healthcare global enterprises...
TRANSCRIPT
ICIC
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CMP: | 102 Target: | 110 (8%) Target Period: 12 months
HealthCare Global Enterprises (HEAGLO)
HOLD
December 10, 2019
Oncology to the fore; balance sheet improvement key
HealthCare Global Enterprises (HCG) is a focused player in cancer & fertility
treatment. Under the HCG brand, the company operates the largest private
cancer care network with a pan-India presence. Established by oncologist
Dr Ajai Kumar in 1989, the HCG network consists of 25 pan-India cancer
centres, including 21 comprehensive cancer centres, three freestanding
diagnostic centres and one day care chemotherapy centre. The company’s
fertility centres under the Milann brand are one of the leading brands in IVF
in India, running eight centres across India. The company also operates four
multi-specialty hospitals in Ahmedabad, Bhavnagar, Rajkot and Hubli.
Comprehensive cancer treatment network with strong pedigree
HCG operates one of the largest private cancer care networks in India with
end-to-end solutions available under single corporate entity. This consisted
of 21 comprehensive cancer centres that provide a single point destination
for complete cancer care. Most centres are on lease or rental basis with
some in partnership with local doctors or hospitals. Owing to exclusive
agreement with vendors, HCG procures equipment on a deferred payment
basis. We expect revenues from the HCG centres to grow at 16.2% CAGR to
| 1436 crore mainly on the back of a ramp up of new hospitals.
Cancer – Rapidly growing, under reported segment in India
Cancer is one of the fastest growing lifestyle diseases in India. High
incidences of cancer in India can be attributed to rapid industrialisation,
ageing population, lifestyle and food habits, poor immune conditions,
genetic predisposition, hormonal imbalances, etc. As per Indian Council of
Medical Research (ICMR), in 2018, total number of new cancer cases in India
are estimated to be 15.7 lakh, which is likely to reach over 17.3 lakh by 2020.
However, the real incidence of cancer in India could be 1.5-2x higher than
the reported numbers (Ernst & Young report).
Valuation & Outlook
Cancer as a therapeutic category remains largely underpenetrated in India
despite a conducive business environment with growing awareness and
better diagnosis. HCG, with its integrated, one-stop-solution and focused
model, is well poised to capture the growing potential with a pan-India focus.
With an army of oncologists at its disposal who are well-versed with modern
technological advancements besides cutting-edged latest machines, the
ecosystem is well set for future growth. However, due to aggressive
expansion (seven centres in past 18 months), the company’s balance sheet
has been leveraged significantly (D/E 1.4x and debt/EBITDA 5.9x in FY19).
This, besides weaker return ratios has been a major overhang on the stock.
We initiate coverage on HCG with a HOLD recommendation and a target
price of | 110 (10x FY22E EV/EBITDA). Moderation of capex and
improvement in return ratios are key triggers to re-rate the stock.
Key Financial Summary (| crore)
| Crore FY19 FY20E FY21E FY22E CAGR FY19-22E (%)
Revenues 976.0 1159.1 1336.2 1545.3 16.6
EBITDA 111.6 137.1 174.1 216.8 24.8
EBITDA margins (%) 11.4 11.8 13.0 14.0
Net Profit -30.9 -94.1 -68.1 -34.3 NA
EPS (|) -2.8 -11.0 -7.9 -4.0
PE (x) NA NA NA NA
M.Cap/ Revenues (x) 0.9 0.8 0.7 0.6
EV to EBITDA (x) 13.8 15.5 12.5 9.7
RoCE (%) 3.0 1.2 2.5 4.3
ROE NA NA NA NA
Source: ICICI Direct Research; Company
Particulars
Particular
Market Capitalisation
Debt (FY19)
Cash (FY19)
EV
52 week H/L 249/94
Equity capital
Face value | 10
MF Holding (%) 16.43%
FII Holding (%) 30.12%
| 87.9 crore
| 1535 crore
Amount
| 898 crore
| 658 crore
| 21 crore
Price Performance
Research Analyst
Siddhant Khandekar
Mitesh Shah, CFA
Sudarshan Agarwal
0
2000
4000
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10000
12000
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50
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Dec-16
Jun-17
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Dec-19
HCG(L.H.S) NSE500(R.H.S)
ICICI Securities | Retail Research 39
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Stock Tales | HealthCare Global Enterprises
Company Background
The company is a provider of specialty healthcare in India focused on cancer
and fertility. Under the HCG brand, it operates the largest cancer care
network in India in terms of the total number of private cancer treatment
centres while under the Milann brand, it operates fertility centres.
Exhibit 1: HCG timeline
o
Source: ICICI Direct Research, Company
As of FY19, HCG’s network consisted of 21 comprehensive cancer centres
(including the company’s centre of excellence in Bengaluru), three
freestanding diagnostic centres and one day care chemotherapy centre
across India. Each of its comprehensive cancer centres offer, at a single
location, comprehensive cancer diagnosis and treatment services (including
radiation, medical oncology and surgical treatments). The company’s
freestanding diagnostic centres and day care chemotherapy centre offer
diagnosis and medical oncology services, respectively.
The company provides fertility treatment under its Milann brand. It acquired
50.10% equity interest in BACC Healthcare Pvt Ltd in 2013, which was
operating fertility centres under the Milann brand. During FY19, right to
shares for balance 49.9% has been acquired. The company operates eight
Milann fertility centres across Bengaluru, Delhi, Chandigarh and Ahmedabad
as on March 31, 2019. It consists of a team of 38 in-vitro fertilisation (IVF)
specialists and nine embryologists. Through this business, the company
provide comprehensive reproductive medicine services such as assisted
reproduction, gynaecological endoscopy and fertility preservation. It is
recognised as a premier training and academics institution offering
programmes for fertility specialists and embryologists. Cumulatively, till
March 2019, the company has treated 10000+ couples.
Revenue Break Up
Source: ICICI Direct Research; Company
Oncology
79%
Multi-
Specialty
14%
Fertility
7%
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Stock Tales | HealthCare Global Enterprises
Under the Triesta brand, the company provides clinical reference laboratory
services in India with a specialisation in oncology, including molecular
diagnostic services and genomic testing. The company’s Triesta central
reference laboratory is located in its centre of excellence in Bengaluru.
Triesta offers research and development (R&D) services to pharmaceutical
and biotechnology companies in the areas of clinical trial management and
biomarker discovery and validation. Triesta is led by a team of specialist
oncopathologists, molecular biologists and clinical researchers.
The company operates four multi-specialty hospitals in Ahmedabad,
Bhavnagar, Rajkot and Hubli. The company provides comprehensive patient
care in key specialties including cardiology, neurology, orthopaedics,
gastroenterology, urology, internal medicine and pulmonary and critical
care.
Cluster wise revenue break-up
Source: ICICI Direct Research; Company
Payee Mix (FY19)
Source: Company
Karnata
ka
39%
Gujarat
29%
Maharashtra
14%
Andhra
Prades…
East
India
7%
Tamil
Nadu
4%
Cash
54%
Govt Schemes
15%
CGHS/ECHS
6%
TPA/Insurance
13%
Corporates
12%
ICICI Securities | Retail Research 41
ICICI Direct Research
Stock Tales | HealthCare Global Enterprises
Investment Rationale
Cancer - Fast growing but under reported segment in India
The cancer segment continues to be dynamic, especially in India, due to
rising incidence of cancer driven by increased awareness, diagnosis, genetic
and lifestyle factors.
In India, the incidence of lifestyle diseases is expected to increase faster than
any other segment. Within the lifestyle space, cancer is one of the fastest
growing segments. High incidence of cancer in India can be attributed to
factors like poor immune conditions, genetic predisposition and hormonal
conditions, industrialisation, ageing population, lifestyle and food habits.
According to an Ernst & Young report, the prevalence of cancer in India is
expected to increase from an estimated 39 lakh in 2015 to an estimated 71
lakh people by 2020. However, the biggest problem in India is enormous
under reporting of cancer cases. As per the Ernst & Young report, the real
incidence of cancer in India could be 1.5-2x higher than the reported
incidence. Also, as per Indian Council of Medical Research (ICMR), the total
number of new cancer cases in India are likely to reach over ~17 lakh in
2020 from ~15.7 lakh in 2018.
Exhibit 2: Number of new cancer cases in 2018
Source: ICICI Direct Research, Company
With incidences rising at a rapid pace, cancer is ranked as the sixth leading
cause of death in India. Of the new cases of cancer projected to have been
diagnosed in India each year, breast cancer in women and oral cancer for
men are among the top two cancers in terms of both incidence and
mortality. The cancer mortality rate in India is high, at 68% of the annual
incidence. This ratio indicates that fewer than 30% of Indian patients with
cancer survive five years or longer after diagnosis.
The reported incidence of cancer in India is based on data collected from
the cancer registries, which cover less than 10% of the population, resulting
in a significant margin of error in estimation. The gap between reported and
real cancer incidence can primarily be attributed to under-diagnosis of
cancer in India. The under diagnosis of cancer is represented in the relatively
late stage of presentation of cancer cases.
As per ICMR, only 12.5% of patients come for treatment in the early stages
of the disease. A case in point is breast screening with less than 1% of
women in India aged between 40 and 69 years participating in
recommended breast screening mammograms once in 24 months
compared to 32% in China and 67% in the US in 2015. As per the survey,
between 2009 and 2011, only 43% breast cancer cases were diagnosed at
early stages (i.e. stage I or stage II) of the disease in India. The corresponding
number was 62% in the US, 81% in the UK and 72% in China.
Breast
14%
Lip, oral cavity
10%
Cervix Uteri
8%
Lung
6%Stomach
5%
Other Cancers
57%
High incidence of cancer in India can be attributed to
factors such as poor immune conditions, genetic
predisposition and hormonal conditions,
industrialisation, ageing population, lifestyle and
food habits
According to an Ernst & Young report, the prevalence
of cancer in India is expected to increase from an
estimated 39 lakh in 2015 to an estimated 71 lakh
people by 2020
With incidences rising at a rapid pace, cancer is
ranked as the sixth leading cause of death in India
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Exhibit 3: Cancer diagnosis early stages (Stage I and Stage II)
Source: ICICI Direct Research, Company
Existing demand-supply gap in diagnosis and treatment
Despite high demand for comprehensive cancer care centres, India only has
200-250 comprehensive cancer centres, which represent just one per 6
million people compared to one per 0.2 million in countries like the US.
Similarly, ~40% of these centres are located in eight metropolitan cities
while fewer than 15% of these centres are government operated, which
limits access to advanced and multimodal treatment options available to
cancer patients. As a consequence, the majority of cancer care is expected
to be provided by the private/for-profit sector in India. India needs at least
450 to 550 comprehensive cancer centres by 2020, with a high proportion
of such centres in non-metropolitan cities and towns.
In addition, there is a significant shortage of oncologists in India. The country
has only one oncologist per 1,600 cancer patients in India against one per
100 cancer patients in the US as of 2014. Due to the limited access to cancer
care in India and inability of significant sections of the population to pay for
quality care, only around 15-20% of cancer patients are currently able to
undergo radiation treatment in India, compared to a potential clinical need
of 40-50% of cancer patients.
Largest private network in high demand segment
HCG operates the largest private cancer care network in India. The network
consisted of 21 comprehensive cancer centres, which provide single point
destination for complete cancer care. Apart from the comprehensive
centres, the company also operates three freestanding diagnostic centres
and one day care chemotherapy centre across India and one in Africa.
The company uses cutting-edge technologies such as molecular pathology
and molecular imaging for accurate diagnosis and staging of cancer.
Leveraging on its relationships with technology vendors and pharmaceutical
companies together with its own inputs, the company remains well-updated
on latest advances in technology. It also provides targeted nuclear medicine
therapies as well as advanced radiation treatments to minimise side effects
and improve the outcome of treatments. Each of its comprehensive cancer
centres offer comprehensive cancer diagnosis and treatment services
(including radiation, medical oncology and surgical treatment). The HCG
network operates on a hub-and-spoke model wherein its HCG centre of
excellence in Bengaluru serves as a hub to other cancer centres. This
network operates with a pool of 305 doctors including oncologists,
radiologists, pathologists and specialists and 1798 nurses.
62%
81%
72%
43%
0%
20%
40%
60%
80%
100%
US UK China India
Breast
US UK China India
71% 70%
91%
10%
0%
20%
40%
60%
80%
100%
US UK China India
Cervical
US UK China India
31%30%
19%
8%
0%
5%
10%
15%
20%
25%
30%
35%
US UK China India
Head & Neck
US UK China India
Despite high demand for comprehensive cancer care
centres, India only has 200-250 comprehensive
cancer centres, which represents just one per 6
million people
In addition, there is a significant shortage of
oncologists in India. The country has only one
oncologist per 1,600 cancer patients in India
HCG’s comprehensive cancer centres
Location Centres Operational beds
Karnataka 7 632 beds
Gujarat 5 447 beds
Maharashtra 3 336 beds
Andhra Pradesh 3 177 beds
Odisha 1 116 beds
Tamil Nadu 2 70 beds
Jharkhand 1 49 beds
Rajasthan 1 45 beds
Source: ICICI Direct Research, Company
HCG network consisted of 21 comprehensive cancer
centres, which provides single point destination for
complete cancer care
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Exhibit 4: HCG’s comprehensive cancer centres
Location Year No of Beds RT- LINACsOperation
Theatres
PET- CT Laboratory
Karnataka Cluster
Bengaluru - Double Road 1989 51 1 4 - Yes
Shimoga 2003 60 1 3 - Yes
Bengaluru - COE 2006 225 3 7 2 Yes
Bengaluru - MS Ramaiah Nagar 2007 22 1 1 1 Yes
Hubli 2008 70 1 2 1 Yes
Gulbarga 2016 85 1 3 - Yes
Gujarat Cluster
Ahmedabad 2012 78 2 4 - Yes
Baroda 2016 60 1 3 1 Yes
East India Cluster
Ranchi 2008 56 1 2 - Yes
Cuttack 2008 116 2 2 1 Yes
Maharashtra Cluster
Nasik 2007 77 1 3 1 Yes
Borivali 2017 69 1 5 1 Yes
Nagpur 2017 115 1 2 1 Yes
Others
Vijaywada 2009 30 2 4 - Yes
Chennai 2012 35 1 - - Yes
Ongole 2012 19 1 2 - Yes
Tiruchirappalli 2014 - - - - Yes
Vishakapatnam 2016 88 1 - 1 Yes
Jaipur 2018 45 1 3 1 Yes
Bhavnagar Oncology 2018 - 1 3 - Yes
Nashik Phase II 2018 75 1 5 - Yes
Kolkata 2019 80 1 3 - Yes
Source: ICICI Direct Research, Company; COE-Centre of Excellence
Unique vendor arrangement
Owing to an exclusive agreement with vendors, HCG procures equipment
on a three years deferred payment basis. As per the management, a new
HCG centre requires | 50-60 crore of capex of which 45-60% account for
equipment costs, which are leased by the vendor and paid by the centre
after three years of equipment purchase. Hence, upfront outgo is only | 15-
20 crore to put up a HCG centre. Most centres in Tier I and II generally take
a year or two to reach breakeven. Thus, due to deferred agreement, the
particular centre is capable of managing its equipment cost.
Follows local tie-up to set up new centre
Cancer treatment requires multiple patient visits to centres. Its treatment
tenure is generally longer than other major therapies. Over the years, the
company has followed a strategy of tapping local oncologists to set up a
cancer centre. Each cancer centre offers comprehensive cancer diagnosis
and treatment services including radiation, medical oncology & surgical
treatment. In some cases it follows a partnership model (with HCG having a
majority stake). This also helps it to achieve faster ramp up in newer centres.
Each centre typically has eight to nine doctors and two to three physicians.
To expand Milann network of fertility centres across India
An estimated 22 crore women in India are of reproductive age (between 20
and 44 years) while about 2.75 crore couples in this group are estimated to
be suffering from infertility. The number of infertile couples in India is
expected to increase from 2.75 crore in 2015 to 3.25 crore by 2020.
The prevalence of infertility in India has been rising owing to 1) demographic
changes with an increase in the number of women of reproductive age, 2)
Owing to exclusive agreement with vendors, HCG
procures equipment on three years deferred
payment basis
Over the years, the company has followed a strategy
of tapping local oncologists to set up a cancer centre
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lifestyle changes, 3) prevalence of several known clinical factors and 4)
ethnicity. Awareness of infertility and fertility treatment options in India are
among the lowest in the world.
The IVF market in India is under-penetrated relative to its potential demand.
Potential demand for IVF cycles could be 9-12x higher than the current actual
number of patients availing treatment in Delhi, Mumbai and Bengaluru. In
order to address the growing demand for fertility treatment in India, the
company plans to expand its Milann network by setting up greenfield
centres and also by entering into partnership arrangements and undertaking
selective acquisitions. This strategy is similar to HCG’s expansion.
The company intends to invest in building the Milann brand through
targeted media campaigns focusing on building patient awareness on
fertility treatment primarily through patient testimonials and socially relevant
messages. Besides this, it plans to undertake various direct consumer
marketing activities, including advertising in print, television, outdoor and
digital media.
Exhibit 5: Milann centres
Source: ICICI Direct Research, Company
Location Year
No of
BedsIVF
Endoscopy
Operation
Theatre
Embryology
Laboratory
Neonatal
ICU
Shivananda Circle, Bengaluru 1989 38 √ √ √ √
Jayanagar, Bengaluru 2010 26 √ √ √ √
Indiranagar, Bengaluru 2012 6 √ √ √ -
MSR Nagar, Bengaluru 2015 6 √ √ √ -
Delhi 2016 4 √ √ √ -
Chandigarh 2016 3 √ √ √ -
Ahmedabad 2018 6 √ √ √ -
Whitefield, Bengaluru 2018 6 √ - √ -
The prevalence of infertility in India has been rising
owing to 1) demographic changes with an increase
in the number of women of reproductive age, 2)
lifestyle changes, 3) prevalence of several known
clinical factors, and 4) ethnicity
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Key financials
Exhibit 6: Revenues expected to grow at 17% CAGR over FY19-22E
Source: ICICI Direct Research, Company
Exhibit 7: Adds seven hospitals in past 18 months
Source: ICICI Direct Research, Company
Exhibit 8: EBITDA expected to grow at 25% CAGR in FY19-22E
Source: ICICI Direct Research, Company
519.4584.2
700.1
828.8
976.0
1159.1
1336.2
1545.3
0.0
200.0
400.0
600.0
800.0
1000.0
1200.0
1400.0
1600.0
1800.0
FY15 FY16 FY17 FY18 FY19 FY20E FY21E FY22E
Revenues (| crore)
CAGR 17.1%
CAGR 16.6%
993
1146
1364
1569
1872
0
500
1000
1500
2000
FY15 FY16 FY17 FY18 FY19
beds (Nos.)
CAGR 17.2%
76.384.8
105.0115.5 111.6
137.1
174.1
216.8
0.0
50.0
100.0
150.0
200.0
250.0
FY15 FY16 FY17 FY18 FY19 FY20E FY21E FY22E
EBITDA (| crore)
CAGR 10.0%
CAGR 24.8%
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Exhibit 9: Aggressive capex on account of new centre additions
Source: ICICI Direct Research, Company
Exhibit 10: Aggressive capex and IndAs 116 to impact profitability
Source: ICICI Direct Research, Company
Exhibit 11: Elevated leverage ratio due to aggressive capex
Source: ICICI Direct Research, Company
Exhibit 12: Aggressive expansion and IndAs 116 to impacts return ratios
Source: ICICI Direct Research, Company
3.7
209.8
192.3
259.9
214.4
0.0
50.0
100.0
150.0
200.0
250.0
300.0
FY15 FY16 FY17 FY18 FY19
Capex (| crore)
5.4 4.6
22.2
9.8
-24.8
-97.2
-69.6
-35.1
-120.0
-100.0
-80.0
-60.0
-40.0
-20.0
0.0
20.0
40.0
FY15 FY16 FY17 FY18 FY19 FY20E FY21E FY22E
Net Profit (| crore)
1.2
0.61.0 0.9
1.4
1.8 1.8 1.7
4.6
3.84.0 4.0
5.95.7
4.6
3.7
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
FY15 FY16 FY17 FY18 FY19 FY20E FY21E FY22E
D/E (x) Debt/EBITDA (x)
6.4
5.3
5.9
5.1
3.0
1.2
2.5
4.3
-1.0
1.0
3.0
5.0
7.0
FY15 FY16 FY17 FY18 FY19 FY20E FY21E FY22E
ROCE (%)
ROCE (%)
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Stock Tales | HealthCare Global Enterprises
Valuation & Outlook
We expect revenues and EBITDA to grow at a CAGR of 16% and 20%,
respectively, during FY19-22E. This is expected to be driven by a ramp up
in new hospitals commissioned in past two years and commissioning of
three new hospitals (Mumbai, Delhi and Kochi) in the next two years. We
expect near term margins to remain under pressure mainly due to
continuous addition of new hospitals.
Cancer as a therapeutic category remains largely underpenetrated in India
despite a conducive business environment with growing awareness and
better diagnosis. HCG, with its integrated, one-stop-solution and focused
model, is well poised to capture the growing potential with a pan-India focus.
With an army of oncologists at its disposal who are well-versed with modern
technological advancements besides cutting-edged latest machines, the
ecosystem is well set for future growth.
We are optimistic on the company’s growth prospects amid strong business
model and unmet needs in both cancer and fertility treatment in India.
However, due to aggressive expansion (seven centres in the past 18
months), the company’s balance sheet has been leveraged significantly
(D/E: 1.4x and debt/EBITDA: 5.9x). This, besides weaker return ratios has
been a major overhang on the stock. We initiate coverage on HCG with a
HOLD recommendation and a target price of | 110 (10x FY22E EV/EBITDA).
Moderation of capex and improvement in return ratios are key triggers that
may lead to a re-rating of the stock.
Exhibit 13: One-year forward EV/EBITDA
Source: ICICI Direct Research, Bloomberg
0
2000
4000
6000
Dec-16
Mar-17
Jun-17
Sep-17
Dec-17
Mar-18
Jun-18
Sep-18
Dec-18
Mar-19
Jun-19
Sep-19
Dec-19
(|
crore)
HCG 30.4x 29.1x 26.3x 18.0x 12.4x
We expect revenues and EBITDA to grow at a CAGR
of 16% and 20%, respectively, during FY19-22E
HCG, with its integrated, one-stop-solution and
focused model, is well poised to capture the growing
potential of cancer care treatment with a pan-India
focus
We are optimistic on the company’s growth
prospects amid strong business model and unmet
needs in both cancer and fertility treatment in India
We initiate coverage on HCG with a HOLD
recommendation and a target price of | 110 (10x
FY22E EV/EBITDA).
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Risk & Concerns
High leverage
Due to aggressive capex, the company’s leverage ratios remained stretched
(D/E: 1.4x and debt/EBITDA: 5.9x in FY19). Further addition of new hospitals
(South Mumbai, Delhi and Kochi) in the next two years and repurchase of
remaining share of Milann are likely to stretch leverage further with a
significant likely impact on free cash flows. Any delay in ramp up of new
hospitals can lead to a further deterioration in the cash flow situation with a
potential negative impact on the company’s multiple.
Government regulations
In February 2019, the National Pharmaceutical Pricing Authority (NPPA) has
brought 42 non-scheduled anti-cancer drugs under price control, capping
the trade margin at 30%. HCG generates 20-25% of revenues from the
pharmacy business located in the hospital premises. However, as per the
management, the regulation impact on pharmacy business was minimal.
However, the overhang remains, especially if the government decides to
bring most procedures, including cancer treatment, under a cap. This can
be detrimental to HCG where a small negative swing in margins may cause
a significant impact on the overall financials.
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Financial Summary
Exhibit 14: Profit and loss statement | crore
Year-end March FY19 FY20E FY21E FY22E
Total Operating Income 976.0 1,159.1 1,336.2 1,545.3
Growth (%) 17.8 18.8 15.3 15.6
Raw Material Expenses 218.6 259.7 299.3 346.2
Gross Profit 757.4 899.5 1,036.9 1,199.1
Gross Profit Margins (%) 77.6 77.6 77.6 77.6
Employee Expenses 184.5 216.8 236.6 265.9
Other Expenditure 461.3 545.5 626.2 716.4
Total Operating Expenditure 864.5 1,022.0 1,162.1 1,328.5
EBITDA 111.6 137.1 174.1 216.8
Growth (%) -3.4 22.9 27.0 24.5
Interest 69.9 122.7 117.1 111.5
Depreciation 85.1 122.8 136.8 149.1
Other Income 10.1 9.3 8.0 7.7
PBT before Exceptional Items -33.4 -99.1 -71.7 -36.1
Less: Exceptional Items 0.0 0.0 0.0 0.0
PBT after Exceptional Items -33.4 -99.1 -71.7 -36.1
Total Tax -2.5 -5.0 -3.6 -1.8
PAT before MI -30.9 -94.1 -68.1 -34.3
PAT -30.9 -94.1 -68.1 -34.3
Growth (%) -282.2 205.0 -27.7 -49.6
EPS (Adjusted) -2.8 -11.0 -7.9 -4.0
Source: ICICI Direct Research
Exhibit 15: Cash Flow Statement | crore
Year-end March FY19 FY20E FY21E FY22E
Profit/(Loss) after taxation -70.4 -97.2 -69.6 -35.1
Add: Depreciation & Amortization 85.1 122.8 136.8 149.1
Net Increase in Current Assets -44.1 -41.3 -33.1 -33.7
Net Increase in Current Liabilities 46.2 56.5 57.7 66.1
Others 81.7 122.7 117.1 111.5
CF from Operating activities 98.5 163.6 208.7 258.0
Investments -5.2 0.0 0.0 0.0
(Purchase)/Sale of Fixed Assets -214.4 -715.6 -150.0 -80.0
Others 29.6 87.6 10.5 12.1
CF from Investing activities -189.9 -628.0 -139.5 -67.9
(inc)/Dec in Loan 0.0 706.0 -63.3 -61.6
Other 83.5 -122.7 -117.1 -111.5
CF from Financing activities 83.5 583.2 -180.4 -173.1
Net Cash Flow -7.9 118.8 -111.1 17.0
Cash and Cash Equivalent 28.8 20.9 139.6 28.5
Cash 20.9 139.6 28.5 45.5
Free Cash Flow -115.9 -552.0 58.7 178.0
Source: ICICI Direct Research
Exhibit 16: Balance Sheet | crore
Year-end March FY19 FY20E FY21E FY22E
Equity Capital 87.9 87.9 87.9 87.9
Reserve and Surplus 388.7 291.6 221.9 186.9
Total Shareholders funds 476.7 379.5 309.9 274.8
Total Debt 657.9 1,363.9 1,300.6 1,238.9
Deferred Tax Liability 4.0 4.4 4.8 5.3
Minority Interest 45.6 50.1 55.1 60.6
Long-Term Provisions 5.6 6.2 6.8 7.5
Other Non Current Liabilities 57.5 157.9 173.6 191.0
Source of Funds 1,247.2 1,961.9 1,850.8 1,778.2
Gross Block - Fixed Assets 1,088.1 1,723.7 1,923.7 2,053.7
Accumulated Depreciation 227.2 349.9 486.7 635.9
Net Block 860.9 1,373.7 1,437.0 1,417.8
Capital WIP 152.6 232.6 182.6 132.6
Fixed Assets 1,013.5 1,606.4 1,619.6 1,550.4
Goodwill on Consolidation 109.3 109.3 109.3 109.3
Investments 49.1 49.1 49.1 49.1
Deferred Tax Assets 26.9 29.5 31.0 32.6
Long Term Loans and Advances 130.1 143.2 150.3 157.8
Other non-Current Assets 51.7 54.3 57.0 59.8
Inventory 26.8 31.8 36.6 42.4
Debtors 156.9 186.3 207.1 226.8
Loans and Advances 46.4 51.1 56.2 61.8
Other Current Assets 22.0 24.2 26.6 29.3
Cash 20.9 139.6 28.5 45.5
Total Current Assets 273.0 433.0 355.1 405.7
Creditors 181.7 215.7 248.7 287.6
Provisions 7.3 8.0 8.8 9.7
Other Current Liabilities 217.3 239.1 263.0 289.3
Total Current Liabilities 406.3 462.9 520.5 586.6
Net Current Assets -133.4 -29.8 -165.5 -180.9
Application of Funds 1,247.2 1,961.9 1,850.8 1,778.1
Source: ICICI Direct Research
Exhibit 17: Ratio Analysis | crore
Year-end March FY19 FY20E FY21E FY22E
Per share data (|)
Reported EPS -2.8 -11.0 -7.9 -4.0
Cash EPS -2.8 -11.0 -7.9 -4.0
BV per share 53.8 42.8 35.0 31.0
Cash per Share 2.4 15.8 3.2 5.1
Dividend per share 0.0 0.0 0.0 0.0
Operating Ratios (%)
Gross Profit Margins 77.6 77.6 77.6 77.6
EBITDA margins 11.4 11.8 13.0 14.0
PAT Margins -2.5 -8.4 -5.2 -2.3
Cash Conversion Cycle 0.7 0.7 -1.4 -4.4
Asset Turnover 0.9 0.7 0.7 0.8
EBITDA conversion Rate 88.3 119.3 119.9 119.0
Return Ratios (%)
RoE NA NA NA NA
RoCE 3.0 1.2 2.5 4.3
RoIC 2.5 0.9 2.3 4.3
Valuation Ratios (x)
P/E NA NA NA NA
EV / EBITDA 13.8 15.5 12.5 9.7
EV / Net Sales 1.6 1.8 1.6 1.4
Market Cap / Sales 0.9 0.8 0.7 0.6
Price to Book Value 1.9 2.4 2.9 3.3
Solvency Ratios
Debt / EBITDA 5.9 9.9 7.5 5.7
Debt / Equity 1.4 3.6 4.2 4.5
Current Ratio 0.6 0.6 0.6 0.6
Quick Ratio 0.6 0.6 0.6 0.5
Source: ICICI Direct Research
ICICI Securities | Retail Research 50
ICICI Direct Research
Stock Tales | HealthCare Global Enterprises
RATING RATIONALE
ICICI Direct endeavours to provide objective opinions and recommendations. ICICI Direct assigns ratings to its
stocks according to their notional target price vs. current market price and then categorises them as Buy, Hold,
Reduce and Sell. The performance horizon is two years unless specified and the notional target price is defined as
the analysts' valuation for a stock
Buy: >15%;
Hold: -5% to 15%;
Reduce: -5% to -15%;
Sell: <-15%
Pankaj Pandey Head – Research [email protected]
ICICI Direct Research Desk,
ICICI Securities Limited,
1st Floor, Akruti Trade Centre,
Road No 7, MIDC,
Andheri (East)
Mumbai – 400 093
ICICI Securities | Retail Research 51
ICICI Direct Research
Stock Tales | HealthCare Global Enterprises
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