Investor Presentation

November 2022

Important Disclosure

No representation or warranty, express or implied is made as to, and no reliance should be placed on, the fairness, accuracy, completeness or correctness of such information or opinions contained herein. The information contained in this presentation is only current as of its date. Certain statements made in this presentation may not be based on historical information or facts and may be "forward looking statements", including those relating to the Company's general business plans and strategy, its future financial condition and growth prospects, and future developments in its industry and its competitive and regulatory environment.

Actual results may differ materially from these forward-looking statements due to a number of factors, including future changes or developments in the Company's business, its competitive environment and political, economic, legal and social conditions in India.

This communication is for general information purpose only, without regard to specific objectives, financial situations and needs of any particular person. This presentation does not constitute an offer or invitation to purchase or subscribe for any shares in the Company and neither any part of it shall form the basis of or be relied upon in connection with any contract or commitment whatsoever. The Company may alter, modify or otherwise change in any manner the content of this presentation, without obligation to notify any person of such revision or changes. This presentation can not be copied and/or disseminated in any manner.

2

NH at a Glance

As on 1st October 2022

44

Healthcare Facilities

Operational beds

19

Owned / Operated Hospitals(1)

5,489

Beds

2

Managed Hospitals(2)

283 Beds

4

Heart Centres

263

Beds

18

Primary Healthcare Facilities(3)

0

Beds

1

Hospital in Cayman Islands

110

Beds

NH's footprint in India

Kakriyal, Jammu

Northern Region

4 hospitals Operational beds: 1,117

Delhi NCR

6,490 Capacity Beds

6,145 Operational Beds

3.9 mn(4) Average Effective Capital Cost per Operational Bed

30+

Specialities

17,921

Full-time Employees and Associates

including 3,833 doctors

Western Region

2 hospitals

Jaipur

Operational beds: 352

Ahmedabad

Mumbai

Shimoga Bellary

Karnataka Region

Bengaluru

6 hospitals, 4 heart centres

Hospital operational beds: 2,156* Mysore

Heart centres' operational beds: 263

Bengaluru has 3 hospitals

Guwahati

Jamshedpur

Raipur

Kolkata

Eastern Region

8 hospitals

Operational beds: 2,047

Kolkata has 5 hospitals

  1. NH owns the P&L responsibility
  2. NH manages 3rd party hospitals for Management Fees; including 1 project at St. Lucia
  3. Includes clinics, information centres, etc
  4. Based on (Gross Block for Fixed Assets (adjusted for non-cash government grant provision impact, non-cash financial lease impact for Dharamshila unit, non-cash EPCG beds as of September 30th 2022 but excluding Managed Hospitals and Cayman facility

* Includes operational beds of acquired Orthopedic and Trauma Hospital considered as part of MSMC Unit

license impact )+ Capital Work in Progress (CWIP)) / Number of operational

3

Key Highlights - Q2 FY23….(1/2)

Clinical &

Operational

  • Meridian Medical Research and Hospital Limited (MMRHL), Kolkata commissioned a new Linear accelerator (Varian True Beam) to further fortify its radiation oncology work
  • Group continued to witness strong momentum in high-end cardiac sciences work in congenital & adult segments, solid organ transplants, bone marrow transplants (BMT) and robotic procedures across network hospitals
    • Narayana Institute of Cardiac Sciences (NICS), Bengaluru performed 757 cardiac surgical procedures and 1,864 cathlab procedures in September 2022, the highest ever volumes achieved in a month; the unit also performed 28 nos of the complex Transcatheter aortic valve implantation (TAVI) procedures during the period
    • Mazumdar Shaw Medical Centre (MSMC), Bengaluru performed 74 Robotic procedures, conducted 48 BMT and 4 liver transplants
    • SRCC Children's Hospital, Mumbai successfully reached the milestone of 100 BMT procedures during the quarter

Financial

Performance

  • Consolidated operating revenues of INR 11,416 mn in Q2 FY23, an increase of 21.4% YoY and 10.5% QoQ
  • Consolidated EBITDA of INR 2,749(1) mn in Q2 FY23 translating into EBITDA margin of 24.1% and consolidated PAT of INR 1,689(2) mn at a PAT margin of 14.8%
  • Consolidated Total Borrowings less Cash & Bank Balance and Current Investments of INR 2,677 mn as on 30th September, 2022 ie net debt to equity ratio of 0.14 (Out of which, debt worth US$ 26 mn is foreign currency denominated)
  1. As per the new accounting treatment for leases per IND AS 116 effective 1st April 2019 which resulted in INR 146 mn increase in EBITDA for Q2 FY23 and INR 290 mn increase in H1 FY23

(2) As per the new accounting treatment for leases per IND AS 116 effective 1st April 2019 which resulted in INR 6 mn increase in PAT for Q2 FY23 and INR 8 mn increase in H1 FY23

4

Key Highlights - Q2 FY23 ….(2/2)

Digital

Initiatives

  • Implemented in-house Lab Information System (LIS) in 18 healthcare facilities across eastern and southern regions to improve labs' TAT in result certification and equipment interface
  • Implemented drug refill management, pre-consultation assessment and integrated discharge medication orders to enhance overall experience across outpatient pharmacy
  • Launched module in our in-house ATHMA HIS to provide real-time granular visualisation of operational KPIs and also started a community platform in our HIS to improve communication and collaboration with HIS end users and product team

ESG

Initiatives

  • Achieved a net carbon reduction equivalent of 5,120 tonne through various energy optimization activities like using alternate energy, upgrade/replacement of equipment etc adopted across the network
  • Achieved energy savings worth INR 11.5 mn across our units at Health City, Bengaluru and at Mysore through captive alternate energy sourcing channels and worth INR 6.2 mn through upgradation of equipment across Health City at Bengaluru, RTIICS at Kolkata, Dharamshila at Delhi and at Ahmedabad
  • Conducted thermography, electrical safety and energy audit across 10 units of the group along with fire safety audits across 7 facilities

5

This is an excerpt of the original content. To continue reading it, access the original document here.

Attachments

  • Original Link
  • Original Document
  • Permalink

Disclaimer

Narayana Hrudayalaya Ltd. published this content on 09 November 2022 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 09 November 2022 15:00:02 UTC.