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Artemis Medicare Services vs Metropolis Healthcare Q4 FY26

Side-by-side earnings comparison across financial stats, AI summaries, management guidance, risks, quotes, and accountability signals.

Artemis Medicare Services

bullish high

Artemis Medicare delivered a strong Q4 FY26 with consolidated revenue of INR 279 crore (+16.4% YoY) and PAT of INR 30 crore (+32.1% YoY), driven by higher patient volumes in high-margin specialties and improved case mix.

Read Artemis Medicare Services analysis →

Metropolis Healthcare

bullish high

Metropolis Healthcare delivered a strong FY26 with group revenue of ₹1,646 crore (+23.6% YoY) and EBITDA margin of 24.4%.

Read Metropolis Healthcare analysis →

Result Snapshot

Revenue₹279 Cr₹1,646 Cr
Revenue YoY16.4%23.6%
PAT₹30 Cr₹191 Cr
PAT YoY32.1%31.0%
EBITDA Margin21.3%24.4%
Sentimentbullishbullish

Verdict

Stronger quarter Metropolis Healthcare

Metropolis Healthcare had the stronger quarter on this simple score because its revenue growth plus EBITDA margin beat Artemis Medicare Services. Revenue growth is compared first, with EBITDA margin used as the quality check.

AI Summary

Artemis Medicare Services

Q4 FY26 · Healthcare

Artemis Medicare delivered a strong Q4 FY26 with consolidated revenue of INR 279 crore (+16.4% YoY) and PAT of INR 30 crore (+32.1% YoY), driven by higher patient volumes in high-margin specialties and improved case mix. EBITDA margin expanded to 21.3% as operational efficiencies and cost management offset input pressures. The Gurugram flagship saw occupancy of 64.6% and ARPOB of INR 84,571 (+7.3% YoY). International patient revenue grew 26.9% for the full year, with recovery from a March dip. The Raipur 300-bed hospital is on track for Q1 FY27 commissioning, with guided losses of INR 18-20 crore in the first year. The company targets 2,000 beds by 2029, supported by a INR 700 crore fundraising plan. Key risk: potential margin dilution from Raipur ramp-up and regulatory uncertainties around medical device pricing caps.

Guidance read
Raipur hospital to commence operations in Q1 FY27: 300-bed super-specialty hospital in Raipur will start in Q1 FY27; first phase of 150 beds operational, remaining 150 within 3-4 months. Raipur to incur INR 18-20 crore losses in first year: Management guided for losses of INR 18-20 crore in FY27 from Raipur, with break-even expected in 18 months. Gurugram EBITDA margin to exceed 20%: Gurugram facility expected to deliver EBITDA margin north of 20% in coming years, driven by case mix, cost efficiencies, and corporate cost dilution. Fundraising of up to INR 700 crore for new projects: Board approved fundraising up to INR 700 crore to fund new brownfield/greenfield projects beyond announced ones.
Risk read
Key risks include Raipur ramp-up losses and margin dilution — Raipur hospital expected to incur INR 18-20 crore losses in FY27, potentially dragging consolidated EBITDA margin by 1-1.5%.; Regulatory risk from medical device margin caps — Analyst raised concern about health ministry examining margin caps on medical devices (30-50% range); management downplayed but acknowledged uncertainty.; International patient volatility from geopolitical events — March saw 15-18% dip in international patients due to West Asia war; recovery underway but risk remains.; Cash flow conversion below EBITDA — Cash flow from operations at ~60% of EBITDA; analyst noted lower conversion in H2, though management attributed to normal operations..
Promise ledger
Scorecard data is being built as historical quarters are processed.

Metropolis Healthcare

Q4 FY26 · Healthcare

Metropolis Healthcare delivered a strong FY26 with group revenue of ₹1,646 crore (+23.6% YoY) and EBITDA margin of 24.4%. Organic revenue grew 13.7% YoY, exceeding the 12-13% guidance, driven by patient volume growth of 7.5% and realization improvement. Organic EBITDA margin expanded 140 bps to 25.9%, aided by lab platform upgrades, vendor consolidation, and operating leverage. The core diagnostics acquisition achieved high single-digit EBITDA margin within four quarters, on track for 20%+ in three years. Management guided for 14-15% organic revenue growth and 27-28% group EBITDA margin over the next three years, supported by network productivity gains, specialty mix improvement, and digital channel expansion. Key risks include competitive intensity in tier-1 cities and potential integration challenges from future M&A.

Guidance read
Organic revenue growth of 14-15% over next 3 years: Driven by 8-9% patient volume growth and ~5% realization improvement, with potential price increases. Group EBITDA margin target of 27-28% over next 3 years: Supported by operating leverage, productivity gains, and core diagnostics reaching 20%+ margin. 125-150 bps margin improvement in FY27: Management expects EBITDA margin expansion of 125-150 bps in the coming fiscal year. Add 1500 collection centers and 100 mini hubs over 3 years: Expand asset-light network and upgrade centers to include basic radiology, targeting center-to-lab ratio of 35:1.
Risk read
Key risks include Competitive intensity in tier-1 cities — Growth in tier-1 cities like Mumbai is around 11-14%, potentially constrained by high competition from organized and unorganized players.; Integration risks from future M&A — While current acquisitions are on track, future deals may face quality and integration challenges, as management noted many assets do not meet their standards.; Dependence on price increases for growth — Management indicated no price hike planned currently, but realization growth partly relies on future price increases, which may not materialize if competitive pressures persist..
Promise ledger
Scorecard data is being built as historical quarters are processed.

Key Numbers

Artemis Medicare Services

Q4 FY26 · Healthcare
Occupancy (Gurugram) 64.6%
+4.6pp YoY

Occupancy improved from ~60% as new towers matured; target 70% by Q2 FY27.

ARPOB (Gurugram) ₹84,571
+7.3% YoY

Driven by enhanced case mix and higher-paying patients.

International Patient Revenue Growth (FY26) 26.9%
+26.9% YoY

Growth despite West Asia war; 30% of revenue from international patients.

Operational Beds (FY26) 544
+44 beds YoY

Capacity expansion ongoing; target 2,000 beds by 2029.

Metropolis Healthcare

Q4 FY26 · Healthcare
Patient Volume Growth (Organic Q4) 9.3%
+9.3% YoY

Organic patient volume grew 9.3% in Q4 FY26, driven by network expansion and demand.

Realization Growth (Organic Q4) 5%
+5% YoY

Revenue per patient improved ~5% YoY in Q4, driven by specialty and wellness mix.

Digital Revenue Contribution 25%
+25pp vs 3 years ago

Digital channels now contribute 25% of revenue, up from 0% three years ago.

Center-to-Lab Ratio 24:1
+4pp YoY

Improved from 20:1 to 24:1, targeting 35:1 over three years.

Management Guidance

Artemis Medicare Services

Q4 FY26 · Healthcare
G

Raipur hospital to commence operations in Q1 FY27

300-bed super-specialty hospital in Raipur will start in Q1 FY27; first phase of 150 beds operational, remaining 150 within 3-4 months.

Management guidance expansion
G

Raipur to incur INR 18-20 crore losses in first year

Management guided for losses of INR 18-20 crore in FY27 from Raipur, with break-even expected in 18 months.

Management guidance margins
G

Gurugram EBITDA margin to exceed 20%

Gurugram facility expected to deliver EBITDA margin north of 20% in coming years, driven by case mix, cost efficiencies, and corporate cost dilution.

Management guidance margins

Metropolis Healthcare

Q4 FY26 · Healthcare
G

Organic revenue growth of 14-15% over next 3 years

Driven by 8-9% patient volume growth and ~5% realization improvement, with potential price increases.

Management guidance revenue
G

Group EBITDA margin target of 27-28% over next 3 years

Supported by operating leverage, productivity gains, and core diagnostics reaching 20%+ margin.

Management guidance margins
G

125-150 bps margin improvement in FY27

Management expects EBITDA margin expansion of 125-150 bps in the coming fiscal year.

Management guidance margins

Key Risks

Artemis Medicare Services

Q4 FY26 · Healthcare
R

Raipur ramp-up losses and margin dilution

Raipur hospital expected to incur INR 18-20 crore losses in FY27, potentially dragging consolidated EBITDA margin by 1-1.5%.

medium · management_commentary
R

Regulatory risk from medical device margin caps

Analyst raised concern about health ministry examining margin caps on medical devices (30-50% range); management downplayed but acknowledged uncertainty.

medium · analyst_question
R

International patient volatility from geopolitical events

March saw 15-18% dip in international patients due to West Asia war; recovery underway but risk remains.

low · management_commentary

Metropolis Healthcare

Q4 FY26 · Healthcare
R

Competitive intensity in tier-1 cities

Growth in tier-1 cities like Mumbai is around 11-14%, potentially constrained by high competition from organized and unorganized players.

medium · analyst_question
R

Integration risks from future M&A

While current acquisitions are on track, future deals may face quality and integration challenges, as management noted many assets do not meet their standards.

medium · management_commentary
R

Dependence on price increases for growth

Management indicated no price hike planned currently, but realization growth partly relies on future price increases, which may not materialize if competitive pressures persist.

low · data_observation

Key Quotes

Artemis Medicare Services

Q4 FY26 · Healthcare
Our end goal would be to remain at the same 30-31% of revenue coming from international patients irrespective of where we are and how our topline moves.
Dr. Devina Chakravarti · Managing Director
We are looking at both all the options. We have a little pipeline with some other opportunities. So we are kind of taking that call whether to start this 100 bed facility in the current financial year or to take up another brown field or a green field project.
Dr. Devina Chakravarti · Managing Director

Metropolis Healthcare

Q4 FY26 · Healthcare
We are not looking at a price increase, but as the things progresses during the year, if there is a need for us to do it, we would not hesitate to do it.
Ameera Shah · Promoter Chairperson and Whole-time Director
We believe a sustainable EBITDA at this point over the next three years of 27 to 28% makes sense for us and if we are able to generate more operating leverage we would like to invest it back in the business.
Ameera Shah · Promoter Chairperson and Whole-time Director