#1KIMS HOSPITALS™M 09th February, 2023 The General Manager, Department of Corporate services Bombay Stock Exchange Ltd (BSE) Phiroze Jheejheebhoy Towers, Dalal Street, Mumbai - 400 001. Scrip Code 543308 ISIN: INE967H01017 The Manager, Listing Department National Stock Exchange of India Limited, Exchange Plaza, 5th Floor, Plot No.C/1, 'G' Block, Bandra Kurla Complex, - Mumbai 400 051. - Symbol - KIMS ISIN: INE967H01017 Dear Sir, Sub: Investor presentation Pursuant to the Regulation 30 of the Securities and Exchange Board of India (Listing Obligations and Disclosure Requirements) Regulations, 2015 please find enclosed herewith the Investor Presentation on Un-Audited Financial Results of the Company for the 3rd Quarter and nine months ended 31st December, 2022. The said presentation is being uploaded on the website of the Company i.e., https://www.kimshospitals.com/investors/Disclosures under Regulation 46 of SEBI (LODR) Regulations, 2015/Analysts Calls schedule, PPT & Transcripts/PPT's / FY 22-23. We request you to take this on record. Thanking you, Yours truly, For Krishna Institute of Medical Sciences Limited MANTHA Digitally signed by MANTHA UMASHANKAR UMASHANKAR Date: 2023.02.09 18:36:32 +05'30' Umashankar Mantha Company Secretary & Compliance Officer Krishna Institute of Medical Sciences Limited D.No.: 1-8-31/1, Minister Road, Secunderabad - 500 003, Telangana, India Phone: +91 40 4488 5000/4488 5184 | Fax: +91-40-27840980 | kimshospitals.com CIN: L55101TG1973PLC040558#2Private & Confidential KIMS HOSPITALSTM MAKING QUALITY HEALTHCARE ACCESSIBLE & AFFORDABLE#3KIMS Driven by a Vision VISION: To be the most preferred healthcare services brand by providing affordable care and best clinical outcomes to patients. And to be the best place to work for doctors and employees. OUR MISSION: Provide affordable quality care to our patients with patient-centric systems and processes. Enable clinical outcome-driven excellence by engaging modern medical technology. Provide a strong impetus for doctors to pursue academics and medical research. Private & Confidential Most Preferred Healthcare Provider PATIENTS Affordable Quality Care Best-in-Class Facilities Patient Centric Systems & Processes DOCTORS Clinical Outcome Driven Excellence Latest Medical Technology Strong Academics & Research Oriented EMPLOYEES Enriching Atmosphere Collaborative Culture Growth Driven Career Approach INVESTORS Transparent Governance Strong Operational Performance Consistent Growth 2#4KIMS HOSPITALSTM Multi Specialty Care Brain • Neurology • Neurosurgery Psychiatry • Neuro Rehabilitation Heart • Cardiology • Cardiac Surgery • Vascular Surgery Eyes • Ophthalmology Gastro Intestinal Tract • Medical Gastroenterology Surgical Gastroenterology Hepatobiliary Pancreatic Surgery Liver Transplant Bariatric Surgery Genito Urinary Tract Nephrology Urology Bones and Spine • Orthopedics • Arthroscopic Surgery • Spine Surgery • Ortho Rehabilitation Skin Dermatology Cosmetology • Plastic and Reconstructive Surgery Orthodontics • Maxillo Facial Surgery Radiology • Imaging • Interventional Radiology Lab Services • Pathology • Microbiology • Biochemistry • Molecular Biology • Clinical Hematology Critical Care Services • ICU • Heart Transplant • Cardio Rehabilitation Lung • Pulmonology • Interventional Pulmonology • Thoracic surgery Lung Transplant ENT • Ear • Nose • Throat • Head and Neck Surgery . Andrology • Renal Transplant Gynecology • Urogynecology • IVF and ART • Fetal Medicine • Obstetrics Oncology • Medical Surgical and Radiation • BMT and Hematology • CTICU Anaesthesia • SICU • OT Anaesthesia • Day care Anaesthesia • NICU • PICU • Neuro ICU • Pain Medicine General Specialities • Internal Medicine • General Surgery Diabetology & Endocrinology Pediatrics • Pediatrics & Pediatric Sub Specialities. • Neonatology • ECMO ICU • Post Transplant ICU Hospital Infection Control • Clinical Infectious Diseases Private & Confidential 3#5KIMS KIMS at a Glance Maharashtra Nagpur (334) Nashik (Under Construction) Map not to scale Private & Confidential Telangana Secunderabad (1000) Paradise Circle (290) Kondapur (200) Gachibowli (237) Andhra Pradesh Visakhapatnam (434) Srikakulam (200) Rajahmundry (195) Ongole (350) Kurnool (200) Nellore (250) • Anantapur (250) 4#6KIMS Dr. B. Bhaskar Rao - Visionary Behind KIMS Managing Director Private & Confidential HOSPITALSTM A legend in CT Surgery, Dr. Bollineni Bhaskar Rao {MBBS, MS, DNB (CT Surgery)} is one of the very few Cardio- Thoracic Surgeons in the country, who performed over 30000 surgeries in his career spanning over more than 25 years. Well known in the medical fraternity for his passion towards his profession, Dr. Rao started his entrepreneurial journey at "Mahavir Cardio Vascular Centre" in Hyderabad with 50 beds and performed heart surgeries at an unimaginable low cost of just Rs. 45,000 only. Dr. Rao never turned away any patient from the hospital for want of money. The brand "Krishna Institute of Medical Sciences”, under Dr. B. Bhaskar Rao's aegis began its journey in 2004 with a 300 bed hospital on par with the then established hospitals of Hyderabad in professional excellence, the state of art technology and infrastructure facilities. Today KIMS is spread across 12 locations in Telangana, Andhra Pradesh and Maharashtra. Dr. Bhaskar Rao was instrumental in formulating Rajiv Gandhi Aarogyasri scheme, first time launched in Andhra Pradesh in 2007 for providing health care to the poorest of the poor. This prestigious scheme has won him accolades from all quarters of the country and the world. He was the chief architect of Aarogyashri scheme for both creating it and implementing it successfully. This well formulated scheme has become so popular that the other States in India have emulated it time and again. 5#7KIMS HOSPITALSTM Private & Confidential Dr. Abhinay Bollineni Chief Executive Officer Dr. Abhinay Bollineni joined KIMS Hospitals in 2013 and spent the next couple of years in Hospital Operations before taking charge of Strategy & Marketing for the Group in 2015. In a short span of 5 years, KIMS expanded and opened five additional units (Kondapur, Vizag, Anantapur, Ongole, and Kurnool). Shortly after that, he was appointed as the CEO in 2019. The recent acquisitions led by him were of Sunshine Hospitals, Hyderabad and Kingsway Hospitals, Nagpur. Dr. B. Abhinay completed MBBS from the Deccan Medical College, Hyderabad, in 2010. He was the lone qualified medical practitioner from India to be selected by the office of Hillary Clinton in 2011, where he participated in the 'International Visitor Leadership Program on Oncology: Research, Prevention and Treatment' held by the US Department of State He was named in Business World's "BW 40 Under 40” list in 2019. Under his stewardship, KIMS Hospitals got successfully listed on the Stock Exchanges in India in 2021. Dr. Abhinay is passionate about using technology to enhance patient experience and clinical care. Towards this, he has spearheaded vital initiatives such as Financial counseling tool which uses Al to help patients with surgery costings among many others. 6#8KIMS Board of Directors HOSPITALSTM Dr. Bhaskara Rao Bollineni Managing Director Dr. Abhinay Bollineni Chief Executive Officer Mrs. Anitha Dandamudi Whole-time Director Shantanu Rastogi Non-Executive Director Mr. Rajeswara Rao G Independent Director, Chairman (Stakeholders' Relationship Committee) Mr. Saumen Chakraborty Independent Director, Chairman (Audit Committee) Mr. Pankaj Vaish Independent Director, Chairman (Nomination & Remuneration Committee) Mr. Venkata Ramudu Jasthi Independent Director Mr. Ratna Kishore Kaza Independent Director Mrs. Y. Prameela Rani Independent Director Private & Confidential 7#9FII, 11.9% KIMS Shareholding Pattern - 30th December, 2022 HOSPITALSTM Clearing Retail Pre IPO, 8.6% Retail, 3.2% Members, 0.1% DII, 26.4% Private & Confidential Promoter & Promoter Group, 38.8% Share Holder Promoter No of Shares 31,086,304 Share Holding % 38.84% Category General Atlantica 6,889,147 8.61% ICICI Ventures 1,939,393 2.42% Mirae Asset MF 6,437,731 8.04% DII Axis MF 5,017,687 6.27% DII ICICI MF 2,072,388 2.59% DII ICICI Life Insurance 1,743,980 2.18% DII Emerald Investments Limited 1,570,000 1.96% FII Polar Capital Fund 1,523,107 1.90% FII TATA AIA Life Insurance 1,424,005 1.78% DII Nomura 1,400,965 1.75% FII Amansa Holdings Private Limited 1,397,862 1.75% FII HDFC Life Insurance 1,212,314 1.51% DII Vanguard Equity Funds. 998,773 1.25% FII General Atlantic, 8.6% ICICI Ventures, 2.4% 8#10Private & Confidential KIMS Modern Medical Technology HOSPITALSTM 4-Arm HD da Vinci Robotic Surgical System Facilitates complex surgeries that are virtually scar less O-Arm Scanner Multi-dimensional surgical imaging platform optimized for use in spine, orthopaedic, and trauma-related surgeries Novalis Tx Linear Accelerator Machine used in radiosurgery and radiotherapy for treating cancer patients 3 Tesla MRI Non-invasive diagnostic imaging technique performing faster scans and gives improved diagnostic sensitivity and specificity EBUS Used to diagnose lung cancer, infections, and other diseases causing enlarged lymph nodes in the chest STEALTH STATION S8 Provides the Neuro surgeon to use data intraoperatively for advanced visualization. 9 SpyGlass Discover Mako suryker Spy Glass State of the art add on to ERCP that allows doctors to observe patients' biliary duct system and other tiny ducts in the pancreas LA Fibroscan Specialized non-invasive. diagnostic ultrasound-based device that measures fibrosis and steatosis caused by different liver diseases Mako Robotic for Knee Replacement Produces minimal blood loss and a smaller scar. Helps preserve healthy bone and soft tissue. Results in less post-operative pain than manual techniques. Cuvis Ortho Robo The most advanced surgical equipment capable of 3D pre-planning, virtual surgery and precise cutting to provide accurate and precise surgery results ABIOMED Rusiomitt IMPELLA Impella, the world's smallest heart pump, is a percutaneous catheter-based technology that provides hemodynamic support to the heart EVIS X1 Endoscopy System The most advanced Endoscopy system helps improving clinical outcomes by providing Endoscopist with innovative and proven tools. 9#11KIMS Many Firsts... • First in Asia in to do Trans catheter Tricuspid Valve replacement procedure done in 2018 • Largest Joint replacement program in South Asia. • One of the largest neuroscience programs for epilepsy among private hospitals in the country Largest ECMO program (18. machines) in the country. • First hospital in Hyderabad to use an ECMO machine in 2013. • First hospital in Hyderabad to do a Neonatal ECMO • First in India to do TOF repair using CorMatrix patch for pulmonary valve reconstruction in 2017 • First in the country to do Robotic spleen preserving distal pancreatectomy • India's first COVID Double Lung transplant done in 2020 • India's first Breathing Lung transplant done in 2021 • First hospital in South India to introduce Da Vinci Robotic System • The first hospital in Andhra Pradesh and Telangana to have been Green OT certified in 2016 • First hospital in India to perform Arch Repair in Neonates and infants without TCA • First Hospital in South India to do Total Skin Electron Beam Radiation therapy in 2018 • Number 1 player in Organ transplantation speciality (Heart, Lung, Liver and Kidney)* • Number 1 in Nephrology treatments in Andhra Pradesh* • Number 1 in Neurosurgery & Poly trauma treatments in Andhra Pradesh* • Number 1 in Cardio related surgeries. and treatments programs in Andhra Pradesh • Number 1 in Urology (Genito-Urinary) surgeries performed in Andhra Pradesh* *As per CRISIL Report 2021 Private & Confidential 10#12KIMS Key Accomplishments Private & Confidential MULTISPECIA RANKED No. 1 HOSPITAL AH PI AHPI PHARMACIE DE QUALITE + O BUREAU VERITAS Ranked No. 1 Hospital by Times of India, Hyderabad 'Best Patient Friendly Hospital' AHPI Health Care Excellence Award (2017) 'Best Hospital to Work For' AHPI Global Conclave Award (2019) Pharmacie De Qualite (PDQ) Certification Overall PDQ Evaluation Performance Score - 98% Grading PLATINUM - THEWEEK NATIONAL ENERGY MANAGEMENT AWARD 2010/ HTT 2nd Best Hospital in Hyderabad (2021 & 2022) 20th National Award for Excellence in Energy Management Award 2019 Pr S VALITY National Quality Excellence Awards 2019 for Best Super Specialty Hospital in Telangana 2016 Neurology Department at KIMS Secunderabad ranked 3rd in India Neurology India General 2019 KIMS Sec. Best Super-Specialty Hospital in Telangana National Quality Excellence Awards 2020 Only Hospital in Telangana to get NABH Accredition for Emergency Department 2021 Ranked No.1 in Hyderabad for Cardiology, Neurosciences, Nephrology & Emergency Times Health Survey Times of India 11#13KIMS HOSPITALSTM Consistent performer over 2 decades (Rupees in Millions) 263 1,311 2005 2010 No. of Hospitals: 1 No. of Hospitals: 1 CAGR: 27.7% 4,280 11,287 16,711 16,427** CAGR: 32.7% 773 317 42 2,412 5,217 4,203** 2015 No. of Hospitals: 5 2020 No. of 2022 No. of 9M-2023 2005 2010 2015 2020 2022 9M-2023 No. of Hospitals: 9 Hospitals: 12 Hospitals: 13 Total Revenue *EBITDA before IND AS 116 and other income **Revenue and EBITDA are including 4 month performance (Sep'22 - Dec'22) of the newly acquired unit at Nagpur Private & Confidential *EBITDA 12#14KIMS HOSPITALSTM Private & Confidential Q3 Updates 13#15KIMS HOSPITALSTM Financial & Operational Highlights - 1/2 (Rupees in Millions) FINANCIAL HIGHLIGHTS Q3 FY 23 Consolidated • From 1st September 22, M/s SPANV Medisearch Lifesciences Private Limited (Kingsway Hospital, Nagpur) has become subsidiary of "KIMS Hospitals", post-acquisition of 51% stake. Therefore, Q3 FY23 includes 3 months performance whereas Q2 FY23 includes only 1 month performance of Nagpur unit. • Key financial figures Ex. Nagpur unit are provided for better QoQ comparison. [Adjusted EBITDA margin improved by 0.1% to 27.2% on QoQ basis] Consolidated Nagpur Consolidated Ex. Nagpur Particulars Q3 FY 23 Q2 FY 23 Q3 FY 22 QoQ YoY Q3 FY23 Q2 FY23 # Q3 FY 23 Q2 FY 23 QoQ YoY Total Income 5,686.1 5,732.8 3,959.6 372.5 143.2 5,313.7 5,589.6 Less Other Income 64.5 92.0 23.9 1.2 0.6 63.3 91.5 Revenue from Operations 5,621.6 5,640.7 3,935.7 -0.3% 42.8% 371.2 142.6 5,250.4 5,498.1 -4.5% 33.4% PBT 1,128.2 1,226.3 1,103.8 -8.0% 2.2% -80.7 -25.7 1,208.8 1,252.0 -3.5% 9.5% Add Interest 115.2 78.8 29.7 60.0 23.5 55.3 55.3 Add Depreciation 332.9 311.2 188.1 37.2 16.7 295.7 294.5 Reported EBITDA (Including other income) as per Financials 1,576.3 1,616.3 1,321.5 -2.5% 19.3% 16.5 14.5 1,559.8 1,601.8 -2.6% 18.0% Less Other Income 64.5 92.0 23.9 1.2 0.6 63.3 91.5 Less INDAS 116 67.9 77.3 8.2 67.9 77.3 EBITDA Pre INDAS & Other Income 1,444.0 1,447.0 1,289.4 -0.2% 12.0% 15.3 14.0 1,428.7 1,433.0 -0.3% 10.8% EBITDA % to Revenue from Operations Add: One off Old Luxury Tax Settlement 25.7% 25.7% 32.8% 4.1% 9.8% 27.2% 26.1% 54.9 54.9 Add: One off Expenses in Q3 (Nagpur) Adjusted EBITDA 26.1 26.1 1,470.1 1,501.9 1,289.4 -2.1% 14.0% 41.4 14.0 1,428.7 1,487.9 -4.0% 10.8% Adjusted EBITDA % 26.2% 26.6% 32.8% 11.1% 9.8% 27.2% 27.1% #Q2 FY23 represents 1 month (Sep '22) performance Private & Confidential 14#16KIMS Financial & Operational Highlights - 2/2 FINANCIAL HIGHLIGHTS Q3 FY 23 Consolidated • Consolidated Revenue from operations grew by 42.8% YoY basis to Rs. 5,622 mn. • Consolidated Adjusted EBITDA (Excluding Other Income, INDAS adjustments, and one-off items) grew by 14% on a YoY basis to Rs. 1,470 mn. • Consolidated Adjusted EBITDA Margin stands at 26.2%; Ex Nagpur stands at 27.2% (an improvement of 0.1% QoQ). • Recent acquisitions i.e. Sunshine & Nagpur hospital, have shown sequential improvement (ex one-off items) in the EBITDA margin. For Q3 FY 23, Sunshine EBITDA stands at 21.9%, Nagpur EBITDA stands at 11.1%. • During the quarter, the company acquired an additional stake in three of its subsidiaries: 1.92% in Sunshine hospital, 4.07% in Kondapur hospital and 7.79% in Srikakulam Hospitals. Going forward, we aim to acquire further stake in these units. • Company has disposed one of its step-down subsidiaries "Suryateja Healthcare Private Limited” (Sunshine hospital Karimnagar) w.e.f. 1st December' 2022. OPERATIONAL HIGHLIGHTS Q3 FY 23 Consolidated • The new Unit for Sunshine Secunderabad Hospital is in its final stages of completion, and we aim to shift to this new state- of-art facility by FY 24. • Projects undertaken at Nashik (Greenfield project) and Bangalore (Semi Brownfield) are progressing well and are expected to be operational by FY 25. • Vizag Gastro unit is ready and will be operational by FY 24. • We rolled out applications that automate operational workflows, including Financial Counselling, Relationship Management, and Queue Management, among others, for greater operational efficiencies. • ARPP and ARPOB have shown improvements at the group level, though IP volume has declined due to the festive season. Private & Confidential 15#17KIMS Digital & ESG Initiatives HOSPITALSTM DIGITAL INITIATIVES During the last quarter, KIMS continued its digitization journey with a goal of having 100% paperless business process in all its operational, clinical and finance verticals. As part of this journey, last quarter we have either initiated or delivered the following programs: • Delivered application process controls that automate and reduce human intervention • Delivered EHR solution for OP, IP, Dietic, and ER that digitizes all patient records as well as communication including prescription, lab results, transfers and cross consultations • Rolled out applications that automates operational workflows including Financial counselling, Relationship Management, Queue Management and others across all KIMS group of hospitals. • Started AWS adoption for all global applications and SSO for access control. ESG INITIATIVES KIMS, Secunderabad has partnered up with Smart Joules Pvt Ltd (SJPL) a prominent Energy Services Company (ESCO) in 2018. A new and innovative model known as Joule PAYS was executed wherein, KIMS makes Zero Capital investment to implement various Energy Conservation Measures (ECMs) across the hospital and gets a guaranteed energy savings of minimum 10% annually over the baseline energy consumption. For the period Oct 2022 - Dec 2022: • 19.2% of total energy consumption saved • INR 64.29 lakhs of total energy cost saving achieved • 484 tonnes CO2 saved In real life translation, the above translates to approximately the following: • 7,600 households getting electricity • 19.59 Lakhs Kms less driven • 19,864 trees planted Private & Confidential 16#18KIMS Group Operating Performance - 1/3 HOSPITALSTM IP VOLUME ('000) OP VOLUME ('000) 1081 (1.7%) 1014 137 132 47 46 117 830 36 1.7% $381 375 280 FY21 FY22 9M FY23 Q3 FY22 Q2 FY23 Q3 FY23 FY21 FY22 9M FY23 Q3 FY22 Q2 FY23 Q3 FY23 OCCUPANCY* 78.6% ARPOB ('000) 2.0% (6.1%) 29.8 79.8% 82.2% 29.7 29.2 68.8% 72.6% 25.3 68.2% 23.2 20.6 FY21 FY22 9M FY23 Q3 FY22 Q2 FY23 Q3 FY23 FY21 FY22 9M FY23 Q3 FY22 Q2 FY23 Q3 FY23 *Occupancy % based on operational Census Beds Private & Confidential 17#19KIMS Group Operating Performance - 2/3 (Rupees in Millions) TOTAL REVENUE (0.8%) EBITDA* (0.2%) 16,711 16,427 5,733 5,686 5,218 1,447 1,444 13,401 4,203 3,960 1,289 3,672 FY21 FY22 9M FY23 Q3 FY22 Q2 FY23 Q3 FY23 FY21 FY22 9M FY23 Q3 FY22 Q2 FY23 Q3 FY23 PBT# 2,790 (8.0%) (10.3%) PAT# 4,569 1,226 3,438 1 912 1,123 1,128** 842 818** 3,428 2,523 FY21 FY22 9M FY23 #PBT and PAT are impacted due to consolidation of Nagpur *EBITDA before IND AS 116 and other income Q3 FY22 Q2 FY23 Q3 FY23 **PBT and PAT are excluding fair value gain on aquisition of control amounting to INR 148.3 Mn in Q2 FY23 and 9M FY23 Private & Confidential 2,055 FY21 FY22 9M FY23 Q3 FY22 Q2 FY23 Q3 FY23 18#20KIMS HOSPITALSTM Group Operating Performance - 3/3 (Rupees in Millions) Particulars FY21 FY22 Q1 FY23 Q2 FY23 Q3 FY23 9M FY23 Bed Capacity 3,064 3,064 3,666 4,015 4,015 4,015 Operational Beds 2,590 2,590 3,222 3,543 3,543 3,543 Census Beds 2,246 2,246 2,760 3,026 3,026 3,026 Non Census Beds 344 344 462 517 517 517 Occupied Beds 1,765 1,793 1,807 2,223 2,053 2,071 Occupancy 78.6% 79.8% 65.5% 72.6% 68.2% 68.8% IP volume 116,592 136,731 39,673 46,616 45,836 OP volume 830,211 1,013,759 324,797 375,188 381,604 132,125 1,081,589 ARPOB (Rs.) 20,609 25,323 30,192 29,237 29,812 29,729 ARPP (Rs.) 113,904 121,232 125,141 121,302 122,631 122,916 ALOS 5.53 4.79 4.14 4.15 4.11 4.13 Total Revenue 13,401 16,711 5,008 5,733 5,686 16,427 EBITDA* 3,672 5,217 1,312 1,447 1,444 4,203 EBITDA % 27.4% 31.2% 26.2% 25.2% 25.4% 25.6% PBT** 2,790 4,569 1,074 1,226 1,128 3,428 PAT** 2,055 3,438 792 912 818 2,523 *EBITDA before IND AS 116 and other income **PBT and PAT are excluding fair value gain on aquisition of control amounting to INR 148.3 Mn in Q2 FY23 and 9M FY23 Occupancy % based on operational Census Beds Private & Confidential 19#21KIMS HOSPITALSTM Comparison of Telangana and Andhra Pradesh Matured Hospitals - 1/2 (Rupees in Millions) Telangana (KIMS) AP Matured Assets Particulars FY21 FY22 Q1 FY 23 Q2 FY23 Q3 FY23 9M FY23 FY21 FY22 Q1 FY23 Q2 FY23 Q3 FY23 9M FY23 Bed Capacity 1,200 1,200 1,200 1,200 1,200 1,200 630 630 630 645 645 645 Operational Beds 1,035 1,035 1,065 1,085 1,085 1,085 580 580 580 595 595 595 Census Beds 856 856 886 906 906 906 515 515 515 530 530 530 Non Census Beds 179 179 179 179 179 179 65 65 65 65 65 65 Occupied Beds 586 642 656 668 614 646 413 405 356 411 408 392 Occupancy 68.5% 75.0% 74.1% 73.8% 67.8% 71.9% 80.3% 78.7% 69.1% 77.6% 77.0% 74.6% IP volume 45,087 53,567 14,001 15,959 14,525 44,485 30,503 30,963 7,548 8,361 8,152 24,061 OP volume 331,709 435,663 129,229 143,885 142,178 415,292 209,178 194,429 49,017 53,313 51,027 153,357 ARPOB (Rs.) 39,571 46,745 42,581 46,310 47,872 45,553 13,608 15,194 16,901 16,465 16,442 16,588 ARPP (Rs.) 187,738 204,519 181,687 178,435 186,166 181,983 67,303 72,566 72,491 74,487 75,725 74,280 ALOS 4.74 4.38 4.27 3.85 3.89 3.99 4.95 4.78 4.29 4.52 4.61 4.48 Total Revenue 8,560 11,066 2,562 2,904 2,739 8,205 2,060 2,252 549 624 618 1,791 EBITDA* 2,705 3,987 790 844 833 2,467 518 554 177 200 194 572 EBITDA % 32% 36% 31% 29% 30% 30% 25% 25% 32% 32% 31% 32% *EBITDA before IND AS 116 and other income Intercompany eliminations and dormant units are adjusted in Telangana 1) Telangana - Secunderad and Kondapur 2) AP Matured Assets - Nellore, Rajahmundry and Srikakulam Private & Confidential (Stable margins at Matured units) (Stable margins at Matured units) 20#22KIMS HOSPITALSTM Comparison of Andhra Pradesh Acquired, Sunshine & Nagpur - 2/2 (Rupees in Millions) AP Acquired Assets Sunshine Nagpur Group Particulars FY21 FY22 Q1 FY23 Q2 FY23 Q3 FY23 9M FY23 Q1 FY23 Q2 FY23 Q3 FY23 9M FY23 Q2 FY23** Q3 FY23 FY21 FY22 Q1 FY23 Q2 FY23 Q3 FY23 9M FY23 Bed Capacity 1234 1234 1234 1234 1234 1234 602 602 602 602 334 334 3,064 3,064 3,666 4,015 4,015 4,015 Operational Beds 975 975 975 1011 1011 1011 602 602 602 602 250 250 2,590 2,590 3,222 3,543 3,543 3,543 Census Beds 875 875 875 911 911 911 484 484 484 484 195 195 2,246 2,246 2,760 3,026 3,026 3,026 Non Census Beds 100 100 100 100 100 100 118 118 118 118 55 55 344 344 462 517 517 517 Occupied Beds 766 746 603 758 723 695 191 206 171 189 179 137 1,765 1,793 1,807 2,223 2,053 2,071 Occupancy 87.5% 85.3% 69.0% 83.2% 79.3% 77.3% 39.5% 42.6% 36.3% 39.4% 92.0% 70.4% 78.6% 79.8% 65.5% 72.6% 68.2% 68.8% IP volume 41,002 52,201 12,567 14,718 14,236 41,521 5,557 5,901 4,730 16,188 1,677 4,193 116,592 136,731 39,673 46,616 45,836 132,125 OP volume 289,324 383,667 96,889 113,856 109,680 320,425 49,662 54,845 51,345 155,852 9,289 27,374 830,211 1,013,759 324,797 375,188 381,604 1,081,589 ARPOB (Rs.) 9,881 12,388 14,240 12,848 13,840 13,593 62,706 60,419 65,436 62,829 26,489 29,413 20,609 25,323 30,192 29,237 29,812 29,729 ARPP (Rs.) 67,381 64,631 62,226 60,890 64,637 62,579 196,464 194,104 213,137 200,476 85,035 88,538 113,904 121,232 125,141 121,302 122,631 122,916 ALOS 6.82 5.22 4.37 4.74 4.67 4.60 3.13 3.21 3.26 3.19 3.21 3.01 5.53 4.79 4.14 4.15 4.11 4.13 Total Revenue 2,781 3,392 787 899 925 2,611 1,110 1,162 1,031 3,304 143 372 13,401 16,711 5,008 5,732 5,686 16,427 EBITDA* 450 676 151 177 182 510 194 212 219 625 14 15*** 3,672 5,218 1,312 1,447 1,444 4,203 EBITDA % 16% 20% 19% 20% 20% 20% 17% 18% 21% 19% 10% 4%*** 27% 31% 26% 25% 25% 26% (Growing margins) (Growing margins) (Growing margins Ex. one off) *EBITDA before IND AS 116 and other income 1) AP Acquired Assets - Ongole, Vizag, Anantapur and Kurnool - 2) Sunshine All 3 locations 3) **Nagpur - For the month of September 2022 4) ***Q3 FY23 EBITDA of Nagpur unit is impacted by one off adjustments amounting to Rs. 26.1Mn. EBITDA before one off stands at Rs. 42.6Mn (11.4% EBITDA margin) Private & Confidential 21#23KIMS Speciality Mix Others 24% Mother & Child 9% Group 9M FY 23 Organ Transplant 2% Gastric Sciences 8% Includes Sunshine and 4 months (Sep'22 - Dec'22) of Nagpur Private & Confidential Orthopaedics 14% Cardiac Science 18% Renal Sciences 9% Oncology 5% Neuro Sciences 12% 22#24KIMS Payor & Cluster Profile Corporate 12% Insurance 25% PAYOR MIX Aarogyasri 8% Group 9M FY23 *EBITDA before IND AS 116 and other income 1) Telengana - Secunderad, Kondapur & Sushine 3 hospitals 2) AP Mature - Nellore, Rajahmundry and Srikakulam 3) AP Non Mature - Ongole, Vizag, Anantapur and Kurnool 4) Maharashtra - Nagpur (4 months) Private & Confidential Cash 55% CLUSTER TOTAL REVENUE Maharashtra 3.1% AP Mature 10.9% AP Non Mature 15.9% Group 9M FY23 Telangana 70.1% CLUSTER EBITDA* Maharashtra 0.6% AP Mature 13.6% AP Non Mature 12.1% Group 9M FY23 Telangana 73.7% 23#25KIMS Key Achievements in Q3 FY23 Growing heart problems at an early age DECCAN NEWS SERVICE HYDERABAD Heart attacks are common in elderly people. But now, even the youngest people are experiencing heart problems. At the age of 20, doctors at the KIMS Hospital in Kurnool saved the life of a young man who suffered a heart attack due to smoking a lot of ciga- rettes. Dr Chinta Rajkumar, a consultant cardiologist at KIMS Hospital Kurnool, re- vealed the details of the case. "Yesuratnam, a 20-year- old man from Atmakur in the Kurnool district, works as a driver. He came to the hospital with severe chest pain. After initial tests like ECG, 2D ECHO and then an an- giogram, it was found that there were blocks in the coro- nary blood vessels. As it was case of emergency, we im- planted a coronary stent, and the procedure was done com- pletely free under the YSR a Aarogyasree scheme. The pa- only 2%. tient is completely recovered and is discharged. He is lead ing a normal life. It is very rare a to have a heart attack at such young age. But this patient got it. The main reason for this is smoking. He used to smoke about 20 cigarettes a day. Pa- tients blood tests showed high bad cholesterol (LDL) levels in his blood. This patient should take adequate precau- tions in the future as well. Smoking should be stopped completely and medicines should be used for the rest of your life. The advice of the doctors should be followed," he said. Dr Chinta Rajkumar explained the problem, its causes and other aspects. This problem is called a myocardial infarction (MI) in medical ter- minology. Research done by Dr. Raj kumar in Govt Gen- eral Hospital Kurnool The re- search was conducted at Kurnool Government Hospital on this problem. The re- searchers examined 100 MI patients under the age of 40. The youngest patient with this problem in India is 19 years old. In Kurnool, two cases in the age group of 20 and 27 years were reported in KIMS Kurnool in the same month. The chance of developing this problem under the age of 40 is Indians are three times more likely to develop coro- nary heart disease at At a young age than those of west- ern countries Smoking, use of ghee, high fasting blood sugar (FBS), high cholesterol, blood pres- sure, lack of physical activity, early MI problem in case of a heart attack in a parent or sib- ling, lipoprotein-A (LP-A), Hyperhomocysteinemia, hy- percoagulable conditions, and cocaine use are some of the causes of these problems. • Smoking (72%), hyperc- holesterolemia (52%), and a history of heart attack to someone in the family (35%) are the major causes of risk in young people. Apart from these, there are many more. Chances of getting Heart dis- eases in Indians in comparison with other people 2-4 times higher prevalence 5-10 years before the start of the first MI Mi disease and mortality rates are 5-10 times higher in young people (before the age of 45) The prevalence of conven- tional risk factors is low The prevalence of develop- ing risk factors is high Higher prevalence of emerging risk factors KIMS Cuddles saves three-day-old boy rushed from Nanded in emergency situation (Standard Post Bureau) Hyderabad, Dec 29: For a couple from Nanded moving their three-day old baby boy, who developed respiratory problems and had heart defects within hours after his birth in a Nanded hospital, to KIMS Cuddles, Kondapur, proved to be a timely saviour as the boy was given a fresh lease of life. after a marathon 12-hour surgery by a team of multi-specialists at KIMS Cuddles. The boy also had low oxygen saturation complications. A full-term (39 weeks) boy was Neonatology, KIMS Cuddles, transferred the baby on non-invasive ventilation on the third day of life to KIMS Cuddles' neonatal unit in Kondapur. After paediatric A further complication noticed during the complex surgery undertaken by KIMS Hospitals' DrAnil Dharmapuram, senior cardiac surgeon, KIMS Hospitals and Dr fatal ventricular dysfunction. It is for this reason that such a delicate and complicated surgery is usually planned on three to four weeks old babies. Everything went well complexity of the case was the presence of a single coronary artery. In TGA surgery, switching coronary arteries is considered the most crucial step. This step was further complicated in this baby by the presence of a single point of origin of the three major coronary vessels. It is so rare that it occurs only in around seven per cent of TGA cases. As against the normal procedure to operate such cases after the baby is at least four weeks old, In this case we had to operate very early, a mere KIMS doctors perform rare cartilage transplant surgery in Kurnool HANS NEWS SERVICE KURNOOL A young man, who was suffering from severe knee pain due to an injury to his leg, underwent a rare cartilage transplant surgery at KIMS hospital successfully. KIMS consultant orthopaedic surgeon Dr P Kiran Kumar said a 30-year- old man from Kurnool city came to KIMS hospital with severe knee pain. Considering that it is a sports injury, we took an MRI and found that a part of cartilage was damaged. When the cartilage is last thight on the sea City docs transplant kidney, liver on a single day The 50-yr-old photographer is back to normal life after being discharged AP Jeevan Dhan coordinator Rambabu says such major surgeries require tremendous exercise that requires doctors working for 12 to 16 hours at a stretch HANS NEWS SERVICE VisakhapatnaM IN a rare feat, a team of doctors at KIMS Icon Hospital successfully performed kidney and liver trans- plantation on a 50-year-old person on a single day. TL AP Jeevan Dhan coordinator K Rambabu briefing the media in Visakhapatnam on Friday require tremendous exercise that requires doctors working together for 12 to 16 hours at a stretch. One donor can give a new lease of life to eight persons," Dr. Rambabu stated. Providing a huge relief to Kanaka Apparao, a photographer by pro- fession, the doctors performed both kidney and liver transplantation on gist Dr R K Mahesh said there were concerns as the patient's liver was badly damaged due to severe spread of hepatitis-Cvirus. Adding to the problem, his kidneys were also completely damaged due to di- abetes, they informed. The team that performed the surgeries in- clude Ravichand Siddachari, Sachin Daga, Umamaheswara Rao and \ [________]: [__L_- n_JL.J CL-L Doctors remove almond stuck in ll-year-old's right lung for two days Swollen Dry Fruit Posed Challenge In Life Saving Op Sarfaraz [email protected] Nagpur: Eleven-year-old Monty's (name changed) eyes turned red and watery after he casually coughed while his mother popped two al- monds into his mouth as a daily mor- ning practice on October 12. Some patting on his back and drinking wa- ter did ease his discomfort a bit, and the family went about its chores that day at their Yavatmal home. By next evening, Monty's oxygen level had dropped to below 50%, for- cing his doctor to administer steroids and antibiotic injections. A quick CT scan revealed a whole almond stuck in his right lung, which also caused fever, infection and pneumonia. On 6-litre oxygen support, the kid was rushed to city's Kims Kingsway Hospital where the whole almond The doctors had to re-sedate the boy midway through the procedure as the almond broke in half, obstructing the airway and leading to a fall in oxygen saturation was removed in a 30-minute emer- gency procedure to save his life on in- tervening night of October 13 and 14. A team led by pulmonologist Dr Sameer Lote first preferred flexible bronchoscopy (FOB) to avoid general anaesthesia, and thereby cut pati- ent's hospital stay and additional tre- atment costs. However, the doctors fo- und removal of the almond a bit chal- lenging, as it repeatedly escaped the forceps while the doctors tried to hold on toit "The almond was entirely fixed, like a brick cemented on a slab, when it was grabbed by the forceps. Orga- nic material expands owing to mois- ture content inside the body. The al- mond finally moved after a few at- tempts, but purulent, red discharge erupted from the back of the nut," sa- id Dr Lote. Amid the process, the boy started coughing a lot, therefore total intra- venous anaesthesia (TIVA) was ad- ministered "The natient was seda. ted but not intubated. A little bit the bloated, slippery almond ultin tely broke after repeated claspi Because it would be challenging to cover every component of a frac red foreign body, a basket and late snare were utilised. The almond nally moved as it was brought ir the central airway. But here it trapped in the subglottic area, t narrowest part of the airway. It w then taken out while being clutch with rat tooth forceps once mo This time, a small bit of the almo was chipped off," Dr Lote said. Due to this, the almond split in two halves. This caused total obstri tion and an extra 30% fall in SPC The IV line became inoperable, red cing effect of sedative. "The patient came out of anae hesia, the bronchoscope came c and the suction caused problems. fresh IV line was inserted and se tion administered. Lung's left si expanded and his SPO2 stablis at 88%. Initially, a half-piece of t almond caught in a snare was ren ved. Later, other portion of the mond was captured and remove said Dr Lote Private & Confidential 24#26KIMS Key Achievements in Q3 FY23 Hospitals remove 12 kg liver to achieve an India first (Standard Post Bureau) A liver weighing 12 kg is too preposterous a thought and hard to believe even by the best of medical brains. And if the patient is a woman with polycystic liver and kidney disease, then saving her life will present itself as a major challenge for surgeons. A miracle, by way of simultaneous liver and kidney transplantations, was performed by a team of reputed surgeons, including three liver transplant surgeons and a kidney transplant surgeon, in the first week of November at KIMS Hospitals in Hyderabad. According to available data, this was the first time in India that an operation was successfully performed on a liver that weighed 12 kg. The patient whose life was saved and restored to normalcy is a 50-year-old housewife, Ms. Usha Agarwal, from Siliguri in West Bengal. The liver was so gigantic that it occupied her entire abdomen displacing the intestines. In normal healthy circumstances, a liver weighs a maximum of 1.5 kgs and occupies the right upper quadrant of the abdomen. It was difficult for her to walk with such a heavy liver and collection of water (Ascites) in the belly and hernia. She started feeling heaviness in 2019, which was when she was advised transplantation. According to Dr. Ravichand Siddachari, Consultant and Chief of Liver Transplant and HPB Surgery, "Polycystic liver and kidney disease is a hereditary condition in which due to mutations in gene, cysts (fluid-filled cavities) are formed in kidneys and liver. The patients do not develop any symptoms till they are in their 30s. As the cysts grow, they start experiencing symptoms. They can grow enormously in size while the subsequent collection of water in the belly can lead to hernia and breathing problems. They may need dialysis due to worsening kidney functions. This patient had all these symptoms apart from a huge hernia, which had ruptured." "Understandably, it was one of the most difficult operations for one to undertake as the liver had occupied the entire abdomen. It was a herculean task to detach the liver from its attachments and also to preserve the important structures required for transplantation. But we succeeded in transplanting anew liver. The new kidney was transplanted through the same cut after creating a pouch in the abdomen the (normally additional cut needs to be made for transplanting a kidney)," explained Dr. Uma Maheshwara Rao, Consultant Urologist and Renal transplant surgeon. THE HANS INDIA KIMS Ongole performs first kidney transplant on a teenager HANS NEWS SERVICE ONGOLE (PRAKASAM DISTRICT) THE management of KIMS, Ongole, informed that their expert medical team has successfully conducted kid- ney transplantation on a 19-year- old, and both the donor and recipi- ent are doing well. Explaining about the surgery at a press meet here on Monday, hospital medical superintendent Dr T Srihari Reddy said that they are treating a 19-year-old boy from Battulavari Palem for kidney ailment with dial- ysis at KIMS Ongole for some time. Nephrologist Dr T Venkataramana Reddy said that the patient's 42-year- old mother agreed to donate her kid- ney and transplantation was done successfully. The superintendent informed that transplantation expert Dr G Ramesh Babu along with Dr Umamaheswara Rao, Dr Prasanth, Dr Venkatara- KIMS MOUNTAIN KIMS KIMS KIMS KIMS KIMS KIMS KIMS HOSPITAL MAGENEL HOSPITAL XKIMS KIMS KIMS KIMS KIMS KIMS Ongole management explaining on mana Reddy and anaesthetist Dr M Ramakrishna performed kidney transplantation on November 25. He said that a special isolation room was set up and Dr Vedavyas, Dr Vamsi, Dr Santhosh and their nurs- ing team observed the patient round the clock. He informed that they KIMS KIMS K KIMS MS KIMS ney or liver transplantation. the first kidney transplantation at hospital in Ongole on Monday didn't find any complications or ne- cessity for dialysis to the patient. Chief operating officer K Ankireddy said KIMS Ongole have all the advanced equipment and sen- ior doctors to perform the surgery with expertise and people need not go to Chennai or Hyderabad for kid- The patient's parents thanked KIMS managing director Dr Bolli- neni Bhaskar Rao and the doctor's team, the government for Dr YSR Arogya Sri for the transplantation and for giving a new lease of life to their son. Doctors performs Balloon Venoplasty for the first time EXPRESS NEWS SERVICE @ Anantapur DR Pradeep Krishna, Consult- ant Interventional Cardiologist at KIMS Saveera hospitals, Anantapur gave relief to a young woman by performing a Venoplasty for the first time in Anantapur district. Doctors at the hospital treat- ed the 24-year-old who was suf nath, a Nephrologist at KIMS Savoora Hosnital గర్భాశయంలోని 23.7 కిలోల కణితి తొలగింపు రాంగోపాల్పేట్: ఓ మహిళ గర్భాశయంలో ఉన్న 23.7 కిలోల భారీ కణితిని సికింద్రాబాద్ కిమ్స్ వైద్యులు తొలగించి ఆ మహిళ ప్రాణాలు కాపా డారు. సికింద్రాబాద్ కిమ్స్ సర్జికల్ ఆంకాలజీ విభాగపు అధిపతి. సీనియర్ కన్సల్టెంట్ డాక్టర్ నాగేంద్ర పర్వతనేని తెలిపిన వివరాల ప్రకారం.. హైదరాబాద్ కు చెందిన 42 ఏళ్ల ఓ మహిళ పొత్తి కడుపులో నొప్పి కారణంగా స్థానికంగా ఉండే ఓ వైద్యుడిని సంప్రదిస్తే కడుపులో కణితి ఉందని శస్త్ర చికిత్స చేయించుకోవాలని సూచించారు. శస్త్ర చికిత్సతో ప్రాణాలకు 5301359 ప్రమాదమని వైద్యులు చెప్పడంతో ఆమె రెండేళ్ల నుంచి వాయిదా వేస్తూ వస్తుంది. ఈ రెండేళ్లలో కణితి పరి మాణం పెరిగిపోయి పిడికెడు అన్నం కూడా తినలేక, గ్లాసు మంచినీళ్లు కూడా తాగలేని పరి స్థితికి చేరుకుంది. కొన్ని వారాల క్రితం ఆమెకు శ్వాస తీసుకోవడం కూడా ఇబ్బందిగా మారడం, Kaanu 629 దీంతో కుటుంబ సభ్యులు ఆమెకు కౌన్సిలింగ్ ఇచ్చి కిముక్కు తీసుకుని వచ్చారు. డాక్టర్ నాగేంద్ర పర్వతనేని నేతృత్వంలో సర్జికల్ ఆంకాలజీ వైద్య బృందం ఆమెను పరిశీలించి భారీ సైజులో ఉన్న కణితిని తొలగించడం సవాలుతో కూడుకుందని గుర్తించారు. 3 గంటల పాటు ఆమెకు శస్త్ర చికిత్స చేసి అండాశయంలో ఉన్న 23.7 కేజీలు 65 సెంట్ మీటర్ల వ్యాసంతో ఉన్న కణితిని తొలగించారు BILAS लोकमत KAL नागपूरला धन्यवाद देत नाजी सुलेमान ओमानला रवाना बहिणीचाही संत्रानगरीत उपचार करण्याची व्यक्त केली इच्छा लोकमत न्यूज नेटवर्क नागपूर विमान प्रवासादरम्यान रक्ताची उलटी झाल्याने नागपूर विमानतळावर आकस्मिक विमान थांबवत स्थानिक रुग्णालयात उपचार घेऊन बरे झालेले ओमान देशाचे निवासी नाजी सुलेमान अब्दुल्लाह अल भंडारी हे रविवारी ओमानकडे रवाना झाले. मात्र जाताना त्यांनी नागपूरचे मनापासून धन्यवाद देत येथील वैद्यकीय सेवा व व्यवस्थेला सलाम aboll. 2 नोव्हेंबर ztaft ओमान एअरवेजच्या फ्लाइट डब्ल्यूवाय ०८१५ या विमानातील प्रवासी ४७ वर्षीय नाजी सुलेमान यांना अचानक श्वास घेण्यास त्रास सुरू झाला व रक्ताची उलटीही झाली. विशेष म्हणजे anoft उपचारासाठीच मस्कटवरून बँकॉकला चालले होते. अशा वेळी चालकाने जवळ असल्याने नागपूर विमानतळावर विमानाची इमर्जन्सी लॅन्डिंग करण्यात anoft होती. त्यांना ताबडतोब व्यवहार मनाला भावला रुग्णालयाची फलोअर को-ऑर्डिनेटर शाबिस्ता साजिदा यांना अरबी भाषा अवगत आहे. त्यांनीच नाजी सुलेमान यांच्याशी संवाद साधला. नाजी यांना रुग्णालयातील उपचार आणि व्यवहार मनाला भावल्याचे सांगितले. ते म्हणाले, ही त्यांची पहिली भारत यात्रा होती, पण हा प्रवास असा होईल, असे वाटले नव्हते. मात्र येथील लोकांनी केलेल्या सरबराईचे त्यांनी भरभरून कौतुक केले. त्यांनी डॉ. बोरा यांचे आभार मानले. उपचारामुळे समाधानी झालेल्या नाजी यांनी गुडघ्याच्या आजाराने त्रस्त बहिणीला उपचारांसाठी आणणार असल्याचे सांगितल शहरातील किम्स किंग्सवे RIT रुग्णालयात हलविण्यात आले. येथे डॉ. हर्षवर्धन बोरा, डॉ. अविनाश बरडे, डॉ. समीर लोटे यांनी त्यांच्यावर उपचार सुरू केले. उपचारानंतर बरे झाल्यावर रविवारी त्यांना रुग्णालयातून सुट्टी देण्यात आली. रविवारी रात्रींच्या एक विमानाने ते मुंबईला रवाना झाले असू त्यानंतर ते ओमानला रवाना होतील तत्पूर्वी त्यांनी आपल्या भावना व्यक करीत झालेल्या उपचारांसाठी : व्यवस्थेसाठी नागपूरचे आभार मानले Private & Confidential 25#27KIMS Key to our success Private & Confidential Doctor Partnerships Modern Medical Infra Affordable Quality Care 26#28KIMS HOSPITALSTM Kims has a disciplined growth strategy - strategically grow in adjacent markets some of which are 'natural extensions' KIMS Plans to Grow into Markets that are Adjacent to the Current Core Markets of AP and Telangana Central & Western India (Indore, Aurangabad, Nagpur & Raipur): KIMS flagship hospital witnesses influx of patients and doctors from Central India. Given scarcity of quality healthcare and existing KIMS brand awareness in Central India, smaller facilities can be set up in Central India Indore Nagpur (Acquired) Aurangabad Nashik Raipur ● Bhubaneshwar Mumbai Pune Karnataka (Bangalore and greater Karnataka): KIMS has observed both cash patients and insurance patients traveling from the districts of AP bordering Karnataka to seek treatment at larger hospitals in Bangalore (Karnataka). Karnataka is a natural growth market because a sizeable portion of the state speaks Telugu - the main language spoken in AP and Telangana Anantapur Bengaluru Map not to scale Private & Confidential Srikakulam Vizag Secunderabad Kondapur Rajahmundry Kurnool Ongole Nellore Chennai Odisha (Bhubaneswar): Natural extension given Odisha's proximity to KIMS hospitals in Vizag and Srikakulam in northern AP that already serve a significant number of patients traveling from south Odisha for treatment Tamil Nadu (Chennai): Already attracts patients from AP's four southern border districts of Chittoor, Kadapa, Nellore and Ongole and has a large Telugu-speaking population. KIMS has acquired land in Chennai for construction of a new facility in the future 27#29Private & Confidential KIMS HOSPITALSTM Update on Expansion Plans 28#30KIMS Future vision taking shape - Construction update Private & Confidential KIMS-SUNSHINE BEGUMPET EXI LSPACE FRENA BARBEQUE NATION The Bow And Barbeque BH M McDonald's KIMS HOSPITALS BANGALORE KIMS-MANAVATA NASHIK KIMS-ICON INSTITUTE OF OEPITAL GASTROENTEROLOGY KIMS-ICON GASTRO UNIT VISAKHAPATNAM 29#31KIMS Expansion plans HOSPITALSTM Private & Confidential Current Incremental Units Beds Beds New Departments Approx. Capex Kondapur 200 500 All Specialities 300 Cr Approx. Timeline (Starting April 2021) 36-42 months Vizag 434 50 Cancer Centre 15-20 Cr 36 months Anantapur 250 150 Cancer Centre / Mother & Child 50-60 Cr 36-48 months Ongole 350 Cancer Centre 15-20 Cr 36-42 months Bangalore 350-400 All Specialities 300-330 Cr 36 months Western / Central India Nashik 250-300 I I 325 All Specialities All Specialities 300 Cr 24-36 months 200-250 Cr 24-36 months Greenfield on hold, Chennai 350-400 All Specialities 400 Cr working on acquisitions 30#32KIMS HOSPITALSTM Profit and Loss Statement (Rupees in Millions) Consolidated Particulars Q3 FY 23 Q2 FY 23 Q3 FY 22 QoQ(%) YoY(%) FY 22 FY 21 YoY(%) Operating Revenue 5,622 5,641 3,936 -0.3% 42.8% 16,508 13,299 24.1% Other Income 64 92 24 -29.9% 169.6% 203 102 99.3% Total Revenue 5,686 5,733 3,960 -0.8% 43.6% 16,711 13,401 24.7% EBITDA* 1,444 1,447 1,289 -0.2% 12.1% 5,218 3,672 42.1% EBITDA (%) on operating revenue 25.7% 25.7% 32.7% 31.6% 27.6% PBT 1,128 1,226 1,123 -8.0% 0.4% 4,569 2,790 63.7% PBT (%) on total revenue 19.8% 21.4% 28.4% 27.3% 20.8% PAT** 818 912 842 -10.3% -2.8% 3,438 2,055 67.3% PAT (%) on total revenue 14.4% 15.9% 21.3% 20.6% 15.3% Basic EPS (Rs.) 9.5 12.1 10.1 -21.8% -6.4% 41.9 26.9 55.9% Diluted EPS (Rs.) 9.5 12.1 10.1 -21.8% -6.4% 41.9 26.4 58.5% IND AS 116 67.9 77.3 8.2 Minority share of EBITDA for 9 months stands at 12.7% *EBITDA before IND AS 116 and other income **PAT is exluding fair value gain on aquisition of control amounting to INR 148.3 Mn in Q2 FY23 Private & Confidential 35.4 36.6 31#33KIMS Corporate Structure (As on 31st December'22) HOSPITALSTM Krishna Institute of Medical Sciences Ltd. KIMS Secunderabad (100%) KIMS Nellore (100%) KIMS Rajahmundry (100%) KIMS Ongole (100%) AHPL Srikakulam (65.6%) KHEPL Kondapur (90.7%) KIMS ICON Vizag KIMS Saveera (51.0%) Anantapur (80.0%) KIMS Kurnool (55.0%) Sarvejana (Sunshine) KIMS-Manavata Nashik (53.0%) (51.0%) SPANV Nagpur (51.0%) Private & Confidential Doctor Partnership Hospitals KIMS Hospitals Bengaluru (100%) 32#34KIMS HOSPITALSTM Private & Confidential Thank You 33