Yatharth Hospital and Trauma Care Services Limited IPO

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About Yatharth Hospital IPO

1. Their Noida Extension Hospital and Greater Noida are the eighth and 10th largest private hospitals in Delhi NCR based on the number of beds in 2023.

2. They have three super specialty hospitals located in Delhi NCR, i.e., at Noida, Greater Noida, and Noida Extension, Uttar Pradesh.

3. The recent acquisition is a 305-bedded multi-specialty hospital in Orchha, Madhya Pradesh near Jhansi, Uttar Pradesh. This brings the total bed capacity to 1,405 as of the date of this Red Herring Prospectus.

4. They have 394 critical care beds and 609 doctors working across various specialties.

5. The hospitals have several Centres of Excellence (COEs) across different specialties like Cardiology, Nephrology, Urology, etc., with COEs being the top 10 revenue-generating specialties.

6. Plans to introduce new specialties like radiation therapy to their oncology department in Noida Extension and Jhansi-Orchha are underway.

7. The journey started in 2008 with a clinic in Noida and has since expanded to multiple hospitals with a total of 1,405 beds.

8. Their hospitals are situated in prime regions experiencing rapid economic growth, which gives them a geographical advantage.

9. The hospitals meet international quality standards, with many being accredited by NABH and NABL. They have modern diagnostic facilities and advanced medical equipment for better patient care.

10. The hospital’s focus is not only on physical health but also on the holistic well-being of the patients. They have introduced innovative solutions like the ‘Mitra Robot’ for patient engagement and telemedicine technology for remote care.

11. They have a partnership with multiple third-party health insurance administrators and government organizations.

12. The growth rate of operational beds has been at a CAGR of 27.52% from March 31, 2021, to March 31, 2023.

13. Led by Dr. Ajay Kumar Tyagi and Dr. Kapil Kumar, the institution believes its success is due to the brand equity built over time, providing quality services, and the experience of its promoters.

14. Their branding and outreach efforts include community outreach programmes, health education in schools, and other health awareness initiatives. They have a strong online presence on various social media platforms and participate in televised debates to discuss health issues.

Objects of the Yatharth Hospital and Trauma Care Services Limited IPO:

The Company proposes to utilize the Net Proceeds of the Fresh Issue towards funding the following objects: i. Repayment/ prepayment, in full or part, of certain borrowings availed by the Company. ii. Repayment/ prepayment, in full or part, of certain borrowings availed by the Subsidiaries, namely, AKS Medical & iii. Research Centre Private Limited and Ramraja Multispeciality Hospital & Trauma Centre Private Limited. iii. Funding capital expenditure expenses of the Company for two hospitals, namely, Noida Hospital and Greater Noida Hospital. iv. Funding capital expenditure expenses of the Subsidiaries, AKS and Ramraja, for respective hospitals operated by them. v. Funding inorganic growth initiatives through acquisitions and other strategic initiatives. General corporate purposes.

Yatharth Hospital and Trauma Care Services Limited IPO Details:

Open Date: Jul 26 2023
Close Date: Jul 28 2023
Total Shares: 22900000
Face Value: ₹ 10 Per Equity Share
Issue Type: Book Built Issue IPO
Issue Size: 687 Cr.
Lot Size: 50 Shares
Issue Price: ₹ 285-300 Per Equity Share
Listing At: NSE,BSE
Listing Date: Aug 07 2023

Promoters And Management:

i. Ajay Kumar Tyagi is the Chairman and Whole-time Director of the Company. He has been a Director of the Company since its incorporation. He holds a degree of bachelor of medicine and bachelor of surgery from LLRM Medical College, Meerut University. He also holds diploma in orthopaedics from King George Medical College, Lucknow. He has over 17 years of experience in the field of medical care and hospital management. He is responsible for strategic investment and overall guidance for the business of the Company. He was previously associated with Medical Health Family Welfare U.P. L.K.O. ii. Kapil Kumar is the Managing Director of the Company. He has been a Director of the Company since its incorporation. He holds a degree of bachelor of medicine and bachelor of surgery from SN Medical College, Agra University. Further, he holds a degree of master of surgery in orthopaedic surgery from Lucknow University. He has also completed magister chirurgie in orthopedics from University of Seychelles, American Institute of Medicine. He has over 17 years of experience in field of medicine and health care. He is an orthopaedic surgeon. Further, he is responsible for clinical management of the Company. He was previously associated with Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital and Noida Orthopaedic Hospital as a consultant. iii. Yatharth Tyagi is the whole-time Director of the Company. He has been associated with the Company since 2019. He was appointed as a Director of the Company on September 15, 2021. He holds a bachelor’s degree in business and management from Leeds Beckett University. He also holds a master of science degree in International Health Management from Imperial College London. He has approximately four years of experience in the field of hospital management. He is responsible for business development and brand building of the Company.

Financials of Yatharth Hospital and Trauma Care Services Limited IPO:

Particulars (In Cr) FY23 Fy22 Fy21
Revenue 520 401 229
Cost of Material Consumed 93 81 46
Employee Benefit Expenses 92 80 47
Other expenses 202 128 69
EBITDA 134 112 67
EBITDA Margins 26% 28% 29%
D&A 28 28 21
Finance Cost 21 21 19
PBT 88 63 28
Tax 22 19 9
PAT 66 44 20
EPS 8 5 2
 

Comparison With Peers:

Particulars (Cr) Yatharth-Hospital Apollo Fortis Narayana Hrudalaya Max Hospital KIMS
No. of Beds 1405 10000 4000 6200 3400 2500
Bed Occupancy Rate 45.33% 63% 67% NA 73% NA
Avg. Revenue per bed Rs.26000 Rs.51000 Rs.55000 NA Rs.59000 NA
In-Patient Revenue 451 7200 NA 3605
3776
1080
Out-Patient Revenue 68 2400 NA 721
Sale of Pharma Products NA 6400 NA 163 107 550
Total Revenue 520 16000 6298 4525 4563 2198
EBITDA 133 2000 1100 987 1241 604
EBITDA (%) 25.58% 12.50% 17.47% 21.81% 27.20% 27.48%
ROE (Pre-Issue) 8.33% 14% 8.70% 30% 14.84% 21%
3 Year Revenue Growth 50% 26% 25% 34% 1% 29%
PAT 66 633 607 1100 366
Mcap 2575 74000 25000 21000 59000 15000
Mcap/Bed 1.8327 7.4 6.25 3.39 17.35 6
EBITDA/Bed 0.09 0.2 0.275 0.16 0.365 0.24

Recommendation on Yatharth Hospital and Trauma Care Services Limited IPO:

Review and Recommendation of Yasharth Hospitals IPO by IZ team is 6/10

Strengths:

1. Historical Growth and Establishment: Commenced operations in 2008 and has grown steadily over the years, showing the business's adaptability and resilience. 2. Size and Capacity: With a total of 1,405 beds, Yasharth is a prominent healthcare player in the Delhi NCR region. 3. Centers of Excellence (COEs): The establishment of COEs demonstrates a focus on specialized healthcare services, making the hospital a go-to destination for specific medical needs. 4. Recognition and Quality Assurance: Rated “5 Star” by Infomerics Analytics and Research Private Limited in 2022 and accredited by both NABH and NABL. 5. Modern Infrastructure: State-of-the-art diagnostic equipment, modular operation theaters, and comprehensive in-house diagnostic capabilities. 6. Holistic Care: Focus on the overall well-being of patients, with antenatal sessions, yoga classes, and telemedicine technology. 7. Experienced Leadership: Led by experienced professionals with over 17 years in the medical profession. 8. Diverse Revenue Streams: Empanelled with various health insurance administrators, government organizations, and private enterprises. 9. Active Branding and Outreach: Consistent community outreach, health talks, and active presence on social media platforms. 10. Increased ARPOB: A rising Average Revenue per Occupied Bed indicates that the hospital is successfully monetizing its bed capacity.

Weaknesses:

1. Bed Occupancy Rate: A decline in the Bed Occupancy Rate from 49.97% in 2022 to 45.33% in 2023. 2. Reliance on NCR Region: Major operations are concentrated in the Delhi NCR region, which can be a risk if the region faces economic or other adversities. 3. Decreased Capital Expenditure: The declining capital expenditure per operational bed might indicate reduced investments in infrastructure or equipment.

Opportunities:

1. Expanding Specialities: Introduction of new specialties like radiation therapy presents an opportunity for increased revenue. 2. Geographic Expansion: Acquisition of the Jhansi-Orchha hospital indicates potential for growth in new regions. 3. Growing Economy in Delhi NCR: A rising economy and population in the region suggest a greater demand for quality healthcare services in the future. 4.  Technological Advancements: Embracing telemedicine and other medical technologies can streamline operations and improve patient care.

Threats:

1. Increasing Competition: The rapid growth of private healthcare in India means rising competition in terms of price and services. 2. Regulatory Challenges: Changes in health regulations or policies can impact the profitability of the hospital.

Financials

1. The company has shown significant growth in revenue from FY21 to FY22 (75.11%) and continued to grow at a reasonable rate from FY22 to FY23 (29.68%). 2. EBITDA has also seen substantial growth from FY21 to FY22 (67.16%), but the growth rate slowed down from FY22 to FY23 (19.64%). 3. The company's profit after tax (PAT) has more than doubled from FY21 to FY22 (120%) and continued to grow at a healthy pace from FY22 to FY23 (50%).

Valuation

Yasharth Hospital's valuation based on Mcap/Bed appears relatively favorable compared to its peers. However, a crucial factor to consider is the occupancy rate of beds, which currently stands at 45%, notably lower than the industry average of 68% among its hospital peers. This lower occupancy rate could potentially lead to reduced revenue and pose a challenge to the hospital's growth prospects. It's essential to address and improve the occupancy rate to enhance revenue generation and ensure sustained growth for Yasharth Hospital in the future.

Lead Manager of Yatharth Hospital and Trauma Care Services Limited IPO:

  1. Ambit Capital Private Limited
  2. IIFL Securities Ltd
  3. Intensive Fiscal Services Private Limited

Registrar of Yatharth Hospital and Trauma Care Services Limited IPO:

  1. Link Intime India Private Limited

Company Address:

Yatharth Hospital and Trauma Care Services Limited JA 108 DLF Tower A Jasola District Centre South Delhi, Delhi - 110 025 Phone: +91 11 4996 7892 Email: cs@yatharthhospitals.com Website: https://www.yatharthhospitals.com/

Discussion on Yatharth Hospital and Trauma Care Services Limited IPO:

4 Comments

    Allotment to me was a single lot out of 8 lots applied for. Sold today @ 334/ per share.

      Please treat quotation as deleted and read as 8 times at the end. One lot was allotted to me out of 8 lots applied for. It seems allocation is on proportional basis. Request knowledgeable gentlemen to clarify.

    Funds raised from IPO and Pre-IPO will be used for the following purpose:

    1. 100 Cr = Repayment of certain borrowings by the Yasharth Hospitals.

    2. 145 Cr = Repayment of borrowings by Subsidiaries hospitals like AKS and Ramraja

    3. 25 Cr = Doing some Capex for Noida Hospital and Greater Noida Hospital

    4. 169 Cr = Doing some Capex for Subsidiaries hospitals like AKS and Ramraja.

    5. 65 Cr = Funding Inorganic Growth by doing acquisition.

    Apart from this company is also doing OFS:

    1. Total Size of OFS is = 195 Cr wherein promoters are selling some partial stakes.

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