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Most hospitals expect double-digit revenue growth in FY2022

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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.

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Sensex may face resistance at 76,300, Nifty support seen at 23,600: Analysts

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Mumbai, July 26: The benchmark equity indices are likely to remain under pressure in the coming week, with the Sensex facing immediate resistance around the 76,300 level and the Nifty expected to find crucial support near 23,600 after both indices extended losses in a volatile trading week marked by rising crude oil prices, geopolitical tensions and weak banking stocks, analysts said on Sunday.

According to experts, the Sensex surrendered the gains made in the previous week and slipped below the psychologically important 77,000 mark as geopolitical concerns and earnings-related pressures weighed on investor confidence.

“From a technical perspective, the 76,300 zone now acts as immediate resistance. On the downside, the 75,800–75,700 zone is likely to offer immediate support; a break below could open the door towards 75,500–75,400,” a market expert mentioned.

For the Nifty, analysts said the index slipped below the lower end of its month-long consolidation band of 23,800-24,400 and tested support near the rising trendline around the 23,600 level before ending the week at 23,767.45.

“A decisive breach below the 23,600 support zone could accelerate the correction towards the previous swing low of 23,100. On the upside, the 24,000–24,100 region is expected to act as the first resistance, followed by a stronger hurdle around the 24,400 mark,” a market expert mentioned.

Meanwhile, in the previous week, the Indian stock market witnessed heightened volatility as investors turned cautious amid a spike in global crude oil prices and renewed geopolitical uncertainties.

Mixed first-quarter earnings from banking companies further weighed on sentiment, while a weakening rupee and a broader risk-off mood restricted buying despite resilient domestic macroeconomic indicators and stock-specific opportunities emerging during the ongoing earnings season.

The Sensex fell 2.68 per cent over the week to settle at 76,059.77, while the Nifty declined 2.33 per cent to close at 23,767.45.

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Govt earmarks Rs 2,010 crore to boost judicial infra, eCourt modernisation

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New Delhi, July 26: The government has allocated Rs 2,010 crore to boost judicial infrastructure and digitisation of courts, including necessary training and capacity building programmes.

According to Law Minister Arjun Ram Meghwal, under the Centrally Sponsored Scheme (CSS) for Development of Infrastructure Facilities for the District and Subordinate Courts, a sum of Rs 810 crore has been allocated in the Union Budget 2026 for judicial infrastructure.

In addition, sum of Rs 1,200 crore has been allocated in the Budget for the eCourts Project Phase-III being implemented for digitisation of courts including necessary training and capacity building programmes, he said in a written reply to a question in the Lok Sabha.

Adequate budgetary provisions are made under these Schemes based on approved outlays and availability of funds.

“However, the expeditious disposal of cases depends on multiple factors including complexity of case, quality of investigation, availability of relevant evidence and presentation thereof by the Advocates, timely delivery of the court processes, active participation of the parties, judicial procedures, etc,” said the minister.

The government, in coordination with states and the judiciary, has taken several measures to ensure accessible, speedy and effective justice across the country.

Meanwhile, a Centrally Sponsored Scheme to set up Fast Track Special Courts (FTSCs), including exclusive POCSO (ePOCSO) courts was launched in October 2019, for the expeditious trial and disposal of pending cases related to rape and offences under the Protection of Children from Sexual Offences (POCSO) Act, 2012.

The scheme was extended twice, with the last extension valid up to March 31, 2026 for establishment of 790 FTSCs. The scheme has been temporarily extended upto September 30, 2026.

As per the information made available by the High Courts, as of April 30, 775 FTSCs, including 398 exclusive POCSO (e-POCSO) Courts were functional in 29 States/UTs, informed the minister.

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HDFC Bank shares fall over 1 pc as US law firms launch securities probe

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New Delhi, July 24: Shares of India’s largest private sector lender, HDFC Bank, fell more than 1 per cent in early trade on Friday after three US law firms announced separate investigations into whether the bank may have violated federal securities laws.

The investigations were announced by the Law Offices of Howard G. Smith, the Law Offices of Frank R. Cruz and Glancy Prongay Wolke & Rotter through separate press releases.

According to the law firms, the investigations are focused on whether HDFC Bank and certain of its executives made materially misleading statements or failed to disclose information relevant to investors, potentially violating US federal securities laws.

The probes stem from a May 27 report by The Indian Express — which alleged that HDFC Bank made payments of about Rs 45 crore (Rs 450 million or around $4.7 million) to the Maharashtra State Road Development Corporation (MSRDC) to attract large institutional deposits.

The report also alleged that the payments were booked as marketing expenses and that the bank’s Chief Executive Officer was aware of them.

According to the law firms, HDFC Bank’s American Depositary Receipts (ADRs) fell $1.02, or 4.1 per cent, to close at $23.78 on May 27 following the publication of the report.

The firms have invited investors who suffered losses in HDFC Bank ADRs to contact them and share relevant information as they assess whether there are sufficient grounds to pursue securities-related claims.

However, no securities class action lawsuit has been filed against HDFC Bank at this stage. The investigations are preliminary and are intended to determine whether legal action is warranted.

However, the lender has not issued any statement on the matter to the stock exchanges — the NSE and the BSE — till 10:30 am.

On Friday, HDFC Bank shares fell as much as 1.44 per cent during early trade on the BSE. The stock has declined more than 25 per cent over the past one year, nearly 20 per cent in the last six months, and around 25 per cent so far this calendar year.

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