LHRC Revenue & Doctor Analytics

Total Revenue

₹410 Cr

ADR ₹1.31 Cr/day

IP Revenue

₹299 Cr

73% of total · 21,023 discharges

ARPP-IP

₹1.42 L

ALOS 4.3d · ARPOB ₹33,414

IP Discharges

21,023

89,585 bed days · Kochi

OP Revenue

₹110 Cr

3,74,796 visits · ₹3,091/visit · ₹2,844/visit

Top 5 Doctors

TOP 5

= 33.7% of all revenue

📊 Revenue Concentration — FY25

2 doctors (Gangadharan VP + Abi Abraham M) generated ₹94.6 Cr = 23.1% of total hospital revenue. Top 5 doctors = 41.2% of revenue. ConcentratioY24 (was 27.4%), but Gangadharan VP at ₹52.9 Cr (12.9%) remains the single biggest key-person risk.

Revenue by Department — Top 15 (₹ Crore, FY25)

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, FY25)

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 — FY25 Verified Figures

Top 2 doctors (Gangadharan VP + Abi Abraham M): ₹94.6 Cr = 20.7% of hospital revenue | Top 5 doctors: ₹168.7 Cr = 41.2% 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 Revenue 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, FY25)

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)

Payor Mix — FY25

Cash at 70% (₹288 Cr), Insurance 24% (₹97.5 Cr), Government 3.5% (₹14.3 Cr), Corporate 2.4% (₹9.9 Cr). Insurance grew from 22% in H1 to 26% by Q4 — momentum building.

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 FY25

₹410 Cr

₹40,969 Lakhs · Full year

IP Revenue

₹299 Cr

73.1% of total · 21,023 discharges

OP Revenue

₹107 Cr

26.1% of total · 346,144 visits

ARPP-IP

₹1.42 L

ALOS 4.3d · ARPOB ₹33,414/day

Top 2 Doctor Concentration

23.1%

₹94.6 Cr of ₹410 Cr total

📊 Revenue Summary — FY25 Full Year

Gross Billing to Net Revenue — FY25 (₹ Lakhs)

Gross billing to net collected · Discounts and refunds by layer

Discount by Department — FY25 (₹ Lakhs)

Discount value and rate by department — FY25 actuals

Monthly Discount Trend — FY25 (₹ Lakhs)

Q3 recorded the highest quarterly discount total of FY25

OP Visits vs IP Admissions by Department — FY25

Outpatient visit volume and corresponding inpatient admission count by department

🏥 Department-Level Summary — FY25 Key Metrics

Department Performance — Revenue, Discharges & ARPP (FY25)

All figures from FY25 audited BRM data · Amounts in ₹ Crore unless stated

Department	IP Rev (₹Cr)	OP Rev (₹Cr)	Total (₹Cr)	Discharges	OP Visits	ARPP-IP (₹)	ARPOB (₹)	ALOS (d)
Nephrology	40.86	14.11	54.97	1,338	18,488	3,05,381	34,630	8.8
Medical Oncology	30.66	22.85	53.51	5,007	42,590	61,240	24,583	2.5
Neuro Surgery	29.34	2.60	31.94	1,068	8,731	2,74,731	39,915	6.9
GI Surgery	24.73	2.46	27.19	1,236	13,556	2,00,051	32,807	6.1
Cardiology	18.37	4.14	22.51	1,123	15,579	1,63,588	51,618	3.2
Surgical Oncology	19.23	3.70	22.93	1,067	15,240	1,80,258	41,425	4.4
Gastroenterology	14.09	8.67	22.76	1,410	22,353	99,962	28,782	3.5
Urology	17.96	3.63	21.59	1,080	13,831	1,66,296	51,241	3.2
Liver Transplant	12.70	0.94	13.64	265	1,719	4,79,071	52,287	9.2
Foot & Ankle	8.50	1.30	9.81	423	6,641	2,01,041	42,330	4.7
OB & Gynec.	6.53	1.90	8.43	588	11,555	1,11,033	37,180	3.0

💳 Payor Mix & Revenue Seasonality — FY25

Payor Mix — FY25 Revenue Breakdown

Domestic ₹381 Cr (93.1%) · International ₹28 Cr (6.9%)

Monthly Revenue — FY25 (₹ Crore)

Jan peak ₹36.5 Cr · Apr trough ₹30.5 Cr · Annual variance ₹6.0 Cr

👨‍⚕️ Doctor Revenue Concentration — FY25

Top 10 Doctors by Revenue — FY25 (₹ Crore)

Revenue, discharges and ARPP-IP per doctor · FY25 actuals from BRM data

Doctor	Department	Total (₹Cr)	% of Total	IP Rev (₹Cr)	OP Rev (₹Cr)	Discharges	ARPP-IP (₹)
GANGADHARAN V P	Medical Oncology	53.12	13.0%	30.66	22.46	5,007	61,237
ABI ABRAHAM M	Nephrology	41.47	10.1%	31.09	10.38	926	3,35,786
SUDISH KARUNAKARAN	Neuro Surgery	30.90	7.5%	29.33	1.57	1,068	2,74,639
RAMESH H	GI Surgery	22.38	5.5%	20.73	1.66	1,026	2,02,003
GEORGE P ABRAHAM	Urology	20.85	5.1%	17.43	3.41	1,036	1,68,278
PADMAKUMAR R	Min. Invasive Surgery	14.18	3.5%	13.39	0.79	705	1,89,932
FADL H VEERANKUTTY	Liver Transplant	13.64	3.3%	12.69	0.94	265	4,79,032
SHAWN T JOSEPH	Surgical Oncology	11.59	2.8%	10.49	1.10	401	2,61,566
CHITRATHARA K	Surgical Oncology	11.26	2.7%	8.68	2.58	663	1,30,913
ROY J MUKKADA	Gastroenterology	9.45	2.3%	5.66	3.79	495	1,14,365
Top 2 Total		94.59	23.1%	61.75	32.84	5,933	—
Top 5 Total		168.72	41.2%	129.21	39.48	9,063	—

LHRC ARPOB

₹33.4K/day

vs Apollo ₹60.6K · gap ₹27.2K

LHRC Occupancy

52%

vs Apollo 68% · IHH 72% · 470 beds

LHRC ALOS

4.3 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

24%

vs Apollo 45% · IHH 35%

ARPOB — ₹/Occupied Bed/Day

Gap: LHRC ARPOB ₹33,414 is 45% 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 ₹33,414.

ALOS — Average Length of Stay (Days)

Near parity: LHRC 4.3d 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 FY25	IHH India FY25	Apollo FY25/H1FY26	LHRC Gap vs Apollo
Operational Beds	471	5,008 (28 hospitals)	8,025 (45 hospitals)	Different scale
Occupancy Rate	52%	72%	68%	▼ 15.3 ppt
ALOS (days)	4.3	4.2	3.32	▲ 1.5d longer
ARPOB (₹/day)	₹33,414	~₹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)	24%	~35%	45%	▼ 19 ppt
Revenue Growth YoY	~12% (plan)	13% (FY25)	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: Performance Report · Kochi FY25

Department

Doctor

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All Doctors — FY25 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