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IPO closes on 24 Dec'25

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Gujarat Kidney & Super Speciality Ltd

Minimum Investment

14,592 / 128 shares

Our Verdict:

Avoid

  • Multispecialty hospital chain Gujarat Kidney & Super Speciality Ltd (GKSSL) has shown improvement in profitability metrics and a gradual reduction in leverage in recent years. These trends indicate better operational discipline and balance-sheet management, which is a positive sign.
  • However, the primary concern lies in the utilisation of IPO proceeds, which is largely acquisition-driven. The company’s future performance will therefore be highly dependent on its ability to execute and integrate multiple acquisitions efficiently. Such strategies inherently carry elevated execution and integration risks, particularly for a relatively smaller healthcare platform like GKSSL.
  • Valuation further weakens the investment case. Based on restated financials, the IPO is priced at ~61x earnings, significantly higher than most listed hospital peers. Even on proforma financials, the valuation remains demanding at roughly 39x P/E, which appears stretched considering the company’s size and execution risks. Any delays in integration, cost overruns or underperformance of acquired assets could significantly impact earnings and valuations.
  • At the current pricing, the IPO offers limited scope for near-term upside. Given the unfavourable risk–reward balance, it would be prudent for investors to avoid the IPO at this stage and instead monitor execution progress and financial performance over the next few quarters before making an investment commitment.

About the company

Founded in

20 Dec'19

Managing director

Dr. Pragnesh Bharpoda

  • GKSSL operates a multispecialty hospital and allied healthcare services chain in Gujarat, with a strong focus on kidney care and advanced specialty treatments. Its offerings span general medicine and super-specialty procedures, including internal medicine, general surgery, minimally invasive surgeries, orthopaedics and trauma care, joint replacement, obstetrics and gynaecology, respiratory care, non-interventional cardiology, diabetology and anaesthesiology.
  • GKSSL currently operates 7 multispecialty hospitals along with 4 in-house pharmacies. The hospital network has a total bed capacity of 490 beds, with an approved capacity of 455 beds and an operational capacity of 340 beds. 
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STRENGTHS

  • Robust Growth: On a restated basis, revenue from operations increased by 743% in FY25, with EBITDA rising by 748% and net profit growing by 454% over FY24. Even on a proforma basis, revenue scaled meaningfully from Rs 85.79 crore in FY23 to Rs 119.97 crore in FY25, while PAT improved from Rs 6.35 crore to Rs 15.13 crore over the same period.
  • Improving Margins: Operating profitability continues to strengthen. EBITDA margin improved from 40.86% in FY24 to 41.12% in FY25 and further expanded sharply to 56.52% in Q1FY26. Net profit margin, despite moderating to 23.61% in FY25, rebounded strongly to 35.41% in Q1FY26. On a proforma basis, PAT margin has shown steady expansion from 7.41% in FY23 to 12.61% in FY25 and further to 26.87% by Q1FY26.
  • Strong Return Metrics: Return on Equity (ROE) improved from a negative (1.67%) in FY23 to 36.61% in FY25, while Return on Capital Employed (ROCE) rose from a negative (1.70) to 37.65% over the same period. Even on a proforma basis, the company reported robust ROE of 38.38% and ROCE of 35.88% as of FY25.
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RISK FACTORS

  • Geographic Concentration: GKSSL’s revenues are highly dependent on its Gujarat Kidney Hospital in Vadodara, with most facilities located in Central Gujarat. Any adverse economic, political or regional developments in this area could materially impact business performance.
  • Execution Risk: The IPO proceeds are largely meant for acquisitions and capacity expansion. Delays in completing acquisitions, obtaining approvals or integrating operations could adversely affect growth plans and future performance.
  • Bed Occupancy: The bed occupancy rate over the last three fiscal years has remained relatively low, ranging between 54% and 56%. Failure to improve or sustain adequate occupancy levels may restrict revenue generation, adversely impact operating efficiencies and negatively affect profitability.
  • Limited History in Greenfield Projects: GKSSL has limited experience in executing greenfield hospital projects, which involve risks such as construction delays, cost overruns and regulatory challenges. These factors could impact timely project completion and financial outcomes.

Financials

All Values are in Cr.

Issue details

Issue type

Mainstream

Issue size

250.80 crore

Fresh Issue

250.80 crore

OFS

-

Price range

₹ 108 - 114

Lot size

128 shares

Issue Objective

The net proceeds from the fresh issue will be utilized for the following purposes:

  • Acquisition of Parekhs Hospital Pvt Ltd, Ahmedabad
  • Part payment of the purchase consideration for the already acquired Ashwini Medical Centre;
  • Acquisition of additional equity stake in the subsidiary, Harmony Medicare Pvt Ltd, Bharuch;
  • Setting up a new hospital exclusively focused on women’s healthcare in Vadodara;
  • Purchase of robotic equipment for the Gujarat Kidney & Super Speciality Hospital, Vadodara;
  • Repayment or prepayment of certain outstanding secured borrowings of the company; and
  • Funding inorganic growth through unidentified acquisitions and for general corporate purposes.

Dates

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Bidding open

22 Dec'25

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Bidding close

24 Dec'25

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Allotment date

26 Dec'25

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Refund date

29 Dec'25

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Listing

30 Dec'25

IPO Reservations

Qualified institutional buyers

>75%

Non-institutional investors

<15%

Retail individual investors

<10%

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