Yatharth Hospital & Trauma Care Services Limited (YATHARTH) Earnings Call Transcript & Summary

August 6, 2025

BSE IN Health Care Health Care Providers and Services earnings 73 min

Earnings Call Speaker Segments

Operator

operator
#1

Ladies and gentlemen, good day, and welcome to the Q1 FY '26 Earnings Conference Call of Yatharth Hospital & Trauma Care Services Limited, hosted by PhillipCapital PCG Desk. [Operator Instructions] Please note that this conference is being recorded. Let me draw your attention to the fact on this call, company's discussion will include certain forward-looking statements, which are predictions, projections or other estimates about future events. These estimates reflect management's current expectations about the future performance of the company. Please note that these estimates involve several risks and uncertainties that could cause company's actual results to differ materially from what is expressed or implied. I now hand the conference over to Mr. Aman from PhillipCapital India Private Limited. Thank you, and over to you, sir.

Aman Vishwakarma

analyst
#2

Thank you, [ Sudhi ]. Good morning, everyone. On behalf of PhillipCapital Private Client Group, I welcome you all to the Q1 FY '26 Earnings Conference Call of Yatharth Hospital & Trauma Care Services Limited. From the management, we have Mr. Yatharth Tyagi, Whole-Time Director; Mr. Amit Kumar Singh, Group Chief Executive Officer; Mr. Nitin Gupta, President, Finance and Chief Operating Officer; Mr. Pankaj Prabhakar, Group Chief Financial Officer; Mr. Ashutosh Kumar Jha, Group Chief Strategy, M&A and IR; and Mr. Sonu Goyal, Group Finance Controller. I now hand over the conference to Mr. Tyagi for his opening remarks, and we will then open the floor for the question-and-answer session. Over to you, Mr. Tyagi. Thank you.

Yatharth Tyagi

executive
#3

Good afternoon, and a very warm welcome to Yatharth Hospital & Trauma Care Services Limited Earnings Conference Call for the quarter ended June 30, 2025. Joining me today are Mr. Amit Kumar Singh, Group CEO; Mr. Pankaj Prabhakar, Group CFO; Mr. Nitin Gupta, Group COO and President, Finance; Mr. Ashutosh Kumar Jha, Group Chief Strategy, M&A and Investor Relations; and Mr. Sonu Goyal, Group Finance Controller. Our earnings presentation has been uploaded to the stock exchange and is also available on our website. We hope you've had a chance to review it. I'm pleased to report another quarter of stellar performance, achieving our highest ever revenue and profitability. Our revenue grew 22% year-on-year, while net profit surged by 38% year-on-year, reflecting the strength of our strategic initiatives and operational excellence. A key highlight this quarter was the Greater Faridabad facility, which turned net profit positive in quarter 1 within just 1 year of operations. It contributed INR 234 million in revenue, accounting for approximately 9% of our total revenue. This rapid turnaround underscores our capability to ramp up and optimize new assets effectively. Looking ahead, our new hospitals in New Delhi and Faridabad with a combined capacity of 700 beds will further accelerating growth from quarter 2 FY '26 onwards. The New Delhi facility was inaugurated in mid-July 2025, and the Faridabad facility is scheduled for inauguration in late August 2025. Both the facilities are being equipped with cutting-edge technologies, including robotic surgery, equipment and state-of-the-art diagnostic infrastructure. We are also onboarding leading super specialists, which will enhance our clinical strength and brand equity in these regions. The latest of which is pediatric cardiology team, which will be the first in Noida region, which is already taking great strides in the treatment of complicated pediatric cases. Our commitment to clinical excellence was demonstrated by several complex cases handled this quarter, such as an 11-year-old girl from Kazakhstan initially misdiagnosed with lymphoma was correctly diagnosed with [ thymoma ] at our facility. Our team successfully removed a 2.5 kg tumor through a combined sternotomy and thoracotomy. In another case, a [ 23-year-old ] woman with advanced lymphoma and multiple organ complications was treated with intensive care, dialysis, chemotherapy by our oncology team. She achieved complete remission and is now on maintenance therapy with no signs of recurrence of tumor. These cases highlight our clinical capabilities, advanced infrastructure and growing reputation as a leading coronary care provider in the region. We continue to focus on improving our case mix and payer mix, supported by strategic investments in super specialty services. We have made significant progress in our medical value travel initiatives. Recently, we have collaborated with the Children Heart Fund and Black Lion Hospital, the largest government hospital in Ethiopia, paving the way for a patient transfer program. We also conducted continued medical education program on IVF in Mauritius along with patient training to identify potential treatable cases. We are preparing to open an information center in Baghdad as well. Additionally, we are working with Chinor Medical Center in Tashkent to establish a representative office serving as a hub for medical value travel for countries such as Uzbekistan, Kazakhstan (sic) [ Tajikistan ], Turkmenistan and Kazakhstan. These initiatives are expected to drive medical value travel and contribute meaningfully to overall growth in the coming years, along with improvement in operating and financial metrics. We are also pleased to report the resolution of the Jhansi land issue during the quarter. The Commissionerate of Sagar Sambhag, Madhya Pradesh following the direction of Honorable High Court of Madhya Pradesh has set aside its earlier order challenging our ownership over the land. This outcome brings legal clarity, reaffirming our ownership and ensuring operational continuity. We are also in the process of transitioning our statutory auditors with our current auditors resigning in this Board meeting. We will propose the appointment of well-reputed firm, MSKA & Associates, a member of BDO International at the upcoming AGM. This, in line with our commitment to strong governance practices, underscores our vision for a strong and transparency to all our stakeholders. As we move forward, we remain focused on strategic expansion to strengthen our presence in North India, clinical excellence and continued investment in advanced medical technologies. We are confident that these efforts will continue to deliver superior health care outcomes and create a long-term value for all our stakeholders. With that, I would now like to hand over the call to Mr. Pankaj Prabhakar, our CFO, for a detailed financial update.

Pankaj Prabhakar

executive
#4

Good afternoon, everyone. I am pleased to report that Yatharth Hospital has continued its journey of accelerated growth, delivering a strong result for the quarter ended June 2025. During Q1 FY '26, we achieved a revenue of INR 2,578 million, reflecting a 22% Y-o-Y and 11% quarter-over-quarter growth. This performance was driven by higher occupancy rates as well as improvement in ARPOB, supported by our strategic focus on super specialty services and operational excellence. Our newer hospital lead the growth with Jhansi-Orchha hospital reporting a significant 63% year-over-year increase, contributing 7% of total revenue. The Greater Faridabad facility, which got operationalized in May 2024 has ramped up well and now accounts for 9% of total revenue. We witnessed a strong patient volume growth in the quarter. Inpatient volumes surged 27% year-over-year and outpatient volumes rose 20% year-over-year, reflecting the growing trust in our services and the effectiveness of our outreach and engagement initiatives. Our focus on high-value super specialty services has resulted in a 6% year-over-year increase in the ARPOB, reaching a record of INR 32,395 for quarter 1 FY '26. Notably, Noida Extension achieved an ARPOB of INR 39,830 with 70% contribution from super specialty services. Our Greater Noida facility reported an ARPOB of INR 38,377, up 9% year-over-year. Notably, oncology now contributes 17% of Noida Extension's revenue and 10% of the group's revenue, making a 49% year-over-year increase. On the profitability front, EBITDA rose 20% year-over-year and 13% quarter-over-quarter to INR 645 million, demonstrating 13th consecutive quarter of growth. EBITDA margin improved by 41 bps sequentially and stood at 25%. Despite higher depreciation due to ongoing expansion and investment in advanced medical equipment, our net profit has grew 38% year-over-year and 9% quarter-over-quarter, reaching to INR 420 million. Our balance sheet position stood healthy with a strong net cash position, providing us with the flexibility to capitalize on future growth opportunities as they arise. Looking ahead, we remain optimistic about sustaining our growth momentum in both revenue and profitability. Our strategic priorities will continue to focus on operational excellence, sustainable growth and capitalizing on emerging opportunities in health care sector. Thank you for your attention. I would now like to hand over the call to the moderator for question-and-answer session. Thank you.

Operator

operator
#5

[Operator Instructions] The first question is from the line of [ Amay Jain ] from Lucky Investment. As there is no response from the current participant...

Unknown Analyst

analyst
#6

Just a small correction. This is [ Saumil ]. That was the confusion. Congrats on a good set of numbers, sir. Can you lay out ARPOBs in the new hospitals and the status on the upcoming hospitals?

Amit Singh

executive
#7

So for upcoming hospital, Delhi, as we have stated earlier, this will be -- ARPOB would be better than probably what at the -- current ARPOB of our flagship hospital, Noida and Greater Noida, which we are operating as of now. So that you can figure it out. For Faridabad, I would say that's going to be in a line of what Noida Extension is operating as of now. So this is what -- as far as ARPOB is concerned.

Yatharth Tyagi

executive
#8

And as far as for the already started new hospitals, which was your earlier question, that is for the Greater Faridabad, the ARPOB that we currently have is around INR 3l,393 for the quarter 1. And as Mr. Amit Singh mentioned, the upcoming 2 new hospitals, which would be starting -- the Delhi hospital has actually started last month, and the Faridabad hospital will be starting late this month. We do expect ARPOB there to be more than our group average ARPOBs.

Unknown Analyst

analyst
#9

Okay. And what about Jhansi, sir? You mentioned there was 63% year-on-year growth. How much did the ARPOB rise here?

Amit Singh

executive
#10

So Jhansi, as we have stated earlier as well, the Jhansi is going to be the remain on the ARPOB will not be a much change. Jhansi has a volume growth, right? So Jhansi will be in the line of close to INR 15,000. I think that is what I think we are reaching that INR 14,000 something -- INR 14,000 ARPOB as of now, I think. Yes, 13,500 something. So anything between closer to INR 15,000 to the best case scenario of INR 16,000, INR 17,000, that will be I think -- it will be a pleasing number for us.

Unknown Analyst

analyst
#11

Right. Okay. And 2 more questions, sir. One on the time line for the new hospitals, are we on track?

Yatharth Tyagi

executive
#12

Yes, as I just mentioned that...

Unknown Analyst

analyst
#13

And secondly, on the margins for the full year, you mentioned you expect it to remain around the same levels as quarter 4 for the entire FY '26. Are we on track for that as well?

Yatharth Tyagi

executive
#14

Yes. So the upcoming new hospitals, as I mentioned, Delhi has already started -- got operationalized. So its revenue will start flowing from the month of August as we speak. And the bigger hospital in Faridabad, the 400-bed hospital, we have planned to inaugurate it late August. So the revenue for those -- these 2 hospitals, you will start seeing from quarter 2 onwards. So we are pretty much on track for that. As far as the margins are concerned with the operation of these 2 hospitals, yes, we do expect these 2 hospitals, there would be a certain drag on the EBITDA margin compared to the whole of FY '25. But quarter 4 of FY '25 would be a right analysis to compare the margins and probably 1% up and down from the quarter 4 would be the right estimation for these 2 hospitals now starting for the overall group.

Unknown Analyst

analyst
#15

Okay. When do you expect these 2 new hospitals to reach breakeven, sir?

Yatharth Tyagi

executive
#16

See, if we talk about -- if you look at Greater Faridabad hospital that got operationalized 12 months ago, that hospital has in the latest quarter, now become profit positive, so which is -- we feel is a good achievement for any hospital starting operations within 12 months of it. So we do expect probably these 2 hospitals to follow a trend somewhere around 15 months would be a right estimation for these 2 hospitals also.

Operator

operator
#17

The next question is from the line of Himanshu Mali from Wallfort PMS.

Himanshu Mali

analyst
#18

Congratulations for the good set of numbers. I have 2 questions. So my first question is what is the share of MVT now and how it will look in future? And the second question is the share of dialysis and chemotherapy now and how it will look in further quarters?

Yatharth Tyagi

executive
#19

Okay. So as far as your first question is for the medical value-added tourism. So international patients is something that we have recently started catering to because if you look at Delhi NCR, international patients come for high-end treatments like oncology, radiation oncology, liver transplant, bone marrow transplants. These are the programs that we have just started over the course of last 1.5 years. As soon as we have started these treatments, we have seen a good flow of these patients now. As I mentioned in the commentary itself that we have tied up and opened up various offices across the CIS countries. There are some hospitals that we have tied up there. So we are seeing good step-up in the volume as well as the contribution of medical tourism is concerned. And your second question on the chemotherapy aspect, I think we would -- in a large way to generalize it, how we look at it in terms of oncology, because not just chemo, but the whole radiation oncology, the surgical oncology as well as the bone marrow transplant, we have placed strong emphasis on that. And we are quite happy to see that year-on-year, we have shown 50% growth in our oncology business. And oncology is now contributing close to 10% for the overall growth. We do expect this number to even go higher because I remind you that our upcoming hospitals, both the Faridabad as well as the Model Town Hospital within a few months will also be having radiation oncology. So these 2 hospitals will also act as oncology feeders for the whole group. And the 10% radiation oncology that is for the complete oncology that is today for the whole group can even grow around 15% in the next couple of years as far as the total payer mix is concerned.

Operator

operator
#20

The next question is from the line of [ Dhruv Maheshwari ].

Unknown Analyst

analyst
#21

[indiscernible] So just wanted to understand that the Greater Noida hospital, the occupancy has been -- for years has been around 65% (sic) [ 67%]. And Noida Extension also seems to be plateauing at an occupancy of 61%. So do you see a breakthrough in this? That would be my first question. Secondly, I wanted to understand that the Noida hospital had a 79% occupancy in quarter 4, has gone up to 86%, so quite a huge jump. So like what was the factors contributing to this? And have we been improving the payer mix as well? And the third would be on the other income and the tax increase.

Amit Singh

executive
#22

So as far as your first question is concerned, Greater Noida and Noida Extension has occupancy almost similar what we had last year. But what you need to look at it as well, as Yatharth mentioned in the commentary about the IPD numbers, if you see, that has increased. So your [ ALOS ] has decreased. So we have treated more patients. However, because of the ALOS and that is a deliberate attempt. As we had said in the previous quarters, we are trying to sanitize our -- the payer mixes, right? So these are the impact of it. However, I think this percentage, we are very much satisfied with the Greater Noida with the 67% of occupancy and Noida Extension, the 61%. The totality numbers, if you see the IPD numbers, we have treated more. That's the first -- I mean, the answer of your first question. Second question is about Noida. Yes, Noida occupancy has increased, significantly increased. But the numbers, if you see, as we had mentioned earlier, the earlier number, if you see and now we see the cash TPA, Noida has done -- Noida is doing better. This was a deliberate attempt, as we have said earlier. So we are reducing a bit of dependency on the government, so the cash TPA. And then the specialty mix also has gone better. So this is what the thing. Third...

Yatharth Tyagi

executive
#23

Yes. As far as your third question on the other income is concerned. So the other income that you see for this year is basically the interest the company has received on the certain FDs that we were having both from the QIP fund that we raised as well as certain internal accruals we had. So over the course of upcoming quarters, that will also be generalized. But for this quarter, yes, there was other income received due to the interest that we have received on the FDs.

Unknown Analyst

analyst
#24

Okay. So what is your payer mix currently?

Yatharth Tyagi

executive
#25

So as far as the payer mix is concerned, as we have always maintained that we are reducing our government business, government business, which 1.5 years ago used to be somewhere around 40%. As we speak today, in the latest quarter of Q1, it is around 35%. And the remaining is equally divided between the cash as well as private insurance. With private insurance being a bit more in terms of the volumes, but in terms of the revenue, cash component might be a bit more. And we are seeing good growth in our international patient flow as well. We are quite confident that maybe with all these steps that we have taken in medical value tourism, with the airport opening up, with now these new leading star doctors on our board, we feel international payer mix can even touch close to double-digit numbers in a couple of years for the whole group.

Unknown Analyst

analyst
#26

That's good to hear. And just lastly, what is your net cash on the book?

Yatharth Tyagi

executive
#27

So today, we would be upwards of around INR 300 crores. And when we closed the last financial, we were close to INR 500 crores. So the amount that has been spent has been on the equipment front in the upcoming 2 new hospitals of the Delhi hospital as well as the Faridabad hospital.

Operator

operator
#28

The next question is from the line of [ Harsh Shah ] from Seven Rivers Holdings.

Unknown Analyst

analyst
#29

A strong start to Q1. Sir, just wanted to reiterate, you mentioned that the impact on EBITDA from the 2 new hospitals, that is Delhi and Faridabad will be 100 bps, right? And it will get neutralized by Q4. So Q4 FY '26, we should be back to 25% EBITDA margin?

Yatharth Tyagi

executive
#30

Yes. I think rather than seeing quarter-on-quarter, how we see it for the full year, we feel, as I early mentioned, EBITDA margin would be somewhere close to what we had in Q4, maybe 1% up and down. That's how we are looking at it. And Q1, we also saw a good EBITDA percentage as well as good EBITDA growth because the Greater Faridabad hospital has become also EBITDA positive. So the drag that the Greater Faridabad hospital had last year will not be having this year. So even though we have 2 hospitals operationalizing, we also have 1 hospital who is now turning EBITDA positive for the year.

Unknown Analyst

analyst
#31

Okay. And sir, how should we look at these 2 new hospitals in terms of -- if I look at Q4 FY '26 exit run rate, what kind of occupancy do we expect? And what kind of payer mix will this new hospitals have? Because I believe the government dependency might be low in this newly commenced hospital. So what kind of payer mix do we expect? What kind of occupancy do we expect, say, on Q4 FY '26 exit run rate basis?

Yatharth Tyagi

executive
#32

So again, rather than quarter-to-quarter, how we feel is that after first year of operation, so technically, they are starting in Q2. So the right estimation would be a year from Q2. We do expect both these 2 hospitals to have an occupancy somewhere around close to 30% to 35%. And that's what our existing other new hospitals have also had. As far as the payer mix is concerned, yes, you're right, there would be a very less government business similarly to what we have already proven in the Greater Faridabad hospital because that's also a reason why the hospital has achieved good numbers because the dependency on government business is very low there. We have hired a lot of star doctors also in that region. So we do expect for these 2 hospitals on a similar line, maybe government business should not be more than 20%, 24% in these 2 hospitals going forward.

Unknown Analyst

analyst
#33

And sir, on FY '26 as a whole, do we still expect our ARPOB to increase by 10%, say, for FY '26 as well as FY '27 on a blended basis?

Yatharth Tyagi

executive
#34

Yes. So it's not -- anything -- as we have said, anything between 8% to 10%, that's I think the ARPOB growth which we are looking at. So we have all the drivers. So I think we believe that I think this will be easily achievable.

Unknown Analyst

analyst
#35

And sir, last question, any update on the income tax investigation that you...

Yatharth Tyagi

executive
#36

So as we were in Q4, the company is quite happy with the progress in the income tax matter. It is a status quo from Q4, that is [indiscernible], which is a very large subsidiary of the company, contributing close to around 40% of the revenue. The income tax audit is largely being completed. And there is a miniscule demand that has been arise. And in the coming time, we would be looking to pay that and settle that off. As well as for the whole remaining company is concerned, we do expect somewhere close to the end of this calendar year, that also will be completed. And as we have always maintained, before this closing of the financial year or somewhere close to the end of the calendar year, we would be completely looking to settle off the complete matter. And whatever amount that would be required at all would be -- company would be well capable of handling that, and it would be a very small amount that we were anticipating in that matters as well.

Unknown Analyst

analyst
#37

And if I can squeeze in just one last question. If you can share the status and time line on the brownfield expansion at our Greater Noida and Noida Extension hospitals?

Yatharth Tyagi

executive
#38

Yes. So we have just started 2 new hospitals. That is the New Delhi hospital and the Faridabad hospital that we have just recently starting now this month. So the more focus was there in ramping up these 2 hospitals. Now that these 2 hospitals are started, we are shifting back our focus to finish up our brownfield expansion. Greater Noida hospital is already at a commencing infra stage. That means the construction is about to start for the digging of the basement, creating all the floors up. As far as Noida Extension is concerned, we are at finalizing stage for the maps for the whole building, both 200 and 250 beds will be added in these 2 hospitals. And the time lines remains largely similar, maybe 2, 3 months up and down. But however, for last quarter, we were more focusing on the Delhi and the Faridabad hospitals. The brownfield expansion is now again back into the focus for the quarter 2.

Operator

operator
#39

The next question is from the line of Sumit Gupta from Centrum.

Sumit Gupta

analyst
#40

Yes. So sir, first question is on the case mix. So I just want to understand like what is the trajectory over the next 2 to 3 years where we can see onco share rising from current 10% and medicine share declining. So can we expect that to increase?

Amit Singh

executive
#41

Yes. So in fact, Sumit, you see the future trend is going to be, yes, onco definitely going to increase that. You see the other transplants and high-end procedures will increase, right? So definitely, in terms of the percentage, the internal medicine and conservative will be down, but not the absolute number, right, because as we are growing these things. But yes, this is the trend. It's more super specialty, particularly leading by the oncology going to be the [indiscernible]. As I said earlier, we are not a matured -- all these departments are not matured, Sumit, as of now. So as we said that quarter-on-quarter, in fact, every super specialty departments are growing, right? But yes, the faster growth coming from the oncology.

Sumit Gupta

analyst
#42

Yes, I'm talking from 2 to 3 years down the line, so a bigger picture. So in medicine, let's say, as of now, it is contributing around 20% -- 18% to 20%. So can it go to around 10%, 11% over the next [ 3 ] years [indiscernible]?

Amit Singh

executive
#43

But I think that's internal medicine. Medicine is very, very important because medicine can feed all super specialty. So reducing medicine is also not a smart move, right? So we -- there has to be a good balance. So I believe that if medicine is contributing around 15% to -- close to 15%, 17%, I think that's a fairly good number, right, because that works as a feeder for super specialties.

Sumit Gupta

analyst
#44

Understood.

Unknown Executive

executive
#45

And [ 3 ] years down the line, what we are focusing is on improving on all the [ CONGO ] specialties, cardiac, onco, ortho and neurosciences.

Sumit Gupta

analyst
#46

Understood. And with respect to the depreciation, how should we look at it? Can we expect it to be at the same trend? Or should we see for the next...

Unknown Executive

executive
#47

So for next 2 years, as we are adding 2 more facilities, so that will definitely impact, but the impact is not so much. So we can assume around INR 20 million, INR 30 million impact quarter-on-quarter on a total basis.

Sumit Gupta

analyst
#48

Okay. And for the next 3 years, how much of cumulative CapEx you're...

Yatharth Tyagi

executive
#49

Can you repeat the question?

Sumit Gupta

analyst
#50

Cumulative CapEx for the next 3 years?

Yatharth Tyagi

executive
#51

So cumulative CapEx would be -- for the next 3 years would be in the tune of -- if you include both brownfield as well as greenfield, it would be in the tune of around INR 1,400 crores to INR 1,500 crores over the next 3 years.

Sumit Gupta

analyst
#52

And how much would be maintenance?

Yatharth Tyagi

executive
#53

Maintenance is a low CapEx for us. Maintenance has actually not included in this. Maintenance for the whole year should be around INR 20 crores to INR 25 crores for us.

Unknown Executive

executive
#54

We have already ramped up our hospital in the recent past and all the kind of new equipment was already in place. Just a few civil work has to be there, as we mentioned about the brownfield expansion as well. So that's the only thing which will be coming up. The rest [indiscernible] in all the centers.

Operator

operator
#55

The next question is from the line of Nirali Shah from Ashika Stock Services.

Nirali Shah

analyst
#56

I had a couple of questions. I just wanted to know, is there any update on the Ghaziabad greenfield opportunity? And you were also evaluating 2, 3 more cities. Has there been any progress on those fronts?

Yatharth Tyagi

executive
#57

So as you are right, we are evaluating not just Ghaziabad, we are evaluating other opportunities within NCR, Ghaziabad, Gurgaon, outside NCR also big cities basically. And the company would be looking to add at least one acquisition for this year. Maybe it could be a greenfield land. It could be a stressed asset. The company is evaluating certain opportunities. And we remain confident for the remaining of the FY '26, we will be adding and closing one of these opportunities.

Nirali Shah

analyst
#58

And what kind of investment are we looking at this number and the CapEx?

Yatharth Tyagi

executive
#59

Yes. So for a greenfield, including the land, we are looking to add around 300 to 350 beds. And including land, I think the total CapEx outflow that we see is around INR 300 crores.

Nirali Shah

analyst
#60

Okay. And just wanted to know the effective tax rate for the quarter is higher than usual. I guess it's around 28%. Are there any specific adjustments this quarter? Or should we still assume a full year ETR as guided earlier to be around 24%?

Amit Singh

executive
#61

Basically, if you see the current tax rate is coming around [indiscernible]. And there is not an adjustment because there is a reversal. Earlier, there were deferred tax asset in our Ramraja Superspeciality Hospital that is located in Orchha, [ right now, they're deferred ] tax liability. That tune to total 28% of the overall percentage in the tax rate.

Nirali Shah

analyst
#62

So on a full year basis, we can expect this to be...

Unknown Executive

executive
#63

No. It will come down to 25%, 26%.

Nirali Shah

analyst
#64

Okay. Understood. And just a last one on the ARPOB. So this quarter it's around INR 32,395 and that is likely aided by Faridabad breakeven. The 2 new hospitals, we were expecting it to be around in the range of INR 33,000 to INR 35,000, correct?

Yatharth Tyagi

executive
#65

It would be a bit more for the 2 new hospitals. It would be somewhere around 38,000 for those 2 new hospitals that New Delhi as well as the Faridabad hospital, the bigger Faridabad.

Nirali Shah

analyst
#66

Understood. So that will kick in from second quarter?

Yatharth Tyagi

executive
#67

Yes. Most -- big impact you will start seeing from Q3 onwards because we are midway of Q2 already and Faridabad is yet to start. So the big impact you should start seeing from Q3 itself.

Nirali Shah

analyst
#68

So on a blended basis, say, for '26, what would be the ARPOBs? What is the number that we are building in?

Amit Singh

executive
#69

See, no forward-looking number, but I can tell you, you can just correlate. As of now, you see the Greater Noida, Noida Extension is in the line of INR 40,000 -- close to INR 40,000 ARPOB, right? As you said that, that's Faridabad and Delhi would be doing -- Delhi would do a bit more and the Faridabad would be in the line of this thing. So this is what I think I can tell you as of now.

Operator

operator
#70

[Operator Instructions] The next question is from the line of Aditya [indiscernible].

Unknown Analyst

analyst
#71

Yes. So this is regarding the international patients that we are targeting. So as we add it to the double digits as a percentage of our total patient mix, will there also be any additional cost associated with the procurement of international customers?

Amit Singh

executive
#72

No. So typically, as of now, we are a single-digit number. And then -- so what do you need? You need basically the good team. The team has already been added, right? So when you start doing your various information center -- you're setting up various information centers on different place. So there's all the OpEx, right? And then definitely, if you [indiscernible] international and you understand that the ARPOB is better. So right, I think that's only the OpEx will be this thing. There is no other CapEx neither even manpower cost has already been taken care of now.

Yatharth Tyagi

executive
#73

Yes. And we do not see any impact on our profitability or EBITDA due to increase in the international patients. So technically, your question, it will not increase or change any of our parameters once the international business increases. In fact, it will better our ARPOB numbers because all the expenses mostly have been done in terms of hiring the doctors, getting those equipments in place and starting those treatments. Now just the volume has to grow.

Unknown Analyst

analyst
#74

Understood. So I was asking this question particularly because there is a competitor of ours in Gurgaon, who has a higher ARPOB because of international patients, but the EBITDA margin is very low than our EBITDA margins. So I was just afraid that if we are adding international, we might not fall back to their level of EBITDA margin.

Yatharth Tyagi

executive
#75

The difference between that competitor and us is that we are not just single handedly focusing on international patients. Still 1/3 of the revenue comes from cash patients, 1/3 comes from private insurance and certain still comes from government. We will not make international patients' contribution to 1/3 of our revenue. So that's the difference. It will still be close to around 10%, which is how a lot of hospitals -- other hospitals also operate on.

Operator

operator
#76

The next question is from the line of [ Bhagwat ] from Prosperity Wealth Management.

Unknown Analyst

analyst
#77

Considering the operationalization of 2 new hospitals, what is the estimated revenue growth on a consolidated level for current year and next year FY '27?

Yatharth Tyagi

executive
#78

See, our revenue growth expectations for the whole year remains the same, our guidance remains the same as we have always maintained that. Last few years, the company has grown close to around 30%. I think in the upcoming years also, including this year, we remain on track for that.

Unknown Analyst

analyst
#79

Okay. Similar range of 30% we can expect. I think I got my answer. You're saying 30% growth can be estimated.

Unknown Executive

executive
#80

Yes.

Operator

operator
#81

The next question is from the line of Surya Narayan Nayak from Sunidhi Securities.

Surya Narayan Nayak

analyst
#82

Congratulations for the great set of numbers. Sir, just one question is that how are you going to phase out the addition of new beds in the new Faridabad 400 and Delhi 300 units because the press release is saying that we have added 300 beds. So can we assume around 250 census beds from the Q2 onwards? Likewise, can you please guide for the Faridabad unit also?

Yatharth Tyagi

executive
#83

Yes. So whenever we're starting a hospital, the beds become operational on a scale-wise. But it is not that we have restricted to any beds. We might operationalize like the Delhi hospital, which just inaugurated. Today, we can have operationalized close to 150 beds. But if we get 151 patients today, it's not that, that patient would be refused for admission. So the scalability of the beds is there as and when required. The infra is ready. The nurses are there, the equipments are there. As and when the patients are coming, we will look to add up and scale up those floors. So even from day 1, we are starting the hospital with complete infra. It's not that certain floors are not ready or certain construction is going on in the Delhi hospital, everything is complete. So similarly to what we did in the Greater Faridabad hospital, we would be ramping up our census beds and operational beds on a similar manner.

Surya Narayan Nayak

analyst
#84

Okay. And sir, for the Noida Extension, Greater Noida extension, the current occupancy is you said similar to that. So can we expect -- what would be the expectation for the peak occupancy in these regions in the NCR, especially -- can it go to, let's say, 75% or 80%?

Amit Singh

executive
#85

Noida Extension, Greater Noida, it's above 400-bed facility. So if anything 75% to 80%, it will be a very, very ideal and very optimal utilization. I think beyond that, it's difficult. So I think that we are inching towards it. So anything 75% to 80% can be a guidance.

Yatharth Tyagi

executive
#86

And certain drivers are there for this, which we are quite confident that in the coming years and the coming quarters, you will see increase in occupancy in these 2 hospitals. Specifically, we have added a lot of star doctors in even these 2 hospitals. We have started certain new treatments like the transplant program, the radiation oncology, where the volumes is bound to increase as well as increase in international patients. So these 3 are good drivers for the growth of occupancy also. And we're quite confident that in the coming quarters, you will see that rise in occupancy.

Surya Narayan Nayak

analyst
#87

Sir, because you are adding new even offering. So can we consider that some of the areas where we are not actually matured or not established and establishing our cases maybe in radiation oncology and other areas, we will be getting higher occupancy and not before there?

Yatharth Tyagi

executive
#88

Already -- it's not just the new therapeutic areas we have added, even in the existing areas like pediatric, ortho, [ gyne ], there is constant upgradation of departments and the new doctors that are added. New doctors are not just added in the new specialties, but even in our existing specialties. So there also, we do expect an increase in the volume, including general surgeries, including certain other super specialties like gastro, like neuro that we have been doing since a long time. So we do expect occupancy to grow from all the super specialties. But yes, highest share will increase of the super specialties likes of cardiology, oncology and neurosurgeries.

Surya Narayan Nayak

analyst
#89

Okay. Can it be fair to assume that we will be beating the inflation in all the NCR region hospitals, at least for next 3 years?

Unknown Executive

executive
#90

Yes, because twice in a year, we keep on changing our pricing. So by considering the inflation, we keep on changing our pricing or the overall patient charges. So we are pretty much sure to beat the inflation.

Surya Narayan Nayak

analyst
#91

Okay. And sir, regarding the...

Operator

operator
#92

Sorry to interrupt Mr. Surya, may we request you to join the queue as there are other participants waiting for their turn.

Surya Narayan Nayak

analyst
#93

Okay.

Operator

operator
#94

The next question is from the line of Prerana from Equity Research Program.

Prerana Nireeksha Amanna

analyst
#95

Sir, what is the status of empanelment in your New Delhi hospital that you recently inaugurated? Like how is the empanelment going with insurance and various other government departments?

Yatharth Tyagi

executive
#96

So we have started taking all the private cash patients as well as for the private insurances, now the process is ongoing because we are getting fast tracked our NABH and other QCI permissions. As soon as that happens, private insurances will be empaneled and then the number comes for the government empanelments. However, already from day 1, nowadays, there are a lot of agencies like [ MediBuddy, GMoney ], and other aggregators, which does provide cashless facility to any private insurance holder who's walking to a hospital. So he's able to utilize his insurance through those third-party aggregators, and they are able to get cashless treatments. Similarly, we have done that in the past in our Greater Faridabad hospital, and we're doing that today in our New Delhi hospital. So already, we are treating private insurance patients there. As far as the empanelment of these private insurance and government empanelments are concerned, I think within the first year, we would be able to get 90% of all private insurance as well as the government [ empanels ]. But it will not hamper our progress of taking those patients.

Prerana Nireeksha Amanna

analyst
#97

Okay, sir. Okay. And the last question is on EBITDA margin. You told that because of the starting of these 2 new hospitals, the EBITDA margin will be similar to Q4 of FY '25. So can we expect around that 24%? Or is it going to be lower than that?

Yatharth Tyagi

executive
#98

Around that would be a right estimation, 1% up and down, but around 24% would be a right estimation.

Operator

operator
#99

The next question is from the line of Vicky from Guardian Capital Partners.

Vicky Waghwani

analyst
#100

Sir, my question is what was the EBITDA and PAT for Greater Faridabad hospital for this quarter?

Unknown Executive

executive
#101

So EBITDA for this quarter in Greater Faridabad, that contributes to 1.7% of the overall EBITDA and PAT is 3.4% of the revenue in Greater Faridabad.

Vicky Waghwani

analyst
#102

Okay. And sir, one more thing I wanted to ask, we have been seeing increase in employee cost as we are onboarding new super doctors. When do we expect this to settle down? Because earlier our employee cost as a percentage of sales was around 17%, 17.5%, which has inched up to around 19%. So when should we expect this to normalize going forward?

Amit Singh

executive
#103

As you said, these hospitals like Greater Faridabad are the new hospitals, right? So you see that as a percentage, the employee cost will be higher. But yes, when they're mature hospital, I think it should be anything between 15% to 17%, 18%. It's an ideal percentage. I think that's -- I think we should get settled in it.

Vicky Waghwani

analyst
#104

And sir, one more question. These are very early days, but how is the response in the Delhi hospital that we inaugurated?

Amit Singh

executive
#105

We started just on the 14th. So I think that the excitement in the market. I think the medical fraternity is very, very -- they are excited. There are so many people are coming, joining this thing. So I think -- and as I said that we are in that area, which is a very old but very, very prominent area of the Delhi, right? So there are -- we see that's -- I think this hospital will do a much, much faster ramp-up in our growth.

Operator

operator
#106

The next question is from the line of [indiscernible] from [ Purnartha Investment Advisers ].

Unknown Analyst

analyst
#107

So sir, I just wanted to ask you, what are the drivers behind the increase in occupancy rate in Jhansi-Orchha hospitals? And what are your projection for next quarters or so in terms of ARPOB?

Amit Singh

executive
#108

So Jhansi-Orchha, if you see, I mean, that has made a very good progress. Y-on-Y, I think last year, it was 45%. Now it's around close to 60%, right? So Jhansi-Orchha is doing good as that's the hospital delivering good quality care, all super specialties, name getting spread in that particular market. And then we have advantage of -- there is no other big hospital in that range of 200 kilometers in that region. So I think that's as time moving, yes, a bit of [ empanelment ] also playing a big role. There are [indiscernible] the more government empanelments are happening in that particular hospital. So with the 2 years of operation, it's a 60% occupancy. I believe it's a very good occupancy. And if it's around close to 70%, 75%, I think that optimally we'll utilize the Jhansi.

Unknown Analyst

analyst
#109

Okay. And my next question, sir, how do you anticipate the ramp-up of the 2 new hospital and how this will influence the overall occupancy rate [indiscernible].

Yatharth Tyagi

executive
#110

So with the addition of even 700 beds, and they will take time to ramp up because as I said that after first year of both these 2 hospitals operationalized, we feel that both these 2 hospitals can have an occupancy close to 30% to 35%. So at a group level, yes, even though with the addition of 700 significant beds, we expect even then at the group level, occupancy should increase because occupancy is bound to increase in our existing hospitals of Faridabad as well as the Greater Noida and the Noida Extension.

Operator

operator
#111

The next question is from the line of Aman from PhillipCapital.

Aman Vishwakarma

analyst
#112

So my question is on the CapEx outlay that you mentioned. So we are currently at 2,300 beds, and we are about 700 beds from our targeted 3,000 number, right? Now if I look at the CapEx guidance that you gave earlier of about INR 1,400 crores, INR 1,500 crores, is that number right, just to begin with?

Yatharth Tyagi

executive
#113

Yes, that's -- approximately around that.

Aman Vishwakarma

analyst
#114

Okay. Now if we just roughly do the math, the CapEx per bed comes out to about INR 1.52 crores per bed almost, right? And this is relatively higher than what our historical numbers have been. So is this majorly because do we plan on doing more on greenfield CapEx that might drag our cost [indiscernible]? Is my understanding correct...

Yatharth Tyagi

executive
#115

No. So just to correct you there, when I have said INR 1,500 crores, it is not just to take our bed from 2,300 to 3,000. In next 3 years, we are looking to add around 1,200 beds more. That's why the CapEx per bed will come down in the tune of INR 1 crore and not -- in the tune of that because there is no benchmark that we have taken that we'll just stop at 3,000 once the growth is there. We have accelerated our growth. We will continue to grow at the same level in terms of adding the beds are concerned because there are a lot of good opportunities that we have seen, and we are evaluating them. It is not that we are chasing a number of beds that we want to be. If a good opportunity is there, we would like to add to it. So that's why we are evaluating a few land parcels. We are evaluating a few stress assets. So over the course of next 1.5 years to 2 years, we will be adding more beds than just 3,000 number.

Operator

operator
#116

[Operator Instructions] The next question is from the line of Anand from KSEMA Wealth Private Ltd.

Anand Bhaskaran

analyst
#117

Congratulations on a good set of numbers. I just want to understand on the brownfield expansion of Greater Faridabad hospital. Would you see a brownfield expansion by how many beds, let's say, in the next 4, 5 years for Greater Faridabad?

Yatharth Tyagi

executive
#118

Yes. So Greater Faridabad does not have any brownfield expansion possibilities. That hospital has currently 200 bed. And in fact, that is the reason why we have acquired another hospital in Faridabad, which is now a 400-bed hospital, which is going to start at the end of this month. Maybe the hospital you're talking about is Greater Noida, which currently is 400 beds, and we are doing a brownfield expansion of 200 beds there, which will be coming to utilize that capacity within 2 years.

Anand Bhaskaran

analyst
#119

Okay. But there is no brownfield expansion for Greater Faridabad at all?

Unknown Executive

executive
#120

No.

Anand Bhaskaran

analyst
#121

Okay. Okay. And I just want to get an understanding of what would be the census -- as a percentage of operational beds, what would be the census percentage of the new hospitals, Faridabad and Delhi?

Unknown Executive

executive
#122

85%.

Yatharth Tyagi

executive
#123

80% to 85%.

Anand Bhaskaran

analyst
#124

Sorry?

Yatharth Tyagi

executive
#125

80% to 85%.

Anand Bhaskaran

analyst
#126

Sorry, can you repeat again? It was not very clear.

Yatharth Tyagi

executive
#127

It's going to be 80% to 85% of the total bed...

Anand Bhaskaran

analyst
#128

80% to 85%, okay. Okay. Okay. And what would be the occupancy rate for these 2 hospitals as well...

Yatharth Tyagi

executive
#129

As we have already mentioned, after a year or so, somewhere around 20%, 25% would be the right estimation.

Operator

operator
#130

The next question is from the line of Mohammed Patel from Edelweiss Public Alternatives.

Mohammed Patel

analyst
#131

I just wanted to have one clarity. So can you break up the CapEx of INR 1,500 crores?

Yatharth Tyagi

executive
#132

Right. So if you look at it, we are already doing a brownfield expansion of Greater Noida and Noida Extension hospital. So that comes to around 450 beds. Now brownfield expansion that we are doing would be doing at a CapEx of around INR 60 lakh to INR 70 lakh CapEx per bed. So that is the cost of the brownfield expansion we are doing. Plus I've talked about that when we are acquiring a greenfield project, as earlier mentioned, maybe this year, around 300, 350 beds, we will be spending around INR 300 crores, including land for that hospital. And similarly, for any expansion of 300 to 350 beds in the corresponding years also, we would be spending INR 1 crore CapEx per bed. So that's roughly how it is. Probably within INR 1,500 crores, we would be able to add around 1,200 beds additional, including the greenfield and the brownfield.

Mohammed Patel

analyst
#133

Okay. So this is including inorganic acquisition?

Unknown Executive

executive
#134

Yes.

Yatharth Tyagi

executive
#135

Yes.

Operator

operator
#136

The next question is from the line of Vicky from Guardian Capital Partners.

Vicky Waghwani

analyst
#137

I just wanted to ask one question. What was the debtor days for the last quarter?

Yatharth Tyagi

executive
#138

So debtor days for the whole year in FY '25 was around 123 days. And I think for this latest quarter also, I think we are looking to reduce that. Somewhere, I think we feel by H1, we should be reaching a number of around 118 to 117 days. And I think that is -- if we are on that because even our scale is increasing, the volume is increasing. But probably at H1, we would be looking to close around 117 days for the debtors.

Operator

operator
#139

The next question is from the line of Vishnu from [ Vishnu and Family ]. As there is no response from the current participant, we move on to the next participant. The next question is from the line of [indiscernible] Ventures.

Unknown Analyst

analyst
#140

Most of my questions are answered. I just have one quick question. If you could just touch down on your new hospitals, which is your Model Town and the Faridabad hospital. Could you just talk a little bit about what is the competitive scenario situation in those 2 areas as to which are the hospitals that we would be competing, which are the hospitals which are there in the catchment area? If you could just throw some color.

Amit Singh

executive
#141

Yes. So as far as Delhi hospital is concerned, within 10-kilometer radius, we have Fortis and Max. But yes, if you see that's very -- that hospital is very -- in the region where it is a very high density of the population, right? So I think the 3, 4 kilometers, 5 kilometers is enough for you to feed largely 60%, 70% of the bed capacity. So -- and that is what -- since our competitions are with the Fortis and Max and a few smaller hospitals there, we are making that hospital absolutely on a quaternary care hospital. So that's there. But I believe that more and more hospitals in any particular region, more and more market develops. I think we are nowhere inferior in that particular market. As far as Faridabad is concerned, I think...

Yatharth Tyagi

executive
#142

Also just to add for the Delhi hospital, which just operationalized a few weeks ago, the name of the competitors that we just mentioned, we have taken on board some of the star doctors who have been in those hospitals for last 10 years, last 15 years. So that's how we have positioned that hospital. And in fact, how we're trying to compete is also we're trying to create a very boutique hospital culture where every patient who's entering our hospital is getting care and addressed to. The other hospitals in the region, which might be 7, 8 kilometers within the radius, the patient volume and the patient turnover is so huge in those hospitals that patients are sometimes not getting the personal attention that is required. So how we have positioned ourselves is each and every patient that is coming to the hospital, we will be highly focused on the patient care experience by the same star doctors who have been previously practicing in those regions. As far as Faridabad is concerned, Faridabad is a market we very much understand. We already have a hospital 200 bed in Greater Faridabad. We operationalized that 1.5 years ago. So it's a new hospital in Faridabad that we have. It's also -- there are one public [indiscernible]. It has many big local hospitals, which are still not listed. So those hospitals have already been doing well in that region. In fact, Faridabad, if you see, is an older city with much more bigger health care market than even Noida as of today we speak. So there are a lot of opportunities for, again, similarly from star doctors that we are onboarding in Faridabad. And the good part is we already have a feeder from a Greater Faridabad hospital to feed certain specialties that we will be doing here, which we couldn't do there, like oncology, like transplant program, like certain of the bone marrow transplants. We already have a feeder from existing hospitals to feed a bigger 400-bed hospital in Faridabad also.

Unknown Analyst

analyst
#143

Got it. Perfect. And sir, just one -- from a numbers' perspective, right, we see that the employee cost has jumped by about INR 4 crores Q-on-Q basis. Is that -- can this be related with the operationalization of this new hospital? And also a corollary to the question would be, let's say, by year-end, what would this -- on a quarterly run rate basis, what are the number that we are talking about on an employee cost by the year-end?

Amit Singh

executive
#144

See, I think I've already answered this question. So this -- as the new hospitals coming up, the percentage-wise, if you see it looks a bit higher side of it. But we understand that this is going to be -- that will remain within the industry practice, anything between 15% to 17%, 18%. That's what I think the employee cost, and that's going to settle down. As far as doctor cost is concerned, I mean, this also you see because the new hospitals coming up, the percentage will increase, but this will be well within the range, and we are very much on to it, these numbers. So once this gets mature, I think that's the ideal time when you can questions on this percentage. But the hospitals are not matured -- I mean, we have just started it. So 1% or 2%...

Unknown Analyst

analyst
#145

So what I'm trying to get a sense is this 48 number where we are seeing for the quarter, does that reflect the entire cost of the greater -- for the Delhi hospital at least?

Yatharth Tyagi

executive
#146

No. Even in the Delhi hospital because it has actually been operationalized just a few weeks back. So quarter 2 is when you will see those numbers, and they are not reflecting in the quarter 1.

Unknown Executive

executive
#147

So we will [indiscernible] in July only...

Yatharth Tyagi

executive
#148

July itself is when the hospital got inaugurated.

Unknown Analyst

analyst
#149

Okay. Got it. Got it. And just one last question. If you could just throw some -- I don't know if you mentioned that, but if you could just talk a little bit on the operationalization of the brownfield CapEx that you're planning. When are we seeing that getting operationalized?

Yatharth Tyagi

executive
#150

The Greater Noida hospital should be before 2 years and Noida Extension should be around 2 years from today.

Operator

operator
#151

Our next question is from the line of Urmi Khania from Ledge Advisors.

Urmi Khania

analyst
#152

This is from Urmi from Ledge Advisors. My question is that any revision on the target of achieving a bed capacity of 3,000 beds by FY '28? Since you have managed to add new beds faster, do we see this target to be achieved sooner than this? And also beyond this 3,000 beds target, for long term, say, 5 years ahead, what do you [indiscernible].

Yatharth Tyagi

executive
#153

So definitely, we are looking to expand because as earlier mentioned that we are not just looking to expand it at any cost. We're looking to expand because there are some good opportunities that we have identified, which are present in the geographies where we operate, where we feel that we can have even far more advantages by being present in those geographies. So 3,000 target will, yes, definitely looks like it might be met before the FY '28 target. But even beyond that, for a 5-year horizon, we would be looking to scale up at a similar trend to what we have scaled up in last 2 years. So we would like to continue with the same momentum. As to how many beds it will leave after 5 years, time will tell, but the momentum should be continuing at least within the North India market.

Amit Singh

executive
#154

We are not chasing any particular targets in terms of number of beds. So as and when good opportunity comes, we'll be scaling ourselves.

Operator

operator
#155

The next question is from the line of Anand Kulkarni from Front Wave Research.

Anand Kulkarni

analyst
#156

Congrats on a great set of numbers. Most of my questions have already been answered. So just one on the specialty charges. As our share of [ CONGO ] in total revenue continues to rise, how are we looking at our specialty charges as a percentage of CONGO revenue a couple of years down the line? Yes, sir. Do you want me to repeat the question?

Amit Singh

executive
#157

Yes. Anand, can you please repeat the question, please?

Anand Kulkarni

analyst
#158

Yes. So as I was saying just one on the specialty charges part. As our share of CONGO in total revenue continues to rise, how are we looking at the specialty charges as a percentage of CONGO revenue a couple of years down the line?

Amit Singh

executive
#159

Specifically, we have not seen that way. But if you see that with a 70% revenue being contributed by this CONGO, I believe I think that's -- and we will be having probably the higher expenditure. I mean that's there, right? But as such, if you ask me, we have not seen that way that how much in percentage of the specialties and how much percentage of the expenditure of our CONGO. We have not seen it. But yes, you can extrapolate in that way because if 70% revenue contributed by this thing and their ARPOB is higher, where the more in the high-end surgeries you do, right, where we do transplants and others you do, there are a good -- I mean, a good percentage of the expenditure. So higher percentage of expenditure goes in those super specialties.

Anand Kulkarni

analyst
#160

Okay. Right, sir. For the last 5 years, if I take it is in the range of 40% to 45%. So do we expect to be in similar range or on the higher end?

Yatharth Tyagi

executive
#161

5% higher would be a right estimation, but not significantly higher than that.

Operator

operator
#162

The next question is from the line of Ankur from [indiscernible].

Unknown Analyst

analyst
#163

Yes. I had just one question on the trade receivables side. Our trade receivables have been higher. So anything you can just guide out on that?

Yatharth Tyagi

executive
#164

I think last year, we were quite happy with the OCF conversion the company has done. We had a cash conversion of around 68%. So even with the high receivables, the important part is that we are receiving that money. Yes, the new business that was generated has also gone into receivables. But the way it happened last year, this year, we are on the similar trend. So Q1 itself, we have seen good receivable position as far as the money that is inflowing to the company. And over the course of the next few years, when the government business comes down in the tune of 25%, that's where you could expect the days and absolute number of the receivables to also come down. But more important for us is that the money that is being generated has been received by the company, and we are happy with that progress for the quarter as well.

Unknown Analyst

analyst
#165

Understood. Like so for FY '26, like anything that we can assume?

Yatharth Tyagi

executive
#166

I think I've already mentioned for H1, the number of receivable days that we do expect. And I think for the whole year, it could be on a similar trend also.

Operator

operator
#167

The next question is from the line of Sumit Gupta from Centrum.

Sumit Gupta

analyst
#168

Just one clarification on the tax rate. So you guided for 25% to 26%? Or is it still 24%?

Unknown Executive

executive
#169

25.67% effective tax rate.

Sumit Gupta

analyst
#170

How much do you expect for '26 on a full year basis basically?

Unknown Executive

executive
#171

Yes, it's coming around 26% on a full year basis.

Operator

operator
#172

The next question is from the line of from Rudraksh from MB Investments.

Rudraksh Kalra

analyst
#173

My question is what steps is the Board taking to improve the corporate governance to your peers compared -- peers like Max or Apollo? And my question to you is what is your outlook for expansion strategy in niche markets, in niche cities like you have in Jhansi, Gwalior, and Agra? What is your expansion strategy there? If you could shed some light on that, that would be great.

Yatharth Tyagi

executive
#174

As far as your first question is concerned, as I already talked about in the last commentary, we have onboarded BDO as a statutory auditor who would be taking over, and the existing auditors have accepted the resignation. So BDO being appointed as statutory auditor as well as Deloitte has been appointed as an internal auditor from last few quarters, and we have been gaining a lot of good insights and improving our operational efficiency through Deloitte is concerned. As far as your second question in terms of our expansion geographies are concerned, I think Jhansi-Orchha for us worked out good because it was one of our good ROI, ROCE opportunity that we saw. But going forward, we would like to remain in bigger cities. We would not like to experiment much with Tier 3 cities, maybe NCR and capital cities of the big states where we would like to be. Because we see good growth in terms of paying potential and ARPOB in those cities, and that's what we would like to explore more. That's why you see post Jhansi, we have acquired 3 hospitals that are in New Delhi, Greater Faridabad and Faridabad. So this sort of reflects as an example of the strategy that one which we are approaching forward with.

Rudraksh Kalra

analyst
#175

All right. Just a follow-up, by when do you think that on an average level, the group can achieve an average occupancy upwards of 75% barring the new...

Yatharth Tyagi

executive
#176

That's what I was about to say because we're constantly adding up new beds, right? So that's why at the group level, only we can perform barring the new hospitals. So I think in a couple of years, our existing hospitals should be at a group level occupancy of close to 75%.

Operator

operator
#177

The next question is from the line of Mohammed Patel from Edelweiss Public Alternatives.

Mohammed Patel

analyst
#178

Sir, how are we going to fund this CapEx?

Yatharth Tyagi

executive
#179

So we already have a cash position, as we talked about, of around INR 300 crores as we speak. Today, the company is sitting on 0 debt. So that is an option the company will explore in the future. And thirdly, we will be having good internal accruals. So the CapEx that we have talked about is spread across the years, right? It's not that immediately we do require certain things. So I think the company is quite capable of funding it through the internal accruals, the debt as well as the cash position that we currently sit on.

Operator

operator
#180

Due to time constraints, that was the last question. I now hand the conference over to Mr. Aman. Over to you, sir.

Aman Vishwakarma

analyst
#181

Thank you. On behalf of PhillipCapital Private Client Group, we thank all the participants for your valuable time and especially the entire team of Yatharth Hospital & Trauma Care Services Limited. Before we close the call, I would like to hand it over to Mr. Tyagi for his closing comments. Over to you, Mr. Tyagi. Thank you.

Yatharth Tyagi

executive
#182

Thank you, everyone, for participating in our earnings call for quarter 1 FY '26, and thanks for your questions.

Operator

operator
#183

On behalf of PhillipCapital India Private Limited, that concludes this conference. Thank you for joining us, and you may now disconnect your lines.

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