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
Nifty, Sensex post notable gains this week over easing crude prices, US-Iran talks

Mumbai, May 23: Indian equity benchmarks posted notable gains during the week as sentiments improved over easing crude oil prices and reports of indirect US–Iran talks.
Nifty gained 0.32 per cent during the week and added 0.27 per cent on the last trading day to reach 23,719. At close, Sensex was up 231 points or 0.31 per cent at 75,415. It advanced 0.24 per cent during the week.
“Despite the rebound, investors largely remained cautious, with limited conviction at higher levels continuing to cap upside momentum,” an analyst said.
The IT sector stood out as a clear outperformer, benefiting from attractive valuations following the recent correction.
Realty, cement, and private banks also held up while FMCG and consumer durables underperformed as concerns of WPI pass-through weighed on margins.
Midcap indices outperformed benchmark indices, as Nifty Midcap100 added 1.36 per cent, while Nifty Smallcap100 gained 0.41 per cent during the week.
The rupee found much-needed support as crude prices exhibited a modest pullback over persistent efforts to ease Middle East tensions.
However, fears of tightening monetary policy amidst expectations of higher input inflation provided an upward push for domestic bond yields, analysts said.
The US 30-year Treasury yield climbed to its highest level since 2007 during the week, reflecting growing concerns around sticky inflation, elevated energy prices and rising macroeconomic uncertainty.
It reinforced concerns that higher-for-longer interest rates could continue to pressure global liquidity conditions and risk assets.
Nifty 50 is expected to see the 23,800–24,000 region as a strong resistance zone and the 23,400–23,300 region remains a crucial support area, market participants said.
In Bank Nifty, immediate resistance is placed around the 54,200 level and the 53,600–53,500 region continues to act as an immediate support zone.
Foreign institutional investors (FIIs) largely remained net sellers, with cumulative outflows at around Rs 7,570 crore, a market participant said.
Investors remain keen on cues from India’s April IIP print, which will offer clues on whether recent manufacturing softness is a passing or persistent concern.
The RBI’s June policy decision and the US core PCE data are also key triggers for the market. A higher PCE print would push back expectations of US Fed rate cuts, limiting the prospect of meaningful FII inflows into emerging markets.
Business
Fuel Prices Rise Again: Petrol Nears ₹109/Litre, Diesel Crosses ₹95 In Mumbai After 3rd Hike In 10 Days Amid Global Oil Tensions

Mumbai: Mumbaikars were hit with another fuel price shock on Saturday as petrol and diesel rates were increased yet again, marking the third hike this month amid rising global crude oil prices and ongoing tensions in West Asia. With the latest revision, petrol in Mumbai is now inching closer to the Rs 109-per-litre mark, while diesel has crossed Rs 95 per litre.
State-run oil companies raised petrol prices by 87 paise per litre and diesel by 91 paise per litre across major cities. In Mumbai, petrol prices climbed from Rs 107.62 to Rs 108.49 per litre, while diesel rose from Rs 94.11 to Rs 95.02 per litre, according to an ANI report quoting sources.
The latest increase comes just days after fuel prices were hiked by around Rs 3 per litre on May 16, followed by another nearly 90-paise revision on May 19. Overall, petrol and diesel prices have surged by almost Rs 5 per litre within a week, putting additional pressure on commuters, transporters and households already battling inflation.
The repeated hikes are expected to majorly impact Mumbai’s daily economy, especially local transport operators, cab drivers, delivery services and small businesses dependent on fuel-intensive logistics. The rising transportation costs have also triggered fresh price increases in vegetables, milk, groceries and other essential commodities across the city.
The increase also comes amid growing concerns over global crude oil supply disruptions due to the ongoing geopolitical tensions in West Asia and fears surrounding the Strait of Hormuz, one of the world’s most critical oil transit routes. India imports nearly 85 per cent of its crude oil requirements, making domestic fuel prices highly sensitive to international market fluctuations.
A day before the latest revision, the Ministry of Petroleum and Natural Gas had attempted to calm panic among consumers by assuring that the country has adequate fuel stock and that supply chains remain stable despite rising demand.
“India has adequate availability of petrol and diesel. Supplies across the country continue to remain stable. Citizens are advised to avoid panic buying and purchase fuel only as per actual requirement,” the ministry said in an official statement. Officials also stated that oil marketing companies are continuously monitoring fuel distribution to prevent shortages at retail outlets.
Apart from Mumbai, fuel prices also rose sharply in other metro cities. In Delhi, petrol reached Rs 99.51 per litre while diesel climbed to Rs 92.49. Kolkata recorded petrol prices at Rs 110.64 and diesel at Rs 97.02, while Chennai saw petrol touching Rs 105.31 per litre.
The latest fuel hike is likely to further intensify inflationary concerns in Mumbai, where rising milk, bread and transportation costs have already increased pressure on household budgets in recent weeks.
Business
Sensex, Nifty post mild gains over hopes of US-Iran deal

Mumbai, May 22: The Indian equity markets posted mild gains early on Friday tracking positive global cues, over optimism regarding US-Iran peace negotiations.
As of 9.23 am, Sensex added 307 points, or 0.41 per cent, to reach 75,491 and Nifty gained 89 points, or 0.38 per cent to reach 23,744.
Main broad-cap indices showed divergence with the benchmark indices, as the Nifty Midcap 100 added just 0.06 per cent, and the Nifty Smallcap 100 lost 0.02 per cent.
Sectoral indices on NSE traded mixed with gains led by Nifty PSU bank and Nifty private bank up 0.53 per cent and 0.75 per cent, respectively. Nifty media and realty were the top losers down 0.83 per cent and 0.75 per cent, respectively.
Immediate support for Nifty is placed around the 23,500–23,550 zone, while resistance is seen near the 23,850–23,900 range, market participants said. Immediate support for Bank Nifty is placed around the 53,300–53,500 zone, while resistance is seen near the 54,400–54,500 range.
Analysts noted that market activity is majorly marked by buying on dips and selling on rallies, probably led by institutional activity.
Brent crude declining to below $105 and rupee appreciating to 96.20 from 96.96 level are positive developments, they added.
Broader market activity shows an optimistic trend due to positive quarterly earnings from small and midcaps.
Asia-Pacific markets traded higher Friday over investor optimism regarding diplomatic efforts in reaching a peace deal in the Middle East.
Tehran said it remains committed to keeping enriched uranium stockpiles within the country, according to reports, which could pose challenges in concluding a deal with Washington, as US President Donald Trump continues to claim dismantling Iran’s nuclear programme as his central military objective.
In Asian markets, China’s Shanghai index gained 0.33 per cent, and Shenzhen added 1.2 per cent, Japan’s Nikkei advanced 2.29 per cent, and Hong Kong’s Hang Seng Index inched up 0.9 per cent. South Korea’s Kospi added 0.17 per cent.
The US markets ended in green overnight as Nasdaq gained 0.09 per cent. The S&P 500 advanced 0.17 per cent, and the Dow Jones added 0.55 per cent.
On May 21, foreign institutional investors (FIIs) net sold equities worth Rs 1,891 crore, while domestic institutional investors (DIIs) net bought equities worth Rs 2,492 crore.
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