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1 Q2 FY26-27 EARNINGS UPDATE 31st October, 2026 - Rainbow Children s ospit I BY RA N80W HOSPITA S
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2 This presentation and the accompanying slides (“Presentation”), which have been prepared by Rainbow Children’s Medicare Limited, Rainbow or RCML (the "Company"), have been prepared solely for information purposes and do not constitute any offer, recommendation or invitation to purchase or subscribe for any securities, and shall not form the basis or be relied on in connection with any contract or binding commitment whatsoever. No offering of securities of the Company will be made except by means of a statutory offering document containing detailed information about the Company. This Presentation has been prepared by the Company based on information and data which the Company considers reliable, but the Company makes no representation or warranty, express or implied, whatsoever, and no reliance shall be placed on, the truth, accuracy, completeness, fairness and reasonableness of the contents of this Presentation. This Presentation may not be all inclusive and may not contain all of the information that you may consider material. Any liability in respect of the contents of, or any omission from, this Presentation is expressly excluded. Certain statements in this presentation could be forward-looking in nature. Such forward- looking statements remain subject to certain risks and uncertainties like government actions, political or economic developments, technological risks, and certain other factors which cannot be quantified but which could cause actual results to differ materially from those underlined by those forward-looking statements. Rainbow Children’s Medicare Limited will not be in any way responsible for any action taken based on such statements and does not undertake to publicly update these forward-looking statements to reflect subsequent events or circumstances. Disclaimer ,,~ Rainbow ® Children's r--------------------------:------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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3 Contents Quarterly performance 04 YTD performance 14 An insight into the Rainbow approach 22 Key developments 30 ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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4 Quarterly Performance ~ Rainbow" Children's Hospital •• BirthRighf BY RAINBOW HOSPITALS Your Right lo~ S~fe o.ti-wff~
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5 Q2 FY27 - Operational KPIs No. of Beds1 IP Discharges OP Consultations Deliveries Occupancy ARPOB ALOS 2,555 2,285 2,435 1,910 1,621 1,862 Q2 FY27 Q2 FY26 Q1 FY27 +12% +18% 5,07,114 4,27,595 4,10,590 Q2 FY27 Q2 FY26 Q1 FY27 +19% 5,719 4,753 4,910 Q2 FY27 Q2 FY26 Q1 FY27 +20% Q2 FY27 Q2 FY26 Q1 FY27 49.2% 52.0% 41.2% -5% 63,413 57,396 67,256 Q2 FY27 Q2 FY26 Q1 FY27 10% 2.64 2.73 2.60 Q2 FY27 Q2 FY26 Q1 FY27 -3% Commencement of Operations : 1. Rainbow Nellore (70 Capacity Beds, 55 Operational Beds) & Rainbow Guntur (50 Capacity Beds, 40 Operational Beds) commenced on 1st September 2. Rainbow HRBR commenced on 1 st May with 60 capacity beds (48 operational bed) 1 For the operational KPIs calculation, we exclude the beds at Rainbow Madhukar, New Delhi Capacity Beds Operational Beds 32,706 28,380 26,886 Q2 FY27 Q2 FY26 Q1 FY27 +15% ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle . • • .----0----, -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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6 Q2 FY27 – Mature Hospitals Mature Hospitals: Hospitals which have completed 5 years since commencing operations. i.e. on of before 31st March 2021 Mature Hospitals: Banjara, Secunderabad, LB Nagar, Hydernagar, Kondapur, Vijayawada, Marathahalli, BG Road, Madhukar, Guindy, Rosewalk, RCHI, Hebbal, Vizag 1 For the operational KPIs calculation, we exclude the beds at Rainbow Madhukar, New Delhi 22,103 21,683 18,620 Q2 FY27 Q2 FY26 Q1 FY27 +2% IP Discharges Q2 FY27 Q2 FY26 Q1 FY27 54.2% 54.5% 45.0% -1% Occupancy 66,922 59,097 71,444 Q2 FY27 Q2 FY26 Q1 FY27 13% ARPOB 2.71 2.78 2.64 Q2 FY27 Q2 FY26 Q1 FY27 -2% ALOS No. of beds1 1,550 1,550 1,550 1,202 1,202 1,202 Q2 FY27 Q2 FY26 Q1 FY27 Capacity Beds Operational Beds ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle . • • -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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7 Q2 FY27 – Emerging Hospitals 1 Rainbow Guwahati commenced operations on 1 st September 2025 Emerging Hospitals: Hospitals which are between 2-5 years post commencement of operations (i.e between 1st April 2021 to 31st March 2024) Emerging Hospitals: OMR, Financial District, Himayat Nagar, Sarjapur, Anna Nagar, Warangal, Guwahati 8,845 6,697 7,207 Q2 FY27 Q2 FY26 Q1 FY27 +32% IP Discharges Q2 FY27 Q2 FY26 Q1 FY27 47.2% 44.7% 38.9% +5% Occupancy 59,096 51,461 60,596 Q2 FY27 Q2 FY26 Q1 FY27 15% ARPOB 2.34 2.58 2.34 Q2 FY27 Q2 FY26 Q1 FY27 -9% ALOS No. of beds1 635 635 635 476 419 476 Q2 FY27 Q2 FY26 Q1 FY27 +14% Capacity Beds Operational Beds ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle . • • -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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8 Q2 FY27 – New Hospitals New Hospitals: Hospitals which are between 0-2 years post commencement of operations (i.e after 1st April, 2024) New Hospitals: Rajahmundry, Electronic City, HRBR, Nellore, Guntur Commencement of Operations : 1. Rainbow Nellore (70 Capacity Beds, 55 Operational Beds) & Rainbow Guntur (50 Capacity Beds, 40 Operational Beds) commenced on 1st September 2. Rainbow HRBR commenced on 1st May with 60 capacity beds (48 operational bed) 1,758 1,059 Q2 FY27 Q1 FY27 +66% Q2 FY27 Q1 FY27 27.4% 22.6% +21.2% 42,701 42,460 Q2 FY27 Q1 FY27 +0.6% 3.32 3.58 Q2 FY27 Q1 FY27 -7.1% 370 250 232 184 Q2 FY27 Q1 FY27 Capacity Beds Operational Beds No. of Beds IP Discharges Occupancy ARPOB ALOS 1 No comparable Q2 FY26 data are available, as these hospitals had not commenced operations during the corresponding period ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle . • • -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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9 Q2 FY27 – Financial Performance 12.0% 14.4% 15.0% PAT (Mn) EBITDA (Mn) 28.4% 5,480 4,448 4,700 Q2 FY27 Q2 FY26 Q1 FY27 23% 839 756 625 Q2 FY27 Q2 FY26 Q1 FY27 11% 15.3% 17.0% 13.3% 28.6% 29.4% 31.5% 1,700 1,489 1,346 Q2 FY27 Q2 FY26 Q1 FY27 14% 31.0% 33.5% 28.6% Revenue (Mn)Revenue (Mn) XX.X% - Margins ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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10 Q2 FY27 - Maturity wise Hospital Performance Cluster Hospitals % Group revenue % Group beds Occupancy % EBITDA % ARPOB1 Mature 14 73% 63% 54% 28% 67,000 Emerging 7 22% 25% 47% 26% 59,000 New 5 4% 12% 27% -16% 43,000 Group 26 100% 100% 49% 26% 63,000 Mature Hospital : More 5 years, Emerging Hospitals: 2 -5 Years, New Hospitals: 0-2 Years Pre INDAS 116 EBITDA considered 1ARPOB rounded to the nearest 1,000 ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. 0 0 0 -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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11 Q2 FY27 – Specialty wise Performance 65% 30% 5% Q2 FY27 47% 33% 20% Q2 FY27 Pediatrics Women Care IVF Secondary Care Tertiary Care Quarternary Care 67% 29% 3% 50% 30% 19% Q2 FY26 Q2 FY26 Pediatrics Super Specialty Mix Specialty Mix Including OP Revenue ,,~ Rainbow ® Children's r----------------------------------------- Hospital • • • • • • 11 tal<es a lot to treat the httle . -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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12 Q2 FY27 – Payor Profile1 63.3% 36.7% Cash Insurance Q2 FY27 63.9% 36.1% Q2 FY26 1The payor profile represents entire revenue including OP Revenue ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. • • -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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13 YTD Consolidated Statement of Profit and Loss All numbers in INR Mn Q2 FY27 Q2 FY26 YoY Growth Q1 FY27 QoQ Growth H1 FY27 H1 FY26 YoY Growth Income Revenue from operations 5,480.2 4,448.0 23.2% 4,699.9 16.6% 10,180.1 7,977.3 27.6% Other income 81.3 82.0 -0.8% 127.1 -36.1% 208.4 282.1 -26.1% Total income 5,561.5 4,529.9 22.8% 4,827.0 15.2% 10,388.4 8,259.4 25.8% Expenses Cost of materials consumed 737.7 622.1 18.6% 645.4 14.3% 1,383.1 1,097.1 26.1% Employee benefits expense 751.8 587.8 27.9% 668.5 12.5% 1,420.3 1,104.0 28.6% Finance costs 220.0 188.5 16.7% 212.1 3.7% 432.0 369.3 17.0% Depreciation and amortisation expense 446.1 358.4 24.5% 422.0 5.7% 868.0 700.3 24.0% Professional fees to doctors 1,403.0 1,063.2 32.0% 1,238.2 13.3% 2,641.2 1,980.8 33.3% Other expenses 888.0 686.2 29.4% 801.3 10.8% 1,689.3 1,270.5 33.0% Total expenses 4,446.5 3,506.2 26.8% 3,987.4 11.5% 8,433.9 6,522.0 29.3% Profit before tax 1,115.0 1,023.7 8.9% 839.5 32.8% 1,954.6 1,737.4 12.5% Tax expenses: (a) Current tax 332.2 292.6 13.5% 222.8 49.1% 555.0 467.5 18.7% (b) Deferred tax expense/(credit) -56.1 -25.2 122.7% -8.7 543.9% -64.8 -20.9 210.7% (c) Adjustment of tax related to earlier periods -3.5 Total tax expense 276.1 267.5 3.2% 214.1 28.9% 490.2 443.2 10.6% Profit for the year 838.9 756.2 10.9% 625.4 34.1% 1,464.3 1,294.3 13.1% EBITDA (Post Ind AS 116 & excluding other income) 1,699.8 1,488.7 14.2% 1,346.5 26.2% 3,046.3 2,524.9 20.6% Less : IND AS Impact 275.5 233.5 18.0% 264.3 4.2% 539.8 457.6 18.0% EBITDA (Pre Ind AS 116 & excluding other income) 1,424.3 1,255.1 13.5% 1,082.2 31.6% 2,506.5 2,067.3 21.2% ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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14 YTD Performance Rainbow Children's Hospital "
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15 H1 FY27 - Operational KPIs 2,555 2,285 1,886 1,572 H1 FY27 H1 FY26 +12% +20% 59,592 49,372 H1 FY27 H1 FY26 +21% 9,17,704 7,56,926 H1 FY27 H1 FY26 +21% H1 FY27 H1 FY26 45.3% 46.3% -2% 65,131 59,876 H1 FY27 H1 FY26 +9% 2.62 2.70 H1 FY27 H1 FY26 -3% 10,629 8,736 H1 FY27 H1 FY26 +22% 1 Weighted average operational bed for the quarter/period are considered for occupancy calculations Commencement of Operations : 1. Rainbow Nellore (70 Capacity Beds, 55 Operational Beds) & Rainbow Guntur (50 Capacity Beds, 40 Operational Beds) commenc ed on 1st September 2. Rainbow HRBR commenced on 1st May with 60 capacity beds (48 operational bed) No. of Beds1 IP Discharges OP Consultations Deliveries Occupancy ARPOB ALOS Capacity Beds Operational Beds ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle . • • -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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16 H1 FY27 – Mature Hospitals Mature Hospitals: Hospitals which have completed 5 years since commencing operations. i.e. on of before 31st March 2021 Mature Hospitals: Banjara, Secunderabad, LB Nagar, Hydernagar, Kondapur, Vijayawada, Marathahalli, BG Road, Madhukar, Guindy, Rosewalk, RCHI, Hebbal, Vizag 1 For the operational KPIs calculation, we exclude the beds at Rainbow Madhukar, New Delhi IP Discharges Occupancy ARPOB ALOS No. of beds1 40,723 38,981 H1 FY27 H1 FY26 +4% H1 FY27 H1 FY26 49.6% 48.6% +2% 68,962 61,299 H1 FY27 H1 FY26 13% 2.68 2.74 H1 FY27 H1 FY26 -2% 1,550 1,550 1,202 1,202 H1 FY27 H1 FY26 Capacity Beds Operational Beds ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle . • • -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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17 H1 FY27 – Emerging Hospitals 1 Rainbow Guwahati commenced operations on 1 st September 2025 Emerging Hospitals: Hospitals which are between 2-5 years post commencement of operations (i.e between 1st April 2021 to 31st March 2024) Emerging Hospitals: OMR, Financial District, Himayat Nagar, Sarjapur, Anna Nagar, Warangal, Guwahati 16,052 10,391 H1 FY27 H1 FY26 +54% H1 FY27 H1 FY26 43.1% 38.9% +11% 59,770 54,105 H1 FY27 H1 FY26 10% 2.34 2.54 H1 FY27 H1 FY26 -8% 635 635 476 370 H1 FY27 H1 FY26 +29% Capacity Beds Operational Beds IP Discharges Occupancy ARPOB ALOS No. of beds1 ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle . • ------10- • • -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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18 H1 FY27 – Financial Performance 12.0% 14.4% 15.0% Revenue (Mn) PAT (Mn) EBITDA (Mn) 28.4% 10,180 7,977 H1 FY27 H1 FY26 +28% 3,046 2,525 H1 FY27 H1 FY26 +21% 1,464 1,294 H1 FY27 H1 FY26 +13% 14.4% 16.2% 29.9% 31.7% XX.X% - Margins ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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19 H1 FY27 - Maturity wise Hospital Performance Cluster Hospitals % Group revenue % Group beds Occupancy % EBITDA % ARPOB1 Mature 14 73% 64% 50% 27% 69,000 Emerging 7 22% 25% 43% 24% 60,000 New 5 4% 11% 25% -22% 43,000 Group 26 100% 100% 49% 25% 65,000 Mature Hospital : More 5 years, Emerging Hospitals: 2-5 Years, New Hospitals: 0-2 Years Pre INDAS EBITDA considered 1ARPOB rounded to the nearest 1,000 ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. 0 0 0 -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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20 H1 FY27 – Specialty wise Performance 64% 31% 5% 44% 34% 23% H1 FY27 Pediatrics Women Care IVF Secondary Care Tertiary Care Quarternary Care 66% 30% 3% 47% 31% 22% H1 FY26 H1 FY26 H1 FY27 Pediatrics Super Specialty Mix Specialty Mix Including OP Revenue ,,~ Rainbow ® Children's r----------------------------------------- Hospital • • • • • • 11 tal<es a lot to treat the httle . -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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21 H1 FY27 – Payor Profile1 30.5 % 34.6 % 30.9 % 35.1% 34.8%35.3% 18.6% 19.0% 19.0% 64.2% 35.8% Cash Insurance 64.3% 35.7% H1 FY27 H1 FY26 1The payor profile represents entire revenue including OP Revenue ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. • • -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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22 An insight into the Rainbow approach 15 , ~ 8 Rainbow, Children 5 Hospital II • t t, ,. • BirthRighf ft BY RAINBOW flOSPITALS 5 Deli !'f
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23 Dr. Ramesh Kancharla Pediatric Healthcare Visionary Chairman & Managing Director Dr. Ramesh comes from an agricultural background from a village in Andhra Pradesh, India where the accessibility to healthcare was very poor. This motivated Dr. Ramesh to pursue medical education Garnered rich experience in pediatric gastroenterology and liver disease at best pediatric hospitals in the United Kingdom and got exposed to the nuances of pediatric healthcare model at these hospitals Lack of quality pediatric healthcare in the country and his resolve that no child should suffer due to lack of dedicated medical facilities led to the foundation of Rainbow Children’sHospitals in 1999 Rainbow is currently the country’s largest pediatric hospital chain with 26 hospitals spread across 11 cities Bestowed with Healthcare leader of year award by the Financial Express, Healthcare award, 2024 ,,~ Rainbow ® Children's ----------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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24 A novel approach to healthcare delivery RAINBOW’S UNIQUE OPERATING MODEL Comprehensive Pediatric multispecialty and maternal care From conception to adolescence – under one roof ● Widest suite of Pediatric and perinatal services, from routine to quaternary care ● Child-centric hospitals designed around children and families ● Seamless continuum across obstetrics, foetal medicine, NICU and Pediatrics Multidisciplinary approach Complex care with outcomes to match ● Level-4 NICU and ~1/3 of beds dedicated to critical care ● Quaternary capabilities – transplants, ECMO, foetal medicine, neonatal surgery ● 3 JCI- and 14 NABH-accredited hospitals Hub-and-spoke network for care at scale Optimising patient care delivery across cities and regions ● Super-speciality hubs for quaternary and complex care, with emergency and OP services across the network ● Regional spokes deliver tertiary care in tier-II cities ● One integrated clinical network extends hub expertise to every spoke PERFORMANCE THROUGH DESIGN High governance standards High-quality clinical outcomes Prudent, capital-efficient expansion Serving India’s large mother & child healthcare market Outstanding clinical model Full-time, consultant-led care, 24/7 ● 1,100+ full-time doctors working in multidisciplinary teams ● Country’s largest private Pediatric DNB and DrNB training programme ● Institution-first culture driving retention and consistent quality of care ,,~ Rainbow ® Children's ------------------------------------------ Hospital 11 tal<es a lot to treat the httle. ( .... ) (9 -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery . ... ) )
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25 Comprehensive care through a multidisciplinary approach BirthRight by Rainbow Rainbow Children’s Hospital Fertility IVF and fertility services Pregnancy Obstetrics, foetal medicine, foetal echo Birth 24/7 obstetrics, anaesthesia, blood bank, maternity ICU Newborn Level-4 NICU, neonatal surgery, newborn transport Childhood Outpatients, immunisation, developmental screening Adolescence Multi-specialty and quaternary care One family, one care team: Integrated care where obstetric and Pediatric teams work together, before and after birth From everyday care to the most complex Secondary care ● Pediatric outpatients ● Immunisation ● Developmental screening ● Acute and seasonal illness Tertiary intensive care ● Extremely low birth weight babies ● Neonatal surgery ● Advanced ventilation incl. HFOV ● Neurocritical care ● ECMO Multi-specialty & quaternary care ● Surgery & urology, cardiac surgery ● Neurology & neurosurgery ● Haemato-oncology ● Gastroenterology & liver ● Nephrology, pulmonology ● Transplants – liver, kidney, BMT ● CRRT, plasmapheresis Rising complexity → All of this, under one roof backed by ~1/3 of beds dedicated to critical care 24/7 consultant-led care with Level-4 NICU 1,100+ full-time doctors working as multidisciplinary teams 3 JCI & 14 NABH accredited hospitals ,,~ Rainbow ® Children's --------------------------------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery ------0 ------ ------o ------0 ------o - ®-
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26 Outstanding clinical talent, built to scale ¹ National Board of Examinations – training in Pediatrics, Neonatology, Pediatric Intensive Care, Pediatric sub-specialties, Obstetrics & Gynaecology 01 ATTRACT Full-time, consultant-led model ● 1,100+ full-time doctors, working in teams 24/7 ● Many trained or qualified in the UK, USA, Canada and Australia ● Modern infrastructure and strong clinical back-up 02 DEVELOP Best-in-class training ● Country’s largest private Pediatric DNB and DrNB programme ● Recognised NBE training centre¹ ● Recognised MRCPCH examination centre 03 GROW Rewarding careers ● Retainer support in the early years ● Competitive compensation and rewards ● Room to grow across the Rainbow network 04 BELONG The Rainbow brand ● Two and a half decades of pioneering Pediatric care ● All Pediatric specialities, up to quaternary care, under one roof ● Multidisciplinary teams and better work-life balance Outstanding clinical model Institution-first approach 1,100+ full-time doctors Outcomes Growing pool of medical talent High retention and loyalty Commitment to quality services e ( ____ ) . . . . . . . . . I ····••••••••••••••··· .. .. .. .. ~ ~ •• ♦ ·•. ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ . . . . . . . . . . ( ____ ) ,,~ Rainbow ® Children's Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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27 Hub and Spoke approach to optimise delivery of patient care services at scale City level: hub-and-spoke model Typically 150-250 beds Pediatric super- specialists 1-2 hubs per metro / city Tertiary & quaternary care Typically 50– 100 beds 5-8 spokes around a hub Primary, secondary & Pediatric intensive care Comprehens ive perinatal care HUB & SPOKE Hub Spoke Regional level: ‘South Connect’ model Major cities in target region Current cities Regional spokes ● 200–250 km from city hubs, in tier-II cities ● Act as a bridge to address a large market Care closer to home ● High-quality Pediatric, obstetric & gynaecology care ● Emergency services for mothers and children Connected to the hub ● Robust transport network to save sick newborns & children from districts ● Pediatric sub-specialty outreach clinics in districts I • • I ,,~ Rainbow ® Children's Hospital 11 tal<es a lot to treat the httle. Mumbai • Warangal •• •. Pune • •... ..~· .... ••••••· ••• Vishakhapatnam ... :: ·•... . .. ··· ••••••••·· / ••••.• ..•• •'jahmundry Hyderabad "~ ••••·••••·••• .. . :: • • •=..._., d : ••• •~•awa a / ••G41,:rtur :'Kurnoot :' 0 [· f . i 1 Nellore BengaluN i ........ i l ······:it Chennal : .... •···· Mysuru • ! ./ : / • Sale m Coimbator e ii • Mad urai • ~ w -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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28 Robust governance framework Board of Directors ▪ Specialist in Pediatric Gastroenterology, Hepatology and Nutrition ▪ Worked in prestigious hospitals such as King’s College Hospital, London, Great Ormond Street Children’s Hospital – London and is a member of the Royal Colleges of Physicians of the United Kingdom ▪ Bestowed with ‘healthcare leader of year’ award at the Financial Express, Healthcare award, 2024 33% 40% 50% 75% 100% 100% Treasury Management Risk Management CSR & ESG Stakeholders Relationship Audit Nomination & Remuneration Committees of the Board % Independent Directors 57% 14% Independent Director Women Director Board composition Dr. Ramesh Kancharla Chairman & Managing Director MD (Pediatrics) & MBBS (UK) Dr. Adarsh Kancharla Non Executive Director Dr. Dinesh Kumar Chirla Whole-time Director Mr. Aluri Srinivasa Rao Independent Director Dr. Anil Dhawan Independent Director Mr. Santanu Mukherjee Independent Director Ms. Sundari Raviprasad Pisupati Independent Director ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. ■ -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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29 Our Mission Our aim at Rainbow Children’s Hospital is to provide highest standards of care for the mother, foetus, new born and children so that none of them is deprived of a tertiary care facility. Our Vision The measure of our success is in the number of smiling faces. Guinness World R«:ord Holder for the Laroes.t Githenng of People Born Premarurely- 2016 lndia·s First NAB H Accredited COrPorate ChUdren·s Hospital Aonkcd No l in Oi>,,tctrie, & Gynecok,gy Hospital m- TimtS Critical care Survey- 2021 • 1 IC.\ BOOl~II l~ECOI )S South East Asia's Smallest Baby Born at Rainbow Children's Hospita l, Hyderabad - 2018 OUTLOOK HEALTH Ranked India's No.1 in Pechatrics. Obstetncs & Gynecology & No.2 ,n nfertilitv- 2023 The Best Multt Speciohty Hosp1tal ,n fertility and IVF C.tego,y 2018 -2019 MlfllM-51 SPECIAUZED HO...,,...S l OH c:c::I Rainbow Children's Hospital & B1rthRight, Secunderabad & Marathahalli World"s Best SP<(iahzed Hospitals 2025 Cerufied for the Fifth Year Awarded Best Children's Hospttal in India bv CNBC TV 18 and ICICI Lombard - 2010 , 2014. 2018 TIMES METHOIIK INDIA HEALTH --SUMMI T 20:ZS- - ••o•••••• •u"• ...... . ..... •A•et Awarded as leader 111 Safe Delivery woa..l'IIUI """"'-'lm ......,... ,.,. 11::1 Rainbow Children·s l-leart Institut e • Hyderabad. World"s Best Speciahzed Hosptals 2025 . I For Four Consecubve Years The Week & Hansa Research Survey -India's No.1 Pechatrics Standalone Hosprtals - 2021 · 2022 Best Organisation for Women 2025 Ph.-::umacie De Qualite' Certification from the Bureau of De Veritas - Rainbow Children's Hospital, Banjara Hills,· 2017 Rainbow Children's Hospital, Marathahalli. Bengalurv Accredited by JCI in 202• ~ E Healthcare ~r AWAROS-1,,-1,- Best t-bspital for Mother & Childcare Best Hospital for Obso,tncs and Gvnecoloov 202• Pioneer In w omen & Children·s Hospital 2024 et:1i1f"IUCta•cumnto Amazing Workplace ror Excellence in People Prac11ces 2025 ,·~ Rainbow ® Children's Hospital 11 tal<es a lot to treat the httle, 81rthRight Ferbhty by Rainbow Ouldren·s Hospitals, Kondapur, Hyderabad Accredited by JCI In 2022 Ranked No.l in Nallonal Single Speciality - Pediatrics Times Critical Care Survey 2022, 2023 t \ '( CIR L E \\\ \RO""t 201 ~ VCCircle - Best Pediatric Hospital (under best Single Speciality Health care Company Category) 2015 , 2016 •- BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Oelivery
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30 Key Developments Rainbow Children's Hospital
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31 India’s most awarded Pediatric hospital chain | Moving towards Pan-India presence Delhi 2 hospitals (1541) Malviya Nagar | Panchsheel Park Gurugram Sector 56 | Sector 44 Indore Mumbai Pune Hyderabad 8 hospitals & 3 clinics (940) Banjara Hills (Rd. No. 2) | Hydernagar | LB Nagar | Secunderabad | Kondapur | Banjara Hills (Rd. No. 10) | Financial District | Himayat Nagar | Kondapur – Clinic | Attapur– Clinic | Kompally – Clinic Seegehalli, Bengaluru Bengaluru 6 hospitals, 2 IVF & 1 clinic (592) Marathahalli | Bannerghatta | Hebbal | Sarjapur Road | Electronic City | HRBR | Bannerghatta IVF | Mahadevapura IVF | Hennur – Clinic Coimbatore Guwahati 1 hospital (150) VIP Road, Borbari Warangal 1 hospital (100) Hanamkonda Visakhapatnam 1 hospital & 1 clinic (129) Health City | Kailash Metta – Clinic Rajahmundry 1 hospital (100) AV Appa Rao Road Vijayawada 1 hospital & 1 clinic (130) Currency Nagar | Governorpet – Clinic Guntur 1 hospital (50) Nellore 1 hospital (70) Chennai 3 hospitals (270) Guindy | Sholinganallur | Anna Nagar Existing (beds) Under progress Amravati Hospitals 26 States, Cities 6 | 11 Doctors2 1,100+ Beds1 2,685 Note: ; 1 Including the beds at Madhukar, New Delhi; 2 Including full-time residents and DNB ,,~ Rainbow ® Children's r------------------------------------ Hospital 11 tal<es a lot to treat the httle. I I I I I I I I .·· • : I I I I ~ . ... . I I I I I • • -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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32 Expansion Plan & Timelines 1 Telangana beds includes acquisition of Prashanthi Hospital, Warangal 2 Coimbatore is expected to get commissioned by H2 FY27-28 3 Commissioned Nellore (70 beds) & Guntur (50 beds) Hospitals from 1st September 2026 4 Rainbow to operate 25 beds in Indore currently, ~100 beds independent facility likely to be commissioned by end of FY29 5 Rainbow Mumbai hospital likely to commence by Q1 FY28 # Bed Count includes the 130 beds at Madhukar hospital where Rainbow Hospitals provides Medical services Indicative timelines for completion of existing projects Indore42,685 25 100 130 125 30 80 150 325 75 150 3,875 ~1,125 5,000 + Current FY 26-27 FY 27-28 FY 28-29 FY 29-30 FY30 Further additions under discussion between FY28-FY32 FY32 Bed additions 25 385 630 150 1,190 ~1,125 ~2,315 Current capacity split (beds) Telangana1 1,040 Bengaluru 592 Andhra Pradesh3 479 Tamil Nadu 270 NCR# 154 North East 150 Total# 2,685 Indore4 Pune Nellore (Ph. 2) Gurugram (Sec-44) Gurugram (Sec-56) Amaravati (AP) Coimbatore2 Seegehalli Mumbai5 Projects under discussion Hyderabad, Lucknow, Noida, Jaipur, Bhuabneshwar, Raipur, Chandigarh, Mumbai, Ludhiana ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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33 Shareholding – as on September 30, 2026 99.7 Promoter & Promoter Group 49.8%MFs & AIFs 20.5% FPIs & NRIs 15.0% Others 14.7% Shareholding Pattern MFs - Mutual Funds, AIFs - Alternative Investment Funds, FPIs - Foreign Portfolio Investors, NRIs - Non-resident Indians Institutional Shareholders holding more than 1% as on September 30, 2026 Sr. No Name of Shareholder Share Holding# (%) 1 ICICI PRUDENTIAL & ISIF EQUITY FUND 5.5 2 DSP MUTUAL FUND 3.4 3 FRANKLIN TEMPLETON INVESTMENT FUNDS 2.3 4 HDFC LIFE INSURANCE COMPANY 2.1 5 ABU DHABI INVESTMENT AUTHORITY 2.1 6 VANGUARD FUND 2.0 7 TATA MUTUAL FUND 1.9 8 AXIS MUTUAL FUND 1.6 9 NIPPON MUTUAL FUND 1.6 10 ASHOKA WHITEOAK / ASHOKA INDIA 1.5 11 MOTILAL OSWAL MUTUAL FUND 1.5 # Different schemes of each investor/fund house have been grouped together ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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34 Annexure: Abbreviations and Definitions Definitions: • Capacity Beds : Total Bed count in the hospital on the last day of the relevant period /year. (Capacity beds are a total of operational beds (bed available for mid-night occupancy) and non-census beds (all other bed available other than census beds, i.e., day-care beds, pre-OP & post-OP beds, Emergency Beds, etc). • Operational Beds: Weighted average count of census beds for the relevant period /year. (Beds where patient stays for treatment and counted for midnight occupancy) • Occupied beds days: Total count of patients at midnight at each day for the relevant period / year • Occupied beds: Occupied bed days divided by no. of the days for the relevant period/year • Occupancy : Occupied beds/Operational Beds for the relevant period / year • ARPOB : Revenue divided by occupied bed days • ALOS : Occupied bed days divided by IP Discharges • IP Discharges: Count of patient discharged for the relevant period / year • OP Consultation: Count of doctor consultation in outpatient department for the relevant period / year Abbreviations • INR: Indian Rupee • Mn: Million • ARPOB: Average Revenue Per Occupied Bed Day • ALOS: Average Length of Stay • Revenue: Revenue from Operations + Other Income as per financials • EBITDA: Profit before tax + finance costs + depreciation and amortization – other income • EBITDA Margin: EBITDA divided by Revenue in percentage • PAT: Profit After Tax • PAT Margin: PAT divided by Revenue in percentage • NABH : National Accreditation Board for Hospitals & Healthcare Providers • NABL : National Accreditation Board for Testing and Calibration Laboratories • JCI : Joint Commission International • DNB: Diplomate of National Board • DrNB: Doctorate of National Board • MRCPCH: Membership of the Royal College of Pediatrics and Child Health ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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35 Thank You “It takes a lot to treat the little” ,,~ Rainbow ® Children's Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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36 South India’s youngest baby successfully receives liver transplant • A six-week-old baby weighing just 2.9 kg developed jaundice in the first week of life, progressing rapidly to severe liver failure by the third week. Investigations revealed a rare condition called Gestational Alloimmune Liver Disease (GALD), and initial treatments with intravenous immunoglobulin and two exchange transfusions failed to halt the deterioration. • With the baby’s life at risk, Rainbow Children’s Hospital, Banjara Hills, performed a complex living-donor liver transplant using a 62-gram graft from the mother. The procedure was particularly challenging due to the baby’s tiny blood vessels and limited abdominal space, requiring exceptional surgical precision to connect the blood vessels and position the graft safely. • The post-operative journey was quite stormy with pulmonary complication, and the child required an additional intestinal surgery for obstruction. The baby was managed on parenteral nutrition during the ICU stay of 3 weeks and discharged after another week of stay with a well functioning liver. • This landmark surgery demonstrates Rainbow’s ability to perform highly complex neonatal transplants, combining advanced surgical expertise, specialised intensive care and multidisciplinary teamwork to save even the smallest and most critically ill patients. ,·~ Rainbow ® Children's Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery INDIA CHRONICLE m.1nnv " mum epaper.lndlanchronldedally.com 09 Oa 2026 • P•g• 2 2.9-kg baby gets liver transplant l&ETRO INDIA NtwS I Hmf:RAIIAO six-week.aid y" ighlng just 2.9 kg h s s fully undergone IMng,donor li\'er ll'lllSplant t Rainbow Childl'Cl1's lt0$pit I. Banjar:i lillls, In what the hospital de :.crllx'<I South lndl;t' rnal· lest etil uic lhtt u'.lnsplruu. The baby d \'eloped jaun· d Ire in the nrst week or llfe nd progressed to M.'\·cre li,·er fallw-e b)• three \\'«ks . Oa.-tors suspected Ge otioool Allolm· mun u,~r Disease (GALD~ a rare condkion. after ruling out Infect.Lons. mewbollc dlSOf'ders andgenetic t Treatment \\ltll lntrawnous immtmoglobulin nd moex cllange I fusions fulled. prompting doctors 10 proceed \\ilh tmnspllnL n,e baby re cei\'ed In-gram IJ\ er graft donated b)• his mocher. The procedure wa ch3I• k-nging ~-cn,<1e orthe inf.mi's tiny blood , ls nd limited bd minal pace. urgt-01~ l'L' duccd the groft to n the lxtby nd . refully connected th \"CS •Is. Rero,·ery was also com pl!· led by se\ re lung problem requiring hfgl,-frequenC) ,·tmtilation. inhnl :d nitTlc o de nd branch op •. The baby later de,'l!lop<-d eriou lnfi ti ns ln,-oMng antlblodc· res 1~1 cterl:!. A leak near an lt11esllnal surgjcw join required sewnd operadon nd temporary to- 111ns. Proton l'<I intm,cnous nutritlon \\.l.!i provided bel'ore ornl reed were gnidu JI re- 1arted. Dr ~h 111 lladiioo • id eart dlagn Is and tln1el Lmn plantoHon can be crucial In pldly progre l\·e li,er failure. Dr M t tu rlnivu Reddy aid the procedure required metlculous plnm1lng. surgi I prcti,,iOn nd d teamwork. The Lransplant In· ,ol,-ed speclalisLS In Ile lol· ogy. tnmsplanl irgery . nnaesthe,;ia. n natal and in• tensive re. p 111rlc ur- 8"1")', rad i~. nutrition . ph -siothernpy, infection con trol nd tn111spl,1n1 nur1ing. Rainbow Children's Hospital Performs Liver Trans plant on 2.9-kg Baby "Hyderabad Correspondent . October 8 (Ind ian Chronic:te): A six-week-old baby -Ign1ng just 2.9 kg has successluDy undergone a living.donor llver rransplant at Rainbow Children's Hospilal, Banjara HAis, alterdevek>plng rapi<ly progressive lrver la1itA'e caused by the rare Gesta lJonai Alloimmune Liver Disease (GALO). The h~ital de SQ'lbed the case as a landmark procedure involving whal 1t termed South India's smal tbabytoundafgoalrve< trans plant. The Infant received a 62-gram IIVllr graft donatlld by the m0111«. which was carefully re~ to match the baby's size. The StA'{lery was particularly Challenging because o/ Iha newborn's extremely small blood vessels and lin11ted abdominal space. Surgeons had to precisely corwiect the tony blood vessels and position the gralt ely, the hospital ukl. The baby developed jaurcl1ce dUrlng tho firSI week ol le, progreSS1ng to sever !Iver laJ-.re by the third w . Al• 10 r lnlectlons, metabolic disorders and gonellc causes were exclUded, doctots suspected GALO. Intravenous lmmuno glot>!Atn and two elldlange transfusions fallod to stop the delerior ion, leadng to the deci51011 to proceed with trill\$ · plantalJOn. P05t-opera1rve recovery was complicated by severe -,ng problems requinng advanced respiratory sup pon., induding high-frequency osoltato,y ventilabOn and In haled flllric oxide. The baby also developed resasiant bacte rial lnfect,ons ar>d an inleshnal leak that required a second surgery and temporary Sloma. FoUow,ng prolonged nutn- 11011aJ support arcl m.ihicliscipi.,ary care. orel eeds were gradualy resumed. The baby was eventually discharged breathingwl1houtoxygen and taking lul feed$bymouth . Dr Prashant Bach.,a , paediatnc gastroenterologist and hepaiDloglsl, stre5$ed the i~ance ol early cbg nosls and tlfflOly transplantition . Dr Stuwas Reddy Mattu, paediatric fiver rransplant surgeon. said the procedure reqwed me uculous plamlng , prec,s,on and dose tearr,,vO<k. The hos pnat said ltS paediatric liver transplant programme across Hyderabad. Chennal and Bengaluru has completed 107 transplants, with an overall SUMVal rale of &5%.
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37 Uncovering a Rare Kidney Disorder in a 2.5-Year-Old Child • A previously healthy 2.5-year-old child presented with widespread body swelling and significant protein loss through the urine, indicating a serious kidney disorder. Despite six weeks of standard steroid treatment for nephrotic syndrome, the condition did not improve, raising concerns about steroid-resistant nephrotic syndrome. • The kidney biopsy revealed an extremely rare condition called lipoprotein glomerulopathy, in which abnormal fat deposits accumulate within the tiny blood vessels of the kidneys. Genetic testing confirmed an associated variation in the APOE gene, helping establish the diagnosis. This was reported as the third and youngest Pediatric case of its kind in India. • Following the diagnosis, steroids were gradually withdrawn and lipid-lowering treatment with atorvastatin was initiated. Within just three weeks, urinary protein loss reduced significantly, while the child's lipid profile and blood albumin levels improved. • This case highlights the need of Pediatric nephrology services with advanced genetic testing in identifying and treating rare kidney diseases, enabling targeted treatment and potentially improving long-term outcomes. ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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38 Born with an Extra Limb: A Remarkable Surgical Journey • A full-term newborn, born to a mother with gestational diabetes, was noted at birth to have a rare and striking abnormality—an extra limb-like structure arising from the perineal region, a condition known as polymelia (pyromelia). • Despite this, the baby cried at birth and was initially stable. • As such malformation can be associated with serious internal defects, a detailed evaluation was urgently undertaken. Brain and abdominal ultrasounds were normal. Imaging of the spine showed a low-lying spinal cord with an associated fatty mass, suggesting a condition called lipomyelocele, a form of closed spinal dysraphism. • Advanced scans also confirmed that the extra limb was not connected to the spinal cord, consistent with a rare condition called polymelia (extra limb formation). • A multidisciplinary team involving neonatology, pediatric surgery, radiology, anesthesia, and neurosurgery performed the complex surgery. • The baby underwent successful surgical excision of the perineal limb appendage. The operation was delicate due to the proximity to the spine, pelvis, and rectum, but the abnormal structures were completely removed without neurological injury. • The parents were counselled for follow up for the associated spinal dysraphism. • This rare case highlights how a life born with an extraordinary anatomical anomaly can be safely guided toward a normal future through precise imaging, multidisciplinary care, and timely surgery. ,,~ Rainbow ® Children's Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery
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39 About Us Rainbow Children’s Medicare Limited operates a network of 26 hospitals, 6 clinics and 2 dedicated fertility clinics across 11 cities, with a total bed capacity of 2,6851 beds. Its pediatric services, operating under the brand "Rainbow Children’s Hospital", include newborn and pediatric intensive care, pediatric multi-specialty services and pediatric quaternary care, including organ transplantation. Its women’s healthcare services, under "BirthRight by Rainbow" , encompass normal and complex obstetric care, multidisciplinary fetal care, perinatal genetic and fertility care, and gynaecology services. Rainbow Children’s Hospital built on strong fundamentals of multidisciplinary approach with a full-time consultant led clinical service along with 24/7 commitment in a child centric environment. The company follows a hub-and-spoke operating model where the hub hospital provides comprehensive outpatient, inpatient care, with a focus on tertiary and quaternary services, while the spokes provide emergency care in pediatrics and obstetrics, large outpatient services and comprehensive obstetrics, pediatric and level 3 NICU services. This model is successfully operational at Hyderabad and is gaining traction in Bengaluru. The endeavor is to replicate this approach in Chennai and across the National Capital Region. Subsequently Rainbow intends to expand into tier-2 cities of Southern India. Rainbow embraces a unique doctor engagement model, where doctors work exclusively on a full-time, retainer basis. The doctors work in teams and have 24/7 commitment, which is particularly important for children’s emergency, neonatal, pediatric intensive care services and to support pediatric retrieval services. The Company also operates the country’s largest pediatric DNB training programme in private healthcare, offering post graduate residential DNB and fellowship programme. Sudarshan Patodia Group Chief Financial Officer Rainbow Children's Medicare Limited Tel: + 91(40) 4969 2222 Email: investorrelations@rainbowhospitals.in Saurabh Bhandari Head Investor Relations & Group Business Analyst Rainbow Children's Medicare Limited Tel: + 91(40) 4969 2222 Email: saurabh.bhandari@rainbowhospitals.in For further information please contact 1 including the 130 beds at Madhukar Hospital where Rainbow Hospitals provides Medical services ,,~ Rainbow ® Children's r----------------------------------------- Hospital 11 tal<es a lot to treat the httle. -.BirthRighf BY RAINBOW HOSPITALS Your Right to a Safe Delivery