Apollo Hospitals Enterprise FY26 Annual Earnings Summary
3 quarters covered · ₹18,953 Cr revenue · ₹935 Cr PAT · 5.0% average EBITDA margin.
Quarter-by-quarter progression
Management promises made during the year
Promise tracking available after 2+ quarters of coverage.
Risks flagged during the year
Quick-commerce players have entered the prescription business with aggressive discounts, potentially pressuring margins and customer acquisition costs.
Q1 FY26 · mediumInternational patient volumes from Bangladesh remain below pre-disruption levels, though case complexity has increased.
Q2 FY26 · mediumOccupancy declined to 69% from 73% last year, with medical admissions dropping 6% due to seasonality. Management targets 70% but faces structural challenges from shorter ALOS.
Q2 FY26 · mediumPre-opening costs of ~₹150 crore EBITDA losses from six new hospitals could pressure consolidated margins, especially in H1 FY27.
Q2 FY26 · mediumSpecialty care within AHL faces serious competition in diagnostics, impacting growth. Management acknowledged headwinds but provided limited mitigation details.
Q3 FY26 · mediumStart-up losses of ~₹150 crore from new hospitals could drag consolidated margins if occupancy ramps slower than expected.
Q3 FY26 · mediumSome insurance contracts faced delays in renewal, impacting payor mix; management noted delays but expects resolution.
Q3 FY26 · mediumGST changes and insurance revenue deferral caused a ~₹70 crore mismatch, pushing break-even; sustainability of growth needs monitoring.
Q1 FY26 · lowNew hospitals may take longer to break even than the guided 12 months, with total losses of ~₹150 crore over two years.
Q1 FY26 · lowThe change in GMV reporting (excluding existing customer revenue) could lead to misinterpretation of growth trends.
Q2 FY26 · lowDespite a significant CGHS rate hike, management noted that government business still offers a 65% discount to private tariffs, limiting margin benefit.
Q3 FY26 · lowCompetitors are poaching senior doctors; management downplayed risk but recent high-profile departures warrant attention.
What changed through the year
Q1 FY26 · Digital business breakeven by Q4 FY26
Apollo 24/7 is on track to achieve breakeven by end of FY26, with losses narrowing to ₹73 crore in Q1 from ₹116 crore last year.
Q1 FY26 · Hospital margin expansion to 25%+
Healthcare services margins are expected to improve from 24.5% to 25% or higher, before a marginal 100 bps dip from new hospital losses.
Q1 FY26 · 700 new beds operational in FY26
Four new hospitals (women's oncology in Delhi, multispeciality in Pune, acquired hospital in Bangalore, multispeciality in Kolkata) will add 700 beds in FY26.
Q1 FY26 · Healthco + Keimed combined revenue of ₹25,000 crore by FY27
The merged entity (Apollo Healthco + Keimed) is expected to achieve a revenue run rate of ₹25,000 crore with 7% EBITDA margin by end of FY27.
Q2 FY26 · Healthcare services organic growth to return to 13%
Management expects healthcare services revenue growth to revert to 13% as Bangladesh patients return and new markets are explored.
Q2 FY26 · New hospital EBITDA losses of ~₹150 crore in FY27
Pre-opening EBITDA losses from six new hospitals are expected to be around ₹150 crore, with break-even targeted within 12 months.
Q2 FY26 · Apollo 24/7 break-even by Q4 FY26
The digital platform is on course to achieve break-even by end of this fiscal year, though insurance investments may cause a slight delay.
Q2 FY26 · HealthCo margin target of 7% by Q4 FY27
Apollo HealthCo aims for a revenue run rate of ₹25,000 crore and 7% EBITDA margin by Q4 FY27, with current H1 margin at 4.4%.
Q3 FY26 · New bed addition of ~1,500 over FY27-28
Approximately 750 beds to be operationalized in FY27 across Hyderabad, Kolkata, Bangalore, and Gurugram, with the balance in early FY28.
Q3 FY26 · Start-up losses of ~₹150 crore in FY27
Management expects total pre-opening and ramp-up losses of around ₹150 crore for new hospitals in the next fiscal year.
Q3 FY26 · Digital business cash break-even by Q1 FY27
Cash EBITDA break-even for Apollo 24/7 delayed by one quarter due to insurance revenue recognition mismatch; otherwise on track.
Q3 FY26 · Existing hospital margin expansion of ~100bps in FY27
Management expects to improve existing hospital EBITDA margins by about 100 basis points through asset utilization and cost initiatives.