Hospital & Healthcare Services · Founded 2010 · www.krsnaadiagnostics.com · BSE 543328 · NSE KRSNAA · ISIN INE08LI01020
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1. Business Overview
Krsnaa Diagnostics Ltd. is one of India's fastest-growing diagnostic service providers. The company offers a comprehensive range of diagnostic services, including pathology and radiology, across a wide network. Its core business model primarily focuses on operating through a public-private partnership (PPP) framework, partnering with state governments and municipal corporations to establish and operate diagnostic centers, primarily in tier 2 and tier 3 cities, district hospitals, and rural areas. This model allows them to provide affordable and accessible diagnostic services. The company makes money by charging fees for the diagnostic tests performed, based on negotiated rates with government partners and direct patient charges where applicable.
2. Key Segments / Revenue Mix
Krsnaa Diagnostics primarily operates across two main service lines:
Pathology Services: Includes a wide array of routine and specialized blood tests, urine tests, histopathology, cytology, and other molecular diagnostics.
Radiology Services: Encompasses advanced imaging tests such as MRI, CT Scans, X-rays, Ultrasounds, Mammography, and Dexa scans.
While specific revenue percentages fluctuate, radiology services often contribute a significant portion due to the higher value per test. A substantial part of their operations and revenue is derived from their Public-Private Partnership (PPP) contracts with various state governments, which define their operational model and geographic reach.
3. Industry & Positioning
The Indian diagnostics industry is highly fragmented, with a mix of large national chains, regional players, hospital-based labs, and numerous standalone centers. It is characterized by increasing demand, technological advancements, and intense competition. Krsnaa Diagnostics distinguishes itself by its strong focus on the PPP model, positioning itself as a leader in providing diagnostic services to underserved and price-sensitive markets (tier 2, tier 3 cities, and rural areas). While national players like Dr. Lal PathLabs and Metropolis Healthcare focus more on metros and high-value tests, Krsnaa aims for broader geographical reach and affordability through its government partnerships, creating a distinct niche.
4. Competitive Advantage (Moat)
Extensive Network & Reach (via PPP): Krsnaa's primary moat is its widespread network, particularly in non-metro areas, largely built through its deep relationships and early-mover advantage in the government PPP model. This allows it to access markets that are less saturated by national chains.
Cost Efficiency: The PPP model often provides government-owned space and some infrastructure support, potentially reducing capital expenditure and operational costs, enabling Krsnaa to offer competitive and affordable pricing.
Government Relationships: Established relationships and experience in navigating government tenders and operational complexities through long-term contracts create a significant barrier to entry for new players in the PPP segment.
Brand in Niche Markets: In the regions they operate, especially through government hospitals, Krsnaa has built a recognizable brand associated with accessible and affordable diagnostics.
5. Growth Drivers
Expansion of PPP Model: Securing new and expanding existing government contracts across states is a key driver, enabling wider geographical penetration in underserved areas.
Increasing Healthcare Awareness: Growing health consciousness, rising incidence of chronic diseases, and increasing preventive health check-ups drive demand for diagnostic services.
Government Focus on Healthcare: Increased public spending on healthcare infrastructure and services, particularly in district hospitals and rural health centers, directly benefits Krsnaa's PPP model.
Geographic Expansion: Tapping into more tier 2, tier 3, and rural markets where diagnostic penetration is lower and competition is less intense compared to metro areas.
Technological Upgradation & Test Menu Expansion: Introducing advanced diagnostic technologies and expanding the range of specialized tests offered.
6. Risks
Dependency on Government Contracts: A significant portion of revenue and profitability is tied to government contracts. Risks include delays in tender processes, non-renewal of contracts, and changes in government policies.
Pricing Pressure: The diagnostics industry, especially in the government sector, can face intense pricing pressure and potential caps on test costs, impacting profitability.
Intense Competition: The highly fragmented nature of the industry means constant competition from national chains, regional labs, and standalone centers.
Payment Delays: Government payment cycles can sometimes be long, leading to working capital challenges and impacting cash flow.
Technological Obsolescence: Continuous need for significant capital expenditure to upgrade equipment and maintain technological relevance in a fast-evolving field.
Talent Scarcity: Shortage of skilled radiologists, pathologists, and technicians, particularly in non-metro regions, can impact service quality and operational scalability.
7. Management & Ownership
Krsnaa Diagnostics was founded by Mr. Rajendra Mutha, who has driven the company's vision of making quality diagnostics accessible. The management team generally comprises individuals with experience in the healthcare and diagnostic sectors, focused on operational execution, expansion, and managing the PPP model. The company is promoter-led, with Mr. Mutha and related entities holding a significant stake. Post its IPO, there is also participation from institutional investors and the public, providing a mix of strategic and financial oversight.
8. Outlook
Krsnaa Diagnostics is uniquely positioned to capitalize on the growing demand for affordable diagnostic services in India's underserved markets, primarily driven by its robust PPP model and extensive network. The increasing government focus on public healthcare infrastructure and the rising awareness about preventive health act as strong tailwinds. However, the company operates in a highly competitive and price-sensitive industry. Its reliance on government contracts exposes it to risks like payment delays, contract renewal uncertainties, and potential pricing controls. Successful navigation of these challenges, coupled with efficient expansion and operational management, will be key to sustaining its growth trajectory. The ability to effectively balance the rapid expansion under the PPP model with maintaining service quality and profitability will determine its long-term success.
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| #(Fig in Cr.) | Sep 2023 | Dec 2023 | Mar 2024 | Jun 2024 | Sep 2024 | Dec 2024 | Mar 2025 | Jun 2025 | Sep 2025 | Dec 2025 |
|---|---|---|---|---|---|---|---|---|---|---|
| Net Sales | 155 | 158 | 166 | 170 | 186 | 175 | 186 | 193 | 206 | 181 |
| Other Income | 4 | 4 | 4 | 7 | 5 | 9 | 4 | 4 | 4 | 4 |
| Total Income | 160 | 162 | 171 | 178 | 191 | 184 | 190 | 197 | 210 | 185 |
| Total Expenditure | 124 | 121 | 123 | 128 | 137 | 129 | 133 | 142 | 147 | 135 |
| Operating Profit | 36 | 41 | 48 | 50 | 54 | 54 | 57 | 55 | 63 | 50 |
| Interest | 3 | 4 | 7 | 5 | 6 | 6 | 7 | 6 | 8 | 8 |
| Depreciation | 19 | 21 | 18 | 21 | 22 | 23 | 22 | 22 | 24 | 23 |
| Exceptional Income / Expenses | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Profit Before Tax | 13 | 16 | 23 | 23 | 25 | 25 | 29 | 27 | 32 | 20 |
| Provision for Tax | 3 | 3 | 4 | 5 | 6 | 6 | 8 | 7 | 8 | 4 |
| Profit After Tax | 10 | 13 | 19 | 18 | 20 | 19 | 21 | 21 | 24 | 15 |
| Adjustments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -0 |
| Profit After Adjustments | 10 | 13 | 19 | 18 | 20 | 19 | 21 | 21 | 24 | 15 |
| Adjusted Earnings Per Share | 3.3 | 4 | 5.8 | 5.6 | 6.1 | 6 | 6.4 | 6.3 | 7.4 | 4.7 |
| #(Fig in Cr.) | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 | TTM |
|---|---|---|---|---|---|
| Net Sales | 455 | 487 | 620 | 717 | 766 |
| Other Income | 15 | 19 | 17 | 26 | 16 |
| Total Income | 470 | 507 | 636 | 743 | 782 |
| Total Expenditure | 324 | 365 | 475 | 527 | 557 |
| Operating Profit | 146 | 142 | 161 | 216 | 225 |
| Interest | 18 | 8 | 16 | 25 | 29 |
| Depreciation | 41 | 54 | 75 | 88 | 91 |
| Exceptional Income / Expenses | 0 | 0 | 0 | 0 | 0 |
| Profit Before Tax | 87 | 80 | 70 | 103 | 108 |
| Provision for Tax | 18 | 18 | 13 | 25 | 27 |
| Profit After Tax | 68 | 62 | 57 | 78 | 81 |
| Adjustments | 0 | 0 | 0 | 0 | 0 |
| Profit After Adjustments | 68 | 62 | 57 | 78 | 81 |
| Adjusted Earnings Per Share | 21.8 | 19.8 | 17.6 | 24 | 24.8 |
| # | 1 Year | 3 Year | 5 Year | 10 Year |
|---|---|---|---|---|
| Sales CAGR | 16% | 16% | 0% | 0% |
| Operating Profit CAGR | 34% | 14% | 0% | 0% |
| PAT CAGR | 37% | 5% | 0% | 0% |
| # | 1 Year | 3 Year | 5 Year | 10 Year |
|---|---|---|---|---|
| Share Price CAGR | -12% | 0% | NA% | NA% |
| ROE Average | 9% | 8% | 9% | 9% |
| ROCE Average | 12% | 11% | 12% | 12% |
| #(Fig in Cr.) | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 |
|---|---|---|---|---|
| Shareholder's Funds | 684 | 739 | 810 | 883 |
| Minority's Interest | 0 | 0 | 0 | 0 |
| Borrowings | 33 | 24 | 42 | 47 |
| Other Non-Current Liabilities | 37 | 46 | 37 | 43 |
| Total Current Liabilities | 121 | 99 | 281 | 305 |
| Total Liabilities | 875 | 909 | 1170 | 1278 |
| Fixed Assets | 386 | 471 | 647 | 670 |
| Other Non-Current Assets | 156 | 215 | 102 | 193 |
| Total Current Assets | 334 | 223 | 421 | 414 |
| Total Assets | 875 | 909 | 1170 | 1278 |
| #(Fig in Cr.) | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 |
|---|---|---|---|---|
| Opening Cash & Cash Equivalents | 25 | 88 | 23 | 2 |
| Cash Flow from Operating Activities | 128 | 76 | 24 | 87 |
| Cash Flow from Investing Activities | -241 | -109 | -129 | -100 |
| Cash Flow from Financing Activities | 176 | -33 | 84 | 14 |
| Net Cash Inflow / Outflow | 64 | -66 | -20 | 1 |
| Closing Cash & Cash Equivalent | 88 | 23 | 2 | 4 |
| # | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 |
|---|---|---|---|---|
| Earnings Per Share (Rs) | 21.78 | 19.78 | 17.6 | 24.03 |
| CEPS(Rs) | 34.96 | 36.91 | 40.69 | 51.39 |
| DPS(Rs) | 2.5 | 2.75 | 2.5 | 2.75 |
| Book NAV/Share(Rs) | 217.33 | 234.43 | 250.05 | 271.39 |
| Core EBITDA Margin(%) | 28.87 | 25.11 | 23.28 | 26.51 |
| EBIT Margin(%) | 23.05 | 18.04 | 13.96 | 17.76 |
| Pre Tax Margin(%) | 18.99 | 16.46 | 11.3 | 14.32 |
| PAT Margin (%) | 15.02 | 12.75 | 9.17 | 10.82 |
| Cash Profit Margin (%) | 24.1 | 23.79 | 21.2 | 23.14 |
| ROA(%) | 7.81 | 6.96 | 5.47 | 6.34 |
| ROE(%) | 10.02 | 8.76 | 7.36 | 9.22 |
| ROCE(%) | 14.47 | 11.75 | 9.94 | 12.39 |
| Receivable days | 46.38 | 49.07 | 73.45 | 115.54 |
| Inventory Days | 7.35 | 12.83 | 17.93 | 16.61 |
| Payable days | 467.93 | 343.02 | 186.9 | 193.48 |
| PER(x) | 22.29 | 23.26 | 34.93 | 32.68 |
| Price/Book(x) | 2.23 | 1.96 | 2.46 | 2.89 |
| Dividend Yield(%) | 0.51 | 0.6 | 0.41 | 0.35 |
| EV/Net Sales(x) | 2.91 | 2.81 | 3.18 | 3.72 |
| EV/Core EBITDA(x) | 9.04 | 9.66 | 12.23 | 12.39 |
| Net Sales Growth(%) | 0 | 6.95 | 27.2 | 15.74 |
| EBIT Growth(%) | 0 | -16.29 | -1.6 | 47.22 |
| PAT Growth(%) | 0 | -9.18 | -8.49 | 36.54 |
| EPS Growth(%) | 0 | -9.18 | -11.02 | 36.55 |
| Debt/Equity(x) | 0.06 | 0.04 | 0.2 | 0.23 |
| Current Ratio(x) | 2.76 | 2.25 | 1.5 | 1.36 |
| Quick Ratio(x) | 2.69 | 1.99 | 1.37 | 1.26 |
| Interest Cover(x) | 5.68 | 11.42 | 5.25 | 5.17 |
| Total Debt/Mcap(x) | 0.03 | 0.02 | 0.08 | 0.08 |
| # | Dec 2023 | Mar 2024 | Jun 2024 | Sep 2024 | Dec 2024 | Mar 2025 | Jun 2025 | Sep 2025 | Dec 2025 | Mar 2026 |
|---|---|---|---|---|---|---|---|---|---|---|
| Promoter | 27.03 | 27.03 | 27.17 | 27.17 | 27.24 | 27.24 | 27.11 | 27.11 | 27.11 | 27.11 |
| FII | 3.44 | 3.34 | 3.33 | 3.63 | 4.04 | 3.55 | 3.4 | 3.67 | 4.17 | 3.91 |
| DII | 16.58 | 15.37 | 15.26 | 15.86 | 14.46 | 14.26 | 14.24 | 14.96 | 13.86 | 13.89 |
| Public | 52.95 | 54.26 | 54.24 | 53.34 | 54.27 | 54.94 | 55.25 | 54.26 | 54.85 | 55.08 |
| Others | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 |
| # | Dec 2023 | Mar 2024 | Jun 2024 | Sep 2024 | Dec 2024 | Mar 2025 | Jun 2025 | Sep 2025 | Dec 2025 | Mar 2026 |
|---|---|---|---|---|---|---|---|---|---|---|
| Promoter | 0.87 | 0.87 | 0.88 | 0.88 | 0.88 | 0.88 | 0.88 | 0.88 | 0.88 | 0.88 |
| FII | 0.11 | 0.11 | 0.11 | 0.12 | 0.13 | 0.11 | 0.11 | 0.12 | 0.14 | 0.13 |
| DII | 0.54 | 0.5 | 0.49 | 0.51 | 0.47 | 0.46 | 0.46 | 0.49 | 0.45 | 0.45 |
| Public | 1.71 | 1.75 | 1.75 | 1.72 | 1.75 | 1.77 | 1.79 | 1.76 | 1.78 | 1.79 |
| Others | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total | 3.23 | 3.23 | 3.23 | 3.23 | 3.23 | 3.23 | 3.24 | 3.24 | 3.24 | 3.24 |
| # | Dec 2023 | Mar 2024 | Jun 2024 | Sep 2024 | Dec 2024 | Mar 2025 | Jun 2025 | Sep 2025 | Dec 2025 | Mar 2026 |
|---|---|---|---|---|---|---|---|---|---|---|
| Promoter | 27.03 | 27.03 | 27.17 | 27.17 | 27.24 | 27.24 | 27.11 | 27.11 | 27.11 | 27.11 |
| FII | 3.44 | 3.34 | 3.33 | 3.63 | 4.04 | 3.55 | 3.4 | 3.67 | 4.17 | 3.91 |
| DII | 16.58 | 15.37 | 15.26 | 15.86 | 14.46 | 14.26 | 14.24 | 14.96 | 13.86 | 13.89 |
| Public | 72.97 | 72.97 | 72.83 | 72.83 | 72.76 | 72.76 | 72.89 | 72.89 | 72.89 | 72.89 |
| Others | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 |
| # | Dec 2023 | Mar 2024 | Jun 2024 | Sep 2024 | Dec 2024 | Mar 2025 | Jun 2025 | Sep 2025 | Dec 2025 | Mar 2026 |
|---|---|---|---|---|---|---|---|---|---|---|
| Promoter | 0.87 | 0.87 | 0.88 | 0.88 | 0.88 | 0.88 | 0.88 | 0.88 | 0.88 | 0.88 |
| FII | 0.11 | 0.11 | 0.11 | 0.12 | 0.13 | 0.11 | 0.11 | 0.12 | 0.14 | 0.13 |
| DII | 0.54 | 0.5 | 0.49 | 0.51 | 0.47 | 0.46 | 0.46 | 0.49 | 0.45 | 0.45 |
| Public | 2.36 | 2.36 | 2.35 | 2.35 | 2.35 | 2.35 | 2.36 | 2.36 | 2.36 | 2.36 |
| Others | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total | 3.23 | 3.23 | 3.23 | 3.23 | 3.23 | 3.23 | 3.24 | 3.24 | 3.24 | 3.24 |
| # | 1 Year | 3 Year | 5 Year | 10 Year |
|---|---|---|---|---|
| Sales CAGR | +16% | +16% | — | — |
| Operating Profit CAGR | +34% | +14% | — | — |
| PAT CAGR | +37% | +5% | — | — |
| Share Price CAGR | -12% | 0% | — | — |
| ROE Average | +9% | +8% | +9% | +9% |
| ROCE Average | +12% | +11% | +12% | +12% |
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