India's healthcare sector faces a critical infrastructure gap with only 100,000 tertiary care beds for the entire country, despite a population of 45 million in Delhi NCR alone; private equity investments play a crucial role in expanding hospital capacity through brownfield expansions, where new beds are added to existing facilities, generating operating leverage and margin improvements while addressing the demographic shift toward aging populations.
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Max Healthcare On PE Investments In Indian Healthcare | CNBC TV18追加:
Welcome back. Well, Max Healthcare has recently launched a new wing at its Nanawati Max Hospital. AB Soy, the CMD of Max Healthcare told me that they've added around 570 new beds in this new wing. We also spoke on the role of private equity in the hospital space.
Listening to a slice.
>> So, it seems to be a popular narrative on social media uh that you know Indian healthcare is owned by private equity and so on and so forth. I mean I can tell you the largest chain Apollo is not we are not uh you know forest is not Naru is not I mean these are plenty of sort of examples out there uh look I think it's um important to sort of put it in perspective um there's been a massive shift uh towards uh private hospitals in India uh if I look at anybody perhaps over the age of 30 uh everybody was either born in nursing homes or largely in government hospitals uh but today if you were to do a survey of perhaps even your you know people who watch CNBC majority of the people would be going or visiting private hospitals and you know over a period of time is less and less people towards uh disorganized sector and nursing homes etc. >> Um yet I think in uh the private sector tertiary care beds we perhaps have less than 100,000 beds for the whole country.
uh today we have demographic dividends which is uh uh playing out for us. you know, the average age is 29, but let's make no mistake, you know, a couple of decades down the line, you're going to be closer to the European age, and we just don't have the beds. I mean, it's 100,000 beds for the whole country that you have in the tertiary care. I mean, let's look at the Delhi NCR market.
>> Um, you know, in Delhi NCR, we are the largest players, uh, you know, by far.
Uh if you add up locations of the next three largest players, we probably twice as many locations as them. Uh but we have three and a half thousand beds >> 10% of which are totally free. Um another 40% is catering to upcountry business. This is patients which are coming from outside of Delhi NCR. 10 to 12% is catering to international patients because the larger amount of international patients come to Delhi NCR. And uh so I mean really it leaves us with 1500 beds for the national capital region. You got the next three players which have similar amount of beds and then the entire tail. So it's literally 5,000 beds >> for a population of 45 million people >> which is 85% of UK's population >> and the UK where the NSS is collapsing.
Okay, literally I mean you have more than 200,000 beds.
>> I mean how are we going to leaprog from 5,000 beds? okay to 200,000 beds if you don't have private public charitable all kinds of money coming in >> I think it is the need of the it is something which is to be encouraged >> uh do keep in mind uh private equity has a particular uh uh you know sunset period it's 5 to 7 years of investments and then it comes back it comes back into the market it comes back in the hands of local management promoters and so on such is the case I mean I'm a case point of that >> also I think it will be it's a little naive to believe >> uh that um you know in the private sector >> uh a private equity player would have um a different sort of uh aspiration as any other shareholder I think uh you know to say private equity uh is is is making expensive maybe a little egregious on that front on them so it's I think that's a little unfair >> so Mr. Zoe tell us a little more about uh the plex which has come on street.
We're standing in a new wing at Nanavati. Tell us how many beds are come on street here occupancy and uh the other uh you know hospital beds which are coming through and possibly FI27.
>> Um so this is uh we're standing at the new tower. Uh there's tower one and tower two. Essentially it's supposed to be 570 new beds. uh this tower represents 280 of those beds and uh so far we've operationalized about 110 to 120 beds in this tower.
>> Um gradually I think over the next few months we would have operationalized uh when I say few months 2 to 3 months at best we would have operationalized all the balance beds in this particular tower. Similarly, Delhi at Sake, it's a 400 bed hospital that we've started very recently on in the first week of April in fact >> and we've operationalized about 80 of those beds but in the next uh I think uh 3 to four months we would be operationalizing the rest of the beds in a phased manner. We'll completely uh complete the commissioning by the end of the third or fourth month. So just give us a sense in terms of these new hospitals which are coming on stream are they ITA positive by when do they start generating and adding to the margins >> so that's the beauty of the brownfield uh you know we adding thou about a thousand beds uh between Mumbai where we stand today Delhi sake mojali which we've just started um and these are all brown fields so from day go they are a bit positive so there's no real drag on their beta so to say. Uh but having said that they obviously lower margins you know this is very very early days and every incremental bed as you open up uh you get operating leverage and it comes straight to your margins. So your margins should expand uh you know in the quarters to come quite uh significantly for over 25 years. CNBC TV18 has been the guiding force for investors steering them through the markets.
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