Healthcare · NSE: ASTERDM
Aster DM Quality Care
Q1 FY27 earnings call · Guided by management
Call held 5 Aug 2026 · Read the filing on NSEFiling
- 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 FY27 | Q1 FY26 | YoY | Q4 FY26 | QoQ | |
|---|---|---|---|---|---|
| Revenue | 1,311 | 1,078 | +21.6% | 1,182 | +10.9% |
| EBITDA | 264 | 207 | +27.5% | 233 | +13.6% |
| EBITDA margin | 20.2% | 19.2% | +93 bps | 19.7% | +50 bps |
| One-off items | -114 | -4 | — | 0 | — |
| PBTProfit before tax | 86 | 142 | -39.2% | 172 | -49.7% |
| Net profit | 16 | 86 | -81.2% | 140 | -88.5% |
| EPS (₹) | 0.31 | 1.67 | -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
Merger synergies not yet realised; results expected from this financial year
Varun Khanna · MD & Group CEO · p. 9
Merger synergies not yet realised; results expected from this financial year
“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
MVT: Goal to take MVT to double digit share of revenue over next couple of years
“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
Lower to mid-teen growth seen as sustainable
“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
“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.”
“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.”
“Additionally, in April 2026, we commissioned the 159-bed Aster Women & Children block at Aster Whitefield, Bengaluru, which is already seeing strong patient traction.”
“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.”
“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.”
“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.”
In short
- 01Combined proforma Q1 FY27 revenue rose 20% to Rs 2,597 crore; EBITDA rose 30% to Rs 576 crore at a 22.2% margin.
- 02Management kept its target of 24%-25% EBITDA margin in two to three years after the merger, reached somewhere between 2028 and 2029.
- 03Merger synergies of 10%-15% of FY24 EBITDA (Rs 150-200 crore) are kept; results expected from this financial year.
- 04Trivandrum hospital expected around January 2027, Hyderabad around April 2027, Sarjapur first block in H2 FY28.
- 05Medical Value Travel revenue grew 62%; management expects growth above 50% and a double-digit revenue share over time.
- 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.
- 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 to focus on Southern, Central and Eastern regions
“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
Aster Capital, Trivandrum: Trivandrum hospital expected in H2 FY27, most likely January
“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
Hyderabad: Hyderabad hospital in interior works; start expected around April 2027
“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
Sarjapur: Sarjapur phase I (block A) expected to open in H2 FY28
“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
Raipur: Raipur cancer centre to be inaugurated in the middle of this month
“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
Mature Units: Mature units, 73% of revenue, grew revenue 19% YoY
“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
Mature Units: Mature units EBITDA up 29%; margin 30%, up 230 bps
“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: Focus units, 15% of revenue, grew revenue 16% and EBITDA 20%; margin up 60 bps
“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 Units: Emerging units revenue grew 63% YoY
“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
Emerging Units: Emerging units EBITDA up 240%; margin 12.4%, up 640 bps
“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
Medical Value Travel (MVT): Medical Value Travel revenue grew 62% YoY on new geographies
“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
Over 2 million patients treated in Q1, up 13%; occupancy up 510 bps to 64%
“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 driven by patient volumes and higher realisations from complex case mix
“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
Kerala: Kerala IP volumes up over 16%, OP volumes up 19%
“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
Quality Care: Quality Care occupancy up 656 bps to 65.4%; ARPP IP about Rs 144k
“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 on material cost savings and fixed cost absorption
“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
Past margin gains came without merger synergies
“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
10-point synergy plan led by savings on consumption
“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
Combined net debt Rs 1,162 crore; Aster net cash Rs 511 crore, Quality Care debt Rs 1,673 crore
“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
Merger effective July 1, 2026; combined figures are proforma
“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
First FY27 priority is post-merger integration and synergies from scale
“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
Company says it knows the revenue and cost synergy initiatives needed
“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
Main goal this year is running the two platforms together
“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
Three India CEOs split network by region
“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
Separate leads planned for clinical specialties such as oncology and cardiology
“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
India leadership structure still being finalised
“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
Organisation set up as a matrix of regions and specialties
“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
Aster DM Healthcare platform: Exceptional expense of Rs 114 crore in the quarter
“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
Merger costs are one-time and not part of the operating cost base
“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
New nearby competition slows growth for one or two quarters
“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: Doctor attrition in Karnataka in early FY26 cut growth to single digit
“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
Combined Q1 revenue up 20% to Rs 2,597 crore; EBITDA up 30% to Rs 576 crore, margin 22.2%
“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
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%
“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
Aster DM Healthcare platform: Aster DM normalised PAT up 39% to about Rs 125 crore
“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
Aster DM Healthcare platform: Aster DM ROCE up about 190 bps to 22.6%
“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
Merger expected to let clinical programmes like DBS and liver transplant serve more hospitals
“There is a huge leverage that we will have in terms of our clinical programs when it comes to managing complexity.”
Sources
- Earnings call transcript, Q1 FY27 Filed 12 Aug 2026 · 20 pages
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.

