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2025-11-19 09:39:08 am | Source: Motilal Oswal Financial Services Ltd
Buy Max Healthcare Ltd for the Target Rs. 1,360 by Motilal Oswal Financial Services Ltd
Buy Max Healthcare Ltd for the Target Rs. 1,360 by Motilal Oswal Financial Services Ltd

Steady delivery; bed capacity expansion continues

Existing units deliver strong volume-led growth; expansion pipeline supports multi-year visibility

* Max Healthcare (MAXH) reported in-line revenue and slightly better-thanexpected EBITDA in 2QFY26.

* The overall performance was robust, with consistent 20%+ YoY revenue growth and better or in-line EBITDA YoY growth. The bed addition on the brownfield basis is expected to help MAXH sustain the growth momentum going forward.

* For the existing units (network hospitals/facilities started before 3QFY25), revenue growth of 14.4% YoY was largely driven by patient volume, while EBITDA growth stood at 18.6% YoY. Pre-tax ROCE of the existing units is commendable at 26%.

* The scale-up of new units is also on track, with revenue/EBITDA growth of 8%/14% YoY in for the quarter.

* Free cash flow from operations (INR3b/INR7b) has been utilized for ongoing expansions and facility upgrades.

* We largely maintain our estimates for FY26/FY27/FY28. We continue to value MAXH on an SoTP basis (premised on 35x 12M forward EV/EBITDA for the hospital business, 30x 12M forward EV/EBITDA for Max@lab, and 11x EV/sales for Max@home) to arrive at our TP of INR1,360.

* MAXH continues to implement efforts for sustainable growth in revenue/EBITDA/PAT, supported by bed additions (1300 beds in FY26 and ~500 beds in FY27). In fact, the land bank available with MAXH would enable bed additions on the brownfield basis for the next 5-7 years. It continues to optimize case mix/payor mix to further improve profitability. Maintain BUY.

 

Steady 2QFY26 with strong revenue and stable margins

* In 2Q, Max network revenue (including the trust business) grew 21.4% YoY to INR25.7b (our est. INR26.0b).

* EBITDA margin slightly contracted by 10bp YoY to 26.7% (our est. 25.4%).

* EBITDA grew 21.2% YoY to INR6.9b (our est. INR 6.6b).

* MAXH recorded a one-time gain of INR1.5b from the merger accounting of CRL and JHL (both WoS).

* Adjusting for this one-time gain, ETR would be 21%.

* Accordingly, adj. PAT would be INR4.3b (our est: INR4.4b).

* EBITDA per bed (annualized) stood at INR7.3m for the quarter. Excluding recently added beds, EBITDA per bed was INR7.6m, up 7.4% YoY.

* In 1HFY26, revenue/EBITDA/PAT grew 24%/23%/17% YoY to INR50.2b/ INR13.0b/INR8.0b.

 

Highlights from the management commentary

* CGHS tariff revision is effective from 13th Oct and expected to contribute over INR2b in incremental annual revenue.

* Temporary insurance cashless disruption fully resolved, with future revision cycles pre-agreed.

* Brownfield expansions progressing: Mohali 160 beds commissioned; Nanavati 268 beds commissioning this week; Max Smart 400 beds within 30 days (EBITDA break-even expected immediately).

* International patient business grew 25% YoY, driven almost entirely by volumes.

* Large multi-city capacity pipeline active across Lucknow, Gurgaon, Nagpur, Patparganj, Saket, Mohali, Vaishali, Thane & Pitampura with timelines ranging 24–42 months.

* Lucknow: Expanding from 413 to 550 beds with onco-radiation/PET-CT launching in 2 weeks; completion by FY26-end.

* Mohali: 400-bed expansion ahead of schedule; expected by end-2027.

* Nagpur: 100-bed expansion awaiting CTE; to complete 24 months after approval.

* Vaishali: 140-bed project with demolition completed; 24-month duration post approvals.

 

 

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