Entero Healthcare Solutions Limited (NSE:ENTERO)
India flag India · Delayed Price · Currency is INR
1,561.00
-38.00 (-2.38%)
Oct 29, 2026, 3:29 PM IST
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Q2 25/26

Nov 13, 2025

Summary

Q2 revenue rose 20.8% YoY and EBITDA margin reached 4.0%, while working-capital days improved to 63. FY26 guidance remains 30% growth and INR 100 crore-plus operating cash flow, with H2 acquisition closures and MedTech expansion central to delivery.

Operator

Ladies and gentlemen, good day and welcome to the Q2 and H1 FY 2026 Earnings Conference Call of Entero Healthcare Solutions Limited, hosted by DAM Capital Advisors Limited. As a reminder, all the participants' lines will be in the listen-only mode, and there will be an opportunity for you to ask questions after the presentation concludes. Should you need assistance during the conference call, please signal an operator by pressing star then zero on your touch-tone phone. Please note that this conference is being recorded. Please note, this conference call may contain forward-looking statements about the company, which are based on the beliefs, opinions, and expectations of the company as on date of this call. These statements are not the guarantees of future performance and involve risks and uncertainties that are difficult to predict. I now hand the conference over to Mr. Nitin Agarwal from DAM Capital Advisors.

Thank you and over to you, sir.

Nitin Agarwal
Senior Research Analyst, DAM Capital Advisors

Thank you. Hi. Good afternoon, everyone, and a very warm welcome to Entero Healthcare Solutions Limited Q2 and H1 FY 2026 Earnings Call hosted by DAM Capital Advisors. On the call today, we have representing Entero Healthcare Solutions the management team comprising of Mr. Prabhat Agrawal, Managing Director and CEO; Mr. Balakrishnan Kaushik, Group CFO; and Ms. Akanksha Gupta, Head of Investor Relations. I will hand over the call to the management team to make their opening comments, and then we'll open the floor for questions. Feel free, sir.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. Hi. Good afternoon, everyone. Hope I'm audible. And thank you for joining our earnings conference call to discuss the performance for Q2 FY 2026 and first half of this year. I'm joined by Balakrishnan Kaushik, our Group CFO, and Akanksha Gupta, Head of IR, and SGA, our investor relation advisors on this call. I hope everyone had an opportunity to go through the financial results and the investor presentation, which are uploaded on the stock exchanges and also on our company's website. I'm pleased to share that we have continued making progress across all financial parameters of delivering healthy growth trajectory, margin expansion, and net working capital improvement in the second quarter of the financial year. Let me begin with our top-line performance for the quarter. Revenue grew by 20.8% year-on-year and 11.9% quarter-on-quarter to INR 1,571 crores.

Adjusted for contracts accounted on net margin basis and on like-to-like basis, our revenue growth stood at 23.4% year-on-year, while organic growth was 13.4% year-on-year, which is approximately 1.8 x the IPM growth rate of 7.3% during the same period. We were also able to navigate the GST transition quite effectively during the September month, given the massive product portfolio we carry across 100 + warehouses. A key development during the quarter was on the acquisition front, particularly in the MedTech segment, where we have significantly expanded our presence. We closed five acquisitions during July to October 2025 period, with pro forma revenues based on FY 2025 financials of these acquired entities of approximately INR 545 crores.

Additionally, as disclosed yesterday to the exchanges, binding agreements and MOUs have been signed for two more MedTech-focused entities, Anand Chemiceutics and Bioaide Technologies, both of which are expected to be completed subject to satisfactory completion of due diligence. On a full year basis, we are on track to close INR 1,000 crore plus revenue acquisitions through 14 M&A transactions. Around 60% of our M&A is happening in the MedTech segment, which along with the previous acquisitions in this space and organic business, will cross over INR 1,000 crores post-completion and integration of these businesses. MedTech is a $13 billion high-growth segment and synergistic to Entero's existing pharma distribution business. Further, the role of distributor is more value-added in terms of commercial role along with the standard distributor role, and hence the margin pool available with the distributors are higher.

We have estimated a positive impact of 70 - 90 basis points on gross margin and 50 - 75 basis points on EBITDA margin on pro forma basis after all the acquisitions are integrated with us. This is calculated on FY 2025 financials of announced acquisitions, which are expected to be closed in second half of the financial year. With these acquisitions, we will be present in a wide range of MedTech segments, including diagnostic consumables and equipment, cardiology, and orthopedic medical devices, and other devices and consumables. This segment represents an attractive growth opportunity for Entero, along with margin enhancement potential. We have also added business in trade generics, which also is higher growth and margin accretive. I reiterate that all these acquisitions were at single-digit enterprise value to EBITDA multiples. These acquisitions will be funded through a mix of internal accruals, available cash balance, and addition of some debt.

Gross profit for the quarter stood at INR 161 crores, up 32% year-on-year, with margins improving by 29 basis points quarter-on-quarter and 84 basis points year-on-year to 10.2%. This improvement was driven by higher value categories, better procurement efficiency, and operational cost optimization. Another key milestone for us was achieving EBITDA margin of 4% in the quarter, which was up by 38 basis points quarter-on-quarter and 69 basis points year-on-year. EBITDA for the quarter was INR 62 crores, representing a growth of 46% year-on-year. There would be significant impact on our EBITDA margins post completion of new acquisitions, which has been explained through the pro forma presentation in the investor deck. Our profit after tax increased 41% year-on-year to INR 37 crores, with PAT margin expanding to 2.3% from 2% in quarter two FY 2025.

A key operational priority for us has been continued optimization of working capital and pleased to share progress on this front. Our net working capital days has improved from about 69 days a year ago and 66 days in quarter one to 63 days in quarter two FY 2026. This progress is a result of ongoing initiatives around credit monitoring, enhanced collection discipline, and a company-wide focus on data-driven inventory planning. We are confident of closing FY 2026 with working capital days of around 60. This should aid us in delivering strong positive operating cash flow for the year in the range of INR 100 crore plus. We have delivered steady improvement in return ratios. Return on capital employed improved to 13.8% in quarter two from 11.5% in quarter one, and return on equity increased to 11% from 9% in the last quarter. Operationally, our retail networks have continued to expand.

In the first half of the year, we catered to over 85,000 retail pharmacies and more than 2,800 hospitals across 490 districts in India, supported by 113 strategically located warehouses and 83,000+ SKUs sourced from more than 2,800+ healthcare manufacturers. Our distribution network is continuously getting stronger with better geographic reach, wider product portfolio, and deeper engagement with healthcare product manufacturers and customers. We are using our proprietary technology to create synergies, integration, and efficiency in our network and improving customer experience through better fill rates and lower turnaround times. In summary, as we progress into second half of the year, we are confident of continuing the stronger momentum, making continued improvements in the financials led by both organic initiatives and impact from inorganic strategies. We have clear visibility on growth trajectory, margin expansion, and cash flow generation.

Our focus remains on increasing wallet shares within existing customers, expanding higher margin product categories, and leveraging our nationwide network to become the most comprehensive healthcare distribution platform in India. Inorganic acquisitions gives us headroom for accelerated growth and margin expansion. We remain on track to achieve our FY 2026 guidance. With this, I close my opening remarks and invite people to ask questions.

Operator

Thank you very much, sir. We will now begin the question and answer session. Anyone who wishes to ask a question may press star and one on their touchtone telephone. If you wish to withdraw yourself from the question queue, you may press star and two. Participants are requested to use handsets while asking a question. Ladies and gentlemen, we will wait for a moment while the question queue assembles. The first question comes from the line of Chintan Sheth from Girik Capital. Please go ahead.

Chintan Sheth
Analyst, Girik Capital

Hi, Prabhat. Thank you for taking my question and congratulations to the team and management on delivering continuous progress on the key metrics we follow. Sir, on the revenue growth, you mentioned that you maintained the guidance of 30% growth. But so far because of the revenue growth seems to be softer, versus what the annual guidance for us is right now. Do you think in the second half you can catch up to meet the guidance for the full year?

Operator

Ladies and gentlemen, the management line is disconnected. Please wait while I reconnect the management.

Ladies and gentlemen, we have the management line reconnected.

Chintan Sheth
Analyst, Girik Capital

Hi, [inaudible] Am I audible now?

Operator

Yes.

Chintan Sheth
Analyst, Girik Capital

My question was basically on the guidance part where you mentioned that we maintain our FY 2026 guidance, which included 30% revenue growth for the year. So far, our first half growth is around 24%. The second half will be roughly around 35% to deliver on the 30% growth. Given the fact that one or two large contracts getting into the net business, do you think with the acquisition and all, we will be able to achieve the revenue guidance at least? I think on the margin trajectory-wise, I think we are on track. Only trying to check on the revenue front.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. Hi, Chintan. Listen, on the first half of this year, on a like-to-like basis, we were at 27.8% growth. Okay?

Chintan Sheth
Analyst, Girik Capital

Okay. Mm-hmm.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Against the guidance of, let's say, 30%, right? So the gap of 2.5% is primarily stemming from delay in closing new inorganic deals, right? Which we are now trying to catch up in the second half of the year. We are already done the deals announcement and everything, so we are fast-tracking the closure process. We believe in the deals, and we know we will be very close to the full year guidance on like-to-like basis.

Chintan Sheth
Analyst, Girik Capital

Got it. Just confirmation, clarification on the OCF part, you mentioned INR 100 crore OCF target for the full year. We are right now negative INR 60 odd crore negative in the first half. That implies that for the full year or in the second half, we need to generate almost INR 150, INR 160 odd crore of operating cash, which you believe is doable, right?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah, doable. If you look at first half of this year, our negative cash. Generally, typically, the second quarter is the highest in terms of organic growth, and most of the working capital requirement happens in the quarter two of the year. Even if you look at our last year, last year our full year was positive by INR 50 crore.

Chintan Sheth
Analyst, Girik Capital

Yeah. Correct.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Even though our first half was INR 125 crores negative.

Chintan Sheth
Analyst, Girik Capital

Correct.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Compared to the INR 125 crores negative of last year, we are only INR 58 crores negative in the first half, right? So there is already INR 50, INR 70 crores cash flow higher in the first half of the year, right?

Chintan Sheth
Analyst, Girik Capital

Right.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Secondly, the second half of the year is always positive. Okay? And thirdly, we have an additional benefit because of the GST change, right? So because now the revenues that we will be billing to the customers will be at 5% GST against 12% GST earlier, right? So there will be a 7% benefit in cash flow through lower GST.

Chintan Sheth
Analyst, Girik Capital

No worries. Got it. I think that helps. Lastly, only one question I have. Thank you. On the acquisition, the larger one which we announced yesterday, it was happening at 0.95x FY 2025. Right. Typically, I've seen we are doing materially lower at this point, or less on EV to sales basis. But you mentioned that these are all margin attractive ones and the single digit EBITDA multiple stands too. So have we increased a little bit range on acquiring these assets, or we are still in the ballpark of 5x-7x or 5x-8x EBITDA?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. We are in the ballpark only. On EV to EBITDA basis, we are on the ballpark with respect to our historical multiples that we have paid. Right. On EV to sales, of course, it will look higher because the margins are much higher in this business. The margins in this business is double digits.

Chintan Sheth
Analyst, Girik Capital

Mm-hmm. Got it. I think all the variables, I will join back in queue for answers. Thank you.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Sure.

Operator

Thank you. The next question comes from the line of Sajal Kapoor from Antifragile Thinking. Please go ahead.

Sajal Kapoor
Analyst, Antifragile Thinking

Yeah. Hi. Thanks for taking my question. Prabhat, what incentives do these MedTech sellers have to sell so cheaply on EBITDA? Why are they selling to us at a lower multiple compared to where our own business is? That is the kind of question I have.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

This is the same thing from beginning of the company. Even other pharmaceutical distributors are also on the same EV to EBITDA range. The reasons are the same. They need a partner who can take them to a national level. They have exploited most of the opportunities to grow on a standalone basis. There are issues on succession. These are the things which incentivizes or motivates a seller to sell to us.

Sajal Kapoor
Analyst, Antifragile Thinking

Sorry. Yeah, it is the scale thing, right? It is Pan-India scale.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yes.

Sajal Kapoor
Analyst, Antifragile Thinking

Yeah. Okay. Just to follow on this MedTech, the sales rely on these clinical trials. How is Entero ensuring newly acquired teams, ortho, cardio, IVD, et cetera, build the expertise and doctor/physician relationships needed to strengthen customer loyalty?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. This is not the first MedTech acquisition that we have done. If you recall, last year also, we did acquisition in Chennai called Peerless Biotech. It was primarily in the IVD space and other medical devices. In certain segments, yes, the relationship with the doctors and everything matters a lot. But when we are acquiring, we are acquiring the whole company along with the whole team, with the relationships and all that. That's the reason why we are paying goodwill premium on that. So, the whole knowhow, the knowledge, the relationship, the team, everyone comes along with this acquisition.

Sajal Kapoor
Analyst, Antifragile Thinking

Yeah. Thank you for that. And finally, one just bookkeeping question for Bala. What factors explain the rise in trade receivables and also the inventories in the last six months? I mean, with improved return ratios and the reduction in net working capital to 63 now. What is specific strategies in inventory management or receivable collections are optimizing the working capital cycle? Because those are the two key variables for us to get to positive operating cash flow.

Balakrishnan Kaushik
Group CFO, Entero Healthcare Solutions

Yeah. So Sajal, here we are running work streams specific to inventory, specific to trade receivables, and there is a renewed focus on improving our cash collection cycle as well as the way we order the inventory. So we have a team put in. We have a task force that is there that is monitoring all the entities on these numbers. What kind of purchases are happening? Are we doing purchases in an optimized manner? Can we do purchases four times a month instead of one or two times a month? So all these factors are being looked at closely, and there are three or four task forces that we have created that is driving these operational efficiencies, which is actually yielding these results.

Sajal Kapoor
Analyst, Antifragile Thinking

Yeah. No, understood. Thank you so much. I'll rejoin the queue. Thank you.

Balakrishnan Kaushik
Group CFO, Entero Healthcare Solutions

Thank you.

Operator

Thank you. Ladies and gentlemen, a reminder to all the participants that you may press star and one to ask a question. The next question comes from the line of Bhargav from Ambit Asset Management. Please go ahead.

Bhargav Buddhadev
Analyst, Ambit Asset Management

Yeah. Good afternoon, team, and thank you very much for the opportunity. Sir, my first question is it possible to share the revenue that we do from MedTech, given that in the recent acquisitions that we are doing, a large part of revenue is coming in from MedTech? And we said in the PPT that we want to reach close to INR 1,000 crores. Is it possible to share the current revenue we do from MedTech?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Including all these acquisitions, if you look at, I have talked about INR 1,000 crores on MedTech. If you look at my graph, 61% of that INR 1,000 crores is coming from MedTech. So INR 600 crores is what is coming through acquisitions. INR 400 crores we already have. So INR 400 crores plus we are doing acquisition of INR 600 crores, will take us above INR 1,000 crores.

Bhargav Buddhadev
Analyst, Ambit Asset Management

Is it fair to say that incrementally, whatever acquisitions that we will be planning, a large part of that will be in the MedTech space or any other space?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

No. Post this next one quarter, we will be busy in closing these acquisitions. I think one of the reason why we have missed a little bit on the revenue growth guidance of this year, because we have taken a little more time to evaluate deals. Okay. In pharma, we have a good presence now. We want to expand into other synergistic segments, and MedTech is a very good synergistic segment. The growth rate is higher. The role of the distributor is more important in this. The margin profile is far better. That is the reason we are looking for those segments which are margin accretive as well as high growth. If you look at, we also acquired a distributor in [inaudible] , which again enjoys a higher growth profile and a higher margin profile.

Our internal guidance is that we should chase those business segments which can deliver higher growth as well as a higher margin.

Bhargav Buddhadev
Analyst, Ambit Asset Management

Okay. Sir, when we were speaking to a few chemists, they were of the opinion that from 15th of August till maybe 15th of September, they had reduced procurement significantly because of the GST changes which have happened. Despite that, how did we manage to have such a high revenue growth?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

You look at, for example, out of 90 days in a quarter, only 15 days were impacted, right? Or less than 15 days. I estimate that probably our revenue growth would have been 1% higher if that GST change would not have happened.

Bhargav Buddhadev
Analyst, Ambit Asset Management

Okay. Did the GST transition also impact cash flow, meaning had the GST transition not happened, would we have been fairly positive in the first half itself?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

No, not materially, because the impact of GST change would come in the second half of the year because from 22nd September onwards, we started billing customers with lower GST rates. Right? Most of the receivables sitting on 30th September were with the higher GST rate only. By December, by March, all these receivables will be replaced by new receivables, which will carry a 5% GST rate. The positive impact on cash flow from GST change would happen in H2 of this year.

Bhargav Buddhadev
Analyst, Ambit Asset Management

Okay. Effectively, because of the GST change, the receivable itself will fall by close to about 13%.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

will fall by 7%. Difference between 12%

Bhargav Buddhadev
Analyst, Ambit Asset Management

Sorry, 7%. Okay. Thank you very much and all the very best.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Thank you.

Operator

Thank you. The next question comes from the line of Yashowardhan Agarwal from IIFL Capital Services Limited. Please go ahead.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Yeah. Hi. Can you hear me?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. Go ahead.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Hello.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yes.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Yeah. Hi, sir. Thanks for this opportunity. Talking of acquisition made, if I look at the slide six, it is mentioned that we are on track to make INR 1,000 crores of revenue from acquisitions. But sir, it is also mentioned in the same line that it depends upon the deals that we are going to close till FY 2026. But sir, the earlier guidance, INR 1,000 crores of revenue should have come from the acquisitions that we did in last year, the INR 290 crores that we had spent. Could you please clarify on that?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. The deals that we closed last year will anyway come this year, right? I mean, the full year impact would anyway come this year. Right? For this INR 1,000 crores, we are talking about the deals that we are closing this year. The full INR 1,000 crores of these new deals will not appear in our revenues for this year. The full year revenues will appear next year. For this year, the revenue growth is driven by three things. One is organic growth, the second is the full year impact of last year deal close, and the partial impact of deals closed during the year.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Okay. Got it, sir. This INR 1,000 crores is incremental from the acquisitions that we are going to do in this year. Is that assumption true?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Sorry?

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

This INR 1,000 crores that you have mentioned in the PPT is going to be driven by the deals that we are going to do in FY 2026.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yes.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Exclusive of the deals that we have done in last year. Okay.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. Last year we had done INR 290 crores. Yeah.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Got it, sir. The deal is clear. Sir, on this same line, in first half we had spent around INR 80 crores in acquisitions. What amount could be spending in the second half to achieve this INR 1,000 crores?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Upwards of INR 400 crores.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Upwards of INR 400 crores.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Okay. Sir, how do we intend to finance it?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. As we said, we have an operating cash flow generation in H2 of this year. That will come into play. The second is we have an existing cash of close to INR 280 crores on our balance sheet. Right? We will be using that, and if need be, we will take some additional debt.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Okay. Additional debt will be required for that.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. Depends on how much cash flow generation happens in H2 of this year, plus the cash that we have available on the balance sheet. If it is some shortfall, we will raise through debt.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Got it, sir. And sir, in the initial remarks, you said that you are confident of achieving the guidance that we had given of 30% growth. Sir, for that means 35% growth in the second half. Sir, are we confident of achieving that?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

No, you should look at the numbers differently. What we are seeing on a like-to-like basis. So like-to-like basis, our growth for H1 was 27%. Okay, 27.8%. We changed the revenue recognition method at the beginning of this year. That impacted our growth by 2%-3%. So adding back that growth rate on like-to-like basis is 27.8% for this year. So if you do the math, on the second half of the year, the revenue growth has to be 31% to achieve a 30% overall growth for the year. Right? So depending on how close we are able to bring in the revenues of these new acquisitions in the books, we should be close to our guidance.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Got it, sir. My last question is on the MedTech revenue. So the acquisition that we are currently doing in this year, in many of them we have not acquired 100% of its stake. So out of the INR 1,000 crores that we are expecting, what share of the revenue will belong to us and what the profit on the same?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

See revenue, so 100% we will consolidate the 100% books of these acquired entities, right?

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Correct

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Line-by-line consolidation would happen. Okay. But our blended ownership on these deals is around 63%.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Okay, sir. 63%

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

We have the call option to acquire the rest. We can exercise the call option in future years to acquire the rest of it over a period of two to five years.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Okay. We have a call option. That would be at the similar levels of valuation that we have acquired currently, right?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yes, yes.

Yashowardhan Agarwal
Analyst, IIFL Capital Services Limited

Okay, sir. That is all my questions. Thank you and good luck.

Operator

Thank you. A reminder to all the participants that you may press star and one to ask a question. The next question comes from the line of Avnish Burman from Vaikarya. Please go ahead.

Avnish Burman
Analyst, Vaikarya

Yeah. Hi, good afternoon. Thanks for taking my question. Prabhat, can you give us some color on the gross or EBITDA margins of Anand Chemiceutics, because I couldn't find any data from the MCA records.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. So, that company is a combination of two, three companies. Some is proprietorship, some is partnership, and one is private limited. So you may not find data on all that. We'll integrate into one entity before we take over. Right. But gross margins are mid-double digits, sorry. And EBITDA margin is in upwards of 10%.

Avnish Burman
Analyst, Vaikarya

Okay. For Bioaide also, when I was looking at the data, at least, I mean, the data is available till March 2024, where the gross and EBITDA margins were showing at 11% and 1.5%, which is quite uncharacteristic for a medical device distributor. Am I missing something here or this is

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. This is the biggest thing, when we diligence the EBITDA, we diligence what will come to us. Sometimes they draw much higher salaries in the company to reduce the profitability. We add back all those things because we agree a new remuneration and everything, payouts with them when we take over. Again, a double-digit margin acquisition.

Avnish Burman
Analyst, Vaikarya

Okay. When you talk about valuation, that is on the adjusted EBITDA, the EBITDA that you would realize after the takeover takes place.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yes, yes. We make all the adjustments, the new rentals for the premises, the new remuneration that we will pay for, any other compliance costs we will have to incur because the other guy was not doing in the same way that we want to do. All these adjustments we do and calculate the adjusted EBITDA going forward. Based on that, we pay the multiple.

Avnish Burman
Analyst, Vaikarya

Understood. One thing on the GST, you said that the receivables will come down, but when you talk about your net working capital and receivable days, you anyways adjust for the GST. So in terms of receivable days, that number will stay irrespective of whether the GST is at 12% or 10%. Am I right?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah. Right. Days will not change because of this. Only the absolute value or the cash flow will change.

Avnish Burman
Analyst, Vaikarya

Understood. Last question from my side. The INR 1,000 crore of inorganic revenues that you have mentioned on the slide. In your opening remarks, you said that the INR 1,000 crore is coming from 14 deals, whereas in the slide it says the number of deals to be seven. So is that 14 or seven?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Sorry, sorry. It's my error. Seven, not 14.

Avnish Burman
Analyst, Vaikarya

Understood. Thanks. I will get back with you.

Operator

Thank you. The next question comes from the line of Sudarshan from ASK NDPMS. Please go ahead.

Sudarshan Padmanabhan
Analyst, ASK NDPMS

Yeah. Thank you for taking my question, and congrats on

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

We are not very audible. Sorry. Sudarshan, can you be a little louder?

Sudarshan Padmanabhan
Analyst, ASK NDPMS

Yeah. Am I audible now?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah, that's better.

Sudarshan Padmanabhan
Analyst, ASK NDPMS

Yeah. My question is, understand this month of September, we saw some impact on GST, the rates coming down. You mentioned, if I'm correct, that the growth could have been higher if the GST wouldn't have happened. Would it be possible that, see, because we have already seen that October month is better, primarily because of that and the IPM, that part of the sales which otherwise wasn't sealed would primarily get filled probably in the ensuing months? That is one. The second question that I would like to understand is, we are now seeing the GLP-1 category gaining fair amount of momentum.

Given that you have a fair wide portfolio in that sense, how do we see us capitalizing on the GLP-1 opportunities?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Okay, let's take question number one, which is the impact of GST on the growth. I said, we estimate that probably 1% of growth was lost because of GST change for last 15 days of September month. Secondly, you asked about GLP-1, right? GLP-1, we are engaging with all the GLP-1 drug manufacturers. We are working closely with Eli Lilly, we are working with Wegovy. So we have a decent representation in GLP-1 category because these are only two drugs available right now. Next year, when semaglutide goes off patent, then we'll have lot many more manufacturers coming into play. And like any portfolio, we will have GLP drugs in our portfolio also.

I believe our share in the GLP drugs is little higher than our overall market share, because there are only two drug companies and we have a nationwide reach, and these drugs are high value, not available so easily. So our market share probably is higher in these drugs compared to other drugs.

Sudarshan Padmanabhan
Analyst, ASK NDPMS

Sure. Do we see this opportunity that is getting created to be somewhat like additional source of revenue growth for us?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

I don't have an estimate of how much. Depends on how much this growth will impact the overall IPM, because our growth is more leaned towards overall IPM growth. If this drug impacts the overall IPM growth significantly, yes. But on GLP-1, it's more direct to patient, this thing. So, we are selling online also this drug. Offline also to retailers and through our retailers to the patients as well. Yeah, I'm pretty excited about this, the growth opportunity that GLP-1 brings not only to us but to entire industry.

Sudarshan Padmanabhan
Analyst, ASK NDPMS

Okay. On the strategy side, we have been making a fair amount of acquisition on the MedTech, and you talked about this INR 1,000 crores with the acquisitions. I am looking at more strategically and from a longer-term basis. If I am saying that the next two to three years now that we will start generating operating cash flow, which means that we have more money to basically acquire freely, in that sense. So in terms of proportion of sales, and basically creating a new avenue of visible growth and business for us, how do you see the MedTech beyond the INR 1,000 crores evolving? Second subsegment of this is, this year we are definitely on course 34%, if everything goes well in the same direction.

If I am looking at the next two to three years, given that MedTech has a much better margin profile, where do we see this kind of margins, say in the next two years or so?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

So, now with these acquisitions, there are post-consolidation, the representation of MedTech in our business will be 14%-15%. Okay.

And in terms of margin, I have already given you an estimate, in our investor deck. Okay. We expect that at least 50 - 75 basis points on overall consolidated financials, this will have. Okay. So if we were at quarter two at 4%, then post-closing of these deals, we should be between 4.5%-4.75%. That is my estimate as of now. Okay. Based on what financials they had before we acquired them. So of course, there will be growth element on top of it and things like that. So, the margins as this year, as we have guided that we should be closing 4%+, so assuming that all these acquisitions and MedTech will have a full year impact in the next year, so our margins would be much higher than what we have today.

Sudarshan Padmanabhan
Analyst, ASK NDPMS

Sure, sir. One final thing before I hand back the queue is

Operator

I am sorry to interrupt, Mr. Sudarshan. May I request you to join back the queue?

Sudarshan Padmanabhan
Analyst, ASK NDPMS

Sure.

Operator

Thank you. The next question comes from the line of Manan Vandur from Wallfort PMS. Please go ahead.

Manan Vandur
Analyst, Wallfort PMS

Thank you so much for the opportunity, and congratulations on the numbers. My one question was that, at what percentage are our previous acquisitions growing at?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

That is organic growth, no? 13.8%.

Manan Vandur
Analyst, Wallfort PMS

Yes. Like what we would have acquired previous year or previous to previous year, those, how much they are growing at? How much they grew at in this quarter?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

That is what is like to like. So which were there in last year also and this year also, that's how we calculate organic growth.

Manan Vandur
Analyst, Wallfort PMS

Correct. So how much that would be, sir?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

13.4% for the quarter and 13.8% for the first half.

Manan Vandur
Analyst, Wallfort PMS

Okay. Got it. Sir, about this one, I heard from one participant talk about a company which had EBITDA margins of something 10% or more. Could you please explain us something more on that company?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Most of the MedTech distributors are enjoying 10%+ EBITDA margins, right? This is very synergistic to our existing business. That's the reason we are building our portfolio in MedTech much more going forward.

Manan Vandur
Analyst, Wallfort PMS

Okay, so our current margins of 4% are because of some other business that we have is less margin business, correct?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yes. There is a stark difference between the margin profile of a MedTech distributor versus a pharma distributor.

Manan Vandur
Analyst, Wallfort PMS

Correct. Got it. That is it from my side. Thank you so much.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Pharma brings a lot of volume, so it is important to be present in both.

Manan Vandur
Analyst, Wallfort PMS

Okay. So how are we looking forward to, in this sense, going forward, how much are we planning on getting from this MedTech side so that our margin keeps on improving in the future? How are we looking at that, sir?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

That's the reason why we allocated 60% of our M&A to MedTech this year. Last year, we had allocated almost 25%. Continuously, we are increasing the weightage of MedTech in our overall business portfolio to drive up our margins. Also, the segment itself is growing higher. There's a lot more things that you can do with MedTech, because MedTech is again, a very fragmented industry from the supplier point of view also. We are engaging with a lot of companies that want to come to India, open up their business in India, and we give them a platform to do that with us.

Manan Vandur
Analyst, Wallfort PMS

I see. Okay, got it. Thank you so much, sir. That's it from my side.

Operator

Thank you. Ladies and gentlemen, in order to ensure that the management is able to address all the participants in the question queue, please restrict your questions to two questions per participant. The next question comes from the line of Akshat Mehta from Seven Rivers Holding. Please go ahead.

Akshat Mehta
Analyst, Seven Rivers Holding

Hello, am I audible, sir?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yes.

Akshat Mehta
Analyst, Seven Rivers Holding

Thank you, sir, for the opportunity, and congratulations on the set of numbers. One question where I had a clarification on is that this 20% growth that you got in the current year, the main reason for it not being closer to 27%-28% is only the delay in acquisitions, right. Or is there some other impact that is missing also?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

No, primarily delay in closing deals. Because when we had given 30% revenue guidance, growth guidance for this year, there were three components of it. One was organic growth, the second was calendarization impact for last year acquisitions in this year, and the third was new deals. First two is in line. The third one, there is a delay. Delay in the sense that we should have closed more deals in H1 than in H2, because that has a full year impact on the overall full year revenue growth. If you look at the presentation that I have done, almost 80% of deals are getting closed in H2 and only 20% of deals got closed in H1. So that imbalance of 20% and 80% is creating that lower than guided revenue growth in first half of the year.

Akshat Mehta
Analyst, Seven Rivers Holding

Okay. My second question is on, I just want to understand why there has been a large increase in other expenses and interest costs during the quarter.

Balakrishnan Kaushik
Group CFO, Entero Healthcare Solutions

Good evening. Yeah. So increase in interest cost is mainly driven by the fact that we are utilizing money on acquisitions as well as on payment of milestone-related payables from last year acquisitions. As and when we use the IPO money, obviously my net interest costs will go up. That is the reason. Because we had about a much larger cash balance at end of last year, versus the cash balance we are currently having, which is about INR 283 crores.

Akshat Mehta
Analyst, Seven Rivers Holding

Other expenses, sir? We have seen almost INR 400 crores. Sorry, we have seen INR 40 crores of other expenses this quarter, right? What is the reason for that increase?

Balakrishnan Kaushik
Group CFO, Entero Healthcare Solutions

There are a couple of things there. There was a reclassification that was done between the revenue and the expenses on certain commission expenses because of the nature of those commission expenses. Plus, we also have some amount of ECL provisions that we have taken during H1. Based on the model that we do for expected credit losses, we have also taken around INR 3 crores of ECL in H1.

Akshat Mehta
Analyst, Seven Rivers Holding

Okay, sir.

Operator

Thank you. The next question comes from the line of Divya Agrawal from Ficom Family Office. Please go ahead.

Divya Agrawal
Analyst, Ficom Family Office

Yeah. Hi, sir. Thanks for taking my question. Firstly, I recently visited the warehouse of Galaxystar , and I was surprised to find that the automation used there was minimal. To operate Entero, A, at such a large scale, and B, across locations, with so many present and future acquisitions planned, one might assume things that the systems would be far more automated. What are the gaps in automation, and how are you working to address this with speed and accuracy?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

To operate in 113 warehouses in the country and having 100,000 customers and 80,000+ SKUs, you can't function without having a very good system. From when we started Entero itself, at that time only, we started building our own enterprise resource planning system. Our ERP is our own, self-developed. That's the reason why we are able to integrate our systems with WhatsApp, with messaging, with Amazon, with various other customers. Because the source code belongs to us, we can do customization, we can integrate with anyone. We have invested quite a bit of money and time and resources from beginning of the company, developing our own in-house systems, ERP systems. We have also developed our own customer interface system, which is Entero Direct app, on which the customer places order. That app is integrated with our own ERP.

It helps the customers to see our inventory, place orders. Once they place the orders, the orders are immediately invoiced, so the turnaround time is much lower, the fill rate is much higher to the customer. The technology intervention that we have done since beginning of our journey has helped a lot in the way we have expanded our network across so many parts of the country. We have a clear visibility of what inventory is lying. We have invested a lot in master data management, where we have standardized. Because in India, just so many SKUs are there, similar sounding names in medicine. Unless you have your own master data management mapped to individuals. See, whenever we are buying a local distributor, first thing we are doing is mapping his product codes to our centralized product codes.

We can have a clear visibility of the same product lying in so many warehouses, where we can exchange between each other, move inventory from one where the demand is more than the supply to from where we have lower demand than supply. All these things, efficiencies, integrations, synergies, are happening only through the tech investments and team that we have built over many years.

Divya Agrawal
Analyst, Ficom Family Office

Right. So just to emphasize on this, what are the particular gaps that you are currently facing? If there are any, can you highlight that?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

There is no major gap, but tech is one field which is continuously evolving. You keep building new features, you keep improvising. Like, for example, now we are building an app called Health Edge app. In Health Edge app, there is lot more engagement that we can have with the customers. Loyalty programs can be run through integration with Paytm, through cashback offers, and things like that. So continuously, new features are getting developed which will enhance the customer experience, our engagement with the customers. So it is a continuously evolving process. Technology is something that you cannot develop once and sit tight. You have to be on your toes all the time to be ahead of the market.

Divya Agrawal
Analyst, Ficom Family Office

Right. I got the point. Secondly, sir, on the Suprabhat, this investment, what was the reason for that? The company was, I guess, still profitable and-

Operator

I am sorry to interrupt, Mr. Divya, but may you please fall back in the queue for your more questions?

Divya Agrawal
Analyst, Ficom Family Office

Sure. Okay.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

I will just answer this question. Suprabhat is an investment that we thought we bought this company, but there is a little bit of misalignment that happened with the seller. That territory we can service from various other geographies. So we said it is better to take the entire money back along with the interest and all that, and we reversed the transaction.

Divya Agrawal
Analyst, Ficom Family Office

Sure. Thanks a lot.

Operator

Thank you. The next question comes from the line of Shivkumar Prajapati from Ambit Investment Advisors. Please go ahead.

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Hi, sir. Thanks for another question, and congratulations on the great set of numbers. Sir, first question is, the IPM growth for the October month is somewhere over 11%. Is it safe to assume that Entero might have clocked over 30% of the growth in October month?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Sorry, we are facing a little bit of connectivity background. Can you repeat your question, please?

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Sir, am I audible now?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Yeah, this is better.

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Yeah. Hi. My first question was that in October, the IPM growth was around 11.7%. Is it safe to assume that Entero might have clocked more than 30% growth in this month, given some sort of pent-up demand as well?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

No, I don't think so, the growth is that high.

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Okay. Understood.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Not in October, but I can tell you that delta growth is not that high for the industry.

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Understood, sir. Okay. On this cash flow, you have mentioned that cash flow from operations would turn positive for us by the end of this year, but is it possible that we can see the same in the first nine months? I mean, we have already completed two months, but by the end of nine months, would we see cash flows positive?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

What we have guided is that full year basis, we should be INR 100 crore-plus in operating cash flow, positive balance.

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Right.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Much of that will happen in quarter three and quarter four. It's difficult for me to give estimate because there are a lot of ongoing initiatives going on in terms of working capital optimization and things like that. But I think for full year, we will be positive. If we have to be on full year basis that kind of positive, given the fact that we were negative in the first half of the year, that means at least for fourth quarter, it has to be significantly positive.

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Understood, sir. My last question would be if you can help me with some data points. We are already handling more than 80,000, 85,000+ of SKUs. What would be the total estimated SKUs in the pharma industry? If you can provide revenue split by tier one, tier two, and beyond, if that is possible for you to share.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

In pharma industry, probably SKUs could be more than 150,000.

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Understood. Okay.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Nobody has an exact count.

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Mm-hmm. And sir, what about revenue split by tier-wise?

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Tier one, we have not given that split. Maybe our team will work it out and give it to you.

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Okay, sir. All right, sir. Thank you so much, and best of luck.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Sure thing.

Operator

Thank you. Ladies and gentlemen, that was the last question for today's conference call. I would now like to hand the conference over to management for closing comments. Over to you, sir.

Prabhat Agrawal
Managing Director and CEO, Entero Healthcare Solutions

Well, thank you everyone for joining this call. We are firmly on track. The momentum is much higher. We have done and selected some quite attractive MedTech opportunities. We will continue to work on that. The second half momentum is going to be better than the first half. Well, thank you so much for joining the call.

Operator

Thank you, sir. On the behalf of DAM Capital Advisors Limited, that concludes this conference. Thank you for joining us, and you may now disconnect your lines. Thank you.

Shivkumar Prajapati
Analyst, Ambit Investment Advisors

Thank you.