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ICICI Direct On Healthcare Global Enterprises2023
ICICI Direct On Healthcare Global Enterprises2023
About the stock: HCG operates one of the largest private cancer care networks in Particulars
Company Update
India with end-to-end solutions available under a single corporate entity. Owing to P a rtic ula r Amount
exclusive agreement with vendors, HCG procures equipment on a deferred payment Market Capitalisation | 4031 crore
basis. Milann offers seven fertility centres in India. Debt (FY22) | 915 crore
Cash (FY22) | 198 crore
HCG network has 22 comprehensive cancer centres (one in Kenya), four
EV | 4749 crore
multi-specialty hospitals. HCG India, capacity beds: 1944; 1702 operational
52 week H/L 313/213
Revenue mix FY22: HCG:96%, Milann:4%; occupancy FY22: 58.3%; Equity capital | 139.0 crore
ARPOBD FY22: 36,697 Face value | 10
Q2FY23 Results: HCG reported continued momentum at HCG centres this quarter. Shareholding pattern
(in %) De c - 2 1 Ma r- 2 2 Jun- 2 2 S e p- 2 2
Revenues grew 3% QoQ to | 420 crore
Promoter 71.4 71.4 71.4 71.4
EBITDA grew 7.7% YoY to | 78 crore. EBITDA margins improved 81 bps Others 28.6 28.6 28.6 28.6
QoQ to 18.5% amid better operational leverage
Price Chart
Adjusted net profit increased 71.6% QoQ to | 10.4 crore
400 18000
What should investors do? HCG’s share price has grown by ~2.54x over the past 350
16000
three years (from ~| 114 in November 2019 to ~| 290 in November 2022). 14000
300 12000
10000
Maintain BUY due to 1) improvement in occupancies sustainable, 2) newer 250
May-20
May-21
May-22
Nov-21
Nov-22
Nov-19
Nov-20
centres at 13x & 11x, respectively, at FY24E EV/EBITDA and Milan centres at 1x
FY24E EV/sales).
Key triggers for future price performance: HCG(L.H.S) NSE500 (R.H.S)
HCG, with its integrated, one-stop-solution and focused model, is well Recent Event & Key risks
poised to capture growing potential with pan-India focus on cancer therapy
Acquisition of Suchirayu
Focused on consolidating existing network through cost optimisation Healthcare
measures to improve margin and ramping up patient’s footfall by engaging
in direct-to patient promotion strategies Key Risk: (i) Another Covid
lockdown (ii) Increased
Oncology cases are expected to increase by 100,000 to 350,000 cases a year competition in oncology
which bodes well for HCG with hybrid presence (Metros/Tier-2,3 towns)
Research Analyst
De-leveraging of balance sheet, reduction of losses across new centres have
substantially eased legacy overhangs, improvement in consolidated return Siddhant Khandekar
siddhant.khandekar@icicisecurities.com
ratio profile still remains key Utkarsh Jain
Alternate Stock Idea: Apart from HCG, in our hospital coverage we like Narayana. utkarsh.jain@icicisecurities.com
HCG centres: ARPOB: | 36914 (existing: | 39684, new: | 30145). Every year
HCG takes 2-3% inflationary price increase
Bengaluru was earlier the choice for international business while now
Mumbai, Kolkata and Ahmedabad are also important
In Milan, new registrations grew 13.6% YoY while revenues grew 15.4% to
| 16.55 crore
Exhibit 4: Valuation
Financial Summary
Exhibit 6: Profit and loss statement | crore Exhibit 7: Cash flow statement | crore
Ye a r-e nd M a rc h FY21 FY22 FY23E FY24E Ye a r-e nd M a rc h F Y21 F Y22 F Y23E F Y24E
Total Operating Income 1,013.4 1,397.8 1,700.0 1,876.6 Profit/(Loss) after taxation -190.7 64.1 55.1 116.1
Growth (%) -7.5 37.9 21.6 10.4 Add: Depreciation & Amortization 159.2 158.3 160.5 169.0
Raw Material Expenses 240.3 354.9 412.3 455.1 Net Increase in Current Assets 93.4 -152.1 -57.6 -37.4
Gross Profit 773.1 1,042.9 1,287.7 1,421.5 Net Increase in Current Liabilities -50.7 47.0 50.4 44.3
Gross Profit Margins (%) 76.3 74.6 75.7 75.7 Others 109.4 102.9 102.4 87.0
C F f rom Ope ra ting a c tiv itie s 120. 7 220. 1 310. 7 379. 1
Employee Expenses 195.9 233.7 278.6 307.6
Other Expenditure 451.0 572.7 705.9 769.4
Investments 146.6 181.3 0.0 0.0
Total Operating Expenditure 887.2 1,161.3 1,396.8 1,532.1
(Purchase)/Sale of Fixed Assets -35.4 -70.4 -100.0 -100.0
EBITDA 126. 2 236. 5 311. 4 371. 3
Others -335.3 -19.5 -1.9 -1.7
Growth (%) -21.0 87.4 31.7 19.2
C F f rom Inv e s ting a c tiv itie s -224. 1 91. 4 -101. 9 -101. 7
Interest 119.2 97.8 102.4 87.0
Depreciation 159.2 158.3 160.5 169.0 Proceeds from Equity 519.4 132.2 0.0 0.0
Other Income 17.0 12.7 12.8 14.1 (inc)/Dec in Loan -245.9 -119.3 -125.4 -124.1
P BT be f ore Ex c e ptiona l Ite ms -135. 2 -6. 8 61. 3 129. 3 Interest paid -112.7 -125.4 -102.4 -87.0
Less: Exceptional Items 93.5 -94.6 0.0 0.0 Other -48.6 -42.3 0.0 0.0
PBT after Exceptional Items -228.7 87.8 61.3 129.3 C F f rom F ina nc ing a c tiv itie s 112. 2 -154. 9 -227. 8 -211. 1
Total Tax -7.6 48.9 23.7 50.0
PAT before MI -221.1 38.9 37.6 79.3 N e t C a s h F low 8. 8 156. 7 -19. 0 66. 2
Minority Interest -27.6 -14.8 -17.5 -36.8 Cash and Cash Equivalent 32.0 40.9 197.5 178.5
P AT -193. 5 53. 7 55. 1 116. 1 Cash 40. 9 197. 5 178. 5 244. 8
Growth (%) 54.2 -127.8 2.5 110.8 F re e C a s h F low 85. 2 149. 7 210. 7 279. 1
EP S (Adjus te d) -7. 2 -2. 9 4. 0 8. 4 Source: Company, ICICI Direct Research
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 categorizes 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: -15% to -5%;
Sell: <-15%
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