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APOLLOHOSP Healthcare 14 Nov 2023

Apollohosp Ltd — Q2 FY24

Apollo Hospitals reported a robust Q2 FY24 with consolidated revenue of INR 4,847 crore (+14% YoY) and EBITDA of INR 628 crore (+11% YoY).

bullish high
Revenue ₹4,847 Cr +14%
EBITDA ₹628 Cr +11%
PAT ₹249 Cr
EBITDA Margin 13%
Duration
Read Time 1 min read

✓ Verified against BSE filing

2-Minute Summary

✦ AI-Generated from Full Transcript

Apollo Hospitals reported a robust Q2 FY24 with consolidated revenue of INR 4,847 crore (+14% YoY) and EBITDA of INR 628 crore (+11% YoY). Healthcare services revenue grew 12% to INR 2,547 crore, driven by 18% growth in insurance revenues (now 43% of IP revenue) and 20% growth in international patients. Occupancy stood at 68%, with ARPOB up 14% to INR 57,379. The pharmacy business grew 21% YoY, and Apollo 24|7 added 2 million new users, targeting operational breakeven by Q4 FY24. Management guided for 200 bps margin expansion in hospitals and 6%+ EBITDA margin for pharmacy. Key risks include delayed ramp-up of new bed additions and competitive intensity in metro markets.

Key Numbers

Occupancy 68%
+?pp YoY

Group occupancy was 68%, with headroom to reach 70-72% next year.

ARPOB INR 57,379
+14% YoY

Average revenue per occupied bed increased due to better payer mix and case mix.

Insurance Revenue Share 43%
+?pp YoY

Insurance now contributes 43% of inpatient revenue, up from ~30% pre-COVID.

Apollo 24|7 Users 29M
+2M QoQ

Digital platform added 2 million new users in Q2, reaching 29 million total.

What Changed vs Last Quarter

Comparing Q2 FY24 vs Q1 FY24
2 new guidance2 dropped3 new risk4 risk resolved
NEW
Hospital EBITDA margin expansion of 200 bps

Management expects hospital EBITDA margins to improve by 200 basis points over the next two years, driven by operating leverage and occupancy improvement.

NEW
Addition of 2,300 beds over three years at INR 3,400 crore

Apollo plans to add 2,300 beds across eight locations over the next three financial years, with a capital outlay of INR 3,400 crore.

UPDATED
Pharmacy omni-channel revenue of INR 10,000 crore and 6%+ EBITDA margin

Pharmacy business is on track to achieve INR 10,000 crore in revenue for FY24 with EBITDA margin of 6% or higher.

UPDATED
Apollo 24|7 operational breakeven in Q4 FY24

The digital health platform is expected to achieve operational breakeven by the fourth quarter of FY24.

DROPPED
Occupancy target of 70% without additional CapEx

Management expects to reach 70% occupancy over time without requiring significant capital expenditure, leveraging existing capacity.

DROPPED
Discount rationalization to 13-14% range for online pharmacy

Management guided that online pharmacy discounts will remain in the 13-14% range for the rest of FY24, with offline discounts at 12-12.5%.

NEW RISK
Delayed monsoon impacted medical admissions in South India

Inpatient volume growth was muted in core southern markets due to a delayed monsoon, reducing seasonal medical admissions.

NEW RISK
New hospital ramp-up may pressure near-term margins

Analyst raised concern that new bed additions (Pune, Kolkata, Hyderabad) could drag margins until they reach breakeven in 12-18 months.

NEW RISK
Competitive intensity in metro markets

Analyst questioned whether expansion in metros (where supply is strong) is prudent versus non-metros where Apollo has an early-mover advantage.

RISK GONE
Occupancy ramp-up slower than expected

Overall occupancy at 62% remains below the 70% target, with new hospitals at 60% and some regions like Tamil Nadu seeing muted volumes due to seasonal factors.

RISK GONE
Margin pressure from new store additions and clinical investments

Combined pharmacy EBITDA margins are under pressure due to 20% of stores yet to reach breakeven, and new hospitals face margin drag from doctor hiring and marketing costs.

RISK GONE
Apollo 24|7 GMV growth may be impacted by discount reduction

The decision to reduce discounts and filter low-value orders led to a sequential decline in pharmacy GMV, and achieving the INR 3,000 crore GMV target may be challenging.

RISK GONE
Indraprastha Medical lease renewal uncertainty

Management deferred providing an update on the lease renewal for Indraprastha Medical, which could impact future operations and expansion plans.

Management Guidance

G

Hospital EBITDA margin expansion of 200 bps

Management expects hospital EBITDA margins to improve by 200 basis points over the next two years, driven by operating leverage and occupancy improvement.

Management guidance margins
G

Pharmacy omni-channel revenue of INR 10,000 crore and 6%+ EBITDA margin

Pharmacy business is on track to achieve INR 10,000 crore in revenue for FY24 with EBITDA margin of 6% or higher.

Management guidance revenue
G

Apollo 24|7 operational breakeven in Q4 FY24

The digital health platform is expected to achieve operational breakeven by the fourth quarter of FY24.

Management guidance growth
G

Addition of 2,300 beds over three years at INR 3,400 crore

Apollo plans to add 2,300 beds across eight locations over the next three financial years, with a capital outlay of INR 3,400 crore.

Management guidance capex

Key Risks

R

Delayed monsoon impacted medical admissions in South India

Inpatient volume growth was muted in core southern markets due to a delayed monsoon, reducing seasonal medical admissions.

medium · management_commentary
R

New hospital ramp-up may pressure near-term margins

Analyst raised concern that new bed additions (Pune, Kolkata, Hyderabad) could drag margins until they reach breakeven in 12-18 months.

medium · analyst_question
R

Competitive intensity in metro markets

Analyst questioned whether expansion in metros (where supply is strong) is prudent versus non-metros where Apollo has an early-mover advantage.

medium · analyst_question

Notable Quotes

We are on track to achieve operational break-even in quarter four FY 2024.
Suneeta Reddy · Managing Director
We are seeing that there is a higher demand that we are witnessing for both semi-private and private.
Krishnan Akhileswaran · Group CFO
We are on track to add 2,300 beds across eight locations at a cost of INR 3,400 crore in the next three financial years.
Suneeta Reddy · Managing Director

Frequently Asked Questions

What was Apollohosp's revenue in Q2 FY24?

Apollohosp reported revenue of ₹4,847 Cr in Q2 FY24, representing a +14% change compared to the same quarter last year.

What guidance did Apollohosp management give for FY25?

Hospital EBITDA margin expansion of 200 bps: Management expects hospital EBITDA margins to improve by 200 basis points over the next two years, driven by operating leverage and occupancy improvement. Pharmacy omni-channel revenue of INR 10,000 crore and 6%+ EBITDA margin: Pharmacy business is on track to achieve INR 10,000 crore in revenue for FY24 with EBITDA margin of 6% or higher. Apollo 24|7 operational breakeven in Q4 FY24: The digital health platform is expected to achieve operational breakeven by the fourth quarter of FY24. Addition of 2,300 beds over three years at INR 3,400 crore: Apollo plans to add 2,300 beds across eight locations over the next three financial years, with a capital outlay of INR 3,400 crore.

What are the key risks for Apollohosp in FY25?

Key risks include Delayed monsoon impacted medical admissions in South India — Inpatient volume growth was muted in core southern markets due to a delayed monsoon, reducing seasonal medical admissions.; New hospital ramp-up may pressure near-term margins — Analyst raised concern that new bed additions (Pune, Kolkata, Hyderabad) could drag margins until they reach breakeven in 12-18 months.; Competitive intensity in metro markets — Analyst questioned whether expansion in metros (where supply is strong) is prudent versus non-metros where Apollo has an early-mover advantage..

Did Apollohosp meet its previous quarter's guidance?

Of 1 tracked promise, management 0 met, 0 close, 1 missed.

Where can I read the full Apollohosp Q2 FY24 concall transcript?

The full earnings conference call transcript or source release is available on the linked source material. This page provides an AI-generated summary with filing verification status shown on the financial stats.