Sri Anu Hospitals Unlisted Share Price | Live Update

Sri Anu Hospitals Unlisted Shares

Content

Sri Anu Hospitals Essentials

ISIN

INE0GKB01014

Face Value

₹10.00

Total Share

74,33,600

Total Income

₹57.57 Cr

Profit After Tax

₹3.48 Cr

EPS

₹4.68

P/E

25.64

P/B

7.89

Market Capitalisation

₹89.20 Cr

Enterprise Value

₹91.79 Cr

Book Value

₹15.20

Intrinsic Value

₹416.38

Earnings Yield

3.90 %

Sector

Health Care

Sub-sector

Hospitals & Diagnostics Centres

Sri Anu Hospitals Growth

Compounded Sales Growth

46.74%

1 Year
46.73%

3 Year
30.75%

6 Year

Pro Only

Compounded Profit Growth

295.65%

1 Year
95.85%

4 Year
60.64%

6 Year

Pro Only

Return On Equity

30.76%

2021
22.24%

2018
15.59%

2016

Pro Only

About Sri Anu Hospitals

Overview:

Sri Anu Hospitals Private Limited (SAHPL), incorporated in 2012, operates a chain of multispecialty hospitals located in Vijayawada, Andhra Pradesh. It holds an aggregate bed capacity of 400 hospital beds and is currently operating through a network of five hospitals.
The hospital offers a wide range of services in various specialty segments like, Gastro Entomology, Nephrology, Urology, Pulmonology, Orthopedics, General Medicine, Pediatric Surgery, Pediatric Orthopedics, Diabetology, Mother & child care along with general surgery.
In 2019, Anu Institute of Neuro and Cardiac Science was incorporated with a specialized care for Parkinson's disease, Endoscopic neuro surgeries and Navigation guided Neurosurgeries. In 2021 the company acquired Medicover Hospital in Visakhapatnam to expand its operating capacity.
In 2021, the hospital also operates via its subsidiary Anu My Baby Hospitals Private Limited, which specializes in level 4 Neonatal Intensive Care Unit (NICU) facilities, Obstetrics and Gynecology, Pediatrics and Fertility.

Sri Anu Hospitals IPO Details

The company does not have any plans of bringing IPO as on November 2022.

Sri Anu Hospitals Merger & Acquisition

Acquisition

In 2021 the company has acquired Medicover Hospital to expand its operating capacity.

Sri Anu Hospitals Subsidiaries

Anu My Baby Hospitals Private Limited

Any My Baby Hospitals Pvt Ltd had become a direct subsidiary of the Company during FY21 with the company. The company was incorporated on January 2021 and is located in Vijayawada, Andhra Pradesh. The Company holds 70% of the equity capital of Anu My Baby Hospitals Pvt Ltd.

Sri Anu Hospitals Business Model

The hospital focuses on the Pregnancy and Child Birth services. It has three departments catering those areas - Pregnancy & Gynecology, Neonatal & Pediatrics and Fertility.
Obstetrics and Genecology is the medical specialty that encompasses pregnancy, childbirth, and the postpartum period along with the health of the female reproductive system.
Neonatology consists of the medical care of newborn infants, especially the ill or premature newborn, and is usually practiced in neonatal intensive care units (NICUs).
In Vitro Fertilizations (IVF) is another area which is catered by this company. In case of failure of normal fertilization this method is used to fertilize the ovum with a sperm in a culture medium in laboratory.

Sri Anu Hospitals Revenue Segmentation

Revenue from Sale of Products
Revenue from Sale of hospital services

Sri Anu Hospitals Product & Services

Bariatric Surgery
Neurosciences
Cardiology
Pediatric Surgery
Urology/Nephrology
Pediatric Orthopedic & Trauma
Joint Replacement & Trauma
Pulmonology
Diabetology and Diabetic Emergencies
General Medicine
Gynecology
Psychiatry
Critical Care
Dermatology & Cosmetology

Sri Anu Hospitals Assets

Assets (FY21)	Amount (in ₹ Cr)
Fixed Assets	14.50
Cash and Cash Equivalents	6.62
Trade Receivables	5.44
Loans and Advances	4.87

Sri Anu Hospitals Industry Overview

Industry Statistics

Introduction:

Healthcare industry comprises of hospitals, pharmaceuticals, medical equipment and supplies, diagnostic services, telemedicine, digital healthcare, medical tourism, and medical insurance.
The healthcare infrastructure in India is categorized into primary, secondary, and tertiary healthcare. The three levels of care are catered to by both public and private healthcare providers.
Public healthcare system comprises limited secondary and tertiary care institutions in key cities and focuses on providing basic healthcare facilities in the form of primary healthcare centers (PHCs) in rural areas. The private sector provides the majority of secondary, tertiary, and quaternary care institutions with major concentration in metros, tier-I and tier-II cities.

Market Overview:

The Indian healthcare market was valued at ₹ 29.57 trillion in FY22 over ₹ 21.14 trillion in FY21, which represents the year-on-year (y-o-y) growth rate of 39.9% over FY21. It is estimated to reach ₹110.21 trillion by 2027, expanding a CAGR of 30.70% during FY22-FY27 forecast period.
In the Indian healthcare industry, the hospital segment dominates the overall market with 32% of market shares in the total revenue of the healthcare industry in FY21. Pharmaceuticals accounts for 16.5% of the total market followed by followed by digital healthcare with 13% of the market share. The share for pharmaceuticals and digital healthcare is expected to reach 19.91% and 17.44% by FY27.
India currently has 1.3 hospital beds per 1,000 population. There is also a shortage of skilled health workers, with 0.65 physicians per 1,000 people (the World Health Organization standard is 3 beds per 1,000 people) and 1.3 nurses per 1,000 people which means additional 3 million beds will be needed for India to achieve the target of 3 beds per 1000 people by 2025. Further, another 1.5 million doctors and 2.4 million nurses will be required to meet the growing demand for healthcare in India.

Key Trends:

Digital Health - The rapid adoption of smartphones has increased the usage of internet which has led to the increase in mobile health or digital health. The usage of digital health is across monitoring, doctor consultation, health compliance and adherence, diagnosis, and patient engagement. In terms of revenue, the digital healthcare market in India was valued at ₹252.92 billion in FY21. It is expected to reach ₹882.79 billion by FY27, expanding at a CAGR of 21.36% during the FY22- FY27 period.
Telemedicine - Telemedicine refers to healthcare services provided by the professional via communication platforms. The market size for telemedicine in India was around ₹67.87 billion in FY19. It is projected to increase to ₹454.86 billion by FY25 growing at a CAGR of 31% during FY20-FY25.
Electronic Health Record (EHR) - It is a real-time record of patients' medical history along with their recommended medications. It allows doctors to have access to evidence based tools that the doctors use to make decisions about patient's health condition. This is expected to simplify the online consultation for patients. The market size value in FY19 was around ₹16.56 billion and it is expected to increase to ₹26.02 billion by FY26 at a CAGR of 6.67% during FY19-FY26.
Artificial Intelligence - Medical researchers, doctors and scientists incorporate data into computers to receive automated solutions complex medical problems. Currently, AI is mainly applied on diagnosis and treatment planning for cancer and other chronic diseases. AI is expected to gain momentum in areas like clinical decision support system, computation pathology, primary healthcare and drug discovery. AI expenditure on healthcare stood around ₹55 billion in FY18 and it is expected to reach ₹974.35 billion by FY25.

Key Drivers:

Prevalence of chronic and lifestyle diseases such as diabetes, arthritis, hypertension, cardiovascular diseases (CVD) and cancer have increased substantially over past few years. Chronic diseases are one of the leading causes of death in India. About 21% of the elderly in India reportedly have at least one chronic disease, 27% of Indian adults suffer from cardiovascular disease and 18% are diagnosed with diabetes.
Rapidly evolving lifestyles has increased the incidence of lifestyle related diseases which have made people aware about the health and wellness. With the rise in the chronic and non-communicable diseases, people have started to opt for prior healthcare services, home healthcare facilities and precautionary care as it can reduce the chance of getting affected by these diseases. The Non-Communicable Diseases account for around 60% of all deaths.
Medical Value Travel is expected to be one of the prominent driver of the healthcare market. The presence of world-class hospitals, skilled professionals, quality healthcare, low treatment cost in comparison to other countries makes India popular destination for medical tourism. India ranked 7th in the top 20 wellness tourism markets globally. The segment was valued at ₹0.70 trillion in FY21 and is projected to reach ₹1.17 trillion by FY27. It is estimated to expand at a CAGR of 9.31% during the FY21-FY26 period.
Emergence of Telehealth and Telemedicine solutions for easy connectivity between patients and doctors over a secure and protected network, have aided the access to effective healthcare solutions in every corner of the country. The increase in telehealth and telemedicine solutions is expected to contribute to the growth of the overall healthcare market in the coming decade. The market size for telemedicine in India was at US$ 830 million, as of FY19 and it is projected to increase to US$ 5.5 billion by FY25, growing at a CAGR of 31% during FY20-FY25.

Competitive Landscape:

The healthcare market in India is lead by Apollo Hospitals Ltd which has more than 72 hospitals, with market capitalization of ₹5,72,162.3 million in FY22. Another leader in the market is Fortis Healthcare Ltd, which operates through 23 hospitals with the market capitalization of ₹1,79,868.8 million in FY22. It is followed by Aster DM Healthcare Ltd which operates through 20 hospitals with the market capitalization of ₹99,260 million in FY22.
Hospitals carve out the majority share of the majority share in the healthcare industry, approximately 62%. This followed by domestic pharmaceuticals contributing about 18% the remaining 20% is shared by diagnostics, medical equipment and insurance.
Manipal Hospital and Sri Ram Chandra Medical Center have got strong presence in the south region of the country as they are operating in most of the southern states.

Future Prospects

The Indian medical tourism market was valued at US$ 2.89 billion in 2020 and is expected to reach US$ 13.42 billion by 2026.
Tier 2 cities hold a good potential to expand further in terms of healthcare facilities because of demand arising from both within city and districts/cities of neighboring states.
The Government of India liberalized its policy by providing 100% FDI in the AYUSH sector for the wellness and medical tourism segment.
Superior quality healthcare coupled with low treatment costs in comparison to other countries is benefitting Indian medical tourism, and in turn, has enhanced prospects for the Indian healthcare market. Treatment for major surgeries in India costs approximately 20% of that in developed countries.
India has been ranked 10th in the Medical Tourism Index (MTI) for 2020-21 out of 46 destinations by the Medical Tourism Association.
By mid-2022, a new AIIMS in Rajkot covering ~201 acres of land is expected to be established at an estimated cost of Rs. 1,195 crore (US$ 162.69 million). The facility will have a 30-bed AAYUSH block and a 750-bed hospital. It will also have 125 seats for MBBS and 60 seats for a nursing programme.
The Ministry of Tourism has also published a draft of the ‘National Strategy and Roadmap for Medical and Wellness Tourism’, which aims at providing governance and developmental framework for medical and wellness tourism.

Government Initiatives

Pradhan Mantri Jan Arogya Yojana (PMJAY) - The government announced Rs.64,180 crore (US$ 8.Billion) outlay for the healthcare sector over six years in the Union Budget 2021-22 to strengthen the existing 'National Health Mission' by developing capacities of primary, secondary and tertiary care, healthcare systems, and institutions for detection and cure of new & emerging diseases.
National Health Mission - The Government of India approved continuation of 'National Health Mission' with a budget of Rs.37,000 crore (US$ 4.85 billion) under the Union Budget 2022-23.
Bilateral Ties - In September 2021, the 4th Indo-US Health Dialogue was hosted by India. The tow-day dialogue leveraged as a platform to deliberate upon multiple ongoing collaborations in health sector between the two countries.
Single Window System - The Drug Controller General of India (DCGI) has proposed to set up a single window system for start-ups and innovators seeking approvals, consents, and information regarding regulatory requirement.
Union Budget 2022-23 - Under the Union Budget 2022-23, the Ministry of Health and Family Welfare has been allocated Rs.86,200 crore (US$ 11.29 billion) an increase of 16.5% compared to Rs.73,932 crore (US$9.69 billion) in 2020-21.
Pradhan Mantri Swasthya Suraksha Yojana - In the Union Budget 2022-23, Rs.10,000 crore (1.31 billion) was allocated to the scheme. The Government of India will use this money to boost the medical infrastructure of the country and set up AIIMS across the country.
Ayushman Bharat scheme was launched to ensure universal health coverage and provide financial risk protection, assuring quality and affordable essential health services to all individuals.
PM Ayushman Bharat Health Infrastructure Mission - The Union Budget 2022-23, Rs.5,156 crore (US$ 675.72 million) was allocated to newly announced PM-ABHIM to strengthen India's health infrastructure and improve the county's primary, secondary and tertiary care services.

Sri Anu Hospitals Strengths

Company is aggressive towards expansion which is well witnessed by recent acquisition of Medicover Hospital and taking Anu My Baby Hospital as a subsidiary inFY21.
SAHPL provides services in various fields such as cardiology, neurology, orthopedic, nephrology, gastroenterology, gynecology & obstetrics, pediatric, and others. It derives its revenue from seven specialties thus reducing the reliability on the single specialty.
SAHPL is empaneled under Type C category of YSR AarogysSri Health Care Trust, it’s a health scheme by the Govt. of Andhra Pradesh which covers patients belonging to below poverty line (BPL).

Sri Anu Hospitals Shortcomings

The company has witnessed significant growth over past several years but the scale of operations continues to remain low which indicates company can do better than what it currently is doing.
Company should consider technological aspects like Electronic Health Record, Artificial Intelligence (AI) and Blockchain, Radiology Information System, Clinical Decision Support System, Mobile Based Application, Telemedicine, etc. as the world is moving towards the digitalization so is the healthcare. The big players of the industry have already implemented in their daily business.
Company should be aggressive towards expansion of operations to tier II cities because of the room for the new players.

Sri Anu Hospitals Opportunities

Healthcare Infrastructure - Three million beds will be needed for India to achieve the target of 3 beds per 1,000 people by 2025. 1.54 million doctors and 2.4 million nurses will be required to meet the growing demand for healthcare. Over US$ 500 billion is expected to be spent on medical infrastructure by 2030.
Research - INDIA REPORT on Longitudinal Ageing Study of India (LASI) Wave-1 - states that this report will be used to further improve and expand the reach of the ‘National Elderly Health Care’ network and contribute to the implementation of a spectrum of preventive and healthcare services for the elderly and vulnerable population - Minister for Health & Family Welfare.
Health-Tech - India currently holds the fourth position in attracting VC funding to the health-tech sector, with investments of US$ 4.4 billion between 2016-21, with US$ 1.9 billion invested in 2021 alone. HealthifyMe, with a total user base of 30 million people, is adding half a million new users every month and crossed US$ 40 million ARR in January 2022. Another example is 1mg a 100% subsidiary of Tata Sons Private Limited.
Medical Devices - The medical devices market is expected to reach US$ 11 billion by 2022, backed by rising geriatric population, growth in medical tourism and declining cost of medical services.

Sri Anu Hospitals Threats

The Indian Healthcare sector is continuously evolving but the expenditure towards this sector is not just trailing developed countries (like US,UK) but also developing countries such as Brazil, Nepal, Vietnam, Singapore, Sri Lanka, Malaysia, and Thailand in terms of healthcare spending as a percentage of GDP as of 2018.
Out of the current healthcare issues faced by the health sector in India, the biggest has to be a lack of infrastructure. Repeated insufficiency of hospital beds, a dearth of specialized faculty to treat major diseases, and high out-of-pocket financial expenditure makes for an impossibly stressed national health care system.
Healthcare segment is already flooded with large players like Apollo, Medanta, Fortis. Due to presence of these players in the market it is difficult for the debutants to create their presence in the market.
Customer dissatisfaction can become a huge disadvantage to any business especially to this sector. People is the market and their interest and satisfaction is very important for any hospital to function. Any negative news can take a big share of the customers with it.