HCG
HCG reported strong financial performance in Q2 FY23, with revenue up 19% YoY and EBITDA up 28% YoY. The company highlighted growth across matured and emerging centers, leveraging digital transformation and strategic initiatives to enhance patient care and operational efficiency.
Scale of reported figures
Key financials
| Revenue | ₹420 crore | YoY |
| Adjusted EBITDA | ₹81 crore | YoY |
| PAT | ₹7.38 crore | YoY |
Segment commentary
Matured Centers
Revenue grew 19% YoY, demonstrating consistent performance.
Emerging Centers
Revenue increased 26% YoY, showing strong growth potential.
Guidance & outlook
- Continued focus on digital transformation and strategic initiatives to drive future growth.
- Plans for greenfield expansions in Ahmedabad and Bangalore.
Key takeaways
- Strong financial performance with revenue and EBITDA growth YoY.
- Successful expansion into emerging markets with significant growth potential.
- Focus on digital transformation enhancing patient care and operational efficiency.
Risks flagged
- High capex requirements for future expansions.
- Potential risks in international medical tourism due to geopolitical factors.
In their words
“Digital transformation is a key driver of our patient engagement and operational efficiency.”— Raj Gore





Educational analysis only. Not investment advice. Consult a
SEBI-registered advisor before investing. Source: https://nsearchives.nseindia.com/corporate/HCG_10112022232724_SEIntimationInvestorPresentationQ2FY23.pdf
Full transcript (7,614 words)
November 10, 2022
National Stock Exchange of India Limited, BSE Limited,
Compliance Department, Compliance Department,
Exchange Plaza, Bandra Kurla Complex, Phiroze Jeejeebhoy Towers,
Bandra (East), Mumbai - 400051, Dalal Street, Mumbai - 400001,
Maharashtra, India Maharashtra, India
Dear Sir/Madam,
Subject : Investor Presentation
Stock Code : BSE – 539787, NSE – HCG
We wish to inform you that the Board of Directors of the Company, at their meeting held on
November 10, 2022, inter alia, has approved the Unaudited Financial Results (Standalone
and Consolidated) of the Company for the quarter and half year ended September 30, 2022.
In this respect, we enclose herewith the Presentation on the Financial Results of the Company
for the quarter and half year ended September 30, 2022.
Request you to take this on record.
Thanking you,
For HealthCare Global Enterprises Limited
Sunu Manuel
Company Secretary & Compliance Officer
Encl: a/a.
HealthCare Global Enterprises Limited
HCG Tower, # 8, P Kalinga Rao Road, Sampangi Rama Nagar, Bangalore - 560027.
080 33669999 | info@hcgoncology.com | www.hcgoncology.com | CIN : L15200KA1998PLC023489
HEALTHCARE GLOBAL ENTERPRISES LIMITED
INVESTOR PRESENTATION
November 2022
SAFE HARBOR
This presentation and its contents are confidential and are not for release, publication or distribution, in whole or in part, directly or indirectly, in or into or from the United States of America, Canada,
Australia, Japan or any jurisdiction where such distribution is unlawful.
This presentation has been prepared by HealthCare Global Enterprises Limited (the "Company"). These materials are not for publication or distribution, directly or indirectly, in or into the United States
(including its territories and possessions, any state of the United States and the District of Columbia). These materials are not an offer of securities for sale into the United States, Canada or Japan or any
other jurisdiction. Any securities of the Company have not been and will not be registered under the U.S. Securities Act of 1933, as amended, and may not be offered or sold in the United States, except
pursuant to an applicable exemption from registration. No public offering of any securities of the Company is being made in the United States.
The information contained in this presentation is for information purposes only and does not constitute or form part of an offer or invitation for sale or subscription of or solicitation or invitation of any offer
to buy or subscribe for any securities, nor shall it or any part of it form the basis of or be relied on in connection with any contract, commitment or investment decision in relation thereto in India, the United
States or any other jurisdiction.
No person accepts any liability whatsoever for any loss howsoever arising from the use of this document or of its contents or otherwise arising in connection therewith. The information set out herein may be
subject to updating, completion, revision, verification and amendment without notice and such information may change materially. Financial information contained in this presentation has been derived from
the restated consolidated and standalone financial statements of the Company and have been rounded off to the next integer, except percentages which have been rounded off to one decimal point.
This presentation contains certain "forward looking statements". Forward‐looking statements are based on certain assumptions and expectations of future events. Actual future performance, outcomes and
results may differ materially from those expressed in forward‐looking statements as a result of a number of risks, uncertainties and assumptions. Although the Company believes that such forward‐looking
statements are based on reasonable assumptions, it can give no assurance that such expectations will be met. Neither the Company nor any of its advisors or representatives assumes any responsibility to
update forward-looking statements or to adapt them to future events or developments.
This presentation includes certain industry data and projections that have been obtained from industry publications and surveys. Industry publications and surveys and forecasts generally state that the
information contained therein has been obtained from sources believed to be reliable, but there is no assurance that the information is accurate or complete. Neither the Company nor any of its advisors or
representatives have independently verified any of the data from third-party sources or ascertained the underlying economic assumptions relied upon therein. No representation or claim is made that the
results or projections contained in this presentation will actually be achieved. All industry data and projections contained in this presentation are based on data obtained from the sources cited and involve
significant elements of subjective judgment and analysis, which may or may not be correct. For the reasons mentioned above, you should not rely in any way on any of the projections contained in this
presentation for any purpose. No responsibility or liability whatsoever is undertaken for the contents hereof.
This presentation is based on information regarding the Company and the economic, regulatory, market and other conditions as in effect on the date hereof. It should be understood that subsequent
developments may affect the information contained in this presentation, which neither the Company nor its advisors or representatives are under an obligation to update, revise or affirm.
2
www.hcgel.com
Overview
One of the Largest1 provider of Cancer care in India under “HCG” brand
Comprehensive cancer diagnosis and treatment services (offering radiation
therapy, medical oncology and surgery)
222 comprehensive cancer centers (including Kenya)
FERTILITY TREATMENT MULTI SPECIALITY
• Integrated reproductive medicine services • 4 Multi-Speciality hospitals providing high-quality tertiary care
• 7 fertility centers in Bengaluru & North India
1. In terms of the total number of cancer treatment centers licensed by AERB as of March 31, 2015 (Source: Government of India, Atomic Energy Regulatory Board);
2. Includes center in Kenya; Bhavnagar multispecialty also includes comprehensive cancer services hence included in CCC count;
3
www.hcgel.com
Our Journey
Acquired the 1st privately
Bangalore Institute of Company’s name changed to owned comprehensive cancer 1st Comprehensive HCG Ahmedabad, 1st
Oncology commences HealthCare Global center in Karnataka Cancer Care Center in privately owned
operations Enterprises Pvt. Ltd. 1st private cancer center in Jharkhand Comprehensive Cancer
India to introduce Cyclotron Care Center in Gujarat
1989 1998 2005 2005 2006 2007 2008 2009 2011
Company Entry into clinical 1st to introduce IGRT One of the 1st centers in India to
incorporated as laboratory business technology in North introduce CyberKnife technology.
Curie Center of through acquisition of India HCG Hubli, 1st center in North
Oncology Triesta Sciences Karnataka to introduce IGRT
Technology
STRAND Divestment and
HCG Chennai, 1st 1st center to 1st Indian Company 1st CyberKnife in Acquisition of Laboratory &
Cancer Center to use introduce to set up Cancer entire western Clinical trial business
revolutionary FFF Tomotherapy-H Center in Africa India
Technology in India Acquisition of Suchirayu
2012 2013 2016 2016 2017 2018 2019 2020 2021
HCG Cuttack, 1st Listed on BSE HCG Kolkata to ~ USD 150 million equity
Comprehensive Cancer and NSE launch 1st Investment from CVC Capital
Center in Odisha Radixact in
India 1st Digital PET CT in India
4
www.hcgel.com
Pioneered Scalable Model for Comprehensive Cancer Care
Largest oncology focused Marquee leadership team
hospital chain with a pan 1 5 and experienced
India network management
Leveraging digital
Comprehensive cancer care
transformation to
model with a focussed 2 6
strengthen patient and
factory approach
doctor engagement
Implementing asset-light
33+ years of differentiated
model for efficient capital
care leading to superior 3 7
allocation and better
patient outcomes
returns
Consistent track record of
High growth trajectory with
being first to launch state-
4 8 roadmap for margin
of-the-art technology in
expansion
India
5
www.hcgel.com
Largest Pan-India Oncology Hospital Chain
Best-in-class cancer care by adopting globally acclaimed practices and state-of-the-art technology
Largest cancer care network in India 33+ years of Clinical Excellence
Center of Excellence (CoE)
Emerging Cancer Care Centers
Established Cancer Care Centers(1)
Jaipur
Ahmedabad Ranchi
Baroda Kolkata Shareholding Pattern as of Sep’22
Bhavnagar Nagpur Cuttack
Nashik
Vishakhapatnam
Mumbai (2)
Gulbarga Public
Ongole M S Ramaiah Nagar Shareholders 29%
Hubli
58%
Shimoga
Vijaywada
Kalinga Rao Road
13%
Bangalore
Dr. BS Ajai Kumar
Double Road and family
Chennai
6
(1) Established centers were operational before 2017; (2) Includes 1 in Kenya. Bhavnagar multispecialty also includes comprehensive cancer care and included in CCC count; (3) CCC –Comprehensive cancer care center,
www.hcgel.com
defined as offering surgical, medical and radiation oncology services onsite, along with diagnosis / PET CT as well in some cases; (4) Includes multispecialty beds; (5) New patient registrations in last 5 years in oncology
One Stop Solution with Superior Clinical Expertise
END-TO-END CANCER CARE SERVICES AT HCG
Expertise in Handling
Complex Cases(1)
DIAGNOSTICS
Physical Laboratory Digital
Digital PET
Examination Tests Pathology
4.5k+
Genomic based
TREATMENT
Chemo sessions
Robotic Targeted Drug
Chemotherapy Radiation(3)
Surgery Therapy
4.3k+
Psycho- Endocrine Bone Marrow
Immunotherapy CyberKnife Cases(2)
oncology Therapy Transplant
Nuclear Liver Pediatric
Genomics 10.2k+
Medicine Transplant Oncology
Organ Preservation
Surgeries
POST CARE
Home Health Psychological Preventive 2.8k+
Patient Care
Services Support Oncology
Robotic Surgeries in
Oncology
Not available or outsourced at multi-specialty hospitals
7
(1) Cases handled in last 5 years; (2) Total CyberKnife cases performed till date www.hcgel.com
(3) Apollo has only 13 centers providing radiation facilities in a network of 71 hospitals
Unique Long-term Value Creation Opportunity in Single
Specialty Healthcare
1 2 3 4 5
Market leadership in Integrated cancer care High entry barriers for Profitable scalable Poised for high growth
high growth industry for patient retention differentiated care business model with limited capex
33+ years of patient Only Indian integrated Specialized technical Historically superior Turnaround in
• • • • •
trust cancer care chain knowledge patient outcomes emerging centers
India’s largest Superior patient Rapidly evolving Proven scalable model High-capacity
• • • • •
oncology player outcomes with top-of- expensive technology –strong operational headroom
the-mind brand recall KPIs
Under-coverage in Hub and spoke model Asset Light
• • •
Cancer care is a
cancer care • –high patient volume Advanced treatments expansion
•
lifetime association
with high realizations
Differentiated services Largest oncologist Ongoing digital
• Potential risk for • •
•
with rapidly evolving network with high Cost optimization in transformation and
patient families •
technology doctor retention progress marketing initiatives
8
www.hcgel.com
Focused Factory Approach is critical for Quality of Life
Cancer requires specialized care available at focused players only, with emphasis on clinical expertise
Cancer has Unique Solutions available only at HCG’s Focused Factory
Challenges that Requires Comprehensive Cancer Approach for Most
a Specialist Approach Care (CCC) Centers Effective CCC
Chronic, recurring, complex and Personalized, patient-centric care and
End-to-end and ancillary care solutions
heterogeneous precision medicine
Cancer is an enigma –can spread from Largest oncologist network with high SUPERIOR
Sub-specialists by organ / modality
source organ to other parts rapidly clinical expertise
PATIENT
OUTCOMES
Multiple treatments and oncologists Ability to detect and treat advanced Tumor Board driven best practices with
required by each patient forms of cancer focus on oncology related research ENSURING
QUALITY OF
Rapidly evolving landscape requiring Advanced technologies sourced via Fastest technology adoption with
LIFE
constant research focus global research and innovation flexibility to innovate
✓ ✓
✓
OTHER CCCs
MULTI-SPECIALTY
HOSPITALS
9
www.hcgel.com
Dominant Network in Cancer Care with Market Leadership
across 13 out of 18 Cities
HCG is committed to provide last mile cancer care across India and is the largest player with >1.6x footprint of
CCCs as compared to the next largest player
METROS & NON-METROS
MARKET LEADERSHIP ACROSS
REGIONS(1)
# of cancer
Leader Across States
centers : 21
❖Karnataka ❖Jharkhand # of cancer
❖Gujarat ❖Odisha centers : 8
MULTIPLE METROS
e
Market Leadership across cities c n
e
s # of cancer
❖Ahmedabad ❖Ranchi e
r
P centers : 13
❖Bangalore ❖Baroda
c
❖Nashik ❖Shimoga
ih
p # of cancer
❖Nagpur ❖Gulbarga a r # of cancer
g centers : 8
❖Cuttack ❖Hubli o centers : 7
e
G
❖Bhavnagar ❖Ongole SINGLE REGION
❖Vijayawada
3 Top 3 in other cities
# of cancer
❖Jaipur ❖Vizag
# of cancer # of cancer centers : 7
centers : 1 centers : 1
Bubble size represents the
- 2,000 4,000 6,000 8,000 10,000 12,000 14,000
number of Cancer Care Centers
Revenue from Oncology(2)(INR mn)
10
(1) Market position by revenue based on management estimates. For private oncology players only (excluding trusts, governmenthospitals); (2) FY21 revenue for Tata Memorial Hospital -Mumbai, Apollo Hospitals and
www.hcgel.com
Omega Hospitals; FY22 revenue for all others. Note: Oncology share is assumed to be 100% for Tata Memorial and Omega Hospitals. For Apollo Hospitals, only hospital revenue (Healthcare Services) is considered
Successfully Decoded Non-metro Business Model
MARKET LEADER IN ALMOST 9 NON-METRO CENTERS WITH SUCCESSFUL SCALABLE
ALL NON-METRO CENTERS HIGH-TEEN ROCE NON-METRO MODEL
Jaipur
13 12 9 9
Baroda Ranchi
Nagpur Key Parameters(1) Metro Non-Metro
Cuttack
Bhavnagar
Nashik
Vishakhapatnam
Gulbarga Revenue CAGR(2) 18% 17%
Hubli Ongole
Vijaywada
Shimoga
Average EBITDA % 25% 23%
All Non- >15% >20%
Market Leadership (11) > 15% Payor Mix(3) 84% 52%
Metro EBITDA EBITDA
ROCE(1)
Top 3 in other Non-metro Centers (2) Centers Margin Margin
11
Note: Figures for H1’23; (1) For established centers only; (2) CAGR between FY20 –H1’23; (3) Payor mix for cash, insurance and corporate, excluding government scheme related patients
www.hcgel.com
Leveraging Digital Transformation to Reshape Patient and
Partner Engagement
KEY DIGITAL TRANSFORMATION IMPERATIVES FOR HCG 2.0
Increasing reach and Omnichannel patient Ecosystem of digital Integrated patient- Improving customer Digitalized post
awareness engagement healthcare lifecycle management convenience discharge engagement
Transforming Patient Journey - Optimizing Engagement
Cloud Telephony E-Prescription
Seamless tracking of offline Doctor platform; access to
leads; auto-dialer for lower TAT; medical history; captures chief
controls for handling missed calls 02 04 complaints, diagnosis etc.
01 03 05
Patient Application Business Intelligence
Self service tool for Unified single data repository;
appointments, consultations, analytical models; real time
CRM
medicines and patient insights into the business
engagement 360°patient view; omni-channel
interface; real time lead visibility;
better lead management
12
www.hcgel.com
Successful Playbook of Smart Acquisitions and
Driving Sustained Growth Post Integration
Time tested and highly replicable model of consistent revenue growth and profitability across geographies
HCG Ahmedabad (Metro City) HCG Cuttack (Non-metro City)
Acquisition
2013(1) 2008
Year
Revenue
c. 22% c. 38%
CAGR(2)
Margin
> 1,000 bps > 1,000 bps
Expansion(2)
Scaled and maintaining #1 market Significantly upgraded technology
position for over 5 years far superior to the market
Key
Interventions
Substantially developed clinical Deep penetration into large
expertise and technology to untapped catchment ensuring
transform into regional CoE continuing 1stmover advantage
13
(1) HMS (multispecialty) was acquired in 2007 but the comprehensive cancer care unit –HCC was demerged in 2013; (2) Till FY22
www.hcgel.com
Well Poised to Outpace Industry Growth
Visible growth opportunities supported by proven brand-driven play, professional approach and ready capacity
A
▪ Strong growth across regions aided by market leadership and high incidence growth
Demand Driven
▪ Existing facilities have significant capacity to support the growth
Consistent Growth in Digital ▪ Management led initiatives to boost digital presence and integrate end-to-end patient Strong business
Existing Business Transformation engagement; driving higher growth and better realizations and returns
profile with
deeper market
International ▪ Focus on expanding international presence and increasing revenue share in attractive
Medical Tourism geographies penetration
B
Brownfield / ▪ 6 LINACs in pipeline (own + pay per use) over next 1-2 years to augment capacity in high growth regions
Greenfield Expansion ▪ Ongoing greenfield expansion at Ahmedabad and Bangalore by adding 125 beds cumulatively
At the right inflection point to scale-up through additional business adjacencies
C
Inorganic ▪ Playbook of making smart acquisitions and driving sustained growth post integration -only realistic buyer for
Expansion standalone cancer hospitals in India; successful track record of acquiring and scaling hospitals Potential
incremental
D
Clinical Trials ▪ Very low existing scale with 3-4 years of experience; finalizing business plans for significant expansion growth
& Diagnostics(1) ▪ Capital adjacent opportunity; high potential to expand EBITDA without significant capex
Capital Light Capital Led
14
(1) While clinical trials and diagnostics are existing business lines, the company has not invested in the same in the last 3-4 years. The management plans to prudently invest to grow these businesses going forward
www.hcgel.com
High Revenue Growth with Well-diversified Segments
Expansive Geographical Presence(1) Diversified Revenue from Various Modalities(1)
3%Others(2)
Others 2%
Maharashtra
Metros
Karnataka
16% Out-patients
34% 53% 18%
Medical
37%
Revenue by Revenue by
Oncology
20% Cluster City Type
AP + East 47% 18%
Radiation
Non-
27% Oncology
Metros 25%
Gujarat &
Surgical
Rajasthan
Oncology
Emerging Center Turnaround
Ramp Up of Emerging Centers: Revenue contribution by
EBITDA
-19% -6% 4% 10% Emerging Centers increasing consistently
Margin
% Total
10% 13% 16% 15% Low Geographical Risk: Diverse geographical spread
Revenue
reducing revenue concentration and dependence
2.9x
s r ) n 2,439
em
t Multi-Modality: Revenues spread across modalities
n R 1,870
e C N reducing concentration risk further
g
n
I
(
e 1,049
ig u n 856 Not Constrained by Beds: Significant Revenue not
r
ee
mv
e dependent on in-patient beds; Surgical oncology & partial
ER
Medical oncology requires in-patient beds
FY20 FY21 FY22 Annualized H1'23
15
(1) For H1’23; (2) Includes Chennai and Kenya
www.hcgel.com
Revenues includes only Oncology business
Platform for Attractive Returns with Efficient Capital
Allocation and Asset Light Expansion
Capital efficient
growth driven by
18-20%
ROCE breakup from Cancer Centers
expansion in clinical
trials and diagnostics
Vintage Pre-Corp. Post-Corp.
Ongoing value
Established
25% 20% creation projects in Medium-term
Centers
digitalization and ROCE Target
Emerging cost optimization
(4%) (8%)
Centers measures
11%
Margin expansion
Asset light due to operating
expansion through leverage
day care beds, hub &
ROCE
spoke operations
H1’23
Emerging centers to and pay per use for
ramp up to full equipment
High growth
potential
potential in current
business aided by
sufficient capacity
headroom
16
www.hcgel.com
Strong Financial Profile with Low Leverage and Reduced
Capex Needs
Capex ▪ Low future capex
2,873 2,115 1,265 354 704 629
(INR mn) requirements
▪ Focus on optimizing
35%
existing infra and
Capex 22%
brownfield projects
(INR mn) 12%
8%
3% 5% ▪ Ongoing capex for two
greenfield expansions -INR
FY18 FY19 FY20 FY21 FY22 H1'23 186 mn (balance in FY23)
and INR 836 mn (FY24)
Capex % of Revenue
3.4x 1.1x 0.8x 0.8x
12,798
▪ Significant deleveraging in
Net Debt 6,520 7,940 6,972 7,076 the past few years
(INR mn)
2,882 1,901 2,113 ▪ Comfortable debt position
6,278 with wellcapitalized
5,058 5,070 4,963
balance sheet
FY20 FY21 FY22 H1'23
Capital Leases (IND AS 116) Net Debt
17
www.hcgel.com
Proven Track Record of Outperforming the Industry
Expansion Phase Ramp Up Phase
CAGR 15% ▪ Consistently upward
16,561
revenue trajectory
CAGR 19% 13,978
▪ Expansion mode by
10,956
9,787 10,134 setting up new cancer
Revenue
8,307
7,001
(INR mn) 5,842 centres till FY19 to
achieve large scale
▪ Demonstrated high
growth post Covid
(1)
FY16 FY17 FY18 FY19 FY20 FY21 FY22 Annualized
across centres
H1'23
Expansion Phase Ramp Up Phase
▪ Strong improvement in
CAGR 19% profitability
3,200 2,937 25% ▪ Subdued in expansion
2,700 2,380 phase due to setting up
EBITDA(2) CAGR 14% 20%
2,200
1,722 new centres
(INR mn)
1,700 848 1,050 1,188 1,252 1,266 17% 18% 15% ▪ Significant scale
1,200 16%
benefits; outpacing
14%
700 15% 15% 13% 12% 10% revenue due to
200
operating leverage
(300) 5%
FY16 FY17 FY18 FY19 FY20 FY21(1) FY22 Annualized
H1'23
18
(1) FY21 and H1’22 impacted due to covid-related headwinds
www.hcgel.com
(2) EBITDA, post-corporate expenses. EBITDA for FY20-FY22 is after IND AS 116 adjustments
Improved Performance Leading to Profitability
2.2x
4,081 4,200
3,520 3,581 3,646
Revenue 2,740 2,981 3,231
2,479
1,935
(INR mn)
Q1'21 Q2'21 Q3'21 Q4'21 Q1'22 Q2'22 Q3'22 Q4'22 Q1'23 Q2'23
3.9x
300 722 747
EBITDA 617 619 633
194
512
(INR mn) 378 394
Q1'21 Q2'21 Q3'21 Q4'21 Q1'22 Q2'22 Q3'22 Q4'22 Q1'23 Q2'23
+ve
PAT (398) (223) (292) 1,031 (458) 60 61 74
(INR mn)
(Post IND-AS (1,022) (96)
116) (1) (2)
Q1'21 Q2'21 Q3'21 Q4'21 Q1'22 Q2'22 Q3'22 Q4'22 Q1'23 Q2'23
+ve
PAT (333) (158) (229) (60) 1,067 (424) 94 92 105
(INR mn)
(958)
(Pre IND-AS
116) (1) (2)
Q1'21 Q2'21 Q3'21 Q4'21 Q1'22 Q2'22 Q3'22 Q4'22 Q1'23 Q2'23
19
(1) Includes loss due to exceptional items of INR 847 mn
www.hcgel.com
(2) Includes gain on exceptional items of INR 1,401 mn
Led by Board of Directors comprising of Industry
Veterans
Dr. BS Ajai Kumar Siddharth Patel
Executive Chairman Non-Executive Non-Independent Director
Visionary and key driving force of HCG, with an Partner at CVC. 20+ years of leading successful
aim to make advanced cancer care accessible investments across sectors globally
Raj Gore Amit Soni
Whole-time Director and CEO Non-Executive Non-Independent Director
Seasoned healthcare leader with 20+ years in Partner at CVC. 15+ years of investment
management across North America, Asia & Africa experience including General Atlantic and 3i
Abhay Prabhakar Havaldar Anjali Ajaikumar Rossi
Non-Executive Independent Director Executive Director - Strategy
Established General Atlantic’s India Office. Board Social entrepreneur with over 12+ years in
member of Jubilant Foodworks, IBS Software etc. healthcare; focused on quality and strategy
Geeta Mathur Jeyandran Venugopal
Non-Executive Independent Director Non-Executive Independent Director
Experienced finance professional, serving on 20+ years in technology & product innovation;
Boards of India Infoline, Sentiss Pharma etc. Currently Chief Product Officer Flipkart
Rajagopalan Raghavan Pradip Kanakia
Non-Executive Independent Director Non-Executive Independent Director
30+ years of leadership experience. Currently 36+ years in audit and governance. On the
serving as Head of HR at Indigo Airlines Board of JM Financial, Camlin Fine Science etc.
20
www.hcgel.com
Marquee Management Team supported by Experienced
Promoters
SEASONED PROMOTERS – LEADING VALUE CREATION
Dr. BS Ajai Kumar CVC Capital Partners
Founder and Executive Chairman Promoters & Board Members
• Served as the CEO from 2005 to 2021 • Large portfolio of marquee healthcare
• Over 40+ years of experience in practicing investments globally of c. USD 12 bn+
oncology in India and US
Significantly Expanded Management Team with Senior Healthcare Professionals
Srinivasa Dr. Bharat Ashutosh Sapna Agarwal Madan Stuti Jain
Raj Gore Deepti Tewari Sudeep Dey Vineesh Ghei
Raghavan Gadhavi Kumar Head of Sampath Head
CEO Head HR CIO Head Sales
CFO Head-Gujarat Strategy Operations Supply Chain Marketing
20+ 25+ 20+ 20+ 13+ 20+ 25+ 15+ 15+ 15+
New Hires since 2020 Existing Management
21
Total years of experience www.hcgel.com
Q2 & H1FY23 FINANCIAL &
OPERATIONAL HIGHLIGHTS
SUBASENI LENKA, CANCER WINNER
I am eternally thankful to
Dr. Panda and other specialists at
HCG Panda Cancer Hospital, as
the specialists were able to treat
my condition the right way, the
first time
22
www.hcgel.com
Financial Highlights Q2 FY23
REVENUE REVENUE - HCG Centers (1) REVENUE - Milann Centers^
+19% +21% +15%
4,200 4,035 166
3,520 3,346 144
Q2FY22 Q2FY23 Q2FY22 Q2FY23 Q2FY22 Q2FY23
ADJUSTED EBITDA PROFIT AFTER TAX2 PROFIT AFTER TAX2
ADJUSTED EBITDA
MARGIN (Pre-IND AS) (Post-IND AS)
+28% +130 bps +137% +790%
810 19.3% 105 74
18.0%
633
44
8
Q2FY22 Q2FY23 Q2FY22 Q2FY23 Q2FY22 Q2FY23 Q2FY22 Q2FY23
Adjusted EBIDTA excludes
- Impact of ESOPs cost of INR 12.9 mnfor Q2FY23 and 15.5 mnin Q2FY22 &
- Impact of one-time consulting fees for strategy work for a period of 12-18 months. Cost of one-time consulting fees stands at INR 50.2 mm for Q2FY23
23
1. 22 comprehensive cancer centers, 3 multispecialty hospitals ^Q2FY22 revenues for Milann are excl for covid vaccinations Rs in Mn
www.hcgel.com
2. PAT for Q2FY22 is pre-exceptional items
Financial Highlights H1 FY23
REVENUE REVENUE - HCG Centers (1) REVENUE - Milann Centers^
+23% +23% +32%
8,281 7,942 338
6,751 6,456 257
H1FY22 H1FY23 H1FY22 H1FY23 H1FY22 H1FY23
ADJUSTED EBITDA PROFIT AFTER TAX2 PROFIT AFTER TAX2
ADJUSTED EBITDA
MARGIN (Pre-IND AS) (Post-IND AS)
+40% +230 bps
1,566 18.9% Turns 197 Turns 134
16.6%
1,121 Positive Positive
H1FY22 H1FY23 H1FY22 H1FY23 -15 -87
H1FY22 H1FY23 H1FY22 H1FY23
Adjusted EBIDTA excludes
- Impact of ESOPs cost of INR 31.5 mnfor Q2FY23 and INR -8.6 mnfor H1FY22 &
- Impact of one-time consulting fees for strategy work for a period of 12-18 months. Cost of one-time consulting fees stands at INR 65.5 mm for H1FY23
24
1. 22 comprehensive cancer centers, 3 multispecialty hospitals ^H1FY22 revenues for Milann are excl for covid vaccinations Rs in Mn
www.hcgel.com
2. PAT for H1FY22 is pre-exceptional items
Growth Across HCG Centers
Matured Centers Emerging Centers^
~1.6x ~2.0x
growth in last 8 quarters growth in last 8 quarters
+19% +26%
#
E 2,979 3,090 929 945
U 2,596 2,628 2,663 785 826
N 2,304 2,418 693 750
E 1,890 2,100
V 479 509 535
E
R
Q2FY21 Q3FY21 Q4FY21 Q1FY22 Q2FY22 Q3FY22 Q4FY22 Q1FY23 Q2FY23 Q2FY21 Q3FY21 Q4FY21 Q1FY22 Q2FY22 Q3FY22 Q4FY22 Q1FY23 Q2FY23
Matured Centers Emerging Centers^
~2.0x
On a positive trajectory
growth in last 8 quarters
+20%
+186%
*
A 750 777 100 95
D 645 654 676 76
606
T 549
I B 477 33 37
394
E
5 8
-3
-21
Q2FY21 Q3FY21 Q4FY21 Q1FY22 Q2FY22 Q3FY22 Q4FY22 Q1FY23 Q2FY23 Q2FY21 Q3FY21 Q4FY21 Q1FY22 Q2FY22 Q3FY22 Q4FY22 Q1FY23 Q2FY23
25
Rs in Mn *Excl. Corporate Expenses ^Emerging Center represents centers operational after 2017 #Excl. Revenue & EBIDTA for Fertility
www.hcgel.com
HCG – Q2FY23 Operational Metrics#
MATURED CENTERS EMERGING CENTERS MATURED CENTERS
TOTAL AOR (%)
AOR (%) AOR^* (%) ROCE (%)
66.4% 65.0% 69.9% 20.0%
56.1% in Q2FY22 57.6% in Q2FY22 51.8% in Q2FY22 15.4% in FY22
1,030 bps 740 bps 1,810 bps 460 bps
ROCE pre-corporate
allocations stands at 24.8%
MATURED CENTERS EMERGING CENTERS EMERGING CENTERS^
TOTAL ARPOB (Rs.)
ARPOB (Rs.) ARPOB^ (Rs.) ROCE (%)
36,914 39,684 30,145 -4.9%
36,437 in Q2FY22 37,667 in Q2FY22 33,942 in Q2FY22 -8.3% in FY22
1.3% 5.4% 11.2% 340 bps
ROCE pre-corporate
^New Center represents centers operational after 2017
allocations stands at -0.9%
*72% of the total capacity beds are operational; AOR 57% on capacity beds
#Excl. Fertility Revenue
26
Existing Centers Operational beds: 1302 + New Centers Operational Beds: 495 = Total 1,797 Operational Beds
www.hcgel.com
ROCE is H1FY23 annualized
HCG – Cluster Wise Revenue Break Up#
CLUSTER Q2FY23 Q2FY22 Y-o-Y H1FY23 H1FY22 Y-o-Y
KARNATAKA 1,425.8 1,128.9 26.3% 2798.8 2239.6 25.0%
GUJARAT 1,052.9 879.4 19.7% 2053.6 1748.2 17.5%
MAHARASHTRA 564.7 642.2 -12.1% 1164.9 1188.8 -2.0%
EAST INDIA 401.6 302.9 32.6% 789.0 555.1 42.1%
ANDHRA PRADESH 299.8 258.8 15.8% 596.7 501.0 19.1%
TAMIL NADU 67.4 65.8 2.5% 127.4 107.8 18.2%
NORTH INDIA 207.0 67.9 204.7% 380.7 115.7 229.0%
AFRICA 15.2 - - 31.2 - -
TOTAL 4,034.5 3,345.9 20.6% 7,942.3 6,456.4 23.0%
BANGALORE
JAIPUR RAJKOT RANCHI KOLKATA MUMBAI*
COE
205% 80% 60% 40% 35% 30%
Y-o-Y Y-o-Y Y-o-Y Y-o-Y Y-o-Y Y-o-Y
for Q2FY23 For Q2FY23 For Q2FY23 For Q2FY23 For Q2FY23 For Q2FY23
Market position for private oncology markets only (excluding trusts, government hospitals), based on management estimate; 1. Includes Multispecialty Beds
27
#Excl. Fertility Revenue Rs in Mn
www.hcgel.com
*Excl. Vaccination revenue
Milann – Implementing Strategic Initiatives
BENGALURU (5 Centers)
Growth Growth
Particulars Q2FY23 Q2FY22 H1FY23 H1FY22
Y-o-Y Y-o-Y
New Registrations 1,152 1,014 13.6% 2,764 1,690 63.6%
M S Ramaiah Nagar
Shivananda
IVF Cycles 473 431 9.7% 1,011 742 36.3% Indiranagar
Revenues* Whitefield
165.5 144.3 15.4% 338.2 257.0 31.6%
(Rs. Mn.)
JP Nagar
Emerging Centers
Good recovery demonstrated in H1FY23 across all metrics
Matured Centers (1)
• Continued effort on digital campaigns have resulted growth in new registrations NORTH INDIA (2 Centers)
• Continuous focus on strengthening clinical talent
Chandigarh
Looking to focus on market leadership in Bangalore and scaling up
North India centers in near term
Delhi
28
*Q2FY22 & H1FY22 revenues for Milann are excl for covid vaccinations
1. Centers in operation prior to April 1, 2016, i.e., Shivananda, JP Nagar and Indiranagar www.hcgel.com
Capital Expenditure & Net Debt
CAPITAL EXPENDITURE (Rs. Mn.) NET DEBT (Rs. Mn.)
NET DEBT 30th Sep 2022 31st March 2022
HCG CENTERS H1FY23 FY22
Bank Debt(1) 3,485 3,543
Vendor Finance(2) 205 333
Matured Centers 581 458
Other Debt 20 34
Less: Cash & Cash Equivalents(3) (1,598) (2,008)
Emerging Centers 49 246
NET DEBT 2,113 1,901
TOTAL CAPEX 629 704
Capital Leases: Ind AS116 4,963 5,070
Net Debt (Incl. Leases) 7,076 6,972
ONGOING CAPEX (Rs. Mn.)
Expected Capex
Capex incurred till Expected Capex Total Planned Expected date of
Sr. No Particulars between Oct 22 to
30th Sep 2022 for FY24 Capex Operations
Mar 23
1 Ahmedabad – Phase II 70.0 146.2 635.8 852.0 Q1 FY25
Whitefield (Extension of
2 10.0 40.0 200.0 250.0 Q4 FY24
Bangalore - COE)
1. Bank debt: Net of Bank balance held as margin money of INR 147 Mn and investment in fixed deposits of INR 182 Mn as of 30th Sep -22, margin money of INR 147 Mn and investment in fixed deposits of INR 99 Mn as of 30th June-22.
The unamortized portion of processing fees amounting to INR 30 Mn as on 30th Sep -22 & INR 32 Mn as on 31st June -22 netted off against Bank Debt.
2. Vendor Finance; Includes Forex reinstatement of INR 6.39 Mn as of 30th Sep-22 and Forex reinstatement of INR 5.00 Mn as of 30th June-22
3. Cash and cash equivalents: Includes investment in mutual funds of INR 16 Mn as at 30th Sep -22 and of INR 16 Mn as at 30th June-22
29
www.hcgel.com
Q2 & H1 FY23 Consolidated Profit & Loss Account
Profit and Loss (in Rs. Mn.) Q2 FY23 Q2 FY22 Y-o-Y Q1 FY23 Q-o-Q H1 FY23 H1 FY22 Y-o-Y
Revenues from Operations 4,192.1 3,512.5 4,073.1 8,265.2 6,736.7
Income from Govt. Grant 7.9 7.1 7.4 15.3 14.3
Total Revenue from Operations 4,200.0 3,519.6 19.3% 4,080.5 2.9% 8,280.5 6,751.0 22.7%
Cost of Goods Sold 1,023.6 912.1 978.0 2,001.6 1,743.5
Employee Cost 670.4 545.7 668.5 1,338.9 1,127.8
Medical Consultancy Charges 897.9 699.0 866.7 1,764.6 1,369.9
Other Expenses 798.1 729.9 811.9 1,609.9 1,388.7
Adjusted EBITDA 810.0 632.9 28.0% 755.4 7.2% 1,565.5 1,121.1 39.6%
Adjusted EBITDA Margin (%) 19.3% 18.0% 130 bps 18.5% 77 bps 18.9% 16.6% 230 bps
One time value creation cost 50.2 0.0 15.3 65.5
ESOP’s 12.9 15.5 18.6 31.5 -8.6
Reported EBIDTA 746.9 617.4 21.0% 721.5 3.5% 1,468.5 1,129.7 30.0%
Reported EBITDA Margin (%) 17.8% 17.5% 24 bps 17.7% 10 bps 17.7% 16.7% 95 bps
Depreciation 408.3 380.2 396.7 805.0 758.0
Other Income 19.7 33.0 29.1 48.8 67.4
EBIT 358.3 270.2 32.6% 353.9 1.3% 712.3 439.1 62.2%
Finance Cost 258.1 232.3 249.8 507.9 496.1
Extraordinary Items 0.0 1,401.2 0.0 1,401.2
Share in Profit/(loss) in JV and Associates 0.0 -20.0 0.0 0.0 -14.3
Profit before Tax 100.2 1,419.1 104.1 204.4 1,329.9
Taxes, Other Comprehensive Income &
26.4 388.2 43.6 70.1 394.7
Minority Interest
Profit After Tax 73.8 1030.9 60.5 134.3 935.2
PAT Margin (%) 1.4% 27.5% 0.8% 1.1% 12.8%
EPS 0.5 8.2 0.4 1.0 7.5
30
www.hcgel.com
Consolidated Balance Sheet
Balance Sheet - Equity & Liabilities (in Rs. Mn.) Sep-22 Mar-22 Balance Sheet - Assets (Rs. Mn.) Sep-22 Mar-22
Equity Share Capital 1,391 1,390 Non-Current Assets
Other Equity 7,420 7,313 Property, Plant And Equipment 9,166 9,315
Equity Attributable To Equity Holders Of The
8,810 8,703 Capital Work in Progress 629 217
Company
Non-Controlling Interests 92 134 Rights-of-use Assets 3,807 4,045
Total Equity 8,902 8,837 Goodwill 1,813 1,813
Non-Current Liabilities Other Intangible Assets 243 298
Financial Liabilities Intangible Assets Under Development 31 30
Borrowings 3,732 3,629
Financial Assets
Lease Liabilities 4,481 4,659
Investments 58 58
Other Financial Liabilities
Loans Receivable 0 0
Provisions 112 105
Other Financial Assets 699 546
Other Non-Current Liabilities 323 255
Deferred Tax Assets (Net) 54 60
Deferred Tax Liabilities (Net) 58 13
Total Non-Current Liabilities 871 866 Income Tax Assets (Net) 638 459
Current Liabilities Other Non-Current Assets 221 331
Financial Liabilities Total Non-Current Assets 17,357 17,172
Borrowings 309 448 Current Assets
Lease Liabilities 483 411
Inventories 375 300
Trade Payables
Financial Assets
Total Outstanding Dues Of Micro Enterprises And
37 20 Trade Receivables 2,667 2,175
Small Enterprises
Total Outstanding Dues Of Creditors Other Than Cash And Cash Equivalents 1,590 1,975
2,266 1,919
Micro Enterprises And Small Enterprises
Bank Balances Other Than Cash And Cash Equivalents 1 0
Other Financial Liabilities 1,003 936
Loans 18 16
Other Current Liabilities 808 785
Other Financial Assets 356 341
Provisions 192 173
Other Current Assets 349 217
Income Tax Liabilities (Net) 9 5
Total Current Liabilities 5,106 4,698 Total Current Assets 5,356 5,024
Total Equity And Liabilities 22,713 22,195 Total Assets 22,713 22,195
31
www.hcgel.com
Consolidated Cash Flow Statement
Cash Flow Statement (in Rs. Mn) Sep-22 Sep-21
Net Profit Before Tax 204 1,330
Adjustments For: Non - Cash Items / Other Investment Or Financial Items 1,380 -163
Operating Profit Before Working Capital Changes 1,585 1,167
Changes In Working Capital -379 -288
Cash Generated From Operations 1,206 879
Direct Taxes Paid (Net Of Refund) -250 -86
Net Cash From Operating Activities 956 793
Net Cash From Investing Activities -706 809
Net Cash From Financing Activities -640 -1,948
Net Increase/Decrease In Cash And Cash Equivalents -390 -346
Add: Cash & Cash Equivalents At The Beginning Of The Period 1,927 29
Cash & Cash Equivalents At The End Of The Period 1,537 -318
32
www.hcgel.com
HISTORICAL FINANCIAL
SHANKAR, CANCER WINNER HIGHLIGHTS
The days I was at HCG,
I felt like I was sleeping at
home. They never stop caring
for you. The doctors and
nurses are always finding ways
to make this difficult journey
as comfortable as possible
33
www.hcgel.com
Historical Profit & Loss Account
Profit and Loss (in Rs. Mn.) FY22 FY21 FY20 FY19 CAGR
Revenues from Operations 13,948 10,092 10,923 9,760
Income from Govt. Grant 30 43 33 27
Total Revenue from Operations 13,978 10,134 10,956 9,787 13%
Costs of Goods Sold 3,549 3,632 3,645 3,581
Employee Cost 2,337 1,959 2,080 1,845
Medical Consultancy Charges 2,958 2,218 2,451 2,114
Other Expenses 2,754 2,289 2,305 2,389
EBITDA 2,380 1,266 1,722 1,252 24%
EBITDA Margin (%) 17.0% 12.5% 15.7% 12.8%
Depreciation 1,583 1,592 1,485 851
Other Income 127 170 70 74
EBIT 924 -157 307 475 25%
Finance Cost 978 1,192 1,377 699
Extraordinary Items 946 -847 0 0
Share in Profit/(loss) in JV and Associates -14 -4 -123 -110
Profit before Tax 878 -2,199 -1,193 -334 -
Taxes, Other Comprehensive Income & Minority Interest 340 -264 -131 -86
Profit After Tax 538 -1,935 -1,062 -248 -
PAT Margin (%) 3.8% -19.1% -9.7% -2.5%
EPS (in INR) 4.1 -16.9 -2.9 -2.8
34
www.hcgel.com
Historical Balance Sheet
Balance Sheet - Equity & Liabilities (in Rs. Mn.) Mar-22 Mar-21 Mar-20 Mar-19
Equity Share Capital 1,390 1,254 887 879
Other Equity 7,313 5,718 2,926 3,933
Equity Attributable To Equity Holders Of The Company 8,703 6,972 3,813 4,811
Non-Controlling Interests 134 168 385 619
Total Equity 8,837 7,140 4,198 5,430
Non-Current Liabilities 0 0 0 0
Financial Liabilities 0 0 0 0
Borrowings 3,629 3,462 5,296 4,666
Lease Liabilities 4,659 4,693 6,092 202
Other Financial Liabilities 255 0 624 0
Provisions 105 86 73 56
Other Non-Current Liabilities 0.0 280 422 318
Deferred Tax Liabilities (Net) 13 43 70 43
Total Non-Current Liabilities 8,661 8,564 12,576 5,285
Current Liabilities 0 0 0 0
Financial Liabilities 0 0 0 0
Borrowings 448 670 937 648
Lease Liabilities 411 365 215 0.0
Trade Payables 0 0 0 0
Total Outstanding Dues Of Micro Enterprises And Small Enterprises 20 3 0 0.0
Total Outstanding Dues Of Creditors Other Than Micro Enterprises
1,919 1,452 1,536 1,683
And Small Enterprises
Other Financial Liabilities 936 1,428 2,654 2,557
Other Current Liabilities 785 626 305 337
Provisions 173 104 91 63
Income Tax Liabilities (Net) 5 4 22 12
Total Current Liabilities 4,698 4,653 5,758 5,300
Total Equity And Liabilities 22,195 20,356 22,532 16,015
35
www.hcgel.com
Historical Balance Sheet
Balance Sheet - Assets (in Rs. Mn.) Mar-22 Mar-21 Mar-20 Mar-19
Non-Current Assets
Property, Plant And Equipment 9,315 8,531 9,271 8,026
Capital Work in Progress 217 300 461 1,440
Rights-of-use Assets 4,045 4,114 5,776 0
Goodwill 1,813 963 1,093 1,093
Other Intangible Assets 298 215 320 96
Intangible Assets Under Development 30 206 268 469
Financial Assets 0 0 0 0
Investments 58 57 74 68
Loans Receivable 0 451 516 476
Other Financial Assets 546 168 222 196
Deferred Tax Assets (Net) 60 343 261 311
Income Tax Assets (Net) 459 426 818 307
Other Non-Current Assets 331 232 414 742
Total Non-Current Assets 17,172 16,007 19,494 13,222
Current Assets 0 0 0 0
Inventories 300 211 233 285
Financial Assets 0 0 0 0
Trade Receivables 2,175 1,866 1,857 1,646
Cash And Cash Equivalents 1,975 300 318 280
Bank Balances Other Than Cash And Cash Equivalents 0 109 3 44
Loans 16 93 54 40
Other Financial Assets 341 1,546 275 211
Other Current Assets 217 225 300 288
Total Current Assets 5,024 4,350 3,038 2,793
Total Assets 22,195 20,356 22,532 16,015
36
www.hcgel.com
Historical Cash Flow Statement
Cash Flow Statement (in Rs. Mn) Mar-22 Mar-21 Mar-20 Mar-19
Net Profit Before Tax 878 -2,287 -1,193 -334
Adjustments For: Non - Cash Items / Other Investment Or Financial Items 1,666 3,619 2,988 2,463
Operating Profit Before Working Capital Changes 2,543 1,333 1,795 2,130
Changes In Working Capital -105 -507 -226 -774
Cash Generated From Operations 2,438 826 1,569 1,355
Direct Taxes Paid (Net Of Refund) -237 380 -267 370
Net Cash From Operating Activities 2,201 1,205 1,301 985
Net Cash From Investing Activities 1,246 -1,711 -1,014 -2,382
Net Cash From Financing Activities -1,549 1,123 -584 835
Net Increase/Decrease In Cash And Cash Equivalents 1,898 617 -297 -562
Add: Cash & Cash Equivalents At The Beginning Of The Period 29 -588 -291 271
Cash & Cash Equivalents At The End Of The Period 1,927 29 -588 -291
37
www.hcgel.com
Vision, Mission and Values
VISION MISSION
Adding life to years by redefining To be an acclaimed healthcare institution
healthcare through global in pursuit of medical excellence through
innovation value-based medicine
VALUES
Quality Collaboration Innovation Integrity Leadership
Enabling Limitless Innovative
We are honest, We strive to be the
patients to possibilities of ways to
forthright and best at what we
achieve collaborative ensure better
are responsible do, both as a
better lives energy and medical
corporate company and as
teamwork outcomes
citizens individuals
39
www.hcgel.com
Select Awards and Accreditations
Leading Oncology Brand with Industry Wide Recognition in 2020-21 Accreditations
Leader in Oncology Best Cancer Care Hospital Chain
All India Critical Care Hospital Ranking Navbharat Healthcare Award -HCG
Survey 2020 –HCG Bangalore Mumbai & Nagpur
Top Specialized – Best Hospitals Nursing Excellence
HCG Ahmedabad has been listed by Association of Healthcare Providers
The News Week -India (AHPI) Award
Best Cancer Hospital Group Ranked 1st
Best Cancer Hospital –HCG Andhra Pradesh Ranked 1stby All India Critical Care
Center of Excellence for Oncology –HCG, Kolkata Hospital Ranking Survey
40
Note: Not an exhaustive list
www.hcgel.com
Setting Standards in ESG for conserving Natural Capital
Pioneer among hospitals to adopt Integrated Reporting (IR) Framework in FY19, with disclosures covering
performance against Financial, Manufactured, Social, Intellectual, Natural & Human Capital
Key Practices for Environment Conservation
Enhancing Water Use Energy Optimization and
Efficiency Emission Reduction
Implementing ESG policy and standards Monitoring of water Reduction in paper
consumption using water consumption in FY 2020-21 by
meters at discharge 74%
points
Assessing the impact of operations on the environment
ESG
Initiatives
Raising awareness and initiating behavioral changes
Auditing community contributions & sustainability
Proper Waste Increase in Renewable
Management Energy Consumption
Medical waste treatment Solar rooftop capacity: 1,593
Reviewing progress and evaluating the environmental facility, authorized by KVA
management system, as and when needed SPCB(1)
41
Note: (1) State Pollution Control Board
www.hcgel.com
Enduring Patient Trust for 33+ Years
“We’re getting treated in this hospital for last 4 months. Radiation, surgery & now chemo
INTEGRATED CARE treatment is going on. We’re satisfied with all the services and treatments”
-Krishna Murthy
“Almost every institute gave up. Finally, HCG made it happen and I Couldn’t be happier! It’s
MANAGING
been 8 years now and I’m living a normal life”
COMPLEX CASES
-Savita Devi
“Each member of the staff, right from the doctors to the cleaning staff have gone out of their
PERSONALIZED
way to help my husband in every possible way”
PATIENT-CENTRIC
-Rose Pani
“My son was diagnosed with Lymphoblastic Leukemia. HCG assured us that our son’s condition
MODALITY
was curable with proper treatment and care. With each passing day, my son is doing better. ”
SPECIALISTS
-Heeramani Mohanta
“The vast knowledge and expertise of the doctors gave me and my family enormous confidence
TECHNOLOGY
to go ahead with the Cyberknife treatment. I am thankful to HCG for saving my life”
LEADERSHIP
-Harshana Rajani
42
www.hcgel.com
Oncology Market in India
SARITA DEVI, CANCER WINNER
I chose the hospital that said
my cancer could be treated
over the hospital that said I
only had six months
43
www.hcgel.com
High Patient Volume driving Oncology Growth in India
Under-coverage of Population Indian Cancer Care Industry (INR bn) – Projected Growth
89% 91%
CAGR 12%
3% 263
38%
10%
1%
India China UK USA 3% Realization
Affordability
Population coverage by national cancer registries
3%
Relapse
Driven
Increasing Cancer Incidences in India
1%
151 Cancer
Population Incidences
Growth
5,500
4,000
3,000
1,700
2020 2030 2019 2024
Reported Incidences ('000s) Real Incidences ('000s)
44
Sources: Globacan 2018, ICMR; NCRP Annual Report 2020, Industry Reports
www.hcgel.com
High Growth Headroom due to Low Population Coverage
Low Early-stage Diagnosis in India … …leading to High Mortality to Incidence Ratio
88% 91%
81%
71% 73% 70%
61%
51% 52% 56%
29% 31% 30% 19% 31% 26% 25% 15% 17% 22% 28% 23% 33%
8%
Breast Cancer Head and Neck Lung Cancer Breast Cancer Head and Neck Lung Cancer
USA UK China India USA UK China India
Majority of the Comprehensive Cancer Centers …but Non-Metros to Grow Faster than Metros
concentrated in Metros… mainly driven by Volume Growth (FY19-FY24)
15%
Top 8 Metros(1) 12% 12%
30%
8%
4%
60% 3%
Rest of India
10%
Other State Capitals
Volume Growth Realization Growth Total Growth
Metros Non-Metros
45
Sources: “List of Cancer Treatment Centers licensed by AERB”, aerb.gov.in, Feb 2021; “Population of India as per census 2011”, Censusindia.gov.in; Industry reports
www.hcgel.com
(1) Top 8 metros include Delhi, Mumbai, Bangalore, Chennai, Hyderabad, Kolkata, Pune and Ahmedabad
QUALITY FOCUSED
SHANKAR, CANCER WINNER
The days I was at HCG,
I felt like I was sleeping at
home. They never stop caring
for you. The doctors and
nurses are always finding ways
to make this difficult journey
as comfortable as possible
46
www.hcgel.com
Many Firsts of Cutting-edge Technology Introduction for
Integrated Cancer Care
1st
State-of-the-art Equipment in each modality
TRACK RECORD OF BEING TO
LAUNCH ADVANCED TECHNOLOGY IN
DIAGNOSTICS Total PET CTs : 17
INDIA
AI-based
2022
RIS PACS Automated
Ethos / Skyra
Digital PET Digital Breast Digital Molecular /
Tesla 3T
2022 Adaptive CT Pathology Volume Mammography Genomics lab
for MRI
Radiation Scanner
Radixact 2018
RADIOTHERAPY Total LINACs : 30
2016 Tomotherapy - H
Genomics 2013
FFF 2 5
2012 Ethos TrueBeam Versa HD Radixact
Technology CyberKnife Tomotherapy
Cyberknife, 2009
MEDICAL / SURGICAL ONCOLOGY Total Robots: 3
SRS/SBRT
2006 Cyclotron
Introducing organ-specific working committees –
gastrointestinal, head & neck, breast, etc. for better Bone Marrow Transplant
DaVinci Robot Versius Robot HoloLens
Units
data collection & analysis to improve patient outcome
47
www.hcgel.com
Tumor Board based Treatment Approach for Patients
PIONEER OF TUMOR BOARD IN INDIA Tumor Board Approach
Case-specific panel curated involving multiple specialists for
▪ 17+ years of nation wide, Tumor Boards held weekly
planning and implementing efficient treatment
▪ Supplemented by multiple local tumor boards
Radiologists,
Decision Making Body Pathologists
Focused committee to shortlist cases to be discussed
#1
Tumor Board Special
Chairman Psycho Medical
Largest Tumor Conveyor Committee
Oncologists Oncologists
Board in India
Cross-
consultation
Panelists
15 panelists encompassing various specialists
36k+
Radiologists Surgical Radiation
Leading Treating
and Oncologists Oncologists
Total Cases Oncologists Clinicians
Pathologists
Discussed till Date
Participants
RIGHT TREATMENT – THE FIRST TIME ITSELF
Floor open to question and discuss overall treatment plan
250+
Decision All Other
Panelists
Oncologist Making Body Clinicians
Specialized End-to-end Patient Accuracy and
Participation
Team Visibility Centric Reliability
48
www.hcgel.com
Quality, Research & Academics Ecosystem
QUALITY & RESEARCH INITIATIVES Innovation @ H C G HCG ACADEMICS
• Grants by Ministry of AYUSH and DST Life of a Laryngectomy person Is marked
ONCOLOGY
by many problems including no voice
• Oral presentations at: Harvard University, ASTRO Meeting,
box, breathing through a Trachea-stoma, • DNB
ESMO Meeting, Society for Integrative Oncology absence of nasal breathing unable to
• Fellowships
smell and altered taste & swallow. In
order to aid their problems, we at HCG , • Certificate programs
SELECT CLINICAL TRIALS supporting our In-house Doctor/inventor
introduced Aum - Voice Box. It is an ALLIED HEALTH SERVICES
Innovative device made of Silicone,
• Genomics: Mutations & treatment response and outcomes helping people to regain their voice at a • B.SC.
fractional Cost.
• Bachelor: Hospital Administration
• Radiation response & Radio sensitivity using Radiomics and
Certificate Programs
radiogenomics
• Whole exome sequencing to identify novel Targets in head NURSING
and neck cancers
• Diploma
• Immunotherapy PDL1 inhibitors, T cell activation, Dendritic
• Certificate Programs
cell therapy
109* 26* 222*
32*
PUBLICATION CLINICAL AUDITS Students Registered For
Courses Offered
PUBLISHED CONCLUDED Various Courses
49
*For FY22 www.hcgel.com
THANK YOU
Company: HealthCare Global Enterprises Limited Investor Relation Advisors: Strategic Growth Advisors
CIN: L15200KA1998PLC023489 CIN: U74140MH2010PTC204285
Mr. Sagar Shroff / Mr. Deven Dhruva
For updates and specific queries, please visit
www.hcgel.com sagar.shroff@sgapl.net / deven.dhruva@sgapl.net
or feel free to contact investors@hcgoncology.com Tel: +91 98205 19303 / +91 98333 73300
© 2022 HealthCare Global Enterprises Limited., All Rights Reserved.
HCG Logo is trademark of HealthCare Global Enterprises Limited. In addition to Company data, data from market research agencies, Stock Exchanges and industry publications has
been used for this presentation.
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