Global Research

10 June 2016

 

Apollo Hospitals Enterprise

Back ended earnings growth

Near-term pressure on margins with commissioning of Mumbai facility

We expect near term Ebitda margins to remain under pressure as Apollo's Navi Mumbai facility is expected to commission soon. Strong capacity addition (15% capacity addition in FY16 versus single digit percentage rise in the previous four years) in hospital beds has resulted in pressure on operating margins. Typically hospitals take around 18 months to break even at the EBITDA level and hence strong bed addition results in pressure on margins. Further, Apollo has acquired pharmacy business from Hetero and Assam Hospitals which are loss making.

Earnings growth back-ended

We estimate 44.6% EPS CAGR over FY16-18E although we expect 1HFY17 growth to be subdued as margins come under pressure. We expect margins to recover from FY18 onwards with a ramp-up in profitability of the hospital segment and a revival in Hetero profitability.

Remains a structural theme, room for organized players to gain share

We continue to be positive on the Indian healthcare services sector on the back of a shortage of quality services, an increase in affordability and rising insurance penetration. Being one of leading hospital chains in India, Apollo is a key beneficiary of growing Indian healthcare sector. We believe there is strong potential for expansion of organized players in the domestic healthcare market considering that organized players have only c. 6% market share. Organized healthcare service providers account for 37,000 out of more than 800,000 private hospital beds in India clearly leaving substantial room for future growth. Brand name assumes significance in metros and cities where patients prefer to go to recognized hospitals.

Valuation: Maintain Neutral

We maintain our Neutral rating on Apollo as margin pressure limits earnings growth in near term. Our target of Rs1,520 is based on 35x 1-yr forward PE. Apollo is trading at 30.6x FY18E earnings (discount to Asian peer average of 34.4x) for a 44.6% FY16-18E EPS CAGR (Asian peer average is 19.5%). Key risks are delayed scale-up in the occupancy of new hospital beds and enhancing profitability in recent acquisitions.

Equities

India

Healthcare Providers

12-month ratingNeutral

12m price targetRs1,520.00

PriceRs1,355.00

RIC:  APLH.BO BBG:  APHS IB

Trading data and key metrics

52-wk rangeRs1,500.75-1,177.95

Market cap.Rs189bn/US$2.82bn

Shares o/s139m (ORD)

Free float55%

Avg. daily volume ('000)373

Avg. daily value (m)Rs502.6

Common s/h equity (03/17E)Rs37.8bn

P/BV (03/17E)5.0x

Net debt / EBITDA (03/17E)1.6x

EPS (UBS, diluted) (Rs)

UBS

Cons.

03/17E

32.49

30.61

03/18E

45.34

40.32

03/19E

58.66

54.97

Hemant Bakhru

Analyst

hemant.bakhru@ubs.com

+91-22-61556 057

Highlights (Rsm)

03/14

03/15

03/16

03/17E

03/18E

03/19E

03/20E

03/21E

Revenues

43,842

51,785

60,856

72,625

86,241

100,238

114,659

129,332

EBIT (UBS)

5,046

5,230

5,290

7,232

9,753

12,065

14,362

16,255

Net earnings (UBS)

3,167

3,264

3,019

4,520

6,308

8,161

10,228

12,012

EPS (UBS, diluted) (Rs)

22.77

23.46

21.70

32.49

45.34

58.66

73.52

86.34

DPS (Rs)

6.73

6.93

7.22

9.38

13.63

17.64

22.10

25.96

Net (debt) / cash

(10,167)

(14,449)

(20,845)

(16,508)

(15,949)

(13,836)

(8,169)

(1,162)

Profitability/valuation

03/14

03/15

03/16

03/17E

03/18E

03/19E

03/20E

03/21E

EBIT margin %

11.5

10.1

8.7

10.0

11.3

12.0

12.5

12.6

ROIC (EBIT) %

14.9

13.0

10.8

13.5

17.8

20.6

23.5

26.0

EV/EBITDA (core) x

19.7

22.5

26.1

20.3

16.0

13.4

11.6

10.4

P/E (UBS, diluted) x

39.8

47.5

62.3

41.7

29.9

23.1

18.4

15.7

Equity FCF (UBS) yield %

(1.6)

(2.6)

(3.1)

2.8

1.5

2.6

4.6

5.4

Net dividend yield %

0.7

0.6

0.5

0.7

1.0

1.3

1.6

1.9

Source: Company accounts, Thomson Reuters, UBS estimates. Metrics marked as (UBS) have had analyst adjustments applied. Valuations: based on an average share price that year, (E): based on a share price of Rs1,355.00 on 10 Jun 2016 21:33 HKT

 

Apollo Hospitals Enterprise

Neutral (Rs1,520.00 price target)

UBS Research THESIS MAP

a guide to our thinking and what's where in this report

PIVOTAL QUESTIONS

Q: Can Apollo Hospitals continue to gain market share in an increasingly competitive Indian healthcare services market over the next two years?

Yes. We believe there is strong potential for expansion of organized players in the domestic healthcare market considering that organized players have only c. 6% market share. With increasing awareness and growing incomes, there is an increasing propensity for patients to go for brand name...

Q: Can Apollo sustain its margins considering that rapid expansion in hospitals and rising competitive pressures would lead to cost escalations especially in staff costs?

We see near term pressure on Apollo's operating margins, declining 88bps YoY in FY16E due to a substantial addition to bed capacity and acquisitions (loss-making). Overall, corporate hospitals will continue to attract talent for junior and middle positions though find it difficult to attract and...

Q: Can Apollo sustain RoICs despite rising cost of setting up new facilities?

Over the long term, we believe the company would be able to sustain RoICs by pricing its services at a premium in the major cities and sustain its track record of breaking even at the EBITDA level by the second year. However, in smaller cities and towns, it is likely to contain capital expenditure...

UBS VIEW

We maintain Neutral as we see margin pressure in the near term. Over the long term, we expect Apollo to benefit from the structural growth of healthcare services in India. The company has substantial enhanced bed capacity in FY16. We expect around 26.3% FY16-18E earnings CAGR on the back of strong capacity addition, although we expect growth to be back-ended.

EVIDENCE

Apollo has commissioned nearly 1,500 beds over the last two years expanding its capacity by 25%. Further, it has acquired Assam Hospitals and Hetero's pharmacy business over the last year. Both these factors have resulted in margin dilution that is likely to continue in the near term.

WHAT'S PRICED IN?

Apollo along with regional hospitals has seen PE rerating over the last two years. As such Indian healthcare services sector remains a structural theme and we continue to be positive on the back of a shortage of quality services, an increase in affordability and rising insurance penetration. We see strong long term growth prospects for Apollo. However, we see near term...

UPSIDE / DOWNSIDE SPECTRUM

Picture 8

Value drivers

Hospital sales growth

(FY16-18E CAGR)

Retails Pharmacy sales growth (FY16-18E CAGR)

EBITDA margin

(FY18E)

Rs1,775 upside

20.5%

18.5%

15.7%

Rs1,520 base

19.1%

17.5%

14.9%

Rs1,094 downside

17.5%

16.5%

14.2%

Source: UBS

COMPANY DESCRIPTION

Apollo Hospitals Enterprise owns and manages a network of tertiary and higher-secondary-care hospitals and clinics. It also operates a pharmacy chain. Apollo Hospitals has over...

OUR THESIS IN PICTURES

Chart 21

Total hospital beds addition peaked in FY16.

Chart 22

Revenue per store to increase to Rs12.8m by 18E, though the company is likely to add 300+ stores over FY16-18E

Chart 23

We expect Apollo's operating margins to improve as capacity utilization in recently commissioned facilities improves.

Chart 24

RoIC and RoE to recover as new facilities ramp up and profitability of acquired pharmacies improves.

Sources for exhibits above: Company data, UBS Research


PIVOTAL QUESTIONS

Q: Can Apollo Hospitals continue to gain market share in an increasingly competitive Indian healthcare services market over the next two years?

UBS VIEW

Yes. We believe there is strong potential for expansion of organized players in the domestic healthcare market considering that organized players have only c. 6% market share. With increasing awareness and growing incomes, there is an increasing propensity for patients to go for brand name facilities.

EVIDENCE

Organized healthcare service providers account for 37,000 out of more than 800,000 private hospital beds in India clearly leaving substantial room for future growth. Brand name assumes significance in metros and cities where patients prefer to go to recognized hospitals. Further, organized chains typically are empanelled with wide range of insurance companies.

WHAT'S PRICED IN?

Market already price in substantial long term growth potential considering that nearly 60% of the stock price is accounted by long term growth as per our residual income model.


Figure 1: Hospital beds in India

Chart 16

Source: Report by Expert group, Planning Commission of India

Figure 2: Structure of private hospital beds in India

Chart 17

Source: Report by Expert group, Planning Commission of India; Company filings


PIVOTAL QUESTIONS

Q: Can Apollo sustain its margins considering that rapid expansion in hospitals and rising competitive pressures would lead to cost escalations especially in staff costs?

UBS VIEW

We see near term pressure on Apollo's operating margins, declining 88bps YoY in FY16E due to a substantial addition to bed capacity and acquisitions (loss-making). Overall, corporate hospitals will continue to attract talent for junior and middle positions though find it difficult to attract and retain talent at high end resulting in some cost escalations.

EVIDENCE

Apollo's operating margins have declined nearly 200bps during FY12-15 due to commissioning of new facilities (added 25% of its total capacity in FY12) that drove up other expenditure. Apollo's staff costs have gone up at 19.6% CAGR over FY12-15 marginally ahead of its revenue growth despite increasing competition from other hospital chains like Fortis, Medicity, Artemis, CARE. With increase in utilization, staff costs as % of total revenues would decline over the next three years (FY16-19E).

WHAT'S PRICED IN?

Street expects Apollo to be able to manage the increase gradual in competition in Indian healthcare services sector. Notwithstanding competitive pressures and concomitant cost escalations, street numbers factor Apollo's ability to price services to more than recover these cost escalations.

Figure 3: Hospital expansion and EBITDA trend

Chart 25

Source: Company filing, UBS estimates

Figure 4: Margin trends

Chart 26

Source: Company filings, UBS estimates


PIVOTAL QUESTIONS

Q: Can Apollo sustain RoICs despite rising cost of setting up new facilities?

UBS VIEW

Over the long term, we believe the company would be able to sustain RoICs by pricing its services at a premium in the major cities and sustain its track record of breaking even at the EBITDA level by the second year. However, in smaller cities and towns, it is likely to contain capital expenditure per bed by sharing resources with its bigger regional hospitals. Over the next two years, we expect RoICs to improve by nearly 700bps as capacity utilization of recently added beds increases.

EVIDENCE

Apollo and some of other organized hospital chains have adopted hub and spoke model where high end services (tertiary care) and equipment are provided at regional hubs while hospitals in smaller cities have facilities enough to provide secondary care but not tertiary. Apollo, specifically, has a platform called Apollo Reach to set up low cost facilities in smaller cities.

WHAT'S PRICED IN?

Bloomberg consensus factors nearly 600bps increase in RoIC over FY16-18E marginally lower than UBS estimates. This factors Apollo's ability to price services as per increase in cost of setting up new facilities.


WHAT'S PRICED IN?

Picture 10

Market ascribes substantial value to long term growth

Apollo along with regional hospitals has seen PE rerating over the last two years. As such Indian healthcare services sector remains a structural theme and we continue to be positive on the back of a shortage of quality services, an increase in affordability and rising insurance penetration. We see strong long term growth prospects for Apollo. However, we see near term margin pressures due to rapid addition to existing bed capacity. We continue to see Apollo retaining PE premium on back of strong earnings trajectory over FY16-18E.

Figure 5: PE analysis

Chart 11

Source: Reuters, UBS estimates, Company data

Figure 6: Global peer valuation

Company Name

Rating

Price

Mcap

EPS CAGR

P/E (x)

EV/EBITDA(x)

P/BV (x)

RoE (%)

RoIC(%)

(LC)

(U$ m)

(FY16-18E)

FY17E

FY18E

FY17E

FY18E

FY18E

FY18E

FY18E

Apollo Hospitals

Neutral

1,389

2,894

44.6%

42.7

30.6

20.7

16.4

4.6

15.8

17.8

IHH Healthcare

Sell

6.4

13,084

7.4%

51.1

49.1

22.0

20.8

2.2

4.6

6.8

Bangkok Dusit Medical

Buy

24

10,509

15.9%

44.2

37.0

25.1

21.8

6.0

17.0

18.2

Bumrungrad Hospital

Sell

188

3,881

17.0%

34.3

28.7

22.4

19.5

8.4

31.1

37.8

KPJ Healthcare

Neutral

4.4

1,105

12.8%

29.8

26.7

12.6

11.3

2.8

10.7

13.5

Asian average

19.5%

40.4

34.4

20.6

18.0

4.8

15.8

18.8

Universal HLTH-B

Buy

138

13,822

8.8%

19.2

17.2

10.2

9.4

2.4

14.8

17.3

Community Health

Buy

15

1,699

-12.5%

6.2

6.0

7.1

7.1

0.4

6.4

6.8

Tenet Healthcare

Buy

30

2,995

10.1%

16.8

12.1

6.9

6.2

2.7

26.1

10.7

Healthsouth Corp

Neutral

42

4,131

9.6%

15.1

14.0

1.7

1.8

3.8

29.1

15.9

Lifepoint Hospital

Buy

71

3,282

5.0%

18.6

15.7

6.4

6.0

1.2

7.8

9.4

Kindred Healthcare

Neutral

12

1,058

-13.3%

13.5

12.6

-3.3

-3.1

0.7

5.5

9.5

US mean

3.0%

14.5

12.7

5.2

4.9

0.0

3.6

13.8

Source: Reuters, UBS estimates. Note: Prices as on 09-Jun-2016

Figure 7: Price performance

Company Name

Rating

Price

(LC)

Mcap

($ m)

1 week

1M

3M

6M

12M

Apollo Hospitals

Neutral

1,389

2,894

-0.9%

3.8%

-0.4%

2.3%

18.4%

IHH Healthcare

Sell

6

13,084

1.4%

-1.1%

0.2%

1.9%

10.5%

Ramsay Health

Neutral

73

10,978

2.7%

7.3%

10.9%

13.4%

23.1%

HCA Holdings Inc

Buy

81

33,700

2.6%

0.1%

12.1%

20.3%

-0.4%

Universal HLTH Services

Buy

138

13,822

0.5%

2.2%

22.1%

16.2%

8.3%

Community Health

Buy

15

1,699

5.0%

0.4%

-10.6%

-45.7%

-72.6%

Tenet Healthcare

Buy

30

2,995

0.9%

-3.8%

14.7%

-4.1%

-41.3%

Healthsouth Corp

Neutral

42

4,131

1.6%

1.2%

15.2%

20.0%

-4.8%

Lifepoint Hospital

Buy

71

3,282

3.9%

4.9%

9.5%

1.7%

-4.2%

Kindred Healthcare

Neutral

12

1,058

-2.5%

-6.8%

5.5%

-5.7%

-43.7%

Source: Reuters, UBS. Note: Prices as on 09-Jun-2016


UPSIDE / DOWNSIDE SPECTRUM

Picture 3

Value drivers

Hospital sales growth

(FY16-18E CAGR)

Retails Pharmacy sales growth (FY16-18E CAGR)

EBITDA margin

(FY18E)

Rs1,775 upside

20.5%

18.5%

15.7%

Rs1,520 base

19.1%

17.5%

14.9%

Rs1,094 downside

17.5%

16.5%

14.2%

Source: UBS

Apollo Hospitals is trading at Rs1,355.00 (as of 10 June).

Risk to the current share price is skewed (1.6:1) to the upside

Apollo Hospitals is trading at Rs1,355.00 (as of 10 June).

Upside (Rs1,775): In our upside scenario, we assume hospital business sales to grow at 20.5% CAGR over FY16-18E, driven by a more rapid scale-up of new capacity, a faster improvement in the occupancy rates for Hyderabad and a better overall case mix (ARPOBs). We also assume faster scale-up of EBITDA margins for new facilities, resulting in 15.7% FY18E EBITDA margin for Apollo. This would imply FY18E EPS of Rs50.58. This scenario suggests fair value of Rs1,775.00 per share.

Base (Rs1,520): In our base case scenario, we assume hospital business sales to grow at 19.1% CAGR over FY16-18E, driven by scale-up of new capacity, a faster improvement in the occupancy rates for Hyderabad and a better overall case mix (ARPOBs). We also assume EBITDA margins for to be 14.9% in FY18E. This would imply FY18E EPS of Rs45.39. We believe, the stock can trade at 35x FY18E PE, implying a fair value of Rs1,520.00 per share.

Downside (Rs1,094): In our downside scenario, we assume hospital business sales to grow at 17.5% CAGR over FY16-18E, driven by lower initial occupancy rates for its new capacity and a gradual recovery in recent acquisitions. This would lead to EBITDA margin of 14.2% and EPS of Rs40.39 in FY18E. As a result, we estimate Apollo could trade at 27x FY18E PE, implying fair value of Rs1,094.00 per share.


COMPANY DESCRIPTION

Market Cap

Rs193bn/US$2.89bn

Shares Outstanding

139m (ORD)

Industry

Healthcare Providers

Region

India

Website

www.apollohospitals.com

Apollo Hospitals Enterprise owns and manages a network of tertiary and higher-secondary-care hospitals and clinics. It also operates a pharmacy chain. Apollo Hospitals has over 7,100 beds in owned hospitals and over 2,000 beds in managed hospitals, and a chain of more than 2,200 Apollo Pharmacy stores in India. Apart from this, it also has a health insurance business with Munich Health. The company recently acquired Nova Specialty Hospitals, which is a chain of 11 facilities in eight cities.

Industry outlook

There is large scope for healthcare services in India—especially good-quality services—due to a structural undersupply of beds and healthcare spending. With a rapidly growing middle class, rising affordability and the increasing prevalence of so-called 'lifestyle' diseases, healthcare spending in India should continue to increase. As of 2014, India's healthcare expenditure was just 4% of its GDP (the global average was 9%). India also had 9 beds per 10,000 persons, while the global average was 30. Increasing healthcare insurance penetration should support spending in the long term. In India, the percentage of private spending out of total healthcare was high at 65% compared with the 37% global average, which supports pricing power for the sector's incumbents.

Revenues by product segment (FY16)

Chart 27

Source: Company reports

EBITDA by product segment (FY16)

Chart 28Source: Company reports.

Apollo Hospitals Enterprise (APLH.BO)

Income statement (Rsm)

03/14

03/15

03/16

03/17E

% ch

03/18E

% ch

03/19E

03/20E

03/21E

Revenues

43,842

51,785

60,856

72,625

19.3

86,241

18.7

100,238

114,659

129,332

Gross profit

22,341

25,973

30,298

36,676

21.0

43,551

18.7

51,122

58,476

65,959

EBITDA (UBS)

6,724

7,347

7,823

10,151

29.8

12,853

26.6

15,311

17,735

19,762

Depreciation & amortisation

(1,678)

(2,117)

(2,533)

(2,920)

15.3

(3,100)

6.2

(3,246)

(3,373)

(3,508)

EBIT (UBS)

5,046

5,230

5,290

7,232

36.7

9,753

34.9

12,065

14,362

16,255

Associates & investment income

267

397

342

249

-27.3

389

56.5

668

954

1,112

Other non-operating income

0

0

0

0

-

0

-

0

0

0

Net interest

(1,142)

(1,114)

(1,685)

(1,540)

8.6

(1,422)

7.7

(1,372)

(1,131)

(708)

Exceptionals (incl goodwill)

0

135

292

0

-

0

-

0

0

0

Profit before tax

4,171

4,648

4,239

5,941

40.1

8,720

46.8

11,362

14,185

16,658

Tax

(1,018)

(1,300)

(1,002)

(1,442)

-43.9

(2,442)

-69.4

(3,238)

(4,003)

(4,701)

Profit after tax

3,154

3,348

3,237

4,499

39.0

6,278

39.6

8,123

10,182

11,957

Preference dividends

0

0

0

0

-

0

-

0

0

0

Minorities

14

51

73

22

-70.5

30

38.2

38

47

55

Extraordinary items

0

0

0

0

-

0

-

0

0

0

Net earnings (local GAAP)

3,167

3,399

3,310

4,520

36.6

6,308

39.5

8,161

10,228

12,012

Net earnings (UBS)

3,167

3,264

3,019

4,520

49.8

6,308

39.5

8,161

10,228

12,012

Tax rate (%)

24.4

28.0

23.6

24.3

2.7

28.0

15.4

28.5

28.2

28.2

Per share (Rs)

03/14

03/15

03/16

03/17E

% ch

03/18E

% ch

03/19E

03/20E

03/21E

EPS (UBS, diluted)

22.77

23.46

21.70

32.49

49.8

45.34

39.5

58.66

73.52

86.34

EPS (local GAAP, diluted)

22.77

24.43

23.79

32.49

36.6

45.34

39.5

58.66

73.52

86.34

EPS (UBS, basic)

22.77

23.46

21.70

32.49

49.8

45.34

39.5

58.66

73.52

86.34

Net DPS (Rs)

6.73

6.93

7.22

9.38

30.0

13.63

45.4

17.64

22.10

25.96

Cash EPS (UBS, diluted)1

34.83

38.67

39.90

53.48

34.0

67.62

26.4

81.99

97.76

111.55

Book value per share

213.95

227.86

248.23

271.35

9.3

303.06

11.7

344.10

395.52

455.90

Average shares (diluted)

139.13

139.13

139.13

139.13

0.0

139.13

0.0

139.13

139.13

139.13

Balance sheet (Rsm)

03/14

03/15

03/16

03/17E

% ch

03/18E

% ch

03/19E

03/20E

03/21E

Cash and equivalents

2,741

3,773

3,976

5,810

46.1

6,899

18.7

8,019

9,173

10,347

Other current assets

15,814

19,944

25,862

25,288

-2.2

30,028

18.7

34,902

39,924

45,033

Total current assets

18,555

23,718

29,838

31,098

4.2

36,928

18.7

42,921

49,096

55,379

Net tangible fixed assets

30,227

36,115

42,082

43,708

3.9

45,333

3.7

46,637

45,764

44,757

Net intangible fixed assets

1,499

1,652

2,120

2,120

0.0

2,120

0.0

2,120

2,120

2,120

Investments / other assets

3,216

3,106

2,697

2,697

0.0

2,697

0.0

2,697

2,697

2,697

Total assets

53,497

64,592

76,737

79,623

3.8

87,078

9.4

94,376

99,678

104,953

Trade payables & other ST liabilities

7,343

9,906

11,234

13,406

19.3

15,919

18.7

18,503

21,165

23,874

Short term debt

625

857

1,820

2,000

9.89

2,000

0.00

2,000

2,000

2,000

Total current liabilities

7,968

10,763

13,054

15,406

18.0

17,919

16.3

20,503

23,165

25,874

Long term debt

12,283

17,365

23,001

20,318

-11.7

20,848

2.6

19,855

15,342

9,508

Other long term liabilities

3,291

4,031

4,843

4,843

0.0

4,843

0.0

4,843

4,843

4,843

Preferred shares

0

0

0

0

-

0

-

0

0

0

Total liabilities (incl pref shares)

23,542

32,160

40,898

40,567

-0.8

43,611

7.5

45,201

43,351

40,225

Common s/h equity

29,767

31,702

34,537

37,752

9.3

42,164

11.7

47,871

55,024

63,425

Minority interests

188

730

1,303

1,303

0.0

1,303

0.0

1,303

1,303

1,303

Total liabilities & equity

53,497

64,592

76,737

79,623

3.8

87,078

9.4

94,376

99,678

104,953

Cash flow (Rsm)

03/14

03/15

03/16

03/17E

% ch

03/18E

% ch

03/19E

03/20E

03/21E

Net income (before pref divs)

3,167

3,399

3,310

4,520

36.6

6,308

39.5

8,161

10,228

12,012

Depreciation & amortisation

1,678

2,117

2,533

2,920

15.3

3,100

6.2

3,246

3,373

3,508

Net change in working capital

(2,140)

(1,608)

(4,792)

912

-

(3,317)

-

(3,410)

(3,513)

(3,574)

Other operating

1,240

640

1,685

1,540

-8.6

1,422

-7.7

1,372

1,131

708

Operating cash flow

3,945

4,547

2,736

9,893

261.6

7,513

-24.1

9,368

11,219

12,653

Tangible capital expenditure

(5,958)

(8,655)

(8,500)

(4,545)

46.5

(4,725)

-4.0

(4,550)

(2,500)

(2,500)

Intangible capital expenditure

0

0

0

0

-

0

-

0

0

0

Net (acquisitions) / disposals

0

0

0

0

-

0

-

0

0

0

Other investing

2,400

1,064

144

1,834

-

1,089

-

1,120

1,154

1,174

Investing cash flow

(3,558)

(7,591)

(8,356)

(2,711)

67.6

(3,636)

-34.1

(3,430)

(1,346)

(1,326)

Equity dividends paid

(765)

(800)

(1,004)

(1,305)

-30.0

(1,896)

-45.4

(2,454)

(3,075)

(3,611)

Share issues / (buybacks)

72

417

1,090

0

-

0

-

0

0

0

Other financing

(1,204)

(1,176)

(1,685)

(1,540)

8.60

(1,422)

7.65

(1,372)

(1,131)

(708)

Change in debt & pref shares

1,262

5,481

6,598

(2,503)

-

530

-

(993)

(4,513)

(5,834)

Financing cash flow

(635)

3,923

4,999

(5,348)

-

(2,788)

47.9

(4,818)

(8,719)

(10,153)

Cash flow inc/(dec) in cash

(248)

880

(621)

1,834

-

1,089

-40.6

1,120

1,154

1,174

FX / non cash items

(211)

152

823

0

-100.0

0

-

0

0

0

Balance sheet inc/(dec) in cash

(459)

1,032

202

1,834

NM

1,089

-40.6

1,120

1,154

1,174

Source: Company accounts, UBS estimates. (UBS) metrics use reported figures which have been adjusted by UBS analysts.1Cash EPS (UBS, diluted) is calculated using UBS net income adding back depreciation and amortization.

Apollo Hospitals Enterprise (APLH.BO)

Valuation (x)

03/14

03/15

03/16

03/17E

03/18E

03/19E

03/20E

03/21E

P/E (local GAAP, diluted)

39.8

45.6

56.8

41.7

29.9

23.1

18.4

15.7

P/E (UBS, diluted)

39.8

47.5

62.3

41.7

29.9

23.1

18.4

15.7

P/CEPS

26.0

28.8

33.9

25.3

20.0

16.5

13.9

12.1

Equity FCF (UBS) yield %

(1.6)

(2.6)

(3.1)

2.8

1.5

2.6

4.6

5.4

Net dividend yield (%)

0.7

0.6

0.5

0.7

1.0

1.3

1.6

1.9

P/BV x

4.2

4.9

5.4

5.0

4.5

3.9

3.4

3.0

EV/revenues (core)

3.0

3.2

3.4

2.8

2.4

2.1

1.8

1.6

EV/EBITDA (core)

19.7

22.5

26.1

20.3

16.0

13.4

11.6

10.4

EV/EBIT (core)

26.2

NM

NM

28.5

21.1

17.1

14.3

12.7

EV/OpFCF (core)

23.2

27.0

NM

24.3

18.6

15.3

13.0

11.6

EV/op. invested capital

3.9

4.1

4.2

3.9

3.8

3.5

3.4

3.3

Enterprise value (Rsm)

03/14

03/15

03/16

03/17E

03/18E

03/19E

03/20E

03/21E

Market cap.

126,181

155,017

188,072

188,521

188,521

188,521

188,521

188,521

Net debt (cash)

9,204

12,308

17,647

18,677

18,677

18,677

18,677

18,677

Buy out of minorities

188

730

1,303

1,303

1,303

1,303

1,303

1,303

Pension provisions/other

0

0

0

0

0

0

0

0

Total enterprise value

135,573

168,055

207,023

208,501

208,501

208,501

208,501

208,501

Non core assets

(3,216)

(3,106)

(2,697)

(2,697)

(2,697)

(2,697)

(2,697)

(2,697)

Core enterprise value

132,358

164,949

204,326

205,804

205,804

205,804

205,804

205,804

Growth (%)

03/14

03/15

03/16

03/17E

03/18E

03/19E

03/20E

03/21E

Revenue

16.3

18.1

17.5

19.3

18.7

16.2

14.4

12.8

EBITDA (UBS)

10.6

9.3

6.5

29.8

26.6

19.1

15.8

11.4

EBIT (UBS)

8.3

3.6

1.1

36.7

34.9

23.7

19.0

13.2

EPS (UBS, diluted)

6.3

3.1

-7.5

49.8

39.5

29.4

25.3

17.4

Net DPS

4.5

3.0

4.2

30.0

45.4

29.4

25.3

17.4

Margins & Profitability (%)

03/14

03/15

03/16

03/17E

03/18E

03/19E

03/20E

03/21E

Gross profit margin

51.0

50.2

49.8

50.5

50.5

51.0

51.0

51.0

EBITDA margin

15.3

14.2

12.9

14.0

14.9

15.3

15.5

15.3

EBIT margin

11.5

10.1

8.7

10.0

11.3

12.0

12.5

12.6

Net earnings (UBS) margin

7.2

6.3

5.0

6.2

7.3

8.1

8.9

9.3

ROIC (EBIT)

14.9

13.0

10.8

13.5

17.8

20.6

23.5

26.0

ROIC post tax

11.2

9.2

8.0

10.2

12.6

14.4

16.5

18.2

ROE (UBS)

11.1

10.6

9.1

12.5

15.8

18.1

19.9

20.3

Capital structure & Coverage (x)

03/14

03/15

03/16

03/17E

03/18E

03/19E

03/20E

03/21E

Net debt / EBITDA

1.5

2.0

2.7

1.6

1.2

0.9

0.5

0.1

Net debt / total equity %

33.9

44.6

58.2

42.3

36.7

28.1

14.5

1.8

Net debt / (net debt + total equity) %

25.3

30.8

36.8

29.7

26.8

22.0

12.7

1.8

Net debt/EV %

7.7

8.8

10.2

8.0

7.7

6.7

4.0

0.6

Capex / depreciation %

NM

NM

NM

155.7

152.4

140.2

74.1

71.3

Capex / revenue %

13.6

16.7

14.0

6.3

5.5

4.5

2.2

1.9

EBIT / net interest

4.4

4.7

3.1

4.7

6.9

8.8

12.7

23.0

Dividend cover (UBS)

3.4

3.4

3.0

3.5

3.3

3.3

3.3

3.3

Div. payout ratio (UBS) %

29.5

29.5

33.3

28.9

30.1

30.1

30.1

30.1

Revenues by division (Rsm)

03/14

03/15

03/16

03/17E

03/18E

03/19E

03/20E

03/21E

Others

43,842

51,785

60,856

72,625

86,241

100,238

114,659

129,332

Total

43,842

51,785

60,856

72,625

86,241

100,238

114,659

129,332

EBIT (UBS) by division (Rsm)

03/14

03/15

03/16

03/17E

03/18E

03/19E

03/20E

03/21E

Others

5,046

5,230

5,290

7,232

9,753

12,065

14,362

16,255

Total

5,046

5,230

5,290

7,232

9,753

12,065

14,362

16,255

Source: Company accounts, UBS estimates. (UBS) metrics use reported figures which have been adjusted by UBS analysts.

Forecast returns

Forecast price appreciation+12.2%

Forecast dividend yield0.7%

Forecast stock return+12.9%

Market return assumption12.5%

Forecast excess return+0.4%

Valuation Method and Risk Statement

We value Apollo on basis of 1-yr forward PE multiple.
Key risks include 1) delay in sales and profitability improvement from new capacities; 2) higher than planned capital costs and project delays; 3) high competition locally, which could impact pricing and occupancy; 4) doctor attrition and regulatory changes.

Required Disclosures

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UBS Investment Research: Global Equity Rating Definitions

12-Month Rating

Definition

Coverage1

IB Services2

Buy

FSR is > 6% above the MRA.

49%

32%

Neutral

FSR is between -6% and 6% of the MRA.

38%

26%

Sell

FSR is > 6% below the MRA.

14%

19%

Short-Term Rating

Definition

Coverage3

IB Services4

Buy

Stock price expected to rise within three months from the time the rating was assigned because of a specific catalyst or event.

<1%

<1%

Sell

Stock price expected to fall within three months from the time the rating was assigned because of a specific catalyst or event.

<1%

<1%

Source: UBS. Rating allocations are as of 31 March 2016.
1:Percentage of companies under coverage globally within the 12-month rating category.

2:Percentage of companies within the 12-month rating category for which investment banking (IB) services were provided within the past 12 months.

3:Percentage of companies under coverage globally within the Short-Term rating category.

4:Percentage of companies within the Short-Term rating category for which investment banking (IB) services were provided within the past 12 months.

KEY DEFINITIONS: Forecast Stock Return (FSR) is defined as expected percentage price appreciation plus gross dividend yield over the next 12 months. Market Return Assumption (MRA) is defined as the one-year local market interest rate plus 5% (a proxy for, and not a forecast of, the equity risk premium). Under Review (UR) Stocks may be flagged as UR by the analyst, indicating that the stock's price target and/or rating are subject to possible change in the near term, usually in response to an event that may affect the investment case or valuation. Short-Term Ratings reflect the expected near-term (up to three months) performance of the stock and do not reflect any change in the fundamental view or investment case. Equity Price Targets have an investment horizon of 12 months.

EXCEPTIONS AND SPECIAL CASES: UK and European Investment Fund ratings and definitions are: Buy: Positive on factors such as structure, management, performance record, discount; Neutral: Neutral on factors such as structure, management, performance record, discount; Sell: Negative on factors such as structure, management, performance record, discount. Core Banding Exceptions (CBE): Exceptions to the standard +/-6% bands may be granted by the Investment Review Committee (IRC). Factors considered by the IRC include the stock's volatility and the credit spread of the respective company's debt. As a result, stocks deemed to be very high or low risk may be subject to higher or lower bands as they relate to the rating. When such exceptions apply, they will be identified in the Company Disclosures table in the relevant research piece.

Research analysts contributing to this report who are employed by any non-US affiliate of UBS Securities LLC are not registered/qualified as research analysts with FINRA. Such analysts may not be associated persons of UBS Securities LLC and therefore are not subject to the FINRA restrictions on communications with a subject company, public appearances, and trading securities held by a research analyst account. The name of each affiliate and analyst employed by that affiliate contributing to this report, if any, follows.

UBS Securities India Private Ltd: Hemant Bakhru.

Company Disclosures

Company Name

Reuters

12-month rating

Short-term rating

Price

Price date

Apollo Hospitals Enterprise

APLH.BO

Neutral

N/A

Rs1,388.65

09 Jun 2016

Source: UBS. All prices as of local market close.
Ratings in this table are the most current published ratings prior to this report. They may be more recent than the stock pricing date

Unless otherwise indicated, please refer to the Valuation and Risk sections within the body of this report. For a complete set of disclosure statements associated with the companies discussed in this report, including information on valuation and risk, please contact UBS Securities LLC, 1285 Avenue of Americas, New York, NY 10019, USA, Attention: Investment Research.

Apollo Hospitals Enterprise (Rs)

Source: UBS; as of 09 Jun 2016

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