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Aster DM Healthcare

ASTERDM NSE

Key Fundamentals

MidcapHospitalsHealthcare Services
Market Cap
₹66,374 Cr
Volatility
Moderate
P/E Ratio
124.07
EBITDA
₹1,027 Cr
Return on Equity
8.84%
Debt to Equity
0.62
Book Value
₹48.26
EPS
₹2.47
52W High
₹891.3
52W Low
₹519.1

Tapetide Score

Data-driven rating, 0–100. How it works →

Key Insights

Strengths

2
  • Company has been maintaining a healthy dividend payout of 1,560%
  • Promoter holding has increased by 13.3% over last quarter.

Weaknesses

2
  • Stock is trading at 9.41 times its book value
  • Company has a low return on equity of 6.30% over last 3 years.

Growth Rate

Revenue Growth
11.25% lower than 3Y
Net Income Growth
26.85% higher than 3Y
Cash Flow Change
54.32% lower than 3Y
ROE
-4.12% lower than 3Y
ROCE
-6.54% lower than 3Y
EBITDA Margin (Avg.)
1.13% lower than 3Y

AI Analysis — Bull vs Bear

Anthropic anthropic claude-opus-4.6 2d ago
AI opinion · based on fundamentals
Risk high

Aster DM Healthcare trades at a market cap of ₹66,374 Cr with a PE of 184.3x and a price-to-book of 15.89x, reflecting rich valuations relative to its 3-year average ROE of 6%. The India-focused business (post-GCC divestiture) is growing revenue at 16% TTM with improving ROE of 11% last year, but profitability growth at 2% TTM lags significantly behind topline expansion.

Bull Case 7
  • Revenue growth has accelerated to 16% TTM, indicating strong demand traction in the India healthcare services business post the GCC divestiture.
  • ROE has improved from a 3-year average of 6% to 11% in the last year, suggesting operational efficiency gains and better capital deployment in the India portfolio.
  • Promoter holding increased by 13.3% over the last quarter, signaling strong insider confidence in the company's forward trajectory.
  • Compounded profit growth over 5 years stands at 23% and 48% over 10 years, demonstrating a long-term earnings compounding track record.
  • Stock CAGR of 31% over 3 years and 28% over 5 years reflects sustained re-rating driven by the India healthcare structural growth thesis.
  • The company maintains a dividend payout ratio of 1,560% (largely funded by GCC sale proceeds), returning significant capital to shareholders.
  • Dividend yield of 0.39% provides a baseline cash return to investors, unusual for a high-growth healthcare platform.
Bear Case 8
  • PE ratio of 184.3x is extremely elevated, pricing in years of flawless execution with very little margin of safety for any earnings miss.
  • Price-to-book of 15.89x (flagged at 9.45x book value in screener data) is steep for a healthcare services company with single-digit ROE historically.
  • 3-year ROE average of just 6% is low for a company commanding such premium multiples, indicating capital is not generating commensurate returns.
  • TTM profit growth of only 2% against 16% revenue growth suggests margin compression or rising costs are eroding operating leverage.
  • 5-year compounded sales CAGR is negative at -12% and 10-year at -1%, largely reflecting the loss of GCC revenue post-divestiture, making the India-only entity a smaller, less diversified business.
  • 3-year compounded profit CAGR is -1%, indicating that on a medium-term basis, net earnings have essentially stagnated despite the revenue recovery.
  • Debt-to-equity and ROCE data are unavailable, limiting visibility into the company's leverage position and true capital efficiency.
  • The extraordinary dividend payout of 1,560% is non-recurring in nature (tied to GCC sale proceeds) and should not be extrapolated as a sustainable shareholder return metric.

This is AI-generated analysis, not financial advice. Do your own due diligence.

AI News Digest

Anthropic anthropic claude-opus-4.6 2h ago
Headwinds 3
  • Merger costs hit Q1 profit Sep 04

    Consolidated net profit fell 81.2% to ₹16.1 crore in Q1 FY27 due to ₹114.38 crore in exceptional merger-related expenses despite 20% revenue growth.

  • High promoter pledge at 29.71% Aug 22

    BCP Asia II Topco IV pledged 25.89 crore shares (29.71% of total capital) to secure a $750 million term loan facility, adding to existing pledge of 10.33%.

  • TPG exits with large stake sale Aug 21

    Centella Mauritius (TPG-backed) sold 6.24 crore shares (7.16%) via open market on Aug 19, reducing stake to 2.74%, signaling continued PE exit pressure.

Positives 5
  • Moopen family raises stake to 24.58% Sep 04

    Promoter family acquired 46.09 lakh shares at ₹760/share for ₹350.34 crore from TPG-backed Centella, increasing holding to 24.58% and signaling confidence in the merged entity.

  • Strong Q1 pro-forma revenue growth Sep 04

    Combined pro-forma revenue rose 20% YoY to ₹2,597 crore in Q1 FY27, with operating EBITDA up 30% to ₹576 crore and margins expanding 170 bps to 22.2%.

  • KIMSHEALTH Trivandrum 184-bed expansion Aug 31

    Board approved ₹134.4 crore expansion adding 184 beds to KIMSHEALTH Trivandrum, raising capacity to 979 beds, funded via debt and equity.

  • Bangladesh healthcare acquisition Aug 28

    Subsidiary acquired 14.21% stake in STS Holdings (Bangladesh) for $44.11 million, expanding international footprint into a growing healthcare market.

  • Merged platform at massive scale Sep 04

    Post-merger entity operates 39 hospitals across 28 cities with 10,890+ beds under four brands (Aster DM, CARE, Evercare, KIMSHEALTH), targeting 13,300 beds by FY27.

Neutral 6
  • Pledge rises to 10.33% Sep 10

    Catalyst Trusteeship disclosed a net increase of 49.97 lakh pledged shares securing a USD 50 million loan facility, raising total pledge to 10.33%.

  • FY26 BRSR report filed Sep 05

    Company submitted its FY26 sustainability report showing renewable energy consumption rose to 22,623 MWh alongside social initiative disclosures.

  • AGM scheduled for Sep 28 Sep 04

    18th AGM set for September 28, 2026, with FY26 integrated annual report dispatched to shareholders.

  • Subsidiary merger simplifies structure Aug 29

    Board approved amalgamation of step-down subsidiaries KEL and SHSPL with no cash consideration, simplifying corporate structure post-merger.

  • Board and ESOP approvals sought Aug 26

    Postal ballot issued for director appointments, executive remuneration revisions, and a new ESOP scheme following the Quality Care India merger.

  • Centella pledges 9.7% stake Aug 20

    Centella Mauritius pledged 84.4 million shares (9.7% stake) as automatic encumbrance arising from the merger with Quality Care India.

TL;DR: Aster DM Quality Care is executing well on its post-merger integration, delivering 20% pro-forma revenue growth and 30% EBITDA growth in Q1 FY27 with expanding margins. The Moopen family's ₹350 crore stake increase to 24.58% signals strong promoter conviction. Key risks include elevated promoter pledges (29.71% by BCP Asia alone), ongoing TPG exit overhang, and one-time merger costs that depressed net profit 81%. With capacity expansion to 13,300 beds by FY27 and improving operating metrics, the trend is positive if merger costs normalize and pledge levels stabilize.

Quarterly Results

Particulars Jun 2023Sep 2023Dec 2023Mar 2024Jun 2024Sep 2024Dec 2024Mar 2025Jun 2025Sep 2025Dec 2025Mar 2026Jun 2026
Sales
841
929
955
974
1,002
1,086
1,050
1,000
1,078
1,197
1,186
1,182
1,311
Expenses
722
787
805
817
841
869
864
818
876
961
983
958
1,055
Operating Profit
119
142
149
156
161
217
186
182
202
236
202
224
256
OPM %
14%
15%
16%
16%
16%
20%
18%
18%
19%
20%
17%
19%
20%
Other Income
-17
-64
153
-40
5,120
35
9
5
29
28
0
37
-77
Interest
25
30
25
30
29
31
31
32
31
31
31
30
31
Depreciation
51
54
57
58
60
62
62
64
63
66
68
67
69
PBT
26
-7
220
28
5,191
159
102
91
136
167
103
163
78
Tax %
24%
120%
5%
108%
1%
33%
37%
6%
31%
27%
43%
6%
62%
Net Profit
20
-15
209
-2
5,152
106
64
86
94
121
59
154
29
EPS in Rs
0.1
-0.62
3.59
-0.48
103
1.94
1.14
1.58
1.65
2.12
1.01
2.71
0.31
Figures in ₹ Crores

Profit & Loss

Particulars Mar 2015Mar 2016Mar 2017Mar 2018Mar 2019Mar 2020Mar 2021Mar 2022Mar 2023Mar 2024Mar 2025Mar 2026TTM
Sales
3,876
5,250
5,931
6,721
7,963
8,652
8,608
10,253
2,994
3,699
4,138
4,643
4,876
Expenses
3,370
4,805
5,582
6,089
6,886
7,187
7,506
8,720
2,547
3,124
3,383
3,769
3,958
Operating Profit
506
445
349
632
1,077
1,465
1,103
1,533
447
575
756
875
918
OPM %
13%
8%
6%
9%
14%
17%
13%
15%
15%
16%
18%
19%
19%
Other Income
23
25
453
177
-155
-158
53
51
353
32
5,168
91
-13
Interest
79
189
371
204
205
391
334
307
96
119
133
132
123
Depreciation
144
243
322
298
306
586
618
641
192
220
249
264
270
PBT
306
38
108
308
410
330
205
637
511
268
5,542
570
511
Tax %
11%
78%
10%
8%
10%
5%
13%
6%
7%
21%
2%
25%
Net Profit
272
8
98
282
367
315
178
601
475
212
5,408
427
363
EPS in Rs
7
0.2
2.52
5.32
6.59
5.54
2.96
10.53
8.51
2.59
108
7.49
6.15
Div. Payout %
0%
0%
0%
0%
0%
0%
0%
0%
0%
4637%
5%
40%
Figures in ₹ Crores

Balance Sheet

Particulars Mar 2015Mar 2016Mar 2017Mar 2018Mar 2019Mar 2020Mar 2021Mar 2022Mar 2023Mar 2024Mar 2025Mar 2026
Equity Capital
389
403
403
505
505
497
497
500
500
500
500
518
Reserves
1,096
17
1,472
2,327
2,709
2,775
2,875
3,080
3,574
3,686
2,554
3,683
Borrowings
1,091
3,321
2,758
2,352
2,788
5,605
4,804
5,282
6,075
1,758
2,392
2,594
Other Liabilities
1,834
2,003
2,171
2,296
2,926
3,528
3,444
3,661
4,687
12,039
1,154
1,280
Total Liabilities
4,409
5,743
6,804
7,479
8,928
12,405
11,620
12,521
14,836
17,983
6,600
8,076
Fixed Assets
2,237
2,507
3,520
3,738
4,289
7,124
6,749
7,009
9,052
3,175
3,920
4,242
CWIP
197
358
290
402
550
736
934
998
279
170
293
420
Investments
3
39
32
38
22
34
63
45
80
17
245
1,167
Other Assets
1,972
2,839
2,962
3,302
4,067
4,511
3,874
4,470
5,425
14,620
2,142
2,248
Total Assets
4,409
5,743
6,804
7,479
8,928
12,405
11,620
12,521
14,836
17,983
6,600
8,076
Figures in ₹ Crores

Cash Flow

Particulars Mar 2015Mar 2016Mar 2017Mar 2018Mar 2019Mar 2020Mar 2021Mar 2022Mar 2023Mar 2024Mar 2025Mar 2026
Operating
236
203
361
537
601
1,223
1,569
1,314
1,834
158
425
656
Investing
-439
-775
-1,136
-522
-702
-658
-333
-563
-951
-878
6,015
-288
Financing
203
578
654
46
134
-675
-1,116
-686
-817
1,053
-6,358
-304
Net Cash Flow
-1
5
-122
61
33
-110
120
65
66
332
82
63
Free Cash Flow
-176
-536
-565
23
64
715
1,183
770
995
-601
70
179
CFO/OP
51
53
116
93
61
88
143
89
424
40
71
93
Figures in ₹ Crores

Ratios

Particulars Mar 2015Mar 2016Mar 2017Mar 2018Mar 2019Mar 2020Mar 2021Mar 2022Mar 2023Mar 2024Mar 2025Mar 2026
Debtor Days
83
93
79
84
93
100
86
72
285
23
23
24
Inventory Days
93
92
102
111
110
138
122
129
612
44
36
32
Days Payable
178
187
151
150
153
303
290
267
1,400
183
166
168
Cash Conversion Cycle
-2
-1
30
45
50
-65
-83
-66
-503
-116
-107
-112
Working Capital Days
69
68
6
59
28
8
5
5
-21
272
-32
-28
ROCE %
14%
6%
1%
7%
13%
12%
6%
10%
3%
4%
11%
12%

Insights

Beta

AI-extracted from concalls & annual reports · figures as reported, with sources

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65 extracted metrics + investor summaries across FY14–FY27.

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Shareholding Pattern

Public3.71%Promot.40.39%FIIs10.53%Others17.72%DIIs27.65%As ofJun 2026
40.66% of promoter holding pledged as of Jun 2026

Documents

Frequently Asked Questions about Aster DM Healthcare

What does Aster DM Quality Care Ltd do?
Aster DM Healthcare Limited is one of the largest integrated private healthcare service providers operating in GCC (Gulf Cooperation Council) countries and an emerging player in India. With an inherent emphasis on clinical excellence, it is one of the few entities in the world with a strong prese...
Where is Aster DM Quality Care Ltd (ASTERDM) listed?
Aster DM Quality Care Ltd trades as ASTERDM on the NSE and under code 540975 on the BSE.
Which sector does Aster DM Quality Care Ltd belong to?
Aster DM Quality Care Ltd is classified under the Healthcare Services sector, in the Hospitals industry.
What is the market capitalisation of Aster DM Quality Care Ltd?
Aster DM Quality Care Ltd has a market capitalisation of ₹66,374 Cr, which places it in the Large Cap band.
What is the PE ratio of Aster DM Quality Care Ltd?
Aster DM Quality Care Ltd trades at a PE ratio of 124.07, on earnings per share of ₹2.47, against a book value of ₹48.26 per share.
What is the 52-week high and low of Aster DM Quality Care Ltd?
Over the last 52 weeks Aster DM Quality Care Ltd has traded between ₹519.1 and ₹891.3.
Does Aster DM Quality Care Ltd pay dividends?
Aster DM Quality Care Ltd has a dividend yield of 0.39%.
What is the Return on Equity (ROE) of Aster DM Quality Care Ltd?
Aster DM Quality Care Ltd reported a return on equity of 8.84%. Its debt-to-equity ratio is 0.62.

Company Information

Aster DM Healthcare Limited is one of the largest integrated private healthcare service providers operating in GCC (Gulf Cooperation Council) countries and an emerging player in India. With an inherent emphasis on clinical excellence, it is one of the few entities in the world with a strong presence across primary, secondary, tertiary and quaternary healthcare. [1]

CEO Dr. Mandayapurath Azad Moopen DTCD, M.D., MBBS
Employees 15,334
Listed 2018-02-26
Face Value ₹ 10
Issued Size 51,81,21,029

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