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Blogs / IPO Note / NEPHROCARE HEALTH SERVICES LIMITED - IPO UPDATE
By Sushil Finance
10 December 2025 • 6 MINUTES READ
Nephrocare Health Services

NEPHROCARE HEALTH SERVICES LIMITED - IPO UPDATE

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IPO Details

Issue Opening Date - December 10, 2025
Issue Closing Date - December 12, 2025
Issue size: Rs. 871.05 Cr. (at upper Price Band of Rs. 460)
Fresh Issue: Rs. 353.40 Cr.
Offer For Sale: Rs. 517.64 Cr.
Face Value: Rs. 2
Our View: Subscribe for Long Term Horizon
Price Band: Rs. 438 to Rs. 460 per Equity Share
Employee Discount: Rs. 41 per Equity Share
Lot Size: 32 Shares & in multiples thereafter
Minimum Application Amount: Rs.14,720/- (32 Shares)
Maximum Application Amount: Rs.1,91,360/- (416 Shares)
Small HNI: Rs.2,06,080/- (448 Shares)
Big HNI: Rs.10,00,960/- (2,176 Shares)

Company Overview

Nephrocare Health Services offers comprehensive dialysis care through its network of clinics - from diagnosis to treatment and wellness programs including haemodialysis, home and mobile dialysis, supported by pharmacy. It also provides holiday dialysis, dialysis on call, and dialysis on wheels services in India. The company is India’s largest dialysis service provider in terms of number of patients served, clinics, cities covered, treatments performed, revenue, and EBITDA in FY 2025.

Further, the company is 4.4x the size of the next largest organized dialysis provider in India by operating revenue in FY 2024. The company operates 519 clinics across 288 cities in 21 States and 4 Union Territories as of September 30, 2025, with 77.35% of clinics in tier II and tier III cities. Clinic types: 80 greenfield, 259 brownfield, and 180 via PPP collaborations. Nephrocare partnered with leading hospital chains to operate certain dialysis clinics and held ~50% market share among organized dialysis service providers in FY 2025 (by number of treatments and revenue share).


Key Highlights

India’s and Asia’s largest dialysis chain with market leadership
Scale + asset-light model drives cost efficiencies and operational excellence
Clinical excellence and quality through robust protocols and technology
Organic growth backed by proven acquisitions and international integration
Patient-centric leadership and seasoned management team with marquee investors
Focus on sustainable dialysis leadership with ESG measures

Objects of the Issue

Capital expenditure for opening new dialysis clinics in India (₹ 129.11 Cr.)
Pre-payment or scheduled repayment, in full or in part, of certain borrowings availed by the Company (₹ 135.99 Cr.)
General Corporate Purposes

Offer for Sale of 1,253,102 equity shares by the Selling Shareholders. The company will not receive any proceeds from the Offer for Sale.


Our View

Incorporated in 2009, Nephrocare operates a scalable, asset-light, capital-efficient dialysis clinic model which enables quick clinic additions and ramp-ups with low capex, delivering high ROCE and strong unit economics. It has expanded internationally, operating 51 clinics outside India (Philippines, Uzbekistan and Nepal) as of September 30, 2025, with a total network of 519 clinics.

Risks to consider include high dependence on PPP contracts and revenue concentration from captive clinics, reliance on skilled healthcare professionals, potential delays in hospital setup, regulatory reforms in the healthcare industry, interest rate and foreign currency risks, international subsidiaries reporting losses in recent periods, competition and execution risks, and changes in credit ratings.

Financially, between FY23-FY25 Revenue and EBITDA CAGR were 31.5% and 85% respectively. The bottom-line turned positive after FY23. At H1FY26, EBITDA & PAT margins were 23.3% and 3% respectively. The issue is priced at a P/BV of 6.42 based on NAV of Rs. 71.62 as at H1FY26. If FY26 earnings are annualised, the implied P/E is approximately 150x (industry average ~75x), indicating aggressive pricing. The Indian dialysis service market is forecast to reach about USD 1,979.0 million by 2029 at a CAGR of 19.3%.

Nephrocare offers investors exposure to a scaled specialty healthcare play with strong brand and growth triggers. Considering the opportunities, risks and valuation, investors may consider this IPO for a long-term horizon.


Financial Snapshot & Valuation

Revenue CAGR (FY23-25): 31.5%
EBITDA CAGR (FY23-25): 85%
EBITDA Margin (H1FY26): 23.3%
PAT Margin (H1FY26): 3%
P/BV: 6.42 (NAV Rs. 71.62 at H1FY26)
Indicative P/E (annualised FY26): ~150x (industry ~75x)

Note: Valuation is aggressive relative to industry multiples; investors should weigh growth potential against high implied multiples.


Key Risk Factors (Summary)

Dependence on PPP contracts and captive clinics
Reliance on skilled healthcare professionals and potential setup delays
Regulatory reforms and compliance risks in healthcare
Exchange rate and interest rate volatility
Some subsidiaries incurred losses in recent periods
Aggressive valuation (high implied P/E)
Competition and execution risks

Frequently Asked Questions (FAQs)

When does the Nephrocare IPO open and close?
The Nephrocare IPO opens on December 10, 2025 and closes on December 12, 2025.

What is the price band for the Nephrocare IPO?
The price band is ₹438 to ₹460 per equity share.

What is the lot size and minimum application amount?
The lot size is 32 shares. Minimum application amount is ₹14,720 (32 shares).

Is Nephrocare profitable?
The company’s bottom-line turned positive after FY23; at H1FY26 EBITDA and PAT margins were 23.3% and 3% respectively.

Should I apply for this IPO?
Sushil Finance view: Subscribe for long-term horizon. Investors should weigh the growth story against the aggressive valuation and execution risks before deciding.



Brief Financials

PARTICULARS ₹ in Million
As at
June 30, 2025
FY ‘25 FY ‘24 FY ‘23
Total Income 4,839.66 7,699.15 5,747.22 4,432.59
Total Expenditure 4,560.73 6,824.78 5,415.61 4,518.50
EBITDA 1,103.10 1,666.37 996.58 485.95
Profit/(Loss) before Tax 278.93 874.37 331.61 (85.91)
Profit/(Loss) after Tax 142.28 670.96 351.33 (117.89)
E.P.S. (Diluted) 1.57* 8.01 4.40 (1.53)
P/E (x) (Diluted) - 63 - -
ROCE (%) 2.17% * 13.19% 8.69% (3.02)%
*Not Annualised

PRICE CHART (@ ₹ 460) (Retail Category)

LOT SIZE
Amount
32 14,720
64 29,440
96 44,160
128 58,880
160 73,600
192 88,320
224 103,040
256 117,760
288 132,480
320 147,200
352 161,920
384 176,640
416 191,360

HNI Payment Chart

Category
No. of Shares Minimum Bid Lot Amount (Rs.)
Small HNI 448 206,080
Big HNI 2,176 1,000,960

Indicative Time Table

Tentative Events
Indicative Dates
Finalisation of Basis of Allotment with the Designated Stock Exchange 15/12/2025
Initiation of refunds/unblocking ASBA Fund 16/12/2025
Credit of Equity Shares to demat accounts of Allottees 16/12/2025
Commencement of trading of the Equity Shares on the Stock Exchanges 17/12/2025




Disclaimer:
The content provided in this blog is for informational and educational purposes only and should not be construed as investment, legal, or tax advice. While Sushil Finance makes reasonable efforts to ensure accuracy and reliability of the information, we do not guarantee its completeness or timeliness. Readers are advised to consult with their financial advisor before making any investment decisions. Sushil Finance shall not be held responsible for any direct or indirect loss arising from use of this content. Investments in securities are subject to market risks. Read all scheme-related documents carefully before investing.


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