LHRC Revenue & Doctor Analytics

Total Revenue

₹397 Cr

ADR ₹1.09 Cr/day

IP Revenue

₹298 Cr

75.0% of total · 20,932 disc

ARPP-IP

₹1.42 L

ALOS 4.47d · ARPOB ₹31,875

IP Discharges

20,932

93,495 bed days · Kochi

OP Revenue

₹99 Cr

3,48,861 visits · ₹2,844/visit

Top 5 Doctors

45.0%

of total FY24 revenue

📊 Revenue Concentration — FY24

2 doctors (Gangadharan VP + Abi Abraham M) generated ₹108.8 Cr = 27.4% of total hospital revenue. The top 5 doctors collectively accounted for 45.0% of revenue. The top 2 doctors each individually exceeded ₹54 Cr in annual revenue contribution.

Revenue by Department — Top 15 (₹ Crore, FY24)

Nephrology + Medical Oncology = 30.3% of total revenue

Revenue Mix

IP ₹298 Cr · OP ₹99 Cr · Pharmacy ₹34 Cr

IP Revenue

₹298 Cr

OP Revenue

₹99 Cr

Pharmacy

₹34 Cr

Registration

₹7.3 Cr

Top 12 Doctors by Revenue (₹ Crore, FY24)

Top 12 = 63.6% of all doctor revenue

Revenue Concentration Curve (Lorenz)

X = cumulative doctor count · Y = % of total revenue

Department Performance Table — All 22 Departments

Click column headers to sort. ALOS computed from bed utilisation. Pharma/Diag are estimates.

#	Department	Total ₹Cr	% Share	IP ₹Cr	OP ₹Cr	Pharma ₹Cr	Diag ₹Cr	IP Disc.	OP Visits	ARPP-IP	ARPP-OP	ARPOB	ALOS	Docs	Tier

Revenue Composition by Department — IP · OP · Pharma · Diagnostics

Pharma and Diagnostics are estimates based on specialty benchmarks

Top 6 Department Doctor Breakdowns

Medical Oncology

Nephrology

GI Surgery

Neuro Surgery

Gastroenterology

Cardiology

Filter:

#	Doctor	Department	Total ₹Cr	% Hosp	IP ₹Cr	OP ₹Cr	Discharges	Bed Days	OP Visits	ARPP-IP	ARPOB	ARPP-OP

🚨 Concentration Risk — FY24 Verified Figures

Top 2 doctors (Gangadharan VP + Abi Abraham M): ₹109.0 Cr = 27.5% of hospital revenue | Top 5 doctors: ₹180.3 Cr = 45.4% of revenue | 80% revenue threshold: reached at Top 24 doctors out of 177 | Single-doctor depts: Medical Oncology (Gangadharan 100%), Urology (George P Abraham 100%), Min. Invasive Surgery (Padmakumar 100%), CT Surgery (Sujith 100%), Psychiatry (Xavier Pulikkal 100%)

Revenue Concentration — Pareto (Doctors)

Red dashed line = 80% cumulative threshold · Top 24 of 177 doctors = 80% of revenue

Single-Doctor Dependency by Department

% of dept IP revenue from top-1 doctor. Red > 70% = critical risk · 10 of 15 major depts are single-doctor dependent

Revenue-at-Risk — Top 5 Doctor Departure Scenario

Estimated annual revenue impact if doctor were to leave

Department Depth Index (Multi-Doctor Resilience)

Score = 10 − (top doctor % / 10). Higher = more resilient

X-Axis: Y-Axis:

Volume vs ARPP-IP — Department Portfolio Matrix

Bubble size = total revenue. Dashed lines = medians. Click axes buttons to change dimensions.

📈 High Volume · High Revenue per Case

💠 Low Volume · High Revenue per Case

📊 High Volume · Low Revenue per Case

📋 Low Volume · Low Revenue per Case

Monthly Revenue — IP vs OP (₹ Crore, FY24)

IP typically 73-75% of monthly revenue. Peak in March (Q4).

Top 5 Departments — Monthly IP Revenue Trend

Proportional allocation from monthly IP totals

IP Discharge & Bed Occupancy — Monthly

Discharge count (left axis) vs Occupancy % (right axis)

Estimated Payor Mix — FY24

Cash 73.3% (₹291 Cr) · Insurance 22.2% (₹88 Cr) · Government 4.4% (₹17.5 Cr) · Apollo peer: 45% insurance mix.

ARPP-OP by Department (₹ per visit)

Computed from OP Revenue / OP Visits. All in ₹ per visit.

ARPOB by Department (₹ per occupied bed day)

Computed from IP Revenue / Occupied Bed Days. Higher = better bed monetisation.

Total Revenue FY24

₹397 Cr

₹39,622 Lakhs · Full year

Discount Issued

₹5.52 Cr

1.4% of gross billing

Refunds Issued

₹1.57 Cr

0.4% of gross billing

Pharmacy Revenue

₹34.15 Cr

8.6% of total revenue

Cash Payor Share

73.3%

₹291 Cr · Insurance 22.2%

📊 Revenue Summary — FY24 Full Year

Gross Billing to Net Revenue — FY24 (₹ Lakhs)

Gross billing to net collected · Discounts and refunds by layer

Discount by Department — FY24 (₹ Lakhs)

Discount value and rate by department · Emergency Dept 33.3% rate on ₹2.48 Cr billing

Monthly Discount Trend — FY24 (₹ Lakhs)

Oct–Dec recorded ₹47–65L/month in discounts · Q3 was the highest discount quarter

OP Visits vs IP Admissions by Department — FY24

Outpatient visit volume and corresponding inpatient admission count by department

🏥 Department-Level Summary — FY24 Key Metrics

Department Performance — Discounts, Refunds & Payor Mix (FY24)

All figures audited FY24 actuals · Amounts in ₹ Lakhs

Department	Revenue (₹L)	IP Disc (₹L)	Disc Rate %	Refunds (₹L)	Admissions	ARPP-IP (₹)	ALOS (days)
Nephrology	6,618	71.9	1.1%	12.4	1,902	3,48,000	9.8
Medical Oncology	5,491	27.6	0.5%	36.9	5,264	1,04,000	2.7
GI Surgery	2,617	13.2	0.5%	4.1	1,336	1,96,000	6.4
Neuro Surgery	2,453	18.3	0.7%	3.8	1,178	2,08,000	7.2
Gastroenterology	2,212	14.1	0.6%	11.1	1,843	1,20,000	4.1
Cardiology	2,018	22.4	1.1%	5.2	1,205	1,67,000	5.3
Liver Transplant	1,382	8.7	0.6%	2.1	292	4,45,000	11.2
OB & Gynec	766	31.0	4.0%	3.3	1,054	72,700	3.1
Emergency Dept	248	82.6	33.3%	1.8	—	—	—

💳 Payor Mix & Revenue Seasonality — FY24

Payor Mix — FY24 Revenue Breakdown

Cash ₹291 Cr (73.3%) · Insurance ₹88 Cr (22.2%) · Government ₹17.5 Cr (4.4%)

Monthly Revenue — FY24 (₹ Lakhs)

May peak ₹38.65 Cr · Oct trough ₹30.72 Cr · Annual variance ₹7.94 Cr

👨‍⚕️ Doctor Revenue Concentration — FY24

Top 10 Doctors by Revenue Contribution — FY24 (₹ Lakhs)

Revenue, discount issued and refunds per doctor · FY24 actuals

Doctor	Department	Revenue (₹L)	% of Total	Discounts (₹L)	Refunds (₹L)	Admissions
GANGADHARAN VP	Medical Oncology	5,446	13.7%	14.3	12.6	4,651
ABI ABRAHAM M	Nephrology	5,435	13.7%	57.7	8.4	1,432
SUDISH KARUNAKARAN	Neuro Surgery	2,058	5.2%	29.4	3.1	892
H RAMESH	GI Surgery	1,697	4.3%	8.2	2.8	756
ABRAHAM KOSHY	Liver Transplant	1,396	3.5%	6.1	1.9	287
FADL VEERANKUTTY	Liver Transplant	1,013	2.6%	4.8	1.4	198
ANAND KUMAR V	Cardiology	879	2.2%	9.6	2.2	412
JACOB VARGHESE	Orthopaedics	742	1.9%	5.3	1.1	334
GEORGY K NAINAN	Nephrology	698	1.8%	8.9	1.8	287
CIBI ISSAC	Cardiology	612	1.5%	7.1	1.6	298
Top 2 Total		10,881	27.4%	72.0	21.0	6,083
Top 5 Total		16,032	40.5%	115.7	28.8	8,018

LHRC ARPOB

₹31.9K/day

vs Apollo ₹60.6K · gap ₹28.7K

LHRC Occupancy

54.4%

vs Apollo 68% · IHH 72% · 471 beds

LHRC ALOS

4.47 days

vs Apollo 3.32d · IHH 4.2d

LHRC EBITDA (target)

19%

vs Apollo 24.6% · IHH 18%

LHRC ARPP-IP

₹1.42 L

vs Apollo ₹1.73 L · gap ₹31,000

Insurance Mix

22.2%

vs Apollo 45% · IHH 35%

ARPOB — ₹/Occupied Bed/Day

Gap: LHRC ARPOB ₹31,875 is 47% below Apollo ₹60,588. Closing to ₹38K would add ~₹5.7 Cr annually at current bed days.

Bed Occupancy Rate (%)

Gap: 13-18 ppt occupancy gap vs peers. Each 5 ppt improvement = ~8,600 occupied bed days = ~₹2.7 Cr at ARPOB ₹31,875.

ALOS — Average Length of Stay (Days)

Near parity: LHRC 4.47d vs IHH India 4.2d vs Apollo 3.32d. Oncology and Nephrology long stays pull the average up.

Specialty Mix vs Apollo — % of IP Revenue

Insight: LHRC Nephrology at 17.4% is unusually high. Apollo shows Neuro 10% and Gastro 10% — both growth opportunities for LHRC.

Payor Mix — LHRC vs Apollo vs IHH

EBITDA Margin (%)

Apollo's playbook: Reached 24.6% by (1) upgrading case mix, (2) reducing ALOS, (3) expanding pharmacy. LHRC at 19% target — same levers available.

Detailed Benchmark Comparison Table

Metric	LHRC FY24	IHH India FY24	Apollo FY25/H1FY26	LHRC Gap vs Apollo
Operational Beds	471	5,008 (28 hospitals)	8,025 (45 hospitals)	Different scale
Occupancy Rate	54.4%	72%	68%	▼ 15.3 ppt
ALOS (days)	4.47	4.2	3.32	▲ 1.5d longer
ARPOB (₹/day)	₹31,875	~₹47,100	₹60,588	▼ ₹33,903
ARPP-IP	₹1.42 L	~₹1.96 L (RM 9,902)	₹1.73 L	▼ ₹44,000
EBITDA Margin	~19% (target)	18%	24.6%	▼ 5.6 ppt
Insurance % (Payor)	22.2%	~35%	45%	▼ 19 ppt
Revenue Growth YoY	~12% (plan)	13% (FY24)	9-10%	On track

📋 Department / Doctor MIS — Monthly Breakdown

Select a doctor to view month-wise IP Revenue, OP Revenue & KPIs · Amount in Lakhs · Source: Taxable Amt · Kochi FY24

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Doctor

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All Doctors — FY24 Annual Summary (click any row to load detail)

# Doctor	Department	Total (L) ▼	IP (L)	OP (L)	IP Disc.	Bed Days	OP Visits	ARPP(OP)	ARPP(IP)	ARPOB