Rating Rationale
August 01, 2022 | Mumbai
Sahyadri Hospitals Private Limited
Ratings reaffirmed at 'CRISIL A-/Stable/CRISIL A2+'
 
Rating Action
Total Bank Loan Facilities RatedRs.100 Crore
Long Term RatingCRISIL A-/Stable (Reaffirmed)
Short Term RatingCRISIL A2+ (Reaffirmed)
Note: None of the Directors on CRISIL Ratings Limited’s Board are members of rating committee and thus do not participate in discussion or assignment of any ratings. The Board of Directors also does not discuss any ratings at its meetings.
1 crore = 10 million
Refer to Annexure for Details of Instruments & Bank Facilities

Detailed Rationale

CRISIL Ratings has reaffirmed its ‘CRISIL A-/Stable/CRISIL A2+’ ratings on the bank facilities of Sahyadri Hospitals Private Limited (SHPL; part of Sahyadri group).

 

Group’s operating performance has improved in fiscal 2022 reflected in estimated revenue and operating margin of over Rs. 750 crore and 24% respectively vis-à-vis Rs.570 crore and 22% in previous fiscal. Benefit of covid hospitalization at the start of fiscal, pick up in non-covid treatments and regular surgeries, higher realization per occupied beds and steady occupancy had led to improved performance during the year. With sizable addition of new capacity (primarily for private/ICU beds) in coming fiscals and group’s established regional market position, the business risk profile should continue to bolster over medium term.

 

The financial risk profile continues to remain healthy despite ongoing debt funded capex majorly aided by healthy accretion to reserves and reducing debt. The company had received the funding of Rs. 140 crores from Everstone Group in recent fiscals which was used to prepay some of the debt and fund the capex. Liquidity of the company continues to remain healthy supported by healthy accruals, negligible utilization of working capital bank lines and healthy cash and cash equivalents.

 

The ratings continue to reflect SHPL's extensive industry experience of the promoters and establish market position, efficient working capital cycle and healthy financial profile. These strengths are partially offset by its exposure to intense competition and regulatory risks, geographic concentration in revenue and ongoing large capex.

Analytical Approach

CRISIL Ratings has combined the business and financial risk profiles of SHPL and with its wholly owned subsidiaries i.e. Sahyadri Karad Hospitals Pvt Ltd and Surya Hospitals Pvt Ltd, these have synergistic businesses and are operated by the same promoters and management.

 

Please refer Annexure - List of Entities Consolidated, which captures the list of entities considered and their analytical treatment of consolidation.

Key Rating Drivers & Detailed Description

Strengths:

  • Establish regional market position: SHPL, along with its subsidiaries, operates eight hospitals in Maharashtra: six in Pune and one each in Nashik and Karad. Healthy infrastructure and the established ‘Sahyadri ‘brand developed under the aegis of an experienced management team have helped the group establish a sound market position in Maharashtra.

 

The Sahyadri group’s operating performance has been improving, as reflected in compound annual growth rate of around 16% in revenue in the five years through fiscal 2022 and improved operating margin backed by ramp-up in operations and better ARPOB (Average Revenue Per Occupied Bed). The operating performance is likely to improve further over medium term as well aided by addition of new capacity and group’s established market position in the region.

 

  • Efficient working capital cycle: The group has an efficient working capital cycle given the limited share of government and insurance business. The controlled working capital cycle is reflected in gross current assets of less than 50 days (excluding cash and equivalent) with receivables of less than 25 days in the past five years.

 

  • Healthy financial profile: The group capital structure has been at healthy level due to lower reliance on external funds yielding gearing of 0.23 times and low total outside liabilities to adjusted tangible networth (TOL/ANW) of 1.06 times for year ending on 31st March 2022. The debt protection measures have also been at healthy level due to low leverage and healthy profitability.  The interest coverage and net cash accrual to total debt (NCATD) ratio are at 6.19 times and 1.41 times for fiscal 2022.

 

The group plans large capex of over Rs. 100 crores annually over the medium term. Its reliance on debt, however, is expected to remain limited given its strong operating cash flow and surplus liquidity.

 

Weaknesses:

  • Exposure to intense competition and regulatory risk: The hospitals under the group are exposed to competition from various large hospital chains in the regions it operates in. the group remains exposed to regulatory risk faced by the healthcare industry. Government policy on capping of prices for medical procedures and devices may impact profitability as seen in the past.

 

  • Geographic concentration in revenue: Operations are localized with major revenue coming primarily from Pune region. This renders entities in the segment to susceptible to dynamics of a single market. The hospital is also vulnerable to entry of other big players in its region.

 

  • Exposure to risks associated with planned capex: SHPL has just completed renovation and construction of two additional floors at its flagship hospital at Deccan Gymkhana, Pune, where in it has added around 66 beds. The group has also completed capex at Nagar Road adding about 70 beds. The group is adding over 100 beds at its Hadapsar hospital and plans to construct a new hospital building at Deccan Gymkhana for which land plots are being acquired and construction shall commence in due course. The large capex though primarily be funded by operating cash flows and surplus liquidity, the successful completion of the capex within the defined timelines and stabilisation and quick ramp-up of operations from the new capacity remain critical for maintaining the operating performance.

Liquidity: Strong

Bank limit utilization remained minimal at around 2 percent for the past twelve months ended March 2022.  Cash accrual are expected to be over Rs 100 crores which are sufficient against term debt obligation of Rs 12-20 crores over the medium term. In addition, cash and cash equivalents of more than Rs. 140 crores will continue to cushion the liquidity amidst ongoing capex. During fiscal 2022, the group has prepaid the debt of over Rs. 60 crore. Current ratio was quite adequate at 1.40 times on March 31, 2021.

Outlook: Stable

CRISIL Ratings believe the group will continue to benefit from its established presence in the region and healthy financial risk profile.

Rating Sensitivity factors

Upward factors

  • Sustained improvement in operating income by over 20% and maintenance of healthy operating margin, leading to sizable cash accruals
  • Sustained financial risk profile and maintenance of surplus liquidity

 

Downward factors

  • Decline in net cash accruals to below Rs 60 crore on account of decline in revenue or severe dip in operating profitability margin
  • Larger than expected debt funded capex or acquisition thus weakening its liquidity & financial profile.

About the Company

SHPL (formerly known as Sahyadri Hospitals Ltd) was incorporated in 1996. It operates eight hospitals with over 845 beds across Maharashtra along with its subsidiaries. It owns three of the hospitals and has long-term leases on four, while the flagship hospital at Deccan Gymkhana is under an operator arrangement with a hospital trust. SHPL was promoted by Dr Charudutt Apte and his business acquaintances. Currently Private equity firm Everstone Group holds controlling stake (86.55%) in SHPL.

Key Financial Indicators (Consolidated):

As on / for the period ended March 31

 

2021

2020

Operating income

Rs crore

569.89

460.27

Reported profit after tax

Rs crore

24.66

7.31

PAT margins

%

4.33

1.59

Adjusted Debt/Adjusted Net worth

Times

0.58

0.68

Interest coverage

Times

3.58

3.20

Status of non cooperation with previous CRA:

SHPL has not cooperated with India Ratings And Research Private Limited which classified it as not-cooperative vide a release dated May 12, 2022. The reason provided is non-furnishing of information for monitoring the rating.

Any other information: Not applicable

Note on complexity levels of the rated instrument:
CRISIL Ratings` complexity levels are assigned to various types of financial instruments and are included (where applicable) in the 'Annexure - Details of Instrument' in this Rating Rationale.

CRISIL Ratings will disclose complexity level for all securities - including those that are yet to be placed - based on available information. The complexity level for instruments may be updated, where required, in the rating rationale published subsequent to the issuance of the instrument when details on such features are available.

For more details on the CRISIL Ratings` complexity levels please visit www.crisilratings.com. Users may also call the Customer Service Helpdesk with queries on specific instruments.

Annexure - Details of Instrument(s)

ISIN

Name of instrument

Date of
allotment

Coupon
rate (%)

Maturity date

Issue size
(Rs crore)

Complexity level

Rating assigned
with outlook

NA

Cash Credit

NA

NA

NA

15

NA

CRISIL A-/Stable

NA

Letter of Credit

NA

NA

NA

0.5

NA

CRISIL A2+

NA

Overdraft Facility

NA

NA

NA

1.5

NA

CRISIL A2+

NA

Proposed Fund-Based Bank Limits

NA

NA

NA

23

NA

CRISIL A-/Stable

NA

Term Loan

NA

NA

Mar-26

60

NA

CRISIL A-/Stable

Annexure – List of entities consolidated

Names of Entities Consolidated

Extent of Consolidation

Rationale for Consolidation

Sahyadri Karad Hospitals Pvt Ltd

Full

Sahyadri Karad Hospitals Pvt Ltd and Surya Hospitals Pvt Ltd are subsidiaries of SHPL. All the companies have the same promoters and significant business synergy.

Surya Hospitals Pvt Ltd

Full

Sahyadri Hospitals Pvt Ltd

Full

Annexure - Rating History for last 3 Years
  Current 2022 (History) 2021  2020  2019  Start of 2019
Instrument Type Outstanding Amount Rating Date Rating Date Rating Date Rating Date Rating Rating
Fund Based Facilities LT/ST 99.5 CRISIL A2+ / CRISIL A-/Stable   -- 15-06-21 CRISIL A2+ / CRISIL A-/Stable   --   -- --
Non-Fund Based Facilities ST 0.5 CRISIL A2+   -- 15-06-21 CRISIL A2+   --   -- --
All amounts are in Rs.Cr.
Annexure - Details of Bank Lenders & Facilities
Facility Amount (Rs.Crore) Name of Lender Rating
Cash Credit 10 HDFC Bank Limited CRISIL A-/Stable
Cash Credit 5 Union Bank of India CRISIL A-/Stable
Letter of Credit 0.5 Union Bank of India CRISIL A2+
Overdraft Facility 1.5 HDFC Bank Limited CRISIL A2+
Proposed Fund-Based Bank Limits 23 Not Applicable CRISIL A-/Stable
Term Loan 60 HDFC Bank Limited CRISIL A-/Stable

This Annexure has been updated on 04-Apr-2023 in line with the lender-wise facility details as on 03-Apr-2023 received from the rated entity.

Criteria Details
Links to related criteria
CRISILs Approach to Financial Ratios
CRISILs Bank Loan Ratings - process, scale and default recognition
Rating criteria for manufaturing and service sector companies
CRISILs Criteria for Consolidation

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