Business
Most hospitals expect double-digit revenue growth in FY2022
The hospital sector witnessed a spike in Covid-19 occupancies during Q1 FY2022 in line with the active cases in India that touched an all-time high in May 2021, peaking at more than 4x the first wave peak.
The overall occupancy levels were supported by longer average length of stay for Covid patients even as localised lockdowns resulted in a sequential decline in non-Covid occupancies to a certain extent.
The blended occupancy of both Covid and non-Covid patients for ICRA sample set stood higher at 64.2 per cent in Q1 FY2022 (against 36.9 per cent in Q1 FY2021 and 58.8 per cent in Q4 FY2021), an ICRA report said.
Most multi-speciality hospitals derived 25-30 per cent of their Q1 FY2022 footfalls and revenues from Covid-19 treatments and vaccination drives. While the Y-o-Y revenue growth of 129 per cent in Q1 FY2022 for ICRA sample set was optically high aided by the low base, the Q-o-Q revenue growth was also healthy at 15 per cent.
However, higher share of revenues from Covid treatments resulted in a 4.2 per cent Q-o-Q contraction in the average revenue per occupied bed (ARPOB) in Q1 FY2022, even as complex nature of infections and higher proportion of patients requiring critical care treatment and oxygen support aided Y-o-Y growth of 8.7 per cent in ARPOB.
Operating leverage benefits in addition to incremental revenues and margins from vaccination drives and Covid tests resulted in an improvement in OPM for ICRA sample set to 19.3 per cent in Q1 FY2022 (against -9.3 per cent in Q1 FY2021 and 18.4 per cent in Q4 FY2021), the highest witnessed by the sample set in the last few years. This was despite absence of revenues from international patients.
Says Mythri Macherla, Assistant Vice President and Sector Head, ICRA, “While both in-patient (IPD) and out-patient (OPD) footfalls declined sequentially in Q1 FY2022 on account of Covid 2.0, footfalls were far higher than Q1 FY2021, wherein hospital operations were adversely impacted on account of the nationwide lockdown. Most hospitals have witnessed sequentially higher footfalls in July and August 2021 compared to Q1 FY2022 levels.”
“To assess the on-ground sentiments and understand the outlook for FY2022, ICRA conducted a survey of its rated hospital entities. Key findings suggest that with strong performance in Q1 FY2022 and expected benefits from pent-up demand for electives, respondents expect occupancies in FY2022 to be better than FY2020 levels and ARPOB to remain range-bound in FY2022 despite higher contribution from Covid. More than 2/3rd of the survey respondents expect double-digit growth in revenues in FY2022, and OPM to revive and be higher than FY2020 levels on the back of healthy improvement in occupancy levels.”
The net debt for ICRA sample set increased by Rs 350 crore as on June 30, 2021, compared to March 31, 2021 on account of advance payments for vaccine procurement and higher pharmacy stocking of Covid medicines.
In terms of capex, many companies in the sector have gone slow on greenfield expansion in the last few years as the focus was on improving returns on existing facilities.
Players are now looking at adding bed capacity within the existing infrastructure, and some of the larger players are actively scouting for inorganic growth opportunities. However, owing to the healthy cash generation and strong liquidity position, the interest coverage ratio is projected to improve.
The Government of India and the Reserve Bank of India have taken multiple measures to support the sector, including an on-tap liquidity window, dedicated ECLGS credit lines, etc. which is likely to support liquidity of industry players.
Business
Gold prices slide 1 pc on MCX as Fed Rate cut hopes fade

Mumbai, Nov 24: Gold prices fell sharply on Monday as weak chances of a US Federal Reserve rate cut and easing geopolitical tensions weighed on investor sentiment.
A stronger US dollar also added pressure on the precious metal.
On the Multi Commodity Exchange (MCX), gold December futures dropped 1 per cent to Rs 1,22,950 per 10 grams.
Silver followed the trend, with December futures falling 0.61 per cent to Rs 1,53,209 per kg in early trade.
“In INR gold has support at Rs1,23,450-1,22,480 while resistance at Rs1,24,750-1,25,500,” analysts said.
“Silver has support at Rs1,53,050-1,52,350 while resistance at Rs1,55,140, 1,55,980,” they added.
Analysts said gold currently lacks any strong positive trigger to maintain its previous gains.
The latest US job market data reduced expectations of a 25-basis-point rate cut by the Federal Reserve in December, which has been a key reason behind the correction in prices.
The strong economic data pushed the US dollar index to nearly a six-month high on Friday.
The index remained above the 100 level on Monday, making gold more expensive for buyers holding other currencies and restricting demand.
Geopolitical concerns have also eased in recent days, further reducing gold’s safe-haven appeal.
Experts believe the combination of a stronger dollar, uncertainty over US tariff decisions, developments in the Russia-Ukraine conflict, and the upcoming Fed policy announcement may keep gold prices volatile in the near term.
Some market analysts expect further correction and advise investors to stay cautious before making fresh purchases.
Gold is attempting to reclaim momentum as prices hover near $4,100, driven by growing expectations of a December Fed rate cut, now priced at 71 per cent probability after dovish hints from officials like Miran and Williams.
“Bullion has been choppy over the past three sessions, reflecting traders’ indecision, but with rate-cut bets rising and geopolitical risks lingering, dips in gold are likely to attract renewed buying interest in the coming week with next resistance seen around 125000 and support near 122000,” experts added.
Business
New labour codes to boost formalisation, gender parity of India’s workforce: Industry leaders

New Delhi, Nov 22: India’s top industry bodies and staffing leaders on Saturday labelled the implementation of the Four Labour Codes a landmark step toward formalising the workforce, expanding social security, and aligning India’s labour framework with global standards.
The India Electronics & Semiconductor Association (IESA) said the reforms would significantly benefit the high-technology sectors by enhancing workforce stability, improving safety standards, and enabling labour flexibility with social protection.
“Mandatory appointment letters, universal minimum wages, and pan-India social security coverage (including ESIC expansion) ensure greater formalisation. This strengthens worker confidence — critical for skill-intensive manufacturing such as fabs, ATMP, component manufacturing and design centres,” said Ashok Chandak, President, IESA and SEMI India.
Provisions for fixed-term employment, faster dispute resolution, single licensing, and simplified compliance directly support the scaling of high-tech manufacturing clusters, the statement said.
Meanwhile, parity of benefits for Fixed-Term Employees (FTE) and expanded social security protections ensure a balanced, worker-centric ecosystem, he added.
Sachin Alug, CEO of NLB Services, a technology and digital talent provider, said the reforms were long overdue for India’s gig economy and will offer protection to a fast-growing but previously unorganised workforce.
The new laws are also expected to promote gender parity in the workforce by opening doors to wider opportunities across diverse sectors. Additionally, other groups such as”
He also pointed out that new laws will promote gender parity and contract workers, youth workers, and fixed-term employees will benefit from clearer working-hour norms, expanded social security, minimum wage protections, and health benefits.
“By simplifying compliance and unifying the regulatory framework, the codes can significantly expand formal employment, bringing millions of workers, especially in industries that rely on contract, temporary, and project-based roles, into the fold of structured, protected work,” said Balasubramanian A, Senior Vice President, TeamLease Services.
“National floor minimum wage creates a consistent benchmark across states and is an important step in India’s evolution from a minimum-wage economy to a living-wage economy,” he noted.
Suchita Dutta, Executive Director of Indian Staffing Federation (ISF), said the codes simplify compliance for employers, reduce regulatory burdens, and foster a more flexible hiring environment — crucial for the staffing industry, which has long advocated for such changes to unlock formal job creation.
The government, on November 21, implemented the Four Labour Codes — the Code on Wages (2019), Industrial Relations Code (2020), Code on Social Security (2020), and Occupational Safety, Health and Working Conditions (OSHWC) Code (2020) — repealing and rationalising 29 existing central labour laws.
Business
Nifty, Sensex continue rally for second week despite FII outflows

Mumbai, Nov 22: Indian equity benchmarks made marginal gains for the second week, supported by stronger second quarter (Q2) earnings, easing inflation and optimism around the India-US trade negotiations.
Benchmark indices Nifty and Sensex edged higher 0.68 and 0.50 per cent during the week to close at 26,068 and 85,231, respectively.
Analysts said that a moderation in FII selling due to expectations of earnings upgrades in H2 FY26 also supported the rally. However, markets turned volatile on Friday amid weak global cues. The Nifty fell after failing to cross its previous all-time highs of 26,277, ending its two-day advance.
Broader indices underperformed, with the Nifty Midcap100 and Smallcap100 ending the week down 0.76 per cent and 2.2 per cent, respectively.
Though IT stocks faced selling pressure due to weakness in the US tech shares, it was the biggest weekly gainer. Nifty Auto and Services followed as the secoral gainers during the week. On Friday, metals and realty were the worst hit, both dropping over 2 per cent, followed by PSU banks, financial services and media.
A better-than-expected non-farm payroll dimmed hopes of a US Federal Reserve rate cut in December putting pressure on global equities. Resultantly gold also witnessed selling pressure while INR declined to a new low.
The oil prices declined due to the US’s renewed push for a Russia-Ukraine peace proposal.
“The market may witness some profit booking in the near term if the pressure on Indian rupee persists. In the week ahead, investors will also have a close vigil on trade developments and economic data like IIP and Q2 FY26 GDP data to get the market direction,” said Vinod Nair, Head of Research, Geojit Investments Limited.
Analysts said that they expect markets to remain firm next week supported by buying on dips, improving demand outlook in Q3 and resilient flows.
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