Metropolis Healthcare Ltd
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Metropolis Healthcare Ltd Q2 FY27 Results Analysis: PAT Jumps 43%, EBITDA Margin Expands 176 bps

Cofacto Research Published November 03, 2026 4 min read

Metropolis Healthcare Ltd reported Q2 FY27 numbers with revenue of Rs. 496.82 Cr (+15.76% YoY) and PAT growth of +43.04% YoY. Here's a quick read of what worked, what to watch, and what management said.

Quick Details
Results dateNovember 03, 2026
Revenue (Q2)Rs. 496.82 Cr (+15.76% YoY)
PAT (Q2)Rs. 75.48 Cr (+43.04% YoY)
EBITDA margin26.98% (+176 bps YoY)
EPS (Q2)Rs. 3.64 (+43.31% YoY)

Quarter Snapshot

Metropolis delivered 15.76% revenue growth at the top of its guided 14%-15% band, with EBITDA margin up 176 bps YoY to 26.98% — already at the doorstep of the 27%-28% two-year target. PAT grew 43.04% YoY on broad-based cost-ratio improvement, with earnings fully cash-backed (CFO/PAT 1.68x) and a near debt-free balance sheet. FY27 guidance on both revenue and margin remains on track with H2 deceleration tolerance.

Q2 FY27 Expectations vs Results

DriverExpected before resultsWhat happenedVerdict
Revenue"revenue ~+15% YoY with double-digit patient/test volume growth" — in line with the 14–15% guide+15.76% YoY consolidatedPlayed out
Margins"EBITDA margins improved meaningfully YoY and QoQ"26.98%, +176 bps YoY / +228 bps QoQPlayed out
FX reagent-cost creep"any Q2 import-cost creep would flow through quickly"COGS ratio −155 bps YoY; FX loss Rs.2.92 Cr H1 — favorablyContradicted
Margin definitional gap (Q1 print 25.83% vs 25.2%)"definitional discrepancy to reconcile on the call"Filing publishes no EBITDA formula; consistent P&L-derived basis used throughoutNot observable in the filing
EQAS perimeter wildcard"the main wildcard for reported consolidated comparisons"Comparatives restated; discontinued ops nil in Q2 — no distortionPlayed out
Interim dividend"the interim dividend at the 3 Nov board meeting"Re.1/share declaredPlayed out

Read our full results preview.

Management Guidance vs Delivery

What management saidWhereWhat happenedVerdict
FY27 revenue growth 14%–15%Q1FY27 earnings callQ2FY27 consolidated +15.76% YoY; H1 +16.16%On Track
FY27 EBITDA margin improvement +100–150 bps (Q1FY27 restatement of the +125–150 bps framed at Q4FY26)Q1FY27 / Q4FY26 earnings calls+176 bps YoY (26.98% vs 25.22%); +228 bps QoQOn Track
Group EBITDA margin 27%–28% over next two yearsQ4FY26 call, reframed at Q1FY2726.98% this quarter — at the doorstepOn Track
Interim dividend decision at the Nov 3 board meetingCompany board-meeting intimation (Oct 28, 2026)Re.1/share declaredMet
Q2 revenue up ~15% YoY on double-digit patient/test volume growthCompany business update, October 5, 2026+15.76% YoY consolidated — revenue leg; volume split not disclosed in the filingConfirmed
"EBITDA margins improved meaningfully YoY and QoQ"Company business update, October 5, 2026+176 bps YoY, +228 bps QoQConfirmed
No price increases taken for ~18 months; GST benefit passed to consumersQ1FY27 earnings call (per prior-quarter notes)Growth of +15.76% YoY achieved on realisation/mix — the filing gives no pricing data — consistent with, not proven by, the filingToo Early

Key Investment Insights

Key Positives

  • Revenue grew 15.76% YoY to Rs.496.82 Cr, at/above the top of the guided 14%-15% band
  • EBITDA margin expanded 176 bps YoY and 228 bps QoQ to 26.98%, first time above 27% in the disclosed trend
  • PAT-to-owners grew 43.04% YoY to Rs.75.34 Cr, ~2.7x revenue growth
  • Cost of materials ratio improved 155 bps YoY to 18.89% despite ~8% rupee depreciation
  • Employee cost ratio fell 94 bps YoY and 247 bps QoQ to 21.29%
  • H1 operating cash flow of Rs.222.68 Cr at 1.68x PAT; FCF Rs.199.45 Cr
  • Balance sheet near debt-free: Rs.17.02 Cr borrowings vs Rs.338.03 Cr cash plus current investments
  • Standalone revenue grew 17.30% YoY with standalone EBITDA margin up 283 bps to 28.48%

Risk Factors

  • Other income jumped to Rs.8.49 Cr from Rs.0.89 Cr YoY, modestly flattering PAT growth (1.71% of revenue)
  • Share-based payment expense rose to Rs.12.18 Cr in H1FY27 from Rs.3.97 Cr in H1FY26, so the employee-cost trend is not a pure operating read
  • Finance costs grew 22.95% YoY, the fastest-growing material cost line
  • Effective tax rate rose 81 bps YoY to 26.34%
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Disclaimer: This results analysis is published for educational and informational purposes only. It is not investment advice, not a recommendation to buy, sell or hold any security.

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