FM JANUARY 2019 - digital edition
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hospital news<br />
WORST OVER FOR<br />
HOSPITAL SECTOR: ICRA<br />
Regulatory pressure impacted Indian hospitals in 2017,<br />
but worst likely over, says rating agency<br />
The hospital industry in the country<br />
has seen its muted performance,<br />
which started in 2017, continuing<br />
through the quarter ended September<br />
owing to pressure from regulatory<br />
actions by both the centre and the<br />
states, said a report by the credit rating<br />
agency ICRA.<br />
However, the impact of these<br />
factors has likely peaked and conditions<br />
can only improve going forward in<br />
the absence of additional regulatory<br />
setbacks.<br />
ICRA’s sample set of hospital<br />
operators - Apollo Hospitals Enterprise<br />
Limited, Fortis Healthcare Limited,<br />
Narayana Hrudayalaya Limited,<br />
Healthcare Global Enterprises Limited,<br />
Max India Limited and Shalby Limited -<br />
reported a seven percent year-on-year<br />
drop in its earnings before interest, tax,<br />
depreciation and amortisation (EBITDA)<br />
to Rs 516-crore in Q2 FY<strong>2019</strong> from Rs<br />
556-crore in Q2 FY2018. Operating<br />
margin declined from 15% to 13.3%,<br />
while aggregate revenue grew by 5%<br />
to Rs 3,889 crore. This is in line with<br />
the subdued performance in FY2018,<br />
a year that witnessed the first fall in<br />
aggregate EBITDA of the sample set<br />
in over six years. The year also saw<br />
operating profitability hitting a multiyear<br />
low, dropping to 11.4% in FY2018<br />
from a peak profitability of 15.7%<br />
during the six-year period.<br />
DECLINING MARGINS<br />
Leading hospitals reported a seven<br />
percent year-on-year drop in their<br />
earnings<br />
₹556<br />
crore<br />
₹516<br />
crore<br />
GST impact<br />
The hospital sector has been<br />
witnessing a decline in performance<br />
since the beginning of 2017 due to<br />
Q2 FY2018<br />
Q2 FY<strong>2019</strong><br />
58 / FUTURE MEDICINE / <strong>JANUARY</strong> <strong>2019</strong>