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May 9 17 tweets 5 min read Twitter logo Read on Twitter
Narayana Hrudayalaya Ltd Analysis!🇮🇳

A Detailed Thread 🧵⬇️
#investing #StocksToBuy Image
1. About:

NHL operates a chain of multi-specialty, tertiary and primary healthcare facilities.

The Group owns and operates certain hospitals and enters into management agreements with hospitals under which the Group acquires the operating control of the hospitals.
2. Presence and capacity:

It has 47 healthcare facilities (6,121 operational beds) of which 19 (5,462 beds) are owned/operated, two (283 beds) are managed, four (266 beds) are heart centres, 21 (no beds) are primary healthcare facilities and one (110 beds) hospital is in the… twitter.com/i/web/status/1…
3. Healthcare Industry Dynamics:

• Healthcare industry growth:

Ageing population, burgeoning lifestyle diseases, and rising affordability are contributing to the Indian healthcare industry growth at 15-17% CAGR.

Healthcare Delivery has grown at CAGR of 12-14% over FY16-20.
• Dominant Private healthcare spending:

India’s private sector accounts for 65-70% of healthcare spending; hence new investments will largely be driven by private firms.

• Higher Out of pocket expenditure:

Low public spending and limited penetration of health insurance has… twitter.com/i/web/status/1… Image
4. Revenue Mix: Image
5. Cost Structure: Image
6. Fundamental Indicators:

The company has a better overall indicators as compared to its peers Image
7. Key Strengths:

• Established market position:

NHL enjoys a strong market
position in the healthcare services industry as an established brand, especially in the cardiac and renal sciences.

Its goodwill and focus on patient affordability have helped it in partnering with… twitter.com/i/web/status/1…
8. Geographically diversified presence in the domestic market along with international presence –

NHL has 47 healthcare
facilities (6,121 operational beds) of which 19 (5,462 beds) are owned/operated, two (283 beds) are managed, four (266 beds)
are heart centres, 21 (no beds)… twitter.com/i/web/status/1…
9. Significant improvement in financial profile –

In 9M FY2023, NHL witnessed 19.7% YoY revenue growth along with improvement in OPM to 20.9% (22.6% in Q3 FY2023) from 17.8% in FY2022.

The improvement was a result of better case and payor mix with increased traction in… twitter.com/i/web/status/1…
10. Improving metrics

It’s healthy cash accruals resulted in improvement in NHL’s debt metrics with interest coverage at 14.1 times in 9M FY23 compared with 9.9 times in FY22 & Net Debt (excluding lease liabilities)/OPBDITA of 0.3 times as on December 31, 2022, compared with 0.5… twitter.com/i/web/status/1…
11. Weakness:

• High dependence on top-three hospitals and the Cayman Island facility.

• Significant debt-funded capex plans

• Stiff competition in healthcare industry

• Higher Price multiple ratios.
12. Capex: Image
13. Shareholding Pattern: Image
14. Numbers: Image
15. Peer Companies you can look into:

• Apollo Hospital
• Artemis Medicare Services
• Aster DM Healthcare
• Medanta
• Indraprastha Medical Corp

End of thread—

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