Snapshot Revenue Non-Covid Revenue Rs. 306 Crores Rs. 268 Crores +5% YoY +7% YoY EBITDA (Before CSR & ESOP) No. of Patients Rs. 83 Crores 3.4 Mn -20% YoY +7% YoY EBITDA Margin No. of Tests (Before CSR & ESOP) 6.6 Mn 27.0% +1% YoY Q4FY22 Key Highlights Blood Tests | Diagnostics | W
Slide 7: Quarterly trend snapshot
Quarterly trend snapshot Non-Covid Revenue +7% 251.0 264.2 259.8 268.0 243.7 Key Highlights ✓ Q4FY22 witnessed a disruption in business Q4FY21 Q1FY22 Q2FY22 Q3FY22 Q4FY22 on account of omicron variant in the month of Covid Revenue Contribution January 2022 Covid Revenues 19% 14% 14% 17% ✓ Non-Covid
Slide 8: Operational metrics – Q4 & FY22
Operational metrics – Q4 & FY22 No. of Patient Visits (In Mn.) Revenue Per Patient (In Rs.) Total Business Non-Covid Business +37% +7% -10% -2% +7% +2% 13.4 3.2 3.4 9.8 1,016 914 920 904 905 965 925 947 FY21 FY22 Q4FY21 Q4FY22 FY21 FY22 Q4FY21 Q4FY22 FY21 FY22 Q4FY21 Q4FY22 No. of Tests (In Mn.) Rev
Slide 9: Strong traction in B2C business (Non-Covid)
Strong traction in B2C business (Non-Covid) Annual Trend B2C Business Revenue (Non-Covid) +49% +12% -11% +18% FY18 FY19 FY20 FY21 FY22 Our B2C business continue to witness robust growth on account of our customer first approach, digital & marketing initiatives Including Hitech Diagnostics from 22nd
Slide 10: Share of B2C Business in Focus Cities at 60% in FY22
Share of B2C Business in Focus Cities (Non-Covid) at 60% in FY22 ✓ Excluding Covid-19 revenues, our B2C contribution B2C Contribution in Focus Cities (Non-Covid Business) (Rs. in Crs.) continues to increase ✓ Our aspirations is to achieve 65% B2C contribution in focused cities in coming years remain
Slide 11: Well diversified test volume and value mix
Well diversified test volume and value mix… FY21 FY22 FY21 FY22 Volume Mix (Total Business) Value Mix (Total Business) 0.9% 1.3% 6% 13% 7% 14% In overall mix, value of 22% 25% specialized mix has reduced 41% 41% due to steep decline in 26% 29% covid test prices YoY 56% 49% 36% 34% Routine Semi-Speci
Slide 12: Diversified Revenue contribution across Geographies
Diversified Revenue contribution across Geographies… FY21 FY22 FY21 FY22 Revenue Mix between Focus, Seeding & Others Cities (Total Business) Revenue Mix between Geographies (Total Business) 10% 6% 8% 19% 20% 4% 24% 28% 59% 21% 60% 20% 58% 54% 5% 5% Focus Seeding Others North South East West Internat
Slide 13: Network Strategy
Network Strategy Laboratory Network - MHL Service Network - MHL Hitech Network Total Network Rationalization ARC Period +509 centers Lab network Service network Third Party PSCs Total 171 Total 3134 + 16 labs Labs Owned PSCs 3,064 30 Labs 30 70 141 2,731 2,555 704 119 124 125 2,336 598 106 498 575 1
Slide 14: Home visits services now covered in 100+ locations
Home visits services now covered in 100+ locations… Home Visits Revenue (Total Business) Home Visits Revenue (Non-Covid Business) Rs. Crs. Rs. Crs. 136 135 +23% 98 31 31 80 +12% 21 24 Q4FY21 Q4FY22 FY21 FY22 Q4FY21 Q4FY22 FY21 FY22 Total home visit revenue flattish on account of sharp drop in covid
Slide 15: Digital engagement driving huge growth in brand equity
Digital engagement driving huge growth in brand equity FY22 Business Impact 173% increase in Faster Growth in digital users YoY Home Visit revenue 151% increase in ~Rs.102 Crs. Revenue in website views YoY FY22 through leads generated via Digital Digital strategy is playing mediums 61% increase in i
Slide 16: Creating a Digital Ecosystem for all stakeholders
Creating a Digital Ecosystem for all stakeholders For our Customers ✓ Improving brand and service discover across all digital platforms like Google search, Social media to reach maximum customers ✓ Providing omni-channel experience to our customers on digital touch points like Website, App, chatbot,
Slide 17: Enhancing patient experience with an automated multi-channel experience
Enhancing patient experience with an automated multi-channel experience Web Mobile App WhatsApp Chat Increased focus on driving enhanced patient experience via technology channels with a target to improve service levels and reduce service costs for Metropolis Experience Automation Experience Enhance
Slide 18: Steady Focus on Balance Sheet continues
Steady Focus on Balance Sheet continues Debtor Days Working Capital Days ✓ We have continued to focus on collection 41 efficiency and improved our Debtor days 31 14 ✓ Working capital days has increased slightly due to increase in inventory & decrease in creditors 4 ✓ Cash & Cash Equivalents dropped
Slide 19: Consolidated Profit & Loss Statement
Consolidated Profit & Loss Statement Profit & Loss Statement (Rs. Crs.) Q4FY22 Q4FY21 Y-o-Y FY22 FY21 Y-o-Y Total Revenue from Operations 305.9 291.7 5% 1228.3 998.0 23% Cost of Raw Material Consumed 71.3 70.2 276.1 252.2 Laboratory Testing Charges 1.4 1.6 6.9 5.4 Employee Expenses 62.6 48.7 227.6 1
Slide 20: Consolidated Balance Sheet
Consolidated Balance Sheet Assets (Rs. Crs.) Mar-22 Mar-21 Equity & Liabilities (Rs. Crs.) Mar-22 Mar-21 Non-current assets 1,137.2 396.0 Equity 888.2 708.1 Property, Plant and Equipment 139.2 115.1 Equity Share capital 10.2 10.2 ROU Assets 355.5 103.1 Other equity 876.0 696.4 Goodwill 454.7 90.3 No
Slide 21: Consolidated Cash Flow
Consolidated Cash Flow Cash Flow Statement (Rs. Crs) FY22 FY21 Profit Before Tax 293.4 244.3 Adjustments for Depreciation and other items 58.8 76.8 Operating profit before working capital changes 352.2 321.2 Changes in working capital -16.4 -15.3 Cash generated from operations 335.8 305.9 Direct tax
Slide 22: Metropolis is well placed
Metropolis is well placed
Slide 23: Doctor recommendation & not price is the key determinant for acute patients
Doctor recommendation & not price is the key determinant for acute patients % of respondents (top 4 criteria) Doc recommendation and not price is Acute Patients are highly influenced by doctors the major determinant of acute uptake 100% 62% 55% 51% 57% 90% Metro Cities 43% 40% 36% 30% 27% 22% 20% 80
Slide 24: Metropolis is well placed
Metropolis is well placed Category Acute Patient Chronic Patient Preventive Customers Doctor Influence Highest Moderate Lowest Price Factor Lowest Moderate Highest Online aggregators Lowest Moderate Highest Impact ✓ Appx. 18% of the volumes at ✓ Appx. 2% of the volumes at ✓ Appx. 80% of the volumes
Slide 25: Mumbai continues to be a key market for us
Mumbai continues to be a key market for us Service Network in Mumbai Mumbai is a key market for Metropolis with strong doctor & customer connect +150 ✓ Centres in Mumbai continue to be highly 491 profitable even after increasing competition in the city in FY22 +59 +18 341 ✓ Expect strong profitabili
Slide 26: Strong Productivity from new centres in focus cities
Strong Productivity from new centres in focus cities Service Network in Focus Cities Strong expansion plan across focus cities ✓ Focus cities for Metropolis include Mumbai, +419 Pune, Chennai, Bengaluru & Surat 1,075 ✓ Productivity for new centers in its first 12 months continue to increase in most
Slide 27: Way forward
Way forward...
Slide 28: Way Forward
Way Forward… Added 16 labs & 509 network centers in FY22 of planned addition of 90 labs and 1,800 Network Expansion network centers by FY24 to strengthen our leadership position in existing geographies and build Metropolis brand in new geographies Added 100+ locations for home testing in FY22. Will
Slide 29: Network Expansion Plan – 90:30 Project
1. Network Expansion Plan – 90:30 Project* Metropolis Network Expansion Plan Laboratory Network Service Network +72% +70% 215 4,355 90 1,800 125 2,555 FY21 Addition FY24E FY21 Addition FY24E over 3 years over 3 years ✓ Expand to existing & newer locations – Aim to expand the service network to exist
Slide 30: Driving growth via digitally driven, asset-light home-visit segment
2. Driving growth via digitally driven, asset-light home-visit segment Digital demand generation Asset Light Rapid scale up via technology drive processes + 3rd party network Integrated CRM to Captured via provide omni- Metropolis website Capturing Changing Demand channel support and app 1 Covid has
Slide 31: Deepening our digital touch points, capability throughout our value chain
3. Deepening our digital touch points, capability throughout our value chain Digitally engaging Scaling up Digitizing distribution & logistics: Digital Customer Engagement: customers and operational Launched Unified Patient Launching an end-to-end online partners capabilities Information System lead
Slide 32: Levers for Margin Improvement & Cost Efficiencies
4. Levers for Margin Improvement & Cost Efficiencies Increased Utilization and Product Mix Higher utilization of Labs and increase in patient visits coupled with superior product mix 01 Increased Home Visits Cost Efficiency Initiatives Increase Home Visits revenue with focused Encouraging innovation
Slide 33: Hitech Integration
5. Hitech Integration Hitech Diagnostic Centre Revenue strategy to aid double digit growth Revenue Rs. (In Crs.) ✓ Dual brand strategy in Chennai while single brand in rest of Covid Non-Covid TN & Karnataka. Plan to launch 100 centers in FY23 +15% 124 123 ✓ Increasing contribution of speciality test
Slide 34: Overview
Overview
Slide 35: We are Metropolis: The Pathology Specialist
We are Metropolis: The Pathology Specialist To be a respected healthcare brand trusted by clinicians, patients and stakeholders. Positively impact lives of patients Vision in their most anxious times and turn their anxiety in to assurance. Helping people stay healthy, by accurately revealing their 4
Slide 36: Journey to Leadership Position
Journey to Leadership Position ✓ First Referral Laboratory Set- ✓ Ameera Shah takes charge ✓ Secondary transaction by ✓ Exit of Warburg Pincus, ✓ Strong Thrust on Retail up by Founder & Chairman Dr. Foxcreek Investment Limited management control by frontend Expansion ✓ First major acquisition - Sush
Slide 37: Three decades of Delivering Value to Stakeholders
Three decades of Delivering Value to Stakeholders Leadership Position Across Industry METROPOLIS Focus Area ACCREDITATION CUSTOMER & QUALITY EXPERIENCE ROCE SPECIALITY SCORES SCORE BUSINESS INCREASED INFRASTRUCTURE PRODUCTIVITY REVENUE PER REALISATION PER TEST MENU OF YOUNG PATIENT PATIENT NETWORK 3
Slide 38: Key Drivers for Growth
Key Drivers for Growth 01 Industry Growth 05 Expansion Plan 02 Value Chain 06 Quality 03 Business Model 07 People 04 Service Network 08 Digital Transformation 37
Slide 39: Diagnostic Industry Poised to grow
1a. Diagnostic Industry Poised to grow… Indian Healthcare Industry Size of Indian Diagnostics Market Indian Diagnostics Industry Breakup Source – IIFL Diagnostics Report (in Billion Rs.) 6.0% +11.6% 924 9.0% 4.0% Healthcare Delivery - Hospitals 776 42% Pharma Pathology +16.4% 596 13.0% Medical Devic
Slide 40: Top players to continue to acquire market share of standalone centers
1b. Top players to continue to acquire market share of standalone centers Brand Awareness Increased brand awareness amongst patients and customers towards quality, reliability and test accuracy Service + Scale Large Test menu Large Test menu by organized diagnostics chains Factors leading Consolidat
Slide 41: Presence in key pockets of Value Chain
2.Presence in key pockets of Value Chain Diagnostic Industry - Fragmented Routine Test Metropolis Focus Highly Fragmented Market Low Quality Standard Majority Diagnostic Players Technician + Run Lab Low on Technical Qualifications & Moderate Competition Presence across Accreditations (99.9% labs rem
Slide 42: Hub & Spoke Model to scale efficiently
3. Hub & Spoke Model to scale efficiently Home Collection Global Reference Lab (GRL) Individual Patient (B2C) Wholesale (B2B) RRL / Satellite Lab Express Lab Third Party Lab / Hospitals / ARCs Collection Patient Centres Patient Leverage Widespread Delivery to our Enhances Collection of Greater netwo
Slide 43: Patient Centric Network
4.Patient Centric Network Global and More than ~4,000 Present in 19 States 40+ Years National Over 10,000 Patient Test’s & Profiles & 210 cities Quality Touch Points of Credible Operations Accreditations Why Metropolis ? Collection ✓ Conclusive Diagnosis with Large Centres Pics test Menu backed by H
Slide 44: Asset Lite Expansion Plan
5. Asset Lite Expansion Plan Asset Light Model Network Expansion Strategy Doctor APSC/ Lab on ✓ Focus on Asset Light Model to achieve Geographic Expansion with Bleeding DAPSC Lease High Scalability Point (DBP) ✓ The A-PSC and D-APSC Model allows us to grow our revenues by providing management and br
Slide 45: Quality in Core
6a. Quality in Core Quality Scores of 98.5% in 2018-19 by College Quality protocols following global standards of American Pathology 99.9% of industry labs remain un-accredited with lack of minimum standards in the industry Large Investments in Focus on Governance Information and rigorous audit Tech
Slide 46: Globally Compliant Quality Standards
6b. Globally Compliant Quality Standards “Global Lab Accreditations” No. of Audits Conducted by PAC Team FY 18-19 19-20 20-21 21-22 1312 1,057 583 988 ✓ PAC Team: Special Pre Analytical Care Team constituted as part of the Quality Assurance Team ✓ This team conducts thorough internal audits as per N
Slide 47: People are our greatest asset
7. People are our greatest asset Leadership Team Investment in future leaders aligned to vision of the company. across levels and ahead of time. 2. Decision making Business models at par with changes 1. Leadership and Strengthening Structures to in the fields of Technology & structure support object
Slide 48: Leveraging IT for Competitive Advantage
8. Leveraging IT for Competitive Advantage 1 2 3 4 Improving Business revenue Improved Operational Improve Customer Cost Saving & Optimization generation capabilities Efficiency Experience ✓ Zero Data Loss; 100% data ✓ IBM Watson Campaign Automation replication in remote location ✓ Mobility Applicat
Slide 49: Digital Transformation to improve efficiency
8a. Digital Transformation to improve efficiency 1 Standardization Achieve standardization across 2 Reduced Errors Reduce incidence of errors due to human intervention our operations Patients & Customers 3 Technical Operations Provide convenience to our 5 Monitor Technical Operations patients and cu
Slide 50: Future Strategy
Future Strategy 01 Increase Services 02 Increase Scale 49
Slide 51: Customer Centricity: In everything we do
Customer Centricity: In everything we do 01 02 03 04 Easy to Interpret Test Sample Collection from Conclusive Diagnosis Digital Access Report Doorstep We also have a policy of ensuring We have developed a Mobile Conclusive Diagnosis to our Application We offer our patients a Detailed We have increas
Slide 52: Sustainable Growth across Network
Sustainable Growth across Network Network of 210 Cities Criteria Strategy % of Revenue for FY22 (Total Business) ✓ Increasing productivity of Collection Centers ✓ Enhancing our Laboratory Capacity and Test Menu by adding Latest Machines and Technology ✓ High Potential Market Focus Cities ✓ Expanding
Slide 53: Increase B2C sales mix
Focus on Profitable B2C Business Increase B2C sales mix Deeper Network Strengthen Productivity of Wellness initiatives Penetration Metropolis Brand existing young network for consumers Deeper centre penetration Expand Branded third- Increase number of referring Creating an easy and engaging in Focus
Slide 54: Growing Inorganically – A Win-Win Strategy
Growing Inorganically– A Win-Win Strategy Build Industry Best practices Introducing Standardized Machines and SOPs in a phased manner resulting in efficiency and quality enhancement Access to Metropolis Network Providing acquired entities access to Metropolis Sales and Marketing Network to improve t
Slide 55: Successful Track Record of Inorganic Strategy: 24 Acquisitions in 18 years
Successful Track Record of Inorganic Strategy : 24 Acquisitions in 18 years Revenue at the time of Few of the Acquired Companies Year of Acquisition Location Revenue for FY22 acquisition Sudharma Metropolis Health Services 2003 Kerala Rs. 1.8 Crores Rs. 58.9 Crores Private Limited Golwilkar Metropol
Slide 56: Plenty of Opportunities for Growth
Plenty of Opportunities for Growth… Growing our offering of Test Packages to Increase Revenue Test Packages Metrics. Customized packages to Institutional Customers Expansion and Personalized Packages to Individual Patients are key Leverage our vast capabilities in Molecular Diagnostics, Aggressive N
Slide 57: CSR Activities
CSR Activities MEDENGAGE HEALTHCARE HEROES – 2nd Edition Metropolis awarded 122 Scholarships to Medical Students in FY21-22 worth 90+ Lakhs Healthcare Heroes – 2nd Edition: The Healthcare under its flagship initiative MEDENGAGE. Over 1500 students applied for MedEngage Heroes 2nd Edition was launche
Slide 58: Historical Financial & Operational Performance
Historical Financial & Operational Performance
Slide 59: Better than industry growth
Better than industry growth Revenue (In Rs. Crs.) Bolstering Growth in Wellness Segment Metropolis Wellness revenue contribution for 1,229 Metropolis is 7% in FY22 +18% 998 856 760 644 This market is expected to grow at a CAGR of 20% over next 3 financial years (Frost & Sullivan) FY18 FY19 FY20 FY21
Slide 60: Well growing B2C Mix
Well growing B2C Mix Retail contribution in Focus Cities (Non-Covid) to Total Revenue 58% 60% 56% 52% 48% Efforts to increase the Retail share in focus cities to 65% FY18 FY19 FY20 FY21 FY22 Chart shows B2C contribution over the years in focus cities; Mumbai, Chennai, Bangalore, Surat and Pune B2C c
Slide 61: Financial Highlights
Financial Highlights Revenue (In Rs. Crs.) Normalized EBITDA (In Rs. Crs.) Normalized EBITDA (%) +17% 1,228 362 998 +20% 301 30.2% 856 29.4% 760 27.3% 27.3% 232 207 FY19 FY20 FY21 FY22 FY19 FY20 FY21 FY22 FY19 FY20 FY21 FY22 Reported PAT (In Rs. Crs.) ROCE (%)* ROE (%)* +20.2% 215 43.1% 29.4% 183 38
Slide 62: Consolidated Profit & Loss Statement
Consolidated Profit & Loss Statement Profit & Loss (Rs. Crs.) FY22 FY21 FY20 FY19 FY18 Revenue from Operations 1,228.3 997.8 855.5 760.1 643.6 Cost of Material Consumed 276.1 252.2 204.1 173.5 145.9 Laboratory testing charges 6.9 5.4 6.9 5.6 5.7 Gross Profit 945.3 740.1 644.5 581.0 492.0 Gross Profi
Slide 63: Consolidated Balance Sheet
Consolidated Balance Sheet Assets (Rs. Crs.) Mar-22 Mar-21 Mar-20 Mar-19 Mar-18 Equity & Liabilities (Rs. Crs.) Mar-22 Mar-21 Mar-20 Mar-19 Mar-18 Non-current assets 1,137.2 396.0 355.2 247.9 230.1 Equity 888.2 708.1 525.2 420.0 429.1 Property, Plant and Equipment 139.2 115.1 121.2 116.7 112.3 Equit
Slide 64: Board of Directors and Management Team
Board of Directors and Management Team
Slide 65: Board of Directors
Board of Directors Dr. Sushil Kanubhai Shah Ameera Sushil Shah Chairman & Executive Director Managing Director Holds a bachelor’s degree in Medicine and Surgery and Holds a bachelor’s degree in Business Administration a degree of Doctor of Medicine in Pathology and from the University of Texas and a
Slide 66: Management Team
Management Team Vijender Singh Dr. Nilesh Shah Chief Executive Officer President and Chief of Science & Innovation Holds a bachelor’s degree in Science from Kurukshetra Holds a master’s degree in Engineering from University of University and completed an Executive Education Mumbai and a Diploma in M
Slide 67: Recent Awards and Accolades
Recent Awards and Accolades Period Particulars Metropolis bagged the award for Innovation in Patient Centricity and Advocacy at the Patient First Summit 2022., hosted by May 2022 IHW (India Health & Wellness Council) for introducing the holistic comprehensive package ‘PREGASCREEN’ Metropolis awarded
Slide 68: For further information, please contact
For further information, please contact: Company : Investor Relations Advisors : Metropolis Healthcare Ltd. Strategic Growth Advisors Pvt. Ltd. CIN – L73100MH2000PLC192798 CIN - U74140MH2010PTC204285 Mr. Rakesh Agarwal - CFO Mr. Shogun Jain / Mr. Shrenik Shah Email Id – rakesh.agarwal@metropolisindi