Aster Dm Healthcare Ltd. · NSE:ASTERDM
Aster Dm Healthcare — FY2024 Earnings Presentation
41 slides from Aster Dm Healthcare's earnings presentation, May 28, 2024
Slide 1: Exchange filing cover letter
May 28, 2024 The Secretary The Manager, Listing Department, Listing Department, BSE Limited, The National Stock Exchange of India Ltd 1st Floor, Phiroze Jeejeebhoy Towers Exchange Plaza, C-1, Block G Dalal Street, Mumbai 400001 Bandra Kurla Complex Scrip Code: 540975 Bandra (East), Mumbai 400051 Scr
Slide 2: Earnings Presentation
Earnings Presentation For the quarter and year ending March 31, 2024
Slide 3: Disclaimer
Disclaimer • This presentation has been prepared by Aster DM Healthcare Limited (the "Company"), content of which was compiled from sources believed to be reliable for informational purposes only and are based on information regarding the Company and the economic, regulatory, market and other condit
Slide 4: Successful Segregation of India and GCC business
Successful Segregation of India and GCC business Transaction Overview : § Concluded the separation of its India and GCC businesses, pursuant to which Affinity Holdings Limited (a wholly subsidiary of the Company) received a cash consideration of USD 907.6 Mn. § Under the separation plan, a consortiu
Slide 5: FY 2024 Performance Summary- Aster India
FY 2024 Performance Summary- Aster India Revenue Operating EBITDA1 PBT Adj. PAT2 PAT3 (Post-NCI) (Post-NCI) Financial FY24 : INR 3,699 cr FY24 : INR 620 cr FY24 : INR 281 cr FY24 : INR 240 cr FY24 : INR 188 cr 24% 30% 34% 63% 28% FY23 : INR 2,983 cr FY23 : INR 477 cr FY23 : INR 210 cr FY23 : INR 147
Slide 6: FY 2024 Performance Summary – Aster India
FY 2024 Performance Summary – Aster India § Core hospital business delivered Operating EBITDA margin of ~20% in FY24. § Matured hospital Op. EBITDA margins at 22.4% in FY24 (21.1% in FY23) and ROCE at 32.0% in FY24 (24.7% in FY23) § International business grew by 44% yoy to INR 188 crore in FY24 v/s
Slide 7: Company Overview
Company Overview
Slide 8: Aster India at a Glance
Aster India at a Glance Our Presence/Strength1 15 cities and 192 4,867 5 states Hospitals capacity beds 13 232 215 Clinics Labs and PECs Pharmacies3 Operational metrics (FY24) Karnataka & Maharashtra 68% 3.4 days INR 40,100+ Karnataka Hospital: 4, Beds: 1193 Occupancy ALOS ARPOB Maharashtra Hospital
Slide 9: Our Vision and Core Values
Our Vision and Core Values Excellence Respect “Surpassing current benchmarks constantly by continually “Treating people with utmost dignity, valuing challenging its ability and skills their culture contributions and fostering a Our Promise to take the organisation to culture that allows each individ
Slide 10: Aster India Revenue and EBITDA Snapshot – FY24
9 Aster India Revenue and EBITDA Snapshot – FY24 Revenue from Operations1 Operating EBITDA and Margin1,2,3 EBITDA and Margin1 Q4 Full Year Q4 Full Year Q4 Full Year 3699 % 620 588 24 2983 3 0% 16.8% % 15.9% 477 30 453 16.0% 15.2% 804 978 135 167 127 162 FY23 FY24 FY23 FY24 FY23 FY24 Notes: 1. Revenu
Slide 11: Aster India Profitability and ROCE Snapshot – FY24
Aster India Profitability and ROCE Snapshot – FY24 10 Adjusted PAT and Margin1 PAT and Margin2 ROCE3 Q4 Full Year (Post NCI) Q4 Full Year (Post NCI) 240 6.5% 188 % 16.4% % 63 5.1% s 28 bp 147 0+ 30 147 13.4% 4.9% 4.9% 87 48 48 35 FY23 FY24 FY23 FY24 FY23 FY24 1. Adjusted PAT excludes a one-time impa
Slide 12: Aster India Hospital and other New Business Performance – FY 2024
Aster India Hospital and other New Business Performance – FY 2024 ( % of Revenue Revenue Operating EBITDA(5) Hospitals and Clinics INR 3,519 Cr INR 688 Cr 92% 23% ~20% Core established business YoY Revenue Growth Margins 19 hospitals(1) 13 clinics 4,867 capacity beds Labs and Pharmacies INR 286 Cr I
Slide 13: Core Business Performance- Hospitals and Clinics
Core Business Performance- Hospitals and Clinics
Slide 14: Aster India - Hospital Financial Trends
Aster India - Hospital Financial Trends Hospital Revenue Hospital Operating Hospital EBITDA EBITDA and Margin and Margin 1 (In INR Cr) (In INR Cr) 3,519 11% 13% 12% 17% 19% 20% Margin R : 22% 688 Year CAG 2,851 5 : 37% 538 2,343 R r CAG 5 Yea 407 1,631 1,647 1,307 212 201 143 FY19 FY20 FY21 FY22 FY2
Slide 15: Aster India - Operational Trend
Aster India - Operational Trend No. of Hospitals No. of capacity beds Total patient volumes (In Mn) 4,867 3.3 19 4,317 2.9 17 3,757 3,905 3,693 3,460 14 14 2.2 2.2 13 12 1.8 1.5 FY19 FY20 FY21 FY22 FY23 FY24 FY19 FY20 FY21 FY22 FY23 FY24 FY19 FY20 FY21* FY22 FY23 FY24 Occupancy1 ARPOB ALOS (In %) (I
Slide 16: Aster India - Revenue Mix
Aster India - Revenue Mix Geographical Revenue Mix1 (FY24) Specialty-wise Revenue Mix (FY24) Andhra & Telangana 12% Multi Speciality, 18% Cardiac Sciences , 14% Kerala 57% OP Pharmacy, Neuro Sciences, 11% Karnataka & Anaestheolgy, 12% Maharashtra 31% Child and Adolscent Health, 6% Gastroenterology a
Slide 17: Aster India - Maturity Wise Hospital Performance – FY24
16 Aster India - Maturity Wise Hospital Performance – FY24 Key Performance indicators Operational Revenue3,5 Operating Maturity Hospitals Beds Operating (INR in Crs.) ARPOBD Occupancy EBITDA3,5,7 ROCE8 (Census)6 EBITDA % (INR Crs.) Over 6 77% 72% 10 2,541 ₹ 41,700 68% ₹ 600 22.4% 32% ₹2,683 Years 3-
Slide 18: Aster India Hospitals: Pipeline Projects
17 Aster India Hospitals: Pipeline Projects Addition of ~1700 beds, bringing the total bed capacity to 6,500+ by FY27 6,544 454 350 100 264 75 159 75 100 FY27 : 904 beds 4,867 100 FY26 : 339 beds FY25 : 434 beds Aster Aster Aster Aster Aster Aster Aster Aster Aster FY24 Medcity* MIMS Whitefield Rame
Slide 19: Our Strategy
Our Strategy Capital Investment Substantial brownfield and greenfield investments in pipeline to drive occupancy rates across clusters Cost Improvement Initiatives To help improve EBITDA Margins Improving Specialty Mix Focusing more on niche specialties to drive better ARPOB Optimizing Returns Asset
Slide 20: Aster India Financial Summary- Profitability Statement
Aster India Financial Summary- Profitability Statement Particulars Q4 FY24 Q4 FY23 YoY % FY 2024 FY 2023 YoY % Ind AS Impact on EBITDA and PAT Revenue from Operations 978 804 22% 3,699 2,983 24% Material Cost2 232 206 916 779 INDAS Impact Q4 FY24 Q4 FY23 FY 2024 FY 2023 Doctors Cost 220 182 816 647
Slide 21: Aster India Financial Summary – Balance Sheet and Ratios
20 Aster India Financial Summary – Balance Sheet and Ratios Particulars (INR Cr) As at Mar 31, 2024 As at Mar 31, 2023 LIABILITIES Shareholder’s Equity 500 500 Minority Interest 158 157 Other Reserves 897 719 Land Revaluation Reserve 460 460 Gross Debt 669 597 Lease Liabilities - INDAS116 714 533 Ot
Slide 22: Cluster Performance
Cluster Performance
Slide 23: Kerala Cluster: Hospitals and Bed Capacity
Kerala Cluster: Hospitals and Bed Capacity Revenue Contribution1 57% Aster Medcity MIMS Calicut MIMS Kottakkal Kochi, Kerala Kozhikode, Kerala Kottakkal, Kerala 2014, Owned 2013, Owned 2013, Owned CB: 760 OB: 626 CB: 696 OB: 463 CB:340 OB:263 MIMS Kannur Aster PMF Aster Mother Hospital Kannur, Keral
Slide 24: Kerala Cluster - Performance
Kerala Cluster - Performance Revenue (In INR Crs) 518 2,007 454 % 14 1,691 Operational Metrics Q4 FY24 Q4 FY23 1,318 875 935 ARPOBD (INR) 39,800 36,100 701 Q4 FY24 Occupancy 77% 80% In-Patient Visits 39,490+ 35,470+ Q4FY23 Q4FY24 FY19 FY20 FY21 FY22 FY23 FY24 Out-patient Visits (mn) ~0.52 ~0.47 Oper
Slide 25: Karnataka & Maharashtra Cluster : Hospitals and Bed Capacity
Karnataka & Maharashtra Cluster : Hospitals and Bed Capacity Revenue Contribution1 31% Aster CMI Aster Whitefield Aster RV Bengaluru, Karnataka Bengaluru, Karnataka Bengaluru, Karnataka 2014, O&M 2021, O&M 2019, O&M CB: 509 OB:368 CB: 347 OB:175 CB: 237 OB:167 Aster Aadhar Aster G Madegowda Kolhapur
Slide 26: Karnataka & Maharashtra Cluster - Performance
Karnataka & Maharashtra Cluster - Performance Revenue (In INR Crs) 307 % 1100 219 40 Operational Metrics Q4 FY24 Q4 FY23 817 655 ARPOBD (INR) 57,300 50,700 442 433 Q4 FY24 310 Occupancy 62% 60% In-Patient Visits 16,490+ 13,910+ Q4FY23 Q4FY24 FY19 FY20 FY21 FY22 FY23 FY24 Out-patient Visits (mn) ~0.1
Slide 27: Andhra & Telangana Cluster : Hospitals and Bed Capacity
Andhra & Telangana Cluster : Hospitals and Bed Capacity Revenue Contribution1 12% Ramesh Guntur Prime Hospitals – Ameerpet Ramesh Sanghamitra Guntur, AP Hyderabad, Telangana Ongole, AP 2016, Leased 2014, Leased 2018, Owned CB:350 OB:225 CB:158 OB:98 CB:150 OB:130 Aster Narayanadri Ramesh Main Centre
Slide 28: Andhra & Telangana - Performance
Andhra & Telangana - Performance Revenue (In INR Crs) 105 93 12% 412 Operational Metrics Q4 FY24 Q4 FY23 370 344 303 314 279 ARPOBD (INR) 29,400 26,900 Q4 FY24 Occupancy 49% 50% In-Patient Visits 8,680+ 8,840+ Q4FY23 Q4FY24 FY19 FY20 FY21 FY22 FY23 FY24 Out-patient Visits (mn) ~0.08 ~0.08 ALOS (Days
Slide 29: Awards, Excellence & Leadership
Awards, Excellence & Leadership
Slide 30: Awards – FY 2024
Awards – FY 2024 Outlook 2023 Best Hospital Ranking Times All India Multispecialty Hospital Ranking 2024 Best Multispecialty Hospital Emerging Aster Medcity : All India Best Multispeciality 3 Aster Medcity: India Best Multispecialty 3 Aster CMI : India Best Multispecialty 6 Aster Medcity: All India
Slide 31: Clinical Highlights - FY24
30 Clinical Highlights - FY24 35 510+ 1,140+ 2,350+ 3,310+ 5,220+ 6,640+ Total number of research Total number of Total number of Robotic Total Number of Total number of Total number of Total number of paper published in indexed Transplants Surgeries Cardiovascular Surgeries Joint Replacements Neuro
Slide 32: ESG Milestones
ESG Milestones 31 93% 85% 13 2,300,000 KWh 3,675,000 KWh 4300 E Energy Consumption sourced from renewable Energy Consumption sourced from renewable Sewage treatment plants installed across India Worth wind energy sourced Worth solar energy sourced Trees Planted energy at Aster CMI, energy at Aster R
Slide 33: Board of Directors
Board of Directors 32 Shamsudheen Bin Mohideen Dr. Azad Moopen Alisha Moopen T. J. Wilson Mammu Haji Founder Chairman and Managing Director Deputy Managing Director Non-Executive Director Non-Executive Director Purana Housdurgamvijaya Chenayappillil John George James Mathew Emmanuel David Gootam Dee
Slide 34: Leadership Team
33 Leadership Team Dr. Azad Moopen Founder Chairman and Managing Director T. J. Wilson Dr. Nitish Shetty Dr .Somashekhar S P Sunil Kumar M R Group Head - Governance & CEO – Aster DM Healthcare Chairman of Medical Advisory Corporate Affairs Ltd., India Council and Global Director Chief Financial Offi
Slide 35: Appendix
Appendix
Slide 36: Hospital and O&M Asset Light Hospitals Performance – FY24
Hospital and O&M Asset Light Hospitals Performance – FY24 Occupancy ARPOB Revenue Operating EBITDA2 ROCE Hospitals and Clinics (Excl. O&M Asset Light) INR 3,395 Cr INR 689 Cr 15 hospitals1 24.0% 69% 42,100 20% ~20% 13 clinics YoY Revenue Growth Margins 3,174 Operational Beds (census) O&M Asset Light
Slide 37: Aster India Hospital and other New Business Performance – Q4 FY24
Aster India Hospital and other New Business Performance – Q4 FY24 % of Revenue Revenue Operating EBITDA5 Hospitals and Clinics INR 930 Cr INR 184 Cr 93% 21% ~20% Core established business YoY Revenue Growth Margins 19 hospitals(1) 13 clinics 4,867 capacity beds Labs and Pharmacies INR 73 Cr INR (1)
Slide 38: Hospital and O&M Asset Light Hospitals Performance – Q4 FY24
Hospital and O&M Asset Light Hospitals Performance – Q4 FY24 Occupancy ARPOB Revenue Operating EBITDA2 Hospitals and Clinics (Excl. O&M Asset Light) INR 894 Cr INR 184 Cr 15 hospitals1 67% 45,000 19% ~21% 13 clinics YoY Revenue Growth Margins 3,174 Operational Beds (census) O&M Asset Light Hospitals
Slide 39: Geography – wise Business – Snapshot – FY24
Geography – wise Business – Snapshot – FY24 38 KARNATAKA & ANDHRA & KERALA TOTAL MAHARASHTRA TELANGANA FY24 FY23 FY24 FY23 FY24 FY23 FY24 FY23 Total Capacity Beds 2,396 2,236 1,424 1,034 1,047 1,047 4,867 4,317 Operational Beds (Census) 1,827 1,734 946 790 779 780 3,552 3,304 Operational Beds (Non-C
Slide 40: Geography – wise Business – Snapshot – Q4 FY24
Geography – wise Business – Snapshot – Q4 FY24 39 KARNATAKA & ANDHRA & KERALA TOTAL MAHARASHTRA TELANGANA Q4 FY24 Q4 FY23 Q4 FY24 Q4 FY23 Q4 FY24 Q4 FY23 Q4 FY24 Q4 FY23 Total Capacity Beds 2,396 2,236 1,424 1,034 1,047 1,047 4,867 4,317 Operational Beds (Census) 1,827 1,734 946 790 779 780 3,552 3,
Slide 41: Thank You
Thank You Investor Relations: investors@asterdmhealthcare.com