Nephrocare Health Services Ltd IPO
Healthcare
Price Band
₹438 – ₹460
Lot Size
32
Minimum Bid Quantity
32
Minimum Investment
₹14720
Issue Size
₹871.05Cr
Opens
2025-12-10
Closes
2025-12-12
Listing
17-12-2025
Subscription Status
Qualified Institutional Buyers
27.47 x
Non-Institutional Investor
23.99 x
Retail Individual Investor
1.94 x
Employees
2.58 x
Total
13.71 x
IPO Details
Issue Type
BB
Face Value
₹2
Tick Size
1
ISIN
INE428V01029
Pre-Apply Available
No
Daily Bidding Time
10:00:00 - 17:00:00
About the Company
Nephrocare Health Services provides dialysis care through a network of clinics, including in-clinic haemodialysis and other dialysis formats. It offers diagnosis-to-treatment support and wellness programs, home dialysis, mobile (dialysis on wheels), holiday dialysis, dialysis on call, and pharmacy support. The company also runs protocol-led dialysis practices across its clinics, uses cloud-enabled dialyzer reprocessing technology (Renova), and trains personnel through its academy (Enpidia). As of September 30, 2025, it operated 519 clinics globally: 468 in India and 51 outside India (41 in the Philippines, six in Nepal, and four in Uzbekistan). In India, its clinics covered 288 cities across 21 states and four Union Territories, with a large share located in tier II and tier III locations. It operates clinics in hospitals, standalone sites, and through public-private partnership (PPP) models. Use of proceeds: The IPO consists of both a fresh issue of shares and an offer for sale (OFS). Net proceeds from the OFS will go to the respective selling shareholders, while the net proceeds from the fresh issue will be utilised for the following purposes: Capital expenditure for opening new dialysis clinics in India—approximately Rs 129.11 crore. Pre-payment, or scheduled repayment, in full or part, of certain borrowings availed by the company—approximately Rs 136 crore. General corporate purposes.
Pros
- • Nephrocare Health Services claims to be India’s largest dialysis services provider in FY25 by patients served, clinics, cities covered, treatments performed, revenue, and EBITDA (excluding other income), and states it was 4.4x the next-largest organised provider in India by FY24 operating revenue (F&S report). It also states it was the largest dialysis provider in Asia in 2025 and the fifth largest globally by the number of treatments performed in FY25, and that it led the Indian organised dialysis market in FY25 with over 50 percent share by treatments and about 50 percent share by revenue (F&S report).
- • Nephrocare Health Services claims to have scaled from one clinic in 2010 to 519 clinics across India, Nepal, the Philippines, and Uzbekistan as of September 30, 2025, with presence in 328 cities, using a mix of greenfield, brownfield, and public-private partnership (PPP) formats (80/259/180 clinics, respectively). It also states it follows an asset-light approach, with 52.41 percent of clinics operating under a revenue-sharing model as of September 30, 2025. The company further claims cost efficiencies through centralised procurement and scale-based supplier negotiations, and reports that consumables as a share of revenue from operations declined from 32.59 percent in FY23 to 29.78 percent in FY24, 25.69 percent in FY25, and 23.05 percent for the period ended September 30, 2025.
- • Nephrocare Health Services claims it drives clinical quality through its “RenAssure” dialysis protocols, which it states cover each stage of treatment, are updated for new research, and are implemented across its clinic network, with adaptations made for different countries’ dialysis systems. The company also claims it is supported by an advisory team of clinical experts and runs internal training, including its “Enpidia” academy, which it states offers a 24-month diploma and is accredited by the Board of Nephrology Examiners Nursing Technology (BONENT). It further claims to use proprietary technology such as “Renova” (a cloud-enabled dialyzer reprocessing system) and clinic/patient applications, and reports that it has a registered ethics committee and was involved in five clinical trials as of September 30, 2025.
Cons
- • Nephrocare Health Services derives a significant share of revenue from “captive clinics” (dialysis clinics operated within private hospital premises under contracts). They accounted for Rs 172.87 crore (36.51 percent) of the company’s revenue for the period ended September 30, 2025; Rs 327.24 crore (43.30 percent) in FY25; Rs 294.19 crore (51.96 percent) in FY24; and Rs 272.12 crore (62.23 percent) in FY23. The term of these contracts typically ranges from seven to 15 years. Any adverse change in contract terms, renewals, or the business/reputation of partner hospitals can negatively impact the company’s business, results of operations, and financial condition.
- • Nephrocare Health Services derives a significant share of revenue from PPP contracts awarded through competitive government tenders. They accounted for Rs 146.58 crore (30.96 percent) of the company’s revenue for the period ended September 30, 2025; Rs 246.56 crore (32.62 percent) in FY25; Rs 165.56 crore (29.24 percent) in FY24; and Rs 97.93 crore (22.39 percent) in FY23. Any inability to win/renew tenders, changes in government policies or reimbursement rates, tender delays/cancellations, or penalties/blacklisting can negatively impact the company’s business, cash flows, and financial condition.
- • Nephrocare Health Services’ growth is increasingly linked to expanding into new cities and countries, which adds execution and regulatory complexity across India, Nepal, the Philippines, and Uzbekistan. The Philippines, in particular, accounted for Rs 143.70 crore (30.35 percent) of the company’s revenue for the period ended September 30, 2025; Rs 166.54 crore (22.03 percent) in FY25; Rs 68.12 crore (12.03 percent) in FY24; and Rs 34.33 crore (7.85 percent) in FY23. Any adverse political, social, economic, legal, or currency-related developments in overseas markets can negatively impact business results and cash flows.
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