LHRC Transformation Scorecard

VPS Lakeshore Hospital & Research Centre, Kochi  |  Complex Cancer & Rare Disease Transformation

▶ PRE PHASE 1
Feb 2026  |  FY26 M10

FY26 Baseline

Current  |  INR 500 Cr / 19% EBITDA

1

Phase 1 – FY27

Scope & Transform  |  INR 150 Cr

2

Phase 2 – FY28

Scale-Up  |  INR 100 Cr

3

Phase 3 – FY29

Market Leadership  |  INR 50 Cr

FY26 Baseline KPIs   (YTD Jan 2026 actuals · FY26 full-year estimates)
+23% YoY
Revenue
₹500 Cr
FY26E  |  ₹381 Cr YTD (10M)
FY29 target: ₹780 Cr
+34% YoY
EBITDA
₹95 Cr
19.0% margin  |  FY26E
FY29 target: ₹187 Cr (24%)
+7% YoY
ARPOB / day
₹49K
Blended  |  IP: ₹35,188
FY29 target: ₹70K (+43%)
+11pp YoY
Occupancy
63%
572 operating beds
FY29 target: 70% / 700 beds
+20% YoY
IP Discharges
25,283
FY26E  |  18,476 YTD (10M)
FY29 target: 32,500
Complex Care Mix
36%
Core transformation lever
FY29 target: 62% (+26pp)
Financial Trajectory   (FY22 actuals → FY29 targets)
Revenue & EBITDA (INR Crore)
Historical actuals + transformation plan projections — shaded region = projected
EBITDA Margin %
Target: 24% by FY29 via case mix shift
Key Operational Metrics
ARPOB Trajectory (INR/day)
From ₹33.4K (FY22) → ₹70K (FY29)
Complex Care Mix (%)
Target: 62% by FY29 — the core transformation lever
Occupancy & Bed Expansion
Beds: 572 → 700  |  Occupancy: 63% → 70%
3-Year Phase Milestones

Phase 1 — Scope & Transform

FY27
Revenue
₹575 Cr
EBITDA
₹115 Cr
Complex Mix
42%
ARPOB
₹54K
  • LINAC commissioned & AERB approved
  • 5–6 senior oncologists recruited
  • 620 beds operational
  • AI-based EMR deployed
  • Molecular diagnostics lab repurposed
  • Capex: INR 150 Cr deployed

Phase 2 — Scale-Up

FY28
Revenue
₹675 Cr
EBITDA
₹149 Cr
Complex Mix
52%
ARPOB
₹62K
  • Multiple LINACs operational
  • SBRT & SRS capabilities live
  • Genetics & Rare Disease Centre functional
  • 650 beds operational
  • Delhi site under construction (M7–18)
  • Capex: INR 100 Cr deployed

Phase 3 — Market Leadership

FY29
Revenue
₹780 Cr
EBITDA
₹187 Cr
Complex Mix
62%
ARPOB
₹70K
  • 700 beds at 70% occupancy
  • 200+ BMTs per year
  • Delhi Qutub Centre open (Q1 FY29)
  • 24% EBITDA margin achieved
  • NRI & international referrals: ₹35 Cr
  • Capex: INR 50 Cr deployed
Capital Deployment Plan — INR 300 Cr (FY27–FY29)
Total Capex
₹300 Cr
Equity
₹100 Cr
Debt
₹200 Cr
  • Radiation Oncology (2 LINACs)
    ₹70 Cr
    23%
  • Oncology Infrastructure & Beds
    ₹65 Cr
    22%
  • Working Capital & Physician Ramp
    ₹50 Cr
    17%
  • Imaging & Diagnostics (PET-CT)
    ₹35 Cr
    12%
  • BMT & Transplant Expansion
    ₹35 Cr
    12%
  • Genetics & Rare Disease Lab
    ₹25 Cr
    8%
  • IT & Digital (AI EMR)
    ₹20 Cr
    7%
Capital yield (FY29 incremental EBITDA / invested): 31%  ·  Incremental EBITDA FY29 vs FY26: ₹92 Cr
Revenue Bridge: FY26 → FY29 (INR Crore)
Growth decomposition by stream
Key Risks
● HIGH
Execution Speed
Parallel workstreams across infra, recruitment & regulatory. Needs dedicated PMO + weekly steering committee.
● HIGH
Physician Recruitment
5–6 senior oncologists in 18 months vs. typical 24–36 month cycle. Premium comp + international search needed.
● MEDIUM
ARPOB Ramp
₹49K → ₹70K requires 43% improvement. Depends on case mix shift, not just pricing.
● MEDIUM
Construction Delays
Delhi monsoon & approval timelines could slip Q1 FY29 target. 9% contingency budgeted (₹13 Cr).
● LOW
Govt Scheme Dilution
ECHS / Ayushman volumes could pressure blended ARPOB. Mitigation: volume caps, premium pay focus.