This may not fully explain, but their specialties are fewer(currently), so fewer specialist doctors, fewer special medical consumables and I also vaguely remember their doctor and human resource related wages expenses lower comparatively. Their receivables a notch higher , they service govt supported patients, I presume these could be general internal medicine related so decent margins for these kind of medical services. If you notices their margins generally on decline, that might explain as they are increasing specialties , their expenses are going up(but they are also expanding so operating costs also increase).
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