Asarfi Hospital Limited SME IPO (Asarfi Hospital IPO) - My analysis

Asarfi Hospital is a 250 bedded multi-specialty hospital offering healthcare facilities to people for nearly two decades in Dhanbad, Jharkhand. The entity is Accredited by National Accreditation Board for Testing and Calibration Laboratories (NABL Accredited).

Pros:

  1. EV/EBITDA is just 8.06 which is fairly low compared to its peers (avg. of 18, a discount of 2.23x)
  2. Sustainable avg. EBITDA margin of 16.5% in last 3 years
  3. D/E is low at 0.4
  4. Plans to open a cancer care hospital with IPO (no other cancer hospital in Dhanbad) and a medical college (very profitable side-business)
  5. Steady 10% increase in ARPOB YoY
  6. Bed occupancy rate is ~65% which is decent with avg. inpatient stay of 4 days.

Cons:

  1. Land for building cancer hospital is currently in legal dispute in HC (They won the case in district court)
  2. CFO from Operations was negative in FY-23 due to high trade receivables (not sure how that can happen in a hospital - someone please share insights)
  3. Price to CFO in FY-22 was 5.6 which is expensive compared to its stated peers (avg. of 2.13)/ but the peers aren’t directly comparable

Overall seems like a safe bet for short to long-term (if they win the legal case which can get stuck).

2020-21 2021-22 2022-23 KMC Shalby GHL
Revenue 54.4 66.2 73.0
21.68% 10.33%
Revenue from Ops 54.12 65.21 70.7
Total Expense 49.62 58.48 62.14
Finance Cost 0.63 0.7 1.34
D&A Cost 2.91 3.35 3.87
EBITDA 8.04 10.78 13.77
EBTIDA margin 14.78% 16.29% 18.85%
PAT 3.5 5.7 8.0
PAT margin 6.50% 8.65% 10.97%
Total shares 1.97
EPS 4.07
Price 52 81.2 189 707
P/E 12.77
D/E ratio 0.4
MCap 102.3
Short-term borrowings 4.63 5.64 6.41
Long-term borrowings 2.5 5.98 10.78
Borrowings 7.13 11.62 17.19
Cash 6.75 13.72 8.51
EV 111.0
EV/EBITDA 8.06 30.1 13.9 27.8
CFO 10.29 9.26 -2 32 68 645
Price to CFO 5.1 5.6 -26 2.5 2.8 1.1
ARPOB 16712 18751 20068
12.20% 7.02%
Bed Occupancy Rate 65% 46%
Length of stay 4 31300
Beds 250
2 Likes

why not artemis or kovai hospital over this ? artemis is available at 2.5x sale . Kovai at 3x a better brand , in high income state , visibility of expansion plan where as this being ultra small cap would be available at 2.25 x sales (adjusting grey market premium) .

Any VPer from Dhanbad Jharkhand or eastern India can provide some scuttlebutt on Asarfi hospital its doctors n reputation on promoter quality ?

Valn seems cheap & reputation of LM Hem Securities is good & sector also is doing well.