Key Takeaways
- Revenue declined, strategy reset: H2 FY24 revenue fell 9.99% YoY as a marketing push toward prevention products brought in lower-ticket, non-diseased patients; management has corrected the strategy and cut costs.
- Cost actions already in motion: Annual salary expense is being reduced from ~₹27 cr to ~₹21–₹21.5 cr, with headcount cuts implemented 1–2 months ago; other expense lines also targeted for reduction.
- Acquisitions close, integration begins: UV Ayurgen and Dynamic Remedies acquisitions completed, promising a 20%–30% reduction in purchase cost once fully integrated.
- FY25 guided for sharp recovery: Management targets 15%–20% topline growth and EBITDA margin above 10%, calling the 10% figure "very conservative."
- What to watch next quarter: Whether the cost-reduction actions translate into margin improvement, the pace of new diseased-patient footfall after the Medulla tie-up, and any franchise-hospital deal announcements.
Revenue Decline & Strategy Correction
- H2 weakness: H2 FY24 revenue fell 9.99% YoY because marketing strategies directed toward Madhavprash brought footfall skewed to prevention-modality patients with lower ticket sizes, while care plan sales dropped by ~1,000–1,200 units YoY.
- Full-year flat: FY24 revenue was nearly flat (+0.16%) as H1 marketing-driven footfall maintained clinic collections but did not convert into high-value care plan sales.
- Strategy reset: Management has refocused marketing on attracting diseased patients for diabetes and heart care plans, and partnered with Medulla Communications for branding and focused treatment marketing.
- Care plan economics: The core model requires patients to stay for a full year on reversal-focused treatment, differentiating the company from competitors who do not target disease reversal.
Dr. Rohit Madhav Sane: "We are looking out for reversal of those diseases and for this we expect the patient to stay with us for the whole year."
Cost Reduction Program
- Salary expense cut: Annual salary expense being reduced from ~₹27 cr to ~₹21–₹21.5 cr; headcount reduction already implemented 1–2 months ago and the elevated cost will not continue next year.
- Other expense targets: Total other expenses planned to reduce from ~₹42 cr to ~₹38–₹39 cr, with professional fees dropping from ₹10 cr to ₹6–₹7 cr and travelling, training, repair expenses from ₹10 cr to ~₹7 cr.
- Purchase cost benefit: Direct vendor negotiations and the UV Ayurgen/Dynamic Remedies acquisitions are expected to reduce purchase cost by 20%–30%.
- Rent outlook: Rent may decline as company-owned clinics convert to franchise operations, though management conservatively holds the estimate at ₹7 cr.
Dr. Rohit Madhav Sane: "All these points will accumulate to improve the bottom line and the EBITDAs will improve that is of no question to me."
Acquisitions & Integration
- Two acquisitions closed: UV Ayurgen Pharma (food product manufacturing) and Dynamic Remedies (medicine manufacturing) acquisitions completed during the quarter.
- Purchase cost synergy: Management expects the whole purchase cost to reduce by 20%–30% due to these acquisitions, as backward integration eliminates third-party manufacturing margins.
- Production commenced: UV Ayurgen completed its first production batch of Madhavshakti Atta and Premeha Diet Kit; initial 2–3 months of inventory build explains the quarter's inventory increase.
- Short-term debt impact: Borrowing increased due to the acquisition funding and inter-company transactions; cost of debt rose on higher overdraft utilization.
Dr. Rohit Madhav Sane: "the whole purchase cost will reduce down by about 20% to 30% due to this acquisition"
Expansion Strategy: Hospitals Over Clinics
- Clinic target delayed: The Mission 2025 target of 1,000 clinics will now take 3–4 years; near-term clinic expansion shifts to franchise mode only, with 50–60 franchise clinics planned this year.
- Hospitals prioritized: Expansion investment this year will focus on hospitals, which management says can deliver much higher EBITDA than clinics.
- Khopoli expansion: Plan to add 100 more beds at Khopoli Hospital in the next 12–18 months, pending MSRDC approval.
- Vizag hospital: The new Madhavbaug Vishakhapatnam Hospital, opened 3 months ago in partnership with a state government entity, is performing well in a newer territory.
- Franchise hospital pipeline: Deals for franchise hospitals, where the company bears no expense but earns a revenue share, are in the pipeline and will be disclosed to exchanges in coming months.
Dr. Rohit Madhav Sane: "Hospitals can give much more higher EBITDA as compared to clinic, but at the same time clinic have presence in the local residential area of the patients vicinity."
Marketing & Patient Acquisition
- Medulla Communications tie-up: Partnership signed for branding and focused treatment marketing; management expects 20% growth in new patient footfall from this engagement.
- Marketing budget increase: Marketing spend planned to scale from ₹14–₹15 cr to ₹18–₹20 cr to drive topline growth.
- Product strategy: Madhavprash remains the only product pushed through the Dynamic Remedies subsidiary; core focus stays on diabetes and heart patient treatments through care plans, with new products like ghee sold only inside clinics, not retail.
Guidance & Commitments
| Commitment | Specifics | Timeline |
|---|---|---|
| Revenue growth | 15%–20% topline growth | FY25 |
| EBITDA margin | More than 10%; management calls this "very conservative" | FY25 |
| Sustainable EBITDA margin | 12%–15% near-term; 15%–20% long-term target | Coming year / 3–5 years |
| Salary expense reduction | From ~₹27 cr to ~₹21–₹21.5 cr annually | Already implemented |
| Other expense reduction | From ~₹42 cr to ~₹38–₹39 cr total | FY25 |
| Franchise clinics | 50–60 additions, no company investment | FY25 |
| Khopoli Hospital beds | 100 additional beds | 12–18 months, pending MSRDC approval |
| 1,000-clinic target | Delayed from 2025 | Next 3–4 years |
| New patient footfall growth | 20% growth expected via Medulla tie-up | FY25 |
Key Metrics
| Metric | Q4 FY24 |
|---|---|
| Revenue (H2 FY24) | ₹48.23 cr, down 9.99% YoY from ₹53.58 cr in H2 FY23 |
| Revenue (FY24) | ₹99.33 cr, up 0.16% YoY |
| EBITDA excluding other income (H2 FY24) | ₹1.82 cr, vs ₹3.69 cr in H2 FY23 |
| EBITDA excluding other income (FY24) | ₹4.50 cr, vs ₹7.86 cr in FY23 |
| Profit after tax (H2 FY24) | ₹0.81 cr, vs ₹2.10 cr in H2 FY23 |
| Profit after tax (FY24) | ₹1.99 cr, vs ₹4.83 cr in FY23 |
| Basic EPS (H2 FY24) | ₹0.76 |
| Basic EPS (FY24) | ₹1.88 |
| FY25 revenue growth guidance | 15% to 20% |
| FY25 EBITDA margin guidance | 10% (conservative), sustainable target 15% to 20% |
| Total clinics | 353 as of Mar 31, 2024: 42 company-owned, 62 OPD/mini clinics, 249 franchise clinics |
| Hospitals | 3 Cardiac Rehabilitation Hospitals in Khopoli, Nagpur, Visakhapatnam |
| Care plans sold (FY24) | ~38,000, down from ~39,000 in FY23 |
| Employee expenses (FY24) | ₹26.88 cr, up from ₹21.99 cr in FY23 |
| Short-term borrowings | ₹1.5–1.6 cr, up from ~₹13 lakhs in FY23 |