Rainbow Childrens Medicare Limited · NSE:RAINBOW
Rainbow Childrens Medicare — Q4 FY2023 Earnings Presentation
38 slides from Rainbow Childrens Medicare's earnings presentation, May 14, 2023
Slide 1: Stock exchange filing cover letter
May 14, 2023 National Stock Exchange of India Limited BSE Limited Exchange Plaza, Plot No. C/1, G Block, Corporate Relationship Department, Bandra Kurla Complex, Bandra (E), Phiroze Jeejeebhoy Towers, Mumbai – 400 051. Dalal Street, Mumbai – 400 001. Symbol: RAINBOW Scrip Code: 543524 Sub: Earnings
Slide 2: Q4 & FY22-23 Earnings Update
Q4 & FY22-23 EARNINGS UPDATE 14th May 2023
Slide 3: Disclaimer
Disclaimer Certain statements in this presentation could be forward-looking in nature. Such forward-looking statements remain subject to certain risks and uncertainties like government actions, political or economic developments, technological risks, and certain other factors which cannot be quantif
Slide 4: Footprint of Rainbow Hospital
Footprint of Rainbow Hospital Outpatient 16 Hospitals clinics 3 Delhi 6 Cities Capacity beds 1,655 Outpatient In-patient 1,240k+ visits1 admissions1 86k+ Hyderabad Vishakhapatnam Vijayawada 14.7k+ Deliveries 1 Bengaluru Doctors2 730+ Chennai Note: 1 Numbers for FY23; 2 Including full time residents
Slide 5: An insight into the Rainbow approach
An insight into the Rainbow approach 4
Slide 6: Dr. Ramesh Kancharla - Pediatric Healthcare Visionary
Dr. Ramesh Kancharla - Pediatric Healthcare Visionary Chairman & Managing Director Dr. Ramesh comes from an agricultural background from a tiny village in southern part of India where the accessibility to healthcare was vey poor. This motivated Dr. Ramesh to pursue medical education Garnered rich ex
Slide 7: A novel approach in pediatrics healthcare services
A novel approach in pediatrics healthcare services UNIQUE OPERATING MODEL Focused child Unique doctor Hub and Spoke Multi-disciplinary centric healthcare engagement model for wider city approach network model coverage Widest Suite of Pediatric Collaborative team and perinatal care Full-time, 24X7 co
Slide 8: Ability to conceptualize, create and operate specialized children's hospitals
Ability to conceptualize, create and operate specialized children’s hospitals Children centric hospitals Children centric Allocation of significant environment and portion of capex soothing interiors help towards interiors of in children to recover hospitals for creating faster congenial environment
Slide 9: Doctor engagement model fostering loyalty and sustainability
Doctor engagement model fostering loyalty and sustainability with an institution-first approach ▪ 730+ full time doctors ▪ Recognised as MRCPCH Examination Centre ▪ A number of doctors trained or possess ▪ Recognised as training center1 by National Board of qualifications from the UK, USA, Canada, E
Slide 10: 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 and Quaternary ◼ Pediatric outpatients ◼ Care of preterm babies with low/extremely care ◼ Immunizations low birth weight ◼ Pediatric
Slide 11: 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 speciality cover with level 4 NICU care Accessibility/Nativity/Comfort/Knows the Coordinated handhold
Slide 12: Hub and spoke approach to optimise delivery of patient care services
Hub and spoke approach to optimise delivery of patientcare services at scale City level hub and spoke model Regional level “South Connect” model Typically 50- 4-5 spokes 100 beds around a hub Typically 150- Regional spokes at 200-250 kms from city hubs 250 beds Vishakhapatnam Regional spokes to prov
Slide 13: Robust governance framework
Robust governance framework High Governance Standard Board of directors Board composition Dr. Dinesh Kumar Chirla Whole-time Director Woman Director 17% Independent Director 67% Dr. Ramesh Kancharla Mr. Aluri Srinivasa Rao Chairman & Managing Director MD (Pediatrics) & MBBS (UK) Independent Director
Slide 14: Quarterly Performance
Quarterly Performance 13
Slide 15: Operational KPIs (1/2)
Operational KPIs (1/2) No. of beds^ IP Volume OP Volume 1,655 1,555 23,541 22,665 3,32,992 3,15,482 1,500 1,232 1,150 1,198 2,24,286 15,006 Q4 FY23 Q4 FY22 Q3 FY23 Q4 FY23 Q4 FY22 Q3 FY23 Q4 FY23 Q4 FY22 Q3 FY23 Capacity Beds Operational Beds Delivery volume in Q4 FY23 : 3,746. Delivery volume in Q4
Slide 16: Operational KPIs (2/2)
Operational KPIs (2/2) No. of beds^ ARPOB (INR per day) ALOS (# days) 2.65 2.60 Hospitals* 52,007 2.57 Matured 48,225 48,911 1,052 1,052 1,052 845 837 840 Q4 FY23 Q4 FY22 Q3 FY23 Q4 FY23 Q4 FY22 Q3 FY23 Q4 FY23 Q4 FY22 Q3 FY23 Capacity Beds Operational Beds Occupancy in Q4 FY23 : 67.18% Occupancy in
Slide 17: Financial Performance
Financial Performance Revenue (INR mn) EBITDA (INR mn) 3,170 3,064 30.92% 22.66% 34.84% 2,124 980 1,068 481 Q4 FY23 Q4 FY22 Q3 FY23 Q4 FY23 Q4 FY22 Q3 FY23 PAT (INR mn) 16.99% 5.77% 19.01% 539 582 123 Q4 FY23 Q4 FY22 Q3 FY23 COVID vaccine revenue in Q4 FY22 is Rs. 40 Mn x.x% margin % 16
Slide 18: Restated consolidated statement of profit and loss
Restated consolidated statement of profit and loss All numbers in INR mm Q4 FY23 Q4 FY22 YoY Growth Q3 FY23 QoQ Growth FY23 FY22 YoY Growth Income Revenue from operations 3,169.66 2,124.47 49.20% 3,064.04 3.45% 11,735.74 9,737.58 20.52% Other income 88.98 61.86 43.84% 83.71 6.30% 308.65 189.37 62.99
Slide 19: Annual Performance
: Rainbow* 2 : Children’s ; @ BirthRight p Hospital| emwersxmas lero teste he, \ Annual Performance ie 18
Slide 20: Operational KPIs (1/2)
Operational KPIs (1/2) No. of beds^ IP Volume OP Volume 1,655 86,864 12,40,569 1,500 1,186 66,082 1,147 8,40,000 FY23 FY22 FY23 FY22 FY23 FY22 Capacity Beds Operational Beds Delivery volume in FY23: 14,797. Delivery volume in FY22 : 12,603. Occupancy % ARPOB$ (INR per day) ALOS (# days) 55.40% 48,93
Slide 21: Operational KPIs (2/2)
Operational KPIs (2/2) No. of beds^ ARPOB$ (INR per day) ALOS (# days) 2.60 2.66 Hospitals* 51,606 Matured 48,904 1,052 1,052 840 834 FY23 FY22 FY23 FY22 FY23 FY22 Capacity Beds Operational Beds Occupancy in FY23 : 61.09% Occupancy in FY22: 48.33%. No. of beds^ ARPOB$ (INR per day) ALOS (# days) 54,
Slide 22: Financial Performance
Financial Performance Revenue (INR mn) EBITDA (INR mn) 33.78% 31.31% 11,736 9,738 3,964 3,049 FY23 FY22 FY23 FY22 PAT (INR mn) ROCE, ROE (%) 18.10% 14.24% 26.4% 25.4% 24.6% 23.0% 2,124 1,387 FY23 FY22 FY23 FY22 ROCE ROE Revenues from covid vaccine in FY22 was at Rs. 960 mn. x.x% margin % 21
Slide 23: Key Developments
Rainbow" Childre e all Hospital” Oe ioe
Slide 24: Key developments
Key developments • Mr. Sanjeev Sukumaran has over 25 years of experience in the areas of strategic management, business advisory, sales and marketing, business development and client relationship management across a range of sectors, including healthcare, life sciences, financial services, software
Slide 25: Key developments
Key developments • The new 100 beds hospitals at Financial district, Hyderabad and 55 beds hospital at Sholinganallur (OMR), Chennai have witnessed good traction. The trajectory of operations is as per our expectations • Project work for new spoke hospitals at Central Hyderabad (~60 beds), Anna Naga
Slide 26: Key Market Statistics
Key Market Statistics Others 16.47% Dividend per Share (INR) 3 Promoter and Promoter Shareholding Group 2 2 FPIs & NRIs Pattern 49.83% 20.38% FY21 FY22 FY23 MFs & AIFs 13.32% 500 Dec’ 22 99.7 Track record of consistently paying dividends 25
Slide 27: Thank You
Thank You “It takes a lot to treat the little” 26
Slide 28: Appendix
gainbow Childre e saci Hospital | er
Slide 29: Pioneering comprehensive paediatric healthcare with robust infrastructure
Pioneering comprehensive paediatric healthcare with robust infrastructure Hyderabad Delhi Banjara hills, 1999 Vikrampuri, 2007 Hydernagar, 2014 Malviya Nagar2, 2017 Rosewalk, 2019 # 250 # 110 # 110 # 130 # 24 Total No. of Andhra Pradesh Beds LB Nagar, 2016 Kondapur, 2013 RCHI1, 2019 FD, 2023 Visakha
Slide 30: CNBC - Walk The Talk with Dr Ramesh Kancharla
CNBC - Walk The Talk with Dr Ramesh Kancharla 29
Slide 31: 1st renal transplant at Guindy, Chennai
1st renal transplant at Guindy, Chennai • Guindy hospital performed its first renal transplantation • Mother was the donor. Her kidney was removed laparoscopically and transplanted to the child • Being pediatric and ABO incompatible the procedure was tricky, but the patient has done well and has nor
Slide 32: Osteogenesis Imperfecta- Banjara Hills, Hyderabad
Osteogenesis Imperfecta- Banjara Hills, Hyderabad • A 5 and half year, old girl from Yemen diagnosed with Osteogenesis Imperfecta with complaint of repeated fracture of her long bones since birth which healed with deformities • Child was unable to stand on her feet and always had to be carried in a
Slide 33: Kidney transplant patient- Banjara Hills, Hyderabad
Kidney transplant patient- Banjara Hills, Hyderabad • 11 year old girl with history of swelling all over the body and breathing difficulty • Investigations revealed -End stage renal disease. During hospital stay she had refractory seizures and developed severe bronchopneumonia • She was put on venti
Slide 34: First water birthing at Birthright by Rainbow Hospitals
First water birthing done at birthright by Rainbow Hospitals - BG Road, Bengaluru • Mother was submerged in water when she started having labor pain • Within 1½ hours she successfully delivered a baby boy under water with less pain • Doctors did not cut the perineum, and the baby came out on its own
Slide 35: Intravitreal antifungal injections - Guindy, Chennai
Intravitreal antifungal injections – “a boon in saving sight” –Guindy, Chennai • Neonate with disseminated fungal infection and bilateral endogenous endophthalmitis was managed successfully with systemic antifungals and intensive intravitreal antifungal therapy • Had negative fungal blood culture (H
Slide 36: Quarterly Revenue Contribution
Quarterly Revenue Contribution 6,500.5 Mn 9,737.6 Mn 11,735.7 Mn 27% 27% 27% 27% 26% 26% 26% 25% 25% 22% 22% 20% Q1 Q2 Q3 Q4 FY21 FY22 FY23 As per internal monthly MIS for FY21 sum of quarters may not total upto 100% due to rounding off 35
Slide 37: Quarterly EBITDA margins trends
Quarterly EBITDA margins trends 36% 35% 35% 35% 34% 31% 32% 31% 28% 23% Q1 21% 20% Q2 Q3 Q4 FY21 FY22 FY23 As per internal monthly MIS for FY21 36
Slide 38: About Us
About Us Rainbow network comprises of 16 hospitals and 3 clinics in 6 cities, with a total bed capacity of 1,655 beds. For further information please contact: Our Pediatric services under “Rainbow Children’s Hospital” includes newborn and pediatric intensive care, R. Gowrisankar pediatric multi-spec
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