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Healthcare · NSE: ASTERDM

Aster DM Quality Care

Price as of 12 Nov 2026
735.90+1.62%

Q1 FY27 earnings call · Guided by management

Call held 5 Aug 2026 · Read the filing on NSEFiling

24–25​%EBITDA margin · two to three years post-mergerR · Q&A · p. 9
50​%MVT revenue growth · MVTKhanna · Q&A · p. 18
10–15​%Incremental EBITDA from synergiesKhanna · p. 9
₹150–200​CrSynergy EBITDAKhanna · Q&A · p. 19
M.Cap
₹64,146Cr
P/E
136.3×
1Y return
+8.01%
From 52W high
−17.4%

Highlights are read by AI from the company's filing and can contain mistakes. Check the source page linked to each line.

Share price

Results Q1 FY27, as filed · consolidated · ₹ Cr

Q1 FY27Q1 FY26YoYQ4 FY26QoQ
Revenue1,3111,078+21.6%1,182+10.9%
EBITDA264207+27.5%233+13.6%
EBITDA margin20.2%19.2%+93 bps19.7%+50 bps
One-off items-114-4—0—
PBTProfit before tax86142-39.2%172-49.7%
Net profit1686-81.2%140-88.5%
EPS (₹)0.311.67-81.4%2.71-88.6%

From the company's own results filing on NSE. Net profit is the owners' share. Growth and the dotted lines are worked out from the filed figures.

Guidance

Revenue growth · MVT · long term50%MVT expected to keep growing above 50%
EBITDA margin24-25%EBITDA margin target of 24%-25% within two to three years post-merger kept
Volume growth5-6%Margin target needs 5%-6% organic volume growth and 7%-8% ARPP growth
Capacity450 bedsSarjapur facility has more than 450 beds in two blocks

Merger synergies not yet realised; results expected from this financial year

Varun Khanna · MD & Group CEO · p. 9
“I'm also not saying it's going to play out this quarter, but you will start to see significant results on our synergies this financial year onwards. That'll get annualized as we go forward into the next year.”

MVT: Goal to take MVT to double digit share of revenue over next couple of years

Alisha Moopen · Deputy Managing Director · Q&A · p. 11
“Of course, there is efforts that we are doing to make sure that we are able to kind of make it a bigger proportion of our overall revenue. I think trying to get it to double digit is sort of a goal that we will have over the next couple of years”

Lower to mid-teen growth seen as sustainable

Sunil Kumar M R · Group Chief Financial Officer · Q&A · p. 15
“I think we are talking about anywhere double-digit growth. Even the lower to mid-teen growth. I think that is something which is sustainable.”

More figures from the call

Company · Capacity
4,170​bedsBed additions · next 3 to 4 years
“We have a clear roadmap to add over 4,170 beds over the next 3 to 4 years, taking our total capacity over 15,000 beds.”
Varun Khanna · MD & Group CEOp. 6
Company · Capacity
53​%Brownfield share of expansion
“Crucially, 53% of this expansion is brownfield-led, enabling us to leverage existing infrastructure and talent for faster gestation, lower execution risk, and higher ROCE.”
Varun Khanna · MD & Group CEOp. 6
Company · Capacity
159​bedsBeds commissioned · April 2026
“Additionally, in April 2026, we commissioned the 159-bed Aster Women & Children block at Aster Whitefield, Bengaluru, which is already seeing strong patient traction.”
Varun Khanna · MD & Group CEOp. 6
Kerala · Capacity
2–3​%Kasaragod EBITDA margin · June 2026
“You can see Kasaragod also, which started in October, within nine months. June is the month we have broken even and clocked up more than 2%-3% EBITDA.”
Sunil Kumar M R · Group Chief Financial Officer · Q&Ap. 13
Company · Capacity
10,800​bedsBeds
“Again, for simplicity's sake, I think as of now, we will look at one company, 39 assets, 10,800 beds, and try and give you color on a consolidated basis for everything.”
Varun Khanna · MD & Group CEO · Q&Ap. 20
Company · Other
25​%EBITDA margin per asset
“The idea is to get the network to maturity, and it's a four-quadrant business, I've always said that, which clearly means that we should be able to do 25% EBITDA in every asset.”
Varun Khanna · MD & Group CEO · Q&Ap. 13

In short

  1. 01Combined proforma Q1 FY27 revenue rose 20% to Rs 2,597 crore; EBITDA rose 30% to Rs 576 crore at a 22.2% margin.
  2. 02Management kept its target of 24%-25% EBITDA margin in two to three years after the merger, reached somewhere between 2028 and 2029.
  3. 03Merger synergies of 10%-15% of FY24 EBITDA (Rs 150-200 crore) are kept; results expected from this financial year.
  4. 04Trivandrum hospital expected around January 2027, Hyderabad around April 2027, Sarjapur first block in H2 FY28.
  5. 05Medical Value Travel revenue grew 62%; management expects growth above 50% and a double-digit revenue share over time.
  6. 06Combined net debt was Rs 1,162 crore on 30 June 2026; Aster net cash Rs 511 crore, Quality Care debt Rs 1,673 crore.
  7. 07Aster DM took a one-time exceptional expense of Rs 114 crore for merger costs; normalised PAT rose 39% to about Rs 125 crore.

Capex

Capital deployment to focus on Southern, Central and Eastern regions

Varun Khanna · MD & Group CEO · p. 6
“Capital deployment will focus on deepening presence across our core Southern, Central, and Eastern regions.”

Aster Capital, Trivandrum: Trivandrum hospital expected in H2 FY27, most likely January

Sunil Kumar M R · Group Chief Financial Officer · Q&A · p. 16
“I think we have said H2 FY 2027, and most probably somewhere in the month of January, we should be able to operationalize the Trivandrum hospital.”

Hyderabad: Hyderabad hospital in interior works; start expected around April 2027

Sunil Kumar M R · Group Chief Financial Officer · Q&A · p. 16
“Currently, we are more or less doing the interior works there, and we'll start ordering the medical equipment in next one or two months. If that goes well, I think we should be able to operationalize sometime in the April 2027.”

Sarjapur: Sarjapur phase I (block A) expected to open in H2 FY28

Sunil Kumar M R · Group Chief Financial Officer · Q&A · p. 17
“Going well, I think at least the phase I, which is the first A block, we should be able to operationalize in the second half of FY28.”

Raipur: Raipur cancer centre to be inaugurated in the middle of this month

Varun Khanna · MD & Group CEO · Q&A · p. 19
“By the way, the good news is that we are inaugurating our cancer center in Raipur right away. That was one big project for us. That's coming up in the middle of this month.”

Segments

Mature Units: Mature units, 73% of revenue, grew revenue 19% YoY

Varun Khanna · MD & Group CEO · p. 5
“Growth across our unit mix remained robust with Mature Units contributing 73% to the total revenue recorded 19% YoY revenue growth”

Mature Units: Mature units EBITDA up 29%; margin 30%, up 230 bps

Varun Khanna · MD & Group CEO · p. 5
“The strong operating leverage led to the EBITDA growth of 29% in this segment and sustained EBITDA margins at 30% expanding by 230 bps YoY.”

Focus Units: Focus units, 15% of revenue, grew revenue 16% and EBITDA 20%; margin up 60 bps

Varun Khanna · MD & Group CEO · p. 5
“Focus Units (15% of the revenue) delivered 16% YoY revenue growth, benefiting from expanding specialty programs, increasing occupancy, and rapid margin expansion further leading to EBITDA growth of 20% with EBITDA margins expansion of 60 bps.”

Emerging Units: Emerging units revenue grew 63% YoY

Varun Khanna · MD & Group CEO · p. 5
“Emerging Segment which is the newer hospitals registered the highest growth trajectory at 63% YoY revenue growth, propelled by fast-paced patient volume ramp-ups at newly commissioned facilities.”

Emerging Units: Emerging units EBITDA up 240%; margin 12.4%, up 640 bps

Varun Khanna · MD & Group CEO · p. 5
“In our Emerging Units, EBITDA surged by 240% YoY, with margins more than doubling to 12.4% with 640 bps YoY expansion.”

Demand

Medical Value Travel (MVT): Medical Value Travel revenue grew 62% YoY on new geographies

Varun Khanna · MD & Group CEO · p. 5
“This was supported by 62% YoY growth in Medical Value Travel (MVT) revenue on account of addition of new geographies.”

Over 2 million patients treated in Q1, up 13%; occupancy up 510 bps to 64%

Varun Khanna · MD & Group CEO · p. 5
“We treated over 2 million patients in Q1, up 13% YoY, with blended occupancy expanding 510 bps YoY to 64%.”

Revenue growth driven by patient volumes and higher realisations from complex case mix

Varun Khanna · MD & Group CEO · p. 5
“Revenue growth was driven by higher patient volumes supported by higher realizations driven by an increasingly complex case mix.”

Kerala: Kerala IP volumes up over 16%, OP volumes up 19%

Sunil Kumar M R · Group Chief Financial Officer · Q&A · p. 12
“IP is driven by more than 16% volumes. OP has been 19% volumes.”

Quality Care: Quality Care occupancy up 656 bps to 65.4%; ARPP IP about Rs 144k

Sunil Kumar · p. 7
“This strong performance was driven by a 656 bps jump in occupancy to 65.4%, deeper clinical mix, robust growth in robotic, transplants and joint replacement along with better payor mix which boosted the ARPP IP, reaching ~INR 144k in Q1FY27.”

Margins and costs

EBITDA growth outpaced revenue on material cost savings and fixed cost absorption

Varun Khanna · MD & Group CEO · p. 5
“EBITDA growth outpaced revenue growth, unlocking operating leverage through material cost savings and stronger fixed cost absorption.”

Past margin gains came without merger synergies

Varun Khanna · MD & Group CEO · p. 9
“For merged entity, synergies haven't played out. As I told you, we've not started working on the merged entity synergies previously.”

10-point synergy plan led by savings on consumption

Varun Khanna · MD & Group CEO · p. 9
“It's a 10-point synergy wheel that we created, I had mentioned this about a year back as well, that those are the things that one should work on. First and foremost, of course, it is led by the benefit on consumption.”

Debt and working capital

Combined net debt Rs 1,162 crore; Aster net cash Rs 511 crore, Quality Care debt Rs 1,673 crore

Sunil Kumar · p. 7
“At the combined level there is a net debt of INR 1162 Crore as on 30 June 2026. Aster is net cash with INR 511 crore and Quality Care has a debt of INR 1,673 crore.”

Acquisitions and new business

Merger effective July 1, 2026; combined figures are proforma

Varun Khanna · MD & Group CEO · p. 4
“Considering that the merger became effective on July 1, 2026, the numbers pertaining to the combined entity are on proforma basis.”

First FY27 priority is post-merger integration and synergies from scale

Varun Khanna · MD & Group CEO · Q&A · p. 8
“I think the first and the foremost thing is that we brought these two large companies together so that we could benefit from scale. That is what draws me to the post-merger integration and value unlocking from the synergies.”

Company says it knows the revenue and cost synergy initiatives needed

Varun Khanna · MD & Group CEO · Q&A · p. 9
“We know exactly what kind of initiatives will get us there, what are the revenue synergies, what are the cost synergies.”

Main goal this year is running the two platforms together

Alisha Moopen · Deputy Managing Director · Q&A · p. 11
“I think this is a really important year ahead for us, and I cannot underplay how important it is for us to just get these two platforms to run cohesively and synergistically”

Management

Three India CEOs split network by region

Varun Khanna · MD & Group CEO · Q&A · p. 17
“Another part of Kerala and Karnataka is together. We've got Andhra, Telangana, Central, and a part of East together.”

Separate leads planned for clinical specialties such as oncology and cardiology

Varun Khanna · MD & Group CEO · Q&A · p. 17
“There's somebody who's going to lead clinical specialties. Someone's going to be focusing on oncology, someone's going to be focusing on cardiology, because that's another vertical that we are developing.”

India leadership structure still being finalised

Varun Khanna · MD & Group CEO · Q&A · p. 8
“See, the India leadership, we are still in the process of putting all of the final touches to it.”

Organisation set up as a matrix of regions and specialties

Varun Khanna · MD & Group CEO · Q&A · p. 17
“It's more of drawing inspiration from a multinational company. It's a matrixed setup to ensure that we are getting the best of thought process and operational control.”

One-offs

Aster DM Healthcare platform: Exceptional expense of Rs 114 crore in the quarter

Sunil Kumar · p. 6
“The exceptional expense of INR 114 Cr pertains entirely to costs incurred”

Merger costs are one-time and not part of the operating cost base

Sunil Kumar · p. 7
“towards the merger and related activities. These are one-time, transaction-related costs and are not indicative of the underlying operating cost base.”

Risks

New nearby competition slows growth for one or two quarters

Sunil Kumar M R · Group Chief Financial Officer · Q&A · p. 15
“See, we've always seen whether it's in Kerala or Karnataka, whenever there is a neighborhood competition coming in, you will have some softness in the growth for one or two quarter, slowly it'll come back.”

Karnataka: Doctor attrition in Karnataka in early FY26 cut growth to single digit

Sunil Kumar M R · Group Chief Financial Officer · Q&A · p. 13
“Karnataka, yes, FY26, I think the first two or three quarters, we had a little bit of attrition in some of the doctors, and we went into even a single digit growth.”

Other

Combined Q1 revenue up 20% to Rs 2,597 crore; EBITDA up 30% to Rs 576 crore, margin 22.2%

Varun Khanna · MD & Group CEO · p. 5
“operations increased 20% year-on-year to INR 2,597 crores. EBITDA grew 30% YoY to INR 576 crores. The EBITDA Margin expanded by 170 bps YoY to 22.2%.”

Aster DM Healthcare platform: Aster DM revenue up 22% to Rs 1,311 crore; operating EBITDA up 29% to Rs 277 crore, margin 21.1%

Sunil Kumar · p. 6
“with revenue increasing 22% year-on-year to Rs. 1,311 Cr, compared to Rs. 1,078 Cr in Q1 FY26. Operating EBITDA increased 29% to Rs. 277 Cr, while the operating EBITDA margin expanded by 117 basis points to 21.1%.”

Aster DM Healthcare platform: Aster DM normalised PAT up 39% to about Rs 125 crore

Sunil Kumar · p. 6
“Normalised PAT, excluding exceptional costs, increased 39% year-on-year to approximately Rs. 125 Cr, compared with Rs. 90 Cr in the corresponding quarter last year.”

Aster DM Healthcare platform: Aster DM ROCE up about 190 bps to 22.6%

Sunil Kumar · p. 7
“Return on Capital Employed improved by approximately 190 basis points to 22.6%, compared with 20.7% in the corresponding period last year.”

Merger expected to let clinical programmes like DBS and liver transplant serve more hospitals

Varun Khanna · MD & Group CEO · Q&A · p. 10
“There is a huge leverage that we will have in terms of our clinical programs when it comes to managing complexity.”

Sources

Management's own statements, quoted from its NSE filings. This page was read by AI and can contain mistakes: check the source pages before relying on any figure. No forecast or opinion of ours. Not investment advice.

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