Rainbow Childrens Medicare Limited · NSE:RAINBOW
Rainbow Childrens Medicare — Q3 FY2024 Earnings Presentation
43 slides from Rainbow Childrens Medicare's earnings presentation, Jan 24, 2024
Slide 1: Q3 & 9M FY23-24 Earnings Update
Q3 & 9M FY23-24 EARNINGS UPDATE 24th January, 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, Rainbow Children's Hospital, Banjara Hills, Hyderabad awarded JCI Accreditation • Country’s first standalone fertility center BirthRight Fertility, Kondapur, Hyderabad awarded JCI Accreditation 3
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 Guinness
Slide 5: Company journey and milestones
2018-2023 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 17 Hospitals3 beds3 1,715 Out-patient Out-patient 3 clinics visits1 932k+ In-patient 6 Cities admissions1 65.5k+ 775+ Doctors2 Deliveries 1 11.8k+ Note: 1 Numbers for 9M FY24; 2 Including full time residents and DNB; 3 Rainbow Himayatnagar, Hyderabad (60 beds)
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 ▪ 775+ 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 with synergies
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/ Coordinated handholding for b
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, at the heart of Bengaluru, ensuring convenient access from every part of the city. • Spokes hospitals are situated at areas experiencing rapid growth and development • Strategically positioned to ensure c
Slide 17: Robust governance framework
Robust governance framework High Governance Standard Board of directors Dr. Dinesh Kumar Chirla Whole-time Director Board composition2 Woman Director 14% Dr. Adarsh Kancharla1 Non Executive Director Independent Director 57% Dr. Ramesh Kancharla Chairman & Managing Director MD (Pediatrics) & MBBS (UK
Slide 18: Quarterly Performance
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Slide 19: Q3 FY24 - Operational KPIs (1/2)
Q3 FY24 - Operational KPIs (1/2) No. of beds^ IP Discharges OP Consultations Deliveries +6% +1% +3% +1% 1,655 1,655 22,888 22,665 23,378 3,37,906 4,127 4,019 3,980 1,555 3,17,146 3,15,485 1,290 1,290 1,198 Q3 FY24 Q3 FY23 Q2 FY24 Q3 FY24 Q3 FY23 Q2 FY24 Q3 FY24 Q3 FY23 Q2 FY24 Q3 FY24 Q3 FY23 Q2 FY2
Slide 20: Q3 FY24 - Operational KPIs (2/2)
Q3 FY24 - Operational KPIs (2/2) No. of beds Occupancy ARPOB ALOS 0% +14% -2% -9% 1,052 1,052 1,052 63.3% 58,990 2.54 2.60 2.53 59.9% 56,730 57.6% 51,658 845 840 845 Matured Hospitals* Matured Q3 FY24 Q3 FY23 Q2 FY24 Q3 FY24 Q3 FY23 Q2 FY24 Q3 FY24 Q3 FY23 Q2 FY24 Q3 FY24 Q3 FY23 Q2 FY24 Capacity Be
Slide 21: Q3 FY24 - Financial Performance
Q3 FY24 - Financial Performance Revenue (Mn) EBITDA (Mn) 9.6% 10.6% 3,360 3,327 1,181 1,176 3,064 1,068 30.5% 30.9% 34.6% 35.1% 34.8% 35.3% PAT (Mn) Q3 FY24 Q3 FY23 Q2 FY24 7.4% Q3 FY24 Q3 FY23 Q2 FY24 626 632 582 18.6% 19.0% 19.0% Q3 FY24 Q3 FY23 Q2 FY24 XX.X% - Margins 21
Slide 22: Q3 FY24 – Payor Profile
Q3 FY24 – Payor Profile1 50.4% Q3 FY24 49.6% 30.5% 48.7% 30.9% Q3 FY23 34.6% 51.3% 35.1% 35.3% 34.8% 18.6% Cash 19.0% Insurance 19.0% 1The payor profile represents only Inpatient Income (IP) ; Outpatient Income is excluded 22
Slide 23: YTD Performance
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Slide 24: 9M FY24 - Operational KPIs (1/2)
9M FY24 - Operational KPIs (1/2) IP Discharges OP Consultations No. of beds^ Deliveries +6% +4% +3% +7% 1,655 65,589 63,323 9,32,075 9,07,577 11,806 1,555 11,051 1,290 1,171 9M FY24 9M FY23 9M FY24 9M FY23 9M FY24 9M FY23 9M FY24 9M FY23 Capacity Beds Operational Beds Occupancy$ ARPOB* ALOS# 15% -12
Slide 25: 9M FY24 - Operational KPIs (2/2)
9M FY24 - Operational KPIs (2/2) No. of beds Occupancy ARPOB ALOS 0% +13% -7% -4% 1,052 1,052 59.1% 59,033 2.59 55.1% 2.49 52,061 845 838 Matured Hospitals* Matured 9M FY24 9M FY23 9M FY24 9M FY23 9M FY24 9M FY23 9M FY24 9M FY23 Capacity Beds Operational Beds No. of beds^ Occupancy ARPOB ALOS +20% 2
Slide 26: 9M FY24 - Financial Performance
9M FY24 - Financial Performance Revenue (Mn) EBITDA (Mn) 11.6% 8.4% 9,558 3,233 8,566 2,984 30.5% 30.9% 34.6% 33.8% 34.8% 30.9% PAT (Mn) 9M FY24 9M FY23 5.5% 9M FY24 9M FY23 1,672 1,585 17.5% 18.5% 16.9% 9M FY24 9M FY23 XX.X% - Margins 26
Slide 27: 9M FY24 – Payor Profile
9M FY24 – Payor Profile1 47.0% 49.6% 9M FY24 50.4% 30.5% 30.9% 9M FY23 34.6% 35.1% 35.3% 34.8% 53.0% Cash Insurance 18.6% 19.0% 1The payor profile represents only Inpatient Income (IP) ; Outpatient Income is excluded 27
Slide 28: Consolidated statement of profit and loss
Consolidated statement of profit and loss All numbers in INR mm Q3 FY24 Q3 FY23 YoY Growth Q2 FY24 QoQ Growth 9M FY24 9M FY23 YoY Growth Income Revenue from operations 3,359.58 3,064.04 9.6% 3,326.75 1.0% 9,557.98 8,566.08 11.6% Other income 86.09 83.71 2.8% 78.23 10.0% 242.87 219.67 10.6% Total inc
Slide 29: Key Developments
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Slide 30: Commencement of new 60 beds hospital at Himayatnagar
Key developments - Commencement of new 60 beds hospital at Himayatnagar, Central Hyderabad1 • Central Hyderabad Hospital is Rainbow’s 8th hospital in Hyderabad and is strategically located in the densely populated and commercially important area of central Hyderabad. • Newly commissioned 60 beds hos
Slide 31: Expansion Plan & Timelines
Expansion Plan & Timelines Current City / Cluster FY : 23-24 FY : 24-25 FY : 25-26 FY : 26-27 Total Capacity Hyderabad 8901 Hydernagar (New Block ~50) 940 Bengaluru 352 Sarjapur (~90) Hennur (~60) 502 Tamil Nadu 190 Anna Nagar (~80) Coimbatore (~100) 370 Gurugram National Capital Region 24 Sector –
Slide 32: Shareholding – as on December 31, 2023
Shareholding – as on December 31, 2023 Others 14.0% Institutional Shareholders holding more than 1% as on December 31, 2023 Share Holding Sr. No Name of Shareholder (%) 1 DSP EQUITY & BOND FUND 3.24 2 AMANSA HOLDINGS PRIVATE LIMITED 2.92 FPIs & NRIs Shareholding 3 AXIS MUTUAL FUND TRUSTEE LTD A/C 2.
Slide 33: Thank You
Thank You “It takes a lot to treat the little” 33
Slide 34: Appendix
A Rainbow* a : Appendix q 34 aT
Slide 35: Pioneering comprehensive pediatric healthcare with robust infrastructure
Pioneering comprehensive pediatric healthcare with robust infrastructure Total No. of Beds 1,715$ 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 36: Airlifts toddler with kidney failure from Raipur to Bengaluru
Airlifts toddler with kidney failure from Raipur to Bengaluru A 6 months old baby experienced Diarrhea while the family returned from Canada. Diarrhea worsened the kidney functions. The infant was diagnosed with Haemolytic Uremic Syndrome(HUS), a medical condition presents with high blood pressure a
Slide 37: Airlifts toddler with kidney failure from Raipur to Bengaluru
Airlifts toddler with kidney failure from Raipur to Bengaluru 37
Slide 38: Child With Ruptured Brain Arterio-venous Malformation
Child With Ruptured Brain Arterio-venous Malformation • 10 years old child presented with episode of left side seizures. • The child was diagnosed with Ruptured Right Frontal Arterio- venous Malformation (conglomerate of arteries and veins in brain) • Digital Subtraction Angiography (MRI) revealed c
Slide 39: Child With Ruptured Brain Arterio-venous Malformation
Child With Ruptured Brain Arterio-venous Malformation Intraoperative picture showing Intraoperative Fluorescein Angiography – No residual AVM with Flow 800 images following AVM nidus with dilated vein delayed filling of draining vein excision of AVM 39
Slide 40: Woman who had 9 abortions becomes a Happy Mother
Woman who had 9 abortions, becomes a Happy Mother Patient 32 years visited us, a known case of PCOD, with a history of recurrent pregnancy loss. She had 9 previous abortions in the first trimester due to a unique condition called anti phospholipid antibody syndrome (APLA). This is an unusual conditi
Slide 41: Child with breathing issues recovered with cardiac surgery
Child with breathing issues recovered with cardiac surgery Chest X-Ray @5th admission CT Angina • 4 year old child presented with breathing problems with significant stridor for 2 weeks • Child was admitted multiple times at local hospitals and was referred since symptoms were not improving. • We re
Slide 42: Fructose 1,6 bis phosphate deficiency
Fructose 1,6 bis phosphate deficiency • 3 day old child was admitted with metabolic acidosis hypoglycaemia with high lactate levels. • Diagnosed as Fructose 1,6 bis phosphate deficiency after extensive investigation. • This is a very rare case and usually present when the baby starts on weaning food
Slide 43: About Us
About Us Rainbow network comprises of 171 hospitals and 3 clinics in 6 cities, with a total bed capacity of 1,7151 beds. For further information please contact Our Pediatric services under “Rainbow Children’s Hospital” includes newborn and pediatric intensive care, pediatric multi-specialty services
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