We have audited the standalone financial statementsof Metropolis Healthcare Limited (the "Company") whichcomprise the standalone balance sheet as at 31 March2026, and the standalone statement of profit and loss(including other comprehensive income), standalonestatement of changes in equity and standalone statementof cash flows for the year then ended, and notes to thestandalone financial statements, including materialaccounting policies and other explanatory information.
In our opinion and to the best of our information andaccording to the explanations given to us, the aforesaidstandalone financial statements give the informationrequired by the Companies Act, 2013 ("Act") in the mannerso required and give a true and fair view in conformity withthe accounting principles generally accepted in India, ofthe state of affairs of the Company as at 31 March 2026,and its profit and other comprehensive loss, changes inequity and its cash flows for the year ended on that date.
Basis for Opinion
We conducted our audit in accordance with the Standardson Auditing (SAs) specified under Section 143(10) of theAct. Our responsibilities under those SAs are furtherdescribed in the Auditor's Responsibilities for theAudit of the Standalone Financial Statements sectionof our report. We are independent of the Company inaccordance with the Code of Ethics issued by the Instituteof Chartered Accountants of India together with theethical requirements that are relevant to our audit of thestandalone financial statements under the provisions ofthe Act and the Rules thereunder, and we have fulfilledour other ethical responsibilities in accordance withthese requirements and the Code of Ethics. We believethat the audit evidence we have obtained is sufficientand appropriate to provide a basis for our opinion on thestandalone financial statements.
Key Audit Matters
Key audit matters are those matters that, in our professional judgment, were of most significance in our audit of thestandalone financial statements of the current period. These matters were addressed in the context of our audit ofthe standalone financial statements as a whole, and in forming our opinion thereon, and we do not provide a separateopinion on these matters.
Impairment assessment of Goodwill and Intangible asset with indefinite life
See Note 4 to standalone financial statements
The key audit matter
How the matter was addressed in our audit
As disclosed in Note 4, the Company's standalone financial
Our audit procedures included:
statements includes Goodwill aggregating Rs 41,542.55 lakhspertaining to past acquisitions/ amalgamations. Further, theCompany's standalone financial statements also includesintangible assets with indefinite life ('Brand') aggregating Rs
• Understanding the process followed by the Company inrespect of the annual impairment analysis and assess theappropriateness of accounting policy.
30,221.25 lakhs, which was acquired pursuant to business
• Evaluating the design and implementation and testing the
acquisitions, which together represent 38% of total assets of the
operating effectiveness of key internal financial controls
Company as at 31 March 2026.
related to the Company's process of performing impairment
The Company tests goodwill and indefinite life intangible assetfor impairment annually, or more frequently when there is an
assessment, including controls over determination of keyassumptions used in such assessment.
indication that the cash generating unit ('CGU') to which goodwill
• Evaluating the reasonableness of the key assumptions, used
and the indefinite life intangible asset has been allocated may
in the cash flow forecasts which includes projected earnings
be impaired.
before interest, taxes, depreciation and amortisation (EBITDA),
The recoverable value of the CGU has been derived using
revenue growth rates and cost assumptions.
discounted cash flow model.
• Assessing the historical accuracy of management's forecasts
by comparing past forecasts to actual results achieved.
• Involving valuation professionals with specialised skills and
knowledge, where necessary, to assist in evaluating theimpairment model used and assumptions including discountrate and terminal growth rate applied by the Company, bycomparing it to a range of rates that were independentlydeveloped using publicly available market indices and marketdata for comparable entities.
We identified the assessment of impairment indicators in respectof goodwill and indefinite life intangible asset as a key auditmatter considering:
Testing data used in valuation model for completenessand accuracy.
Performing a sensitivity analysis to evaluate the impact of
•
• The significance of the value of goodwill and indefinite life
change in key assumptions individually or collectively on the
intangible asset in the Standalone Balance Sheet.
recoverable value.
• The degree of judgement involved in determining the
Assessing the adequacy of the related disclosures in the
recoverable amount of goodwill and indefinite life intangible
standalone financial statements in accordance with the
asset including:
applicable accounting standards.
i. Valuation assumptions such as discount rate and
terminal growth rate.
ii. Business assumptions such as revenue growth rate,
related costs and the resultant cash flows projected tobe generated from the above.
Impairment assessment of investments in subsidaries
See Note 5 to standalone financial statements
The Company has investments in subsidiaries aggregating to Rs
34,720.46 lakhs as at 31 March 2026. The Company records theinvestments at cost less any provision for impairment loss.
Understanding the process followed by the Company in respect
of the annual impairment analysis for investments in subsidiaries
Changes in business environment could have a significant impacton the valuation of these investments. As such, the investmentsare tested for any triggers for impairment. If triggers are identified,the recoverable amounts of the investments are determined and
and assess the appropriateness of accounting policy.
Evaluating the design and implementation and testing theoperating effectiveness of key internal financial controls
if the amount is lower than the carrying value of the investments,
related to the Companys process for review of the annual
impairment loss is recognized in the statement of profit and loss.
impairment analysis, including controls over determination ofkey assumptions used in such assessment.
The recoverable amount, which is based on the value in use
Assessing the indicators for impairment by comparing the
model, has been derived from the discounted cash flow model.
carrying values of the investments with their respective netasset values and evaluating the financial performance ofthe subsidiaries.
Involving our valuation specialist, where necessary, to assist
We identified the assessment of impairment indicators andresultant provisions, if any, in respect of investment in subsidiariesas a key audit matter considering:
• The significance of the value of these investments in the
us in evaluating the valuation methodology applied by the
Standalone Balance Sheet.
Company and to assess the reasonableness of key assumptions
• Performance and net worth of these entities.
used in the impairment models, including discount rates andterminal growth rates.
Evaluating key assumptions used in the valuation models
recoverable amount of these investments including:
including projected earnings before interest, taxes and
depreciation and amortisation, growth rate and related costs,
based on our understanding of the businesses, historicalperformance and external market conditions.
related costs and the resultant cash flows projected to
Assessing the historical accuracy of management's forecasts
be generated from the above.
by comparing past forecasts to with actual results achieved.
Performing a sensitivity analysis to evaluate the impact ofchange in key assumptions, individually or collectively, on therecoverable value.
Assessing the adequacy of the related disclosures in thestandalone financial statements in accordance with theapplicable accounting standards.
Other Information
The Company's Management and Board of Directorsare responsible for the other information. The otherinformation comprises the information included inthe Board's report, but does not include the financialstatements and auditor's report thereon. The Board'sreport is expected to be made available to us after thedate of this auditor's report.
Our opinion on the standalone financial statements doesnot cover the other information and we will not expressany form of assurance conclusion thereon.
In connection with our audit of the standalone financialstatements, our responsibility is to read the otherinformation identified above when it becomes availableand, in doing so, consider whether the other informationis materially inconsistent with the standalone financialstatements or our knowledge obtained in the audit, orotherwise appears to be materially misstated.
When we read the Board's report, if we conclude thatthere is a material misstatement therein, we are requiredto communicate the matter to those charged withgovernance and take necessary actions, as applicableunder the relevant laws and regulations.
Management's and Board of Directors'Responsibilities for the Standalone FinancialStatements
The Company's Management and Board of Directors areresponsible for the matters stated in Section 134(5) of theAct with respect to the preparation of these standalonefinancial statements that give a true and fair view of thestate of affairs, profit/ loss and other comprehensiveincome, changes in equity and cash flows of the Companyin accordance with the accounting principles generallyaccepted in India, including the Indian AccountingStandards (Ind AS) specified under Section 133 of the Act.This responsibility also includes maintenance of adequateaccounting records in accordance with the provisions ofthe Act for safeguarding of the assets of the Companyand for preventing and detecting frauds and otherirregularities; selection and application of appropriateaccounting policies; making judgments and estimates thatare reasonable and prudent; and design, implementationand maintenance of adequate internal financial controls,that were operating effectively for ensuring the accuracyand completeness of the accounting records, relevantto the preparation and presentation of the standalonefinancial statements that give a true and fair view andare free from material misstatement, whether due to fraudor error.
In preparing the standalone financial statements, theManagement and Board of Directors are responsible forassessing the Company's ability to continue as a goingconcern, disclosing, as applicable, matters related to goingconcern and using the going concern basis of accountingunless the Board of Directors either intends to liquidatethe Company or to cease operations, or has no realisticalternative but to do so.
The Board of Directors is also responsible for overseeingthe Company's financial reporting process.
Auditor's Responsibilities for the Audit of theStandalone Financial Statements
Our objectives are to obtain reasonable assurance aboutwhether the standalone financial statements as a wholeare free from material misstatement, whether due to fraudor error, and to issue an auditor's report that includesour opinion. Reasonable assurance is a high level ofassurance, but is not a guarantee that an audit conductedin accordance with SAs will always detect a materialmisstatement when it exists. Misstatements can arise fromfraud or error and are considered material if, individuallyor in the aggregate, they could reasonably be expected toinfluence the economic decisions of users taken on thebasis of these standalone financial statements.
As part of an audit in accordance with SAs, we exerciseprofessional judgment and maintain professionalskepticism throughout the audit. We also:
• Identify and assess the risks of material misstatementof the standalone financial statements, whether dueto fraud or error, design and perform audit proceduresresponsive to those risks, and obtain audit evidencethat is sufficient and appropriate to provide a basisfor our opinion. The risk of not detecting a materialmisstatement resulting from fraud is higher than forone resulting from error, as fraud may involve collusion,forgery, intentional omissions, misrepresentations, orthe override of internal control.
• Obtain an understanding of internal control relevant tothe audit in order to design audit procedures that areappropriate in the circumstances. Under Section 143(3)
(i) of the Act, we are also responsible for expressingour opinion on whether the company has adequateinternal financial controls with reference to financialstatements in place and the operating effectivenessof such controls.
• Evaluate the appropriateness of accounting policiesused and the reasonableness of accounting estimatesand related disclosures made by the Management andBoard of Directors.
• Conclude on the appropriateness of the Managementand Board of Directors use of the going concern basisof accounting in preparation of standalone financialstatements and, based on the audit evidence obtained,whether a material uncertainty exists related to eventsor conditions that may cast significant doubt on theCompany's ability to continue as a going concern. Ifwe conclude that a material uncertainty exists, weare required to draw attention in our auditor's reportto the related disclosures in the standalone financialstatements or, if such disclosures are inadequate, tomodify our opinion. Our conclusions are based on theaudit evidence obtained up to the date of our auditor'sreport. However, future events or conditions may causethe Company to cease to continue as a going concern.
• Evaluate the overall presentation, structure and contentof the standalone financial statements, including thedisclosures, and whether the standalone financialstatements represent the underlying transactions andevents in a manner that achieves fair presentation.
We communicate with those charged with governanceregarding, among other matters, the planned scope andtiming of the audit and significant audit findings, includingany significant deficiencies in internal control that weidentify during our audit.
We also provide those charged with governance witha statement that we have complied with relevantethical requirements regarding independence, and tocommunicate with them all relationships and othermatters that may reasonably be thought to bear on ourindependence, and where applicable, related safeguards.
From the matters communicated with those charged withgovernance, we determine those matters that were ofmost significance in the audit of the standalone financialstatements of the current period and are therefore the keyaudit matters. We describe these matters in our auditor'sreport unless law or regulation precludes public disclosureabout the matter or when, in extremely rare circumstances,we determine that a matter should not be communicatedin our report because the adverse consequences of doingso would reasonably be expected to outweigh the publicinterest benefits of such communication.
Report on Other Legal and Regulatory Requirements
1. As required by the Companies (Auditor's Report)Order, 2020 ("the Order") issued by the CentralGovernment of India in terms of Section 143(11) ofthe Act, we give in the "Annexure A" a statement onthe matters specified in paragraphs 3 and 4 of theOrder, to the extent applicable.
2 A. As required by Section 143(3) of the Act, we
report that:
a. We have sought and obtained all theinformation and explanations which tothe best of our knowledge and belief werenecessary for the purposes of our audit.
b. I n our opinion, proper books of accountas required by law have been kept by theCompany so far as it appears from ourexamination of those books, except forthe matter stated in the paragraph 2(B)(f)below on reporting under Rule 11(g) of theCompanies (Audit and Auditors) Rules, 2014and that:
• back-up of the accounting softwarehas not been kept on servers physicallylocated in India and on a daily basis; and
• back-up of the customer managementsoftware, which forms part of the 'booksof account and other relevant booksand papers in electronic mode', has notbeen maintained on a daily basis andin respect of which we are unable tocomment whether back-up has beenkept on servers physically located in Indiadue to absence of information availablewith the Company.
c. The standalone balance sheet, thestandalone statement of profit and loss(including other comprehensive income),the standalone statement of changes inequity and the standalone statement ofcash flows dealt with by this Report are inagreement with the books of account.
d. I n our opinion, the aforesaid standalonefinancial statements comply with the IndAS specified under Section 133 of the Act.
e. On the basis of the written representationsreceived from the directors as on 1 April 2026taken on record by the Board of Directors,none of the directors is disqualified as on31 March 2026 from being appointed asa director in terms of Section 164(2) ofthe Act.
f. the modification relating to the maintenanceof accounts and other matters connectedtherewith are as stated in the paragraph
2A(b) above on reporting under Section143(3)(b) of the Act and paragraph 2B(f)below on reporting under Rule 11(g) of theCompanies (Audit and Auditors) Rules, 2014.
g. With respect to the adequacy of the internalfinancial controls with reference to financialstatements of the Company and theoperating effectiveness of such controls,refer to our separate Report in "AnnexureB".
B. With respect to the other matters to be includedin the Auditor's Report in accordance with Rule11 of the Companies (Audit and Auditors) Rules,2014, in our opinion and to the best of ourinformation and according to the explanationsgiven to us:
a. The Company has disclosed the impact ofpending litigations as at 31 March 2026on its financial position in its standalonefinancial statements - Refer Note 40 to thestandalone financial statements.
b. The Company did not have any long-termcontracts including derivative contractsfor which there were any materialforeseeable losses.
c. There has been no delay in transferringamounts, required to be transferred, to theInvestor Education and Protection Fund bythe Company.
d. (i) The management has represented
that, to the best of their knowledgeand belief, as disclosed in the Note52 to the standalone financialstatements, no funds have beenadvanced or loaned or invested(either from borrowed funds or sharepremium or any other sources or kindof funds) by the Company to or in anyother person(s) or entity(ies), includingforeign entities ("Intermediaries"), withthe understanding, whether recordedin writing or otherwise, that theIntermediary shall directly or indirectlylend or invest in other persons or entitiesidentified in any manner whatsoeverby or on behalf of the Company("Ultimate Beneficiaries") or provideany guarantee, security or the like onbehalf of the Ultimate Beneficiaries.
(ii) The management has representedthat, to the best of their knowledge andbelief, as disclosed in the Note 52 tothe standalone financial statements,no funds have been received bythe Company from any person(s)or entity(ies), including foreignentities ("Funding Parties"), with theunderstanding, whether recorded inwriting or otherwise, that the Companyshall directly or indirectly, lend orinvest in other persons or entitiesidentified in any manner whatsoeverby or on behalf of the Funding Parties("Ultimate Beneficiaries") or provideany guarantee, security or the like onbehalf of the Ultimate Beneficiaries.
(iii) Based on the audit procedures thathave been considered reasonableand appropriate in the circumstances,nothing has come to our notice thathas caused us to believe that therepresentations under sub-clause(i) and (ii) of Rule 11(e), as providedunder (i) and (ii) above, contain anymaterial misstatement.
e. The interim dividend declared and paid bythe Company during the year and until thedate of this is audit report is in accordancewith Section 123 of the Act. The interimdividend declared by the Company for theyear and until the date of this is audit reportis in accordance with Section 123 of the Actto the extent it applies to declaration ofdividend. However, the said dividend is notpaid on the date of this audit report.
f. Based on our examination which included testchecks, except for the instances mentionedbelow, the Company has used accountingsoftwares for maintaining its books ofaccount, along with access managementtools, as applicable, which have a featureof recording audit trail (edit log) facility andthe same has operated throughout the yearfor all relevant transactions recorded in therespective softwares:
• In the absence of reporting on compliancewith the audit trail requirements in theindependent auditor's report of a serviceorganisation for accounting softwaresused for maintaining general ledger andcustomer records, which is operated bya third party software service provider,we are unable to comment whether audittrail feature for the said softwares wasenabled at database level and operatedthroughout the year for all the relevanttransactions recorded in the softwares.
Further, for the periods where audit trail (edit log)facility was enabled and operated throughoutthe year for the respective accounting softwares,we did not come across any instance of the audittrail feature being tampered with.
Additionally, where audit trail (edit log) facility wasenabled and operated in the previous year, theaudit trail has been preserved by the Companyas per the statutory requirements for recordretention except in case of softwares used for
patient registration, test reports generation andinventory management, where logs for any directdata changes were not retained for more than365 days at the database level.
C. With respect to the matter to be included inthe Auditor's Report under Section 197(16) ofthe Act:
In our opinion and according to the informationand explanations given to us, the remunerationpaid by the Company to its directors during thecurrent year is in accordance with the provisionsof Section 197 of the Act. The remuneration paidto any director is not in excess of the limit laiddown under Section 197 of the Act. The Ministryof Corporate Affairs has not prescribed otherdetails under Section 197(16) of the Act whichare required to be commented upon by us.
For B S R & Co. LLP
Chartered AccountantsFirm's Registration No.:101248W/W-100022
Rajesh Mehra
Partner
Place: Mumbai Membership No.: 103145
Date: 13 May 2026 ICAI UDIN:26103145ROYQXQ1976