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Krsnaa Diagnostics Ltd Q1 FY26 – PPP King, Pathology Prince & Radiology Raja


1. At a Glance

CMP ₹793, market cap ₹2,569 Cr, P/E 30.5, EV/EBITDA 12x, book value ₹277, ROE 9.3%, ROCE 12.5%. Debt stands at ₹202 Cr, dividend yield 0.35%. In FY25, sales ₹694 Cr, PAT ₹84 Cr, OPM ~29%. Over 3 years, stock delivered +18%, but in the last 1 year, it’s down ~6%. Investors are basically in “MRI mode” — lying still, hearing loud noises, and waiting for the report.


2. Introduction

Krsnaa Diagnostics is not your average “blood test at corner lab” story. It’s a PPP (Public-Private Partnership) behemoth. This company built its empire by bidding for government contracts to run CT, MRI, X-ray, and pathology centers in hospitals and medical colleges across India. Basically, they’re like the “Byju’s of diagnostics” — aggressive bidding, fast expansion, and half their customers don’t directly pay.

Except unlike Byju’s, Krsnaa has an actual business model that works (most of the time). Radiology brings 57% revenue, pathology 43%. They handle 1.5 lakh CT/MRI scans per month, process 6 lakh X-rays monthly, and have served 40 million patients in the last 3 years. That’s almost the population of Canada — except here, people don’t go back smiling with maple syrup; they leave with CT scans.

But there’s a catch — 75% of revenue comes from PPP contracts. Which means they depend on sarkari payment timelines. Receivable days? 152 last year. Government contracts are like Indian weddings: big promises, long delays, and money coming only when all relatives sign the cheque.


3. Business Model – WTF Do They Even Do?

Lazy investor decoding:

  • Radiology: 178 MRI centers, 1,434 reporting hubs, NABH-accredited teleradiology hub. In desi language, they can scan your brain even from 1,000 km away.
  • Pathology: 121 labs, 3,423 collection centers, 26 accredited centers. Basically, your blood travels more than you do.
  • PPP Model: Tie-ups with state & central government. Hospitals provide space, Krsnaa sets up machines. 78% tender win rate. They’re the “first bencher” who always gets chosen for group projects.
  • Private Tie-ups: 42+ centers with private hospitals. Think Apollo, Fortis, but on rent.
  • Retail Foray: 80 Krsnaa Brand Associates already, target 500 by FY26. Finally learning to deal directly with aam junta, not just babus.
  • Cost Leadership: Prices 60–80% lower than market. Cheap, affordable, volume-driven. Diagnostic equivalent of “Ola Share.”

👉 Question: Would you trust a PPP model where government pays late but volumes are massive, or a retail model where margins are fat but competition is cut-throat?


4. Financials Overview

Source table
MetricLatest Qtr (Q1 FY26)YoY Qtr (Q1 FY25)Prev Qtr (Q4 FY25)YoY %QoQ %
Revenue₹176 Cr₹163 Cr₹175 Cr+7.9%+0.6%
EBITDA₹50 Cr₹43 Cr₹53 Cr+16.3%-5.7%
PAT₹19.6 Cr₹18.2 Cr₹21.0 Cr+7.7%-6.7%
EPS (₹)6.035.636.53+7.1%-7.7%

Annualised EPS ≈ ₹24 → Implied P/E ~33x.

Commentary: Growth is steady, margins are intact, but net profits aren’t shooting through the roof. More “steady treadmill walk” than “Usain Bolt sprint.”


5. Valuation Discussion – Fair Value Range Only

  1. P/E Method
  • EPS (annualised): ₹24–26
  • Fair P/E band: 25x–35x (industry median ~38x, Lal Pathlabs ~52x, Vijaya ~69x).
  • Range = ₹600 – ₹910
  1. EV/EBITDA
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