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FORTIS Diversified 23 Jan 2026

Fortis Healthcare Limited — Q3 FY26

Fortis Healthcare delivered a strong Q3 FY26 with consolidated revenue of INR 2,265 crore (+17.5% YoY) and EBITDA margin expansion of 290 bps to 22.3%, driven by hospital business growth of 19.4% and diagnostic margin recovery.

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Revenue ₹2,265 Cr +17.5%
EBITDA ₹505 Cr +34.8%
PAT ₹197 Cr -21.2%
EBITDA Margin 22.3% +290bps
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Read Time 1 min read

✓ Verified against BSE filing

2-Minute Summary

✦ AI-Generated from Full Transcript

Fortis Healthcare delivered a strong Q3 FY26 with consolidated revenue of INR 2,265 crore (+17.5% YoY) and EBITDA margin expansion of 290 bps to 22.3%, driven by hospital business growth of 19.4% and diagnostic margin recovery. Hospital ARPOB rose 4.5% to INR 2.56 crore, supported by a 52% surge in robotic surgeries. Occupied beds grew 14% to 3,189, while occupancy held at 67%. The diagnostics business (Agilus) saw EBITDA margins improve to 23.1% from 14.4% YoY. Management guided for continued margin improvement via brownfield expansions (400+ beds next year, including FMRI) and cluster-based M&A (People Tree acquisition in Bengaluru). Risks include integration challenges at Gleneagles (negative 9M revenue growth) and potential dilution from IHH equity infusion.

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Quarter Snapshot

Hospital ARPOB INR 2.56 Cr
+4.5% YoY

Average revenue per occupied bed per annum, driven by case mix and price increases.

Occupied Beds 3,189
+14% YoY

Total occupied beds in Q3, reflecting both organic growth and acquisitions.

Robotic Surgeries Growth 52%
+52% YoY

Year-on-year increase in robotic surgeries, indicating higher complexity cases.

Diagnostics EBITDA Margin 23.1%
+870 bps YoY

Agilus Diagnostics EBITDA margin improved sharply from 14.4% in Q3 FY25.

What Changed vs Last Quarter

Comparing Q3 FY26 vs Q2 FY26
3 new guidance4 dropped2 new risk3 risk resolved
NEW
Brownfield bed addition of 400+ beds in FY27

Targeting over 400 brownfield beds next year, primarily from FMRI expansion (200 beds) and other facilities.

NEW
ARPOB growth of 4-5% expected for next two years

Management expects ARPOB to grow 4-5% annually, driven by case mix and price increases.

NEW
IHH equity infusion likely in 3-6 months

IHH may infuse fresh equity via preferential allotment to strengthen balance sheet for growth.

DROPPED
Hospital EBITDA margin to exceed initial guidance of 20.5-22.5%

Management indicated possibility of higher margin improvement than guided at the beginning of the year, driven by ramp-up of new units.

DROPPED
Organic bed addition of 400-500 beds in FY26

Company added 550 operational beds in H1 FY26 and expects full-year addition of 400-500 beds.

DROPPED
Diagnostics EBITDA margin of 23-24% for full year FY26

Agilus CFO guided margins to be around 23-24% for the full year, based on H1 performance of 24%.

DROPPED
ARPOB growth of 5-6% in H2 FY26

Management expects ARPOB growth of 5-6% in second half, driven by mix improvement and robotic surgeries.

NEW RISK
Intense competition in Hyderabad cluster

Management noted intense competition in Hyderabad, making M&A there less attractive.

NEW RISK
Occupancy drag from new units

New facilities like Greater Noida and Adayu dragged overall occupancy by ~50 bps.

RISK GONE
CGHS payment uncertainty and policy changes

Management expressed caution on CGHS due to non-predictability of payments and potential circular changes, despite recent rate increases.

RISK GONE
Debt increase from acquisitions

Net debt rose to INR 2,219 crore (0.96x EBITDA) from 0.16x a year ago due to acquisitions, though management is comfortable.

RISK GONE
Delay in SMRI capacity addition

Commissioning of 225 beds at SMRI delayed by three months to March 2026, pushing revenue contribution to next fiscal.

🤫 Topics management stopped discussing

Hospital EBITDA margin improvement of ~200 bps for FY26

Mentioned in Q1 FY25, Q1 FY26, Q2 FY25, Q3 FY25

Management reiterated guidance of 200 bps margin expansion for the hospital business in FY26, supported by case mix improvement and operational efficiencies.

Agilus double-digit revenue growth and 23% EBITDA margin in FY26

Mentioned in Q2 FY26, Q4 FY25

Management expects ARPOB growth of 5-6% in second half, driven by mix improvement and robotic surgeries.

Agilus to reach industry growth of 8-10% by Q2 FY26

Mentioned in Q1 FY25, Q3 FY25

Agilus expects to return to industry-level growth of 8-10% by Q2 FY26, driven by volume growth.

Diagnostic revenue growth may lag expectations

Mentioned in Q3 FY25, Q4 FY25

Despite margin improvement, Agilus revenue growth has been low single-digit; management's double-digit growth target may be challenged by competitive pressures.

Legal costs from Daiichi dispute to persist

Mentioned in Q1 FY25, Q4 FY25

Legal and other legacy costs continue to consume ~1% of EBITDA, with no near-term resolution expected for the Delhi High Court case.

Fast read

Guidance and risk preview

Top guidance Brownfield bed addition of 400+ beds in FY27

Targeting over 400 brownfield beds next year, primarily from FMRI expansion (200 beds) and other facilities.

Top risk Gleneagles O&M integration challenges

Gleneagles revenue declined 4% in 9M due to clinician attrition and management changes; turnaround uncertain.

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