Apollo Hospitals Enterprise Gets CRISIL AA+ Rating Reaffirmation with Positive Outlook Revision
CRISIL Ratings has reaffirmed Apollo Hospitals Enterprise Limited's AA+ rating while revising the outlook to Positive from Stable for Rs. 2800 crores bank facilities and Rs. 19 crores debentures. The positive revision reflects the company's dominant market position as India's largest private healthcare provider with 51 hospitals and over 8,500 beds, strong operating efficiencies, and robust financial profile with Rs. 3,222 crores cash surplus. CRISIL expects 12-15% revenue growth to over Rs. 24,000 crores in fiscal 2026, driven by healthcare services, pharmacy business expansion, and improving operating margins.

*this image is generated using AI for illustrative purposes only.
Apollo Hospitals Enterprise Limited has received a credit rating reaffirmation from CRISIL Ratings, with the outlook revised to Positive from Stable while maintaining the AA+ rating. The rating agency has reaffirmed ratings on bank loan facilities worth Rs. 2800 crores and non-convertible debentures of Rs. 19 crores, with short-term ratings maintained at A1+.
Rating Action and Financial Facilities
CRISIL's rating action covers multiple financial instruments and facilities:
| Facility Type | Amount | Rating | Action |
|---|---|---|---|
| Total Bank Loan Facilities | Rs. 2800 crores | CRISIL AA+/Positive | Outlook revised to Positive; Ratings Reaffirmed |
| Short Term Rating | - | CRISIL A1+ | Reaffirmed |
| Non-Convertible Debentures | Rs. 19 crores | CRISIL AA+/Positive | Outlook revised from Stable; Ratings Reaffirmed |
The rating reaffirmation reflects Apollo Hospitals' strong market position and improving financial metrics, with CRISIL highlighting the company's dominant presence in India's private healthcare sector.
Market Leadership and Operational Excellence
The positive outlook revision is driven by Apollo Hospitals' established market position as India's largest private healthcare provider. The company operates 51 hospitals with over 8,500 operational beds across India, maintaining its leadership through strong brand equity and superior service quality. CRISIL expects the company to further solidify its presence through ongoing expansion plans.
The rating agency noted Apollo Hospitals' diverse segmental and geographical presence, along with strong and improving operating efficiencies in the healthcare services business. The company's pharmacy distribution business has also shown better profitability, contributing to the overall positive assessment.
Financial Performance and Growth Projections
CRISIL projects consolidated revenues to grow 12-15% year-on-year to over Rs. 24,000 crores in fiscal 2026. This growth is expected to be driven by:
- Healthy growth in healthcare services segment
- Strong performance in back-end pharmacy business housed in Apollo Healthco Ltd
- Expansion in diagnostics and retail health businesses
- Steady occupancy levels and moderate increase in average revenue per operating bed (ARPOB)
Operating margins are expected to improve by approximately 100 basis points in fiscal 2026, supported by robust operating profitability in the healthcare business at 23-25% and better operating profits at Apollo Healthco Ltd.
Robust Financial Profile and Liquidity Position
Apollo Hospitals maintains a strong financial risk profile with robust liquidity. Key financial highlights include:
| Financial Metric | Details |
|---|---|
| Cash and Cash Surplus (Sep 30, 2025) | Rs. 3,222 crores |
| Unutilized Fund-based Bank Limits | Rs. 630 crores |
| Estimated Net Worth (Mar 31, 2026) | Rs. 10,000 crores |
| Debt/EBITDA (Fiscal 2026) | 1.65 times |
| Net Debt/EBITDA (Fiscal 2026) | 1.1 times |
The company plans capital expenditure of Rs. 6000 crores towards addition of 3,600 census beds and a Proton cancer centre over the next 3-5 years, along with maintenance capex of Rs. 450-500 crores per annum. Despite sizeable capex plans, the financial profile is expected to remain robust backed by healthy annual cash accruals of over Rs. 2000 crores.
Strategic Corporate Restructuring
Apollo Hospitals has undertaken significant corporate restructuring initiatives. The company's board approved a composite scheme of arrangement involving the demerger of its telehealth business and pharmacy distribution operations. Post-restructuring, Apollo Hospitals will focus on healthcare services, diagnostics, and retail health businesses, while maintaining collaboration agreements with the demerged entities.
The company has also approved the acquisition of a 30.6% stake held by International Finance Corporation in Apollo Health and Lifestyle Limited for Rs. 1254 crores, which will increase Apollo Hospitals' ownership to 99.6% and enable enhanced management control.
Risk Factors and Outlook
While the rating reflects strong fundamentals, CRISIL noted exposure to regulatory risks and continuing losses at the Apollo 24*7 digital platform as partial offsets. The healthcare sector remains subject to government policy changes regarding price capping of medical procedures and devices.
The Positive outlook indicates potential for rating upgrades if the company sustains healthy revenue growth, maintains leverage below 1.5 times debt/EBITDA, and continues generating strong cash flows while managing its expansion plans effectively.
Source:
Historical Stock Returns for Apollo Hospitals
| 1 Day | 5 Days | 1 Month | 6 Months | 1 Year | 5 Years |
|---|---|---|---|---|---|
| -0.14% | -6.11% | -3.96% | -7.87% | -1.84% | +152.84% |


































