Aster DM Quality Care Ltd
Aster DM Quality Care Ltd
HealthcareKey Fundamentals
MidcapHospitalsHealthcare ServicesInsights
BetaAI-extracted from concalls & annual reports · figures as reported, with sources
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48 extracted metrics + investor summaries across FY14–FY26.
Tapetide Score
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Technical Indicators
Key Insights
Strengths
2- Company has been maintaining a healthy dividend payout of 1,560%
- Promoter holding has increased by 13.3% over last quarter.
Weaknesses
2- Stock is trading at 9.26 times its book value
- Company has a low return on equity of 7.23% over last 3 years.
Growth Rate
AI Analysis — Bull vs Bear
Aster DM Healthcare (now Aster DM Quality Care) trades at a market cap of ~₹43,685 Cr with a PE of ~198x, reflecting high growth expectations after it separated its GCC business and announced a merger with Quality Care India to create India's third-largest hospital chain by beds (~10,150 beds across 38 hospitals). FY25 revenue grew 12% YoY to ₹4,138 Cr with operating EBITDA margins expanding to ~19.5%, but the stock's valuation at 9.3x book value and 3-year ROE of just 7.2% highlight the gap between current profitability and market pricing.
- FY25 revenue grew 12% YoY to ₹4,138 Cr from ₹3,699 Cr, with Q2 FY25 showing 16% YoY revenue growth and 48% EBITDA growth, indicating strong operational momentum
- Operating EBITDA margin expanded from 16.6% in 9M FY24 to 19.5% in 9M FY25, a 290 bps improvement reflecting operating leverage as occupancy rises
- Merger with Quality Care India creates India's third-largest hospital chain with 38 hospitals and 10,150+ beds across 27 cities and 9 states, providing significant scale advantages
- Aggressive capacity expansion plan of 3,300 bed additions by FY27 with ₹1,878 Cr capex, targeting total capacity of ~13,600 beds, providing a long revenue growth runway
- Promoter holding increased by 13.3% in the last quarter, signalling strong insider confidence in the combined entity's prospects
- H1 FY25 net profit grew 88% YoY to ₹171 Cr, showing profit is scaling faster than revenue due to margin expansion
- Q1 FY26 operating EBITDA grew 21% YoY to ₹215 Cr vs ₹177 Cr, and combined proforma Q3 FY26 revenue reached ₹2,366 Cr (up 15% YoY), confirming continued growth post-merger announcement
- Stock has delivered 36% CAGR over 1 year and 37% CAGR over 3 years, reflecting sustained investor confidence in the transformation story
- PE ratio of ~198x is extremely elevated, pricing in years of flawless execution with little margin of safety if growth disappoints
- 3-year average ROE of just 7.2% is low for a company valued at 9.3x book value (PB of 15.66x per screener data), indicating current returns do not justify the premium
- 5-year compounded sales CAGR is -12% and 10-year is -1%, reflecting the distortion from the GCC business separation — the India-only track record as a standalone entity is short
- Dividend yield of only 0.36% despite reported payout ratio of 1,560% (likely a one-time special dividend from GCC sale proceeds), meaning recurring cash returns to shareholders are minimal
- ₹1,878 Cr capex plan for bed additions will pressure free cash flow over the next 24-30 months, with only ₹320 Cr spent in FY25, leaving the bulk still to be funded
- TTM profit growth of just 2% against a 197.9x PE multiple suggests current earnings are not keeping pace with the valuation multiple the market has assigned
- Quality Care India merger is subject to NCLT and shareholder approvals (targeted Q1 FY27), introducing execution and timeline risk on a deal central to the investment thesis
- Karnataka cluster showed weaker growth in Q3 FY26 (EBITDA 7% below estimates), highlighting geographic concentration risk in specific regions
This is AI-generated analysis, not financial advice. Do your own due diligence.
AI News Digest
- Q1 profit plunges 81% YoY Aug 6
Q1 consolidated net profit fell sharply to ₹160M from ₹855M YoY. EBITDA margin contracted to 10.76% from 19.29%, indicating severe margin pressure despite revenue growth.
- Maddur hospital shutdown Aug 5
Board terminated operations at Aster G. Madegowda Hospital, Maddur, citing sustained losses, reflecting underperformance in certain facilities.
- Revenue grows 21% YoY Aug 6
Q1 revenue rose to ₹13.1B from ₹10.8B YoY, showing strong top-line momentum despite profitability challenges.
- UCIMS stake acquisition Aug 5
Approved acquisition of up to 12% additional equity in United CIIGMA Institute of Medical Sciences for up to ₹40.93 crore, expanding network presence.
- Investor roadshow with Kotak Aug 5
Participating in a non-deal roadshow organized by Kotak Mahindra Capital from Aug 10-14 in Mumbai and Singapore, signaling active institutional engagement.
- Rebranding to Quality Care Jul 25
Company changed its name from Aster DM Healthcare to Aster DM Quality Care Limited effective July 28, 2026, per NSE circular.
- Q1FY27 earnings call scheduled Aug 3
Earnings conference call was scheduled for August 5, 2026 at 6:00 PM IST covering unaudited results for quarter ended June 30, 2026.
TL;DR: Aster DM Quality Care is delivering strong revenue growth of 21% YoY but facing serious margin compression, with EBITDA margins nearly halving and net profit dropping 81%. The company is actively reshaping its portfolio by exiting loss-making units and expanding into UCIMS. The key risk is whether margin recovery can materialise in coming quarters, as the current growth-without-profitability trend is unsustainable.
Quarterly Results
| Jun 2023 | Sep 2023 | Dec 2023 | Mar 2024 | Jun 2024 | Sep 2024 | Dec 2024 | Mar 2025 | Jun 2025 | Sep 2025 | Dec 2025 | Mar 2026 | Jun 2026 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sales | 841 | 929 | 955 | 974 | 1,002 | 1,086 | 1,050 | 1,000 | 1,078 | 1,197 | 1,186 | 1,182 | 1,311 |
| Expenses | 722 | 787 | 805 | 817 | 841 | 869 | 864 | 818 | 876 | 961 | 983 | 958 | 1,055 |
| Operating Profit | 119 | 142 | 149 | 156 | 161 | 217 | 186 | 182 | 202 | 236 | 202 | 224 | 256 |
| OPM % | 14% | 15% | 16% | 16% | 16% | 20% | 18% | 18% | 19% | 20% | 17% | 19% | 20% |
| Other Income | -17 | -64 | 153 | -40 | 5,120 | 35 | 9 | 5 | 29 | 28 | 0 | 37 | -77 |
| Interest | 25 | 30 | 25 | 30 | 29 | 31 | 31 | 32 | 31 | 31 | 31 | 30 | 31 |
| Depreciation | 51 | 54 | 57 | 58 | 60 | 62 | 62 | 64 | 63 | 66 | 68 | 67 | 69 |
| PBT | 26 | -7 | 220 | 28 | 5,191 | 159 | 102 | 91 | 136 | 167 | 103 | 163 | 78 |
| Tax % | 24% | 120% | 5% | 108% | 1% | 33% | 37% | 6% | 31% | 27% | 43% | 6% | 62% |
| Net Profit | 20 | -15 | 209 | -2 | 5,152 | 106 | 64 | 86 | 94 | 121 | 59 | 154 | 29 |
| EPS in Rs | 0.1 | -0.62 | 3.59 | -0.48 | 103 | 1.94 | 1.14 | 1.58 | 1.65 | 2.12 | 1.01 | 2.71 | 0.31 |
Profit & Loss
| Mar 2015 | Mar 2016 | Mar 2017 | Mar 2018 | Mar 2019 | Mar 2020 | Mar 2021 | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 | Mar 2026 | TTM | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sales | 3,876 | 5,250 | 5,931 | 6,721 | 7,963 | 8,652 | 8,608 | 10,253 | 2,994 | 3,699 | 4,138 | 4,643 | 4,876 |
| Expenses | 3,370 | 4,805 | 5,582 | 6,089 | 6,886 | 7,187 | 7,506 | 8,720 | 2,547 | 3,124 | 3,384 | 3,779 | 3,958 |
| Operating Profit | 506 | 445 | 349 | 632 | 1,077 | 1,465 | 1,103 | 1,533 | 447 | 575 | 754 | 864 | 918 |
| OPM % | 13% | 8% | 6% | 9% | 14% | 17% | 13% | 15% | 15% | 16% | 18% | 19% | 19% |
| Other Income | 23 | 25 | 453 | 177 | -155 | -158 | 53 | 51 | 353 | 32 | 5,169 | 93 | -13 |
| Interest | 79 | 189 | 371 | 204 | 205 | 391 | 334 | 307 | 96 | 119 | 133 | 123 | 123 |
| Depreciation | 144 | 243 | 322 | 298 | 306 | 586 | 618 | 641 | 192 | 220 | 249 | 264 | 270 |
| PBT | 306 | 38 | 108 | 308 | 410 | 330 | 205 | 637 | 511 | 268 | 5,542 | 570 | 511 |
| Tax % | 11% | 78% | 10% | 8% | 10% | 5% | 13% | 6% | 7% | 21% | 2% | 25% | — |
| Net Profit | 272 | 8 | 98 | 282 | 367 | 315 | 178 | 601 | 475 | 212 | 5,408 | 427 | 363 |
| EPS in Rs | 7 | 0.2 | 2.52 | 5.32 | 6.59 | 5.54 | 2.96 | 10.53 | 8.51 | 2.59 | 108 | 7.49 | 6.15 |
| Div. Payout % | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 0% | 4637% | 5% | 40% | — |
Balance Sheet
| Mar 2015 | Mar 2016 | Mar 2017 | Mar 2018 | Mar 2019 | Mar 2020 | Mar 2021 | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 | Mar 2026 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Equity Capital | 389 | 403 | 403 | 505 | 505 | 497 | 497 | 500 | 500 | 500 | 500 | 518 |
| Reserves | 1,096 | 17 | 1,472 | 2,327 | 2,709 | 2,775 | 2,875 | 3,080 | 3,574 | 3,686 | 2,554 | 4,058 |
| Borrowings | 1,091 | 3,321 | 2,758 | 2,352 | 2,788 | 5,605 | 4,804 | 5,282 | 6,075 | 1,758 | 2,392 | 2,220 |
| Other Liabilities | 1,834 | 2,003 | 2,171 | 2,296 | 2,926 | 3,528 | 3,444 | 3,661 | 4,687 | 12,039 | 1,154 | 1,316 |
| Total Liabilities | 4,409 | 5,743 | 6,804 | 7,479 | 8,928 | 12,405 | 11,620 | 12,521 | 14,836 | 17,983 | 6,600 | 8,112 |
| Fixed Assets | 2,237 | 2,507 | 3,520 | 3,738 | 4,289 | 7,124 | 6,749 | 7,009 | 9,052 | 3,175 | 3,920 | 4,249 |
| CWIP | 197 | 358 | 290 | 402 | 550 | 736 | 934 | 998 | 279 | 170 | 293 | 413 |
| Investments | 3 | 39 | 32 | 38 | 22 | 34 | 63 | 45 | 80 | 17 | 245 | 1,167 |
| Other Assets | 1,972 | 2,839 | 2,962 | 3,302 | 4,067 | 4,511 | 3,874 | 4,470 | 5,425 | 14,620 | 2,142 | 2,284 |
| Total Assets | 4,409 | 5,743 | 6,804 | 7,479 | 8,928 | 12,405 | 11,620 | 12,521 | 14,836 | 17,983 | 6,600 | 8,112 |
Cash Flow
| Mar 2015 | Mar 2016 | Mar 2017 | Mar 2018 | Mar 2019 | Mar 2020 | Mar 2021 | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 | Mar 2026 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Operating | 236 | 203 | 361 | 537 | 601 | 1,223 | 1,569 | 1,314 | 1,834 | 158 | 425 | 656 |
| Investing | -439 | -775 | -1,136 | -522 | -702 | -658 | -333 | -563 | -951 | -878 | 6,015 | -288 |
| Financing | 203 | 578 | 654 | 46 | 134 | -675 | -1,116 | -686 | -817 | 1,053 | -6,358 | -304 |
| Net Cash Flow | -1 | 5 | -122 | 61 | 33 | -110 | 120 | 65 | 66 | 332 | 82 | 63 |
| Free Cash Flow | -176 | -536 | -565 | 23 | 64 | 715 | 1,183 | 770 | 995 | -601 | 70 | 179 |
| CFO/OP | 51 | 53 | 116 | 93 | 61 | 88 | 143 | 89 | 424 | 40 | 72 | 94 |
Ratios
| Mar 2015 | Mar 2016 | Mar 2017 | Mar 2018 | Mar 2019 | Mar 2020 | Mar 2021 | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 | Mar 2026 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Debtor Days | 83 | 93 | 79 | 84 | 93 | 100 | 86 | 72 | 285 | 23 | 23 | 24 |
| Inventory Days | 93 | 92 | 102 | 111 | 110 | 138 | 122 | 129 | 612 | 44 | 36 | 32 |
| Days Payable | 178 | 187 | 151 | 150 | 153 | 303 | 290 | 267 | 1,400 | 183 | 166 | 168 |
| Cash Conversion Cycle | -2 | -1 | 30 | 45 | 50 | -65 | -83 | -66 | -503 | -116 | -107 | -112 |
| Working Capital Days | 69 | 68 | 6 | 59 | 28 | 8 | 5 | 5 | -21 | 272 | -32 | -28 |
| ROCE % | 14% | 6% | 1% | 7% | 13% | 12% | 6% | 10% | 3% | 4% | 11% | 11% |
Documents
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Company Information
Aster DM Healthcare Limited is one of the largest integrated private healthcare service providers operating in GCC (Gulf Cooperation Council) countries and an emerging player in India. With an inherent emphasis on clinical excellence, it is one of the few entities in the world with a strong presence across primary, secondary, tertiary and quaternary healthcare. [1]