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(Wholly owned subsidiary of Bank of Baroda)
Exhibit 1: Peer group comparison.
Source: Company ’s DRHP
$CompanyName$
Thyrocare Technologies Ltd.
Our View:
The company is a provider of diagnostic and related healthcare tests and
services in India and is specialised in preventive and wellness segment of the
diagnostics industry which has broader scope to grow with improving life style and health awareness among today’s generation. The penetration of lucrative
health and life insurance packages would contribute more to the growth story
of diagnostics industry going ahead. Through the company’s integrated, nationwide network, the company offers patients and healthcare providers a
broad range of diagnostic and related healthcare services for use in patient
diagnosis and the prevention of disease and other health conditions. The company plans to expand its business in TIER II and TIER III cities where there
is a huge gap between the demand and supply of healthcare services. The
company provides services at competitive and affordable prices. The company’s accreditations ensure quality in its services . The services provided
by the company need less investment which has resulted in good EBITDA
margins compared to its peers.
Company’s major competitors are Dr. LalPath Labs, SRL Diagnostics,
Metroplois, etc. But the company’s dominance in prognostic(preventive care)
services would help it to cope up with the competition.
The company has posted a revenue of Rs. 1.8bn / 1.5 bn in FY15 / FY14 and
has grown at CAGR of 18.25% over the past 5 years . The company has got
healthy EBITDA margins of 40.6%/45.8% in FY15 / FY14. The company follows an asset light model because of which the company does not have any
Long and Short Term borrowings. This leaves a lot of room for the Company to
leverage its Balance Sheet at a further date for aggressive expansion. Further, the Company has got a robust ROE of 20% / 25.2% for FY15 / FY14.
We recommend “SUBSCRIBE” to our investors as the company’s past track
record is very impressive and others cannot replicate the Company’s size and scale in the short term.
Utilization of net proceeds of the offer: The company is not issuing any
fresh equity shares which are being offered to the public. Existing investors are offering their equity shares in the company’s IPO. (This is an exit to the existing
shareholders).
Diagnostic
chain
Type of
tests
International
Presence
Domestic
Presence
Accreditations EBITDA
Margins Dr Lal Pathlabs
Pathology and imaging
Oman, Saudi Arabia, Kuwait, Nepal, Malaysia, Bangladesh, Qatar
Pan-India NABL, ISO, CAP, CDC(USA)
~28%
Metropolis Healthcare
Pathology UAE, Sri Lanka, South Africa, Kenya, Mauritius, Ghana
Pan-India NABL, ISO, CAP, CLIA (USA)
~29%
SRL Diagnostics
Pathology and imaging
Dubai, Sri Lanka, Nepal, Africa, Middle-East, Hong Kong, Maldives and SAARC countries
Pan-India NABL, ISO, CAP, ICAL, APLAC
~18%
Thyrocare Technologies
Pathology and nuclear imaging
Nepal, Bangladesh, Gulf Pan-India ISO, CAP, NAGL
~47%
IPO Note
SUBSCRIBE
Vaishali Parkar Kumar | [email protected] | +91 22 6138 9382
Hareesha Kakkera | [email protected] | +91 22 6138 9351
Issue Highlights
Issue Period Price Band
27th Apr- 29th Apr Rs. 420- 446
Issue Size No. of shares offered (MN)
Rs 4800 Mn 10.7
No. of Shares Post Issue
in MN 53.7
Distribution of shares Shares (Mn) Shares (%)
QIB Category 5.37 50%
Non- Institutional Category 1.61 15%
Retail Category 3.7 35%
Face Value Minimum Order Quantity
Rs.10 33 shares
Listing BSE & NSE
Book Running Lead Manager
JM Financial Institutional Securities Limited
Edelweiss Financial Services Limited
ICICI Securities Limited
27th April, 2016
Sector: Healthcare
Thyrocare Technologies Ltd. | 27 April 2016
| Equity research | 2
(Wholly owned subsidiary of Bank of Baroda)
Indian Healthcare Industry
Breakdown of the Indian Healthcare Industry
The healthcare market in India broadly comprises the following:
1. Hospital market that stands at ₹3,800 billion as of 2014-15.
2. Pharmaceutical industry comprising the domestic demand for formulations that stands at ₹
746 billion as of 2014-15.
3. Diagnostics industry that stands at ₹ 377 billion as of 2014-15.
Exhibit 2: Healthcare market in India
Source: Company ’s RHP, BOBCAPS
The size of the Indian healthcare industry amounted to ~Rs 4.7-5.0 trillion in FY15. Over the
next three fiscal years the size of the Indian healthcare industry is expected to grow at a
CAGR of ~12-14% to reach ₹6.7-7.1 trillion in FY18. The growth is expected to be driven by
rising lifestyle-related diseases, higher penetration of healthcare services, increasing
healthcare awareness and rising disposable income in India.
A majority of India’s healthcare expenditure is private as opposed to public. The share of the
general government expenditure on healthcare in India has improved from 27% in 2000 to
32.2% in 2013. The breakdown of public and private healthcare expenditure for certain
countries in 2013, India ranks lower than other developing countries, such as Brazil, Malaysia
and China on general government expenditure on health.
Exhibit 3: Private Healthcare Expenditure vs Public Healthcare Expenditure
0
20
40
60
80
100
US
A
Au
str
alia
Ja
pa
n
UK
Bra
zil
So
uth
Afr
ica
Ma
laysia
Th
aila
nd
Chin
a
Ind
ia
%
Private Expenditure Public Expenditure
Source: Company ’s RHP, BOBCaps
In 2013, a significant portion of India’s private healthcare expenditure was in the form of out -
of-pocket expenditure, both on a percentage basis and as compared to other developing and
developed countries.
Diagnostics industry stands at ₹ 377 b illion as of 2014-15
A majority of India’s healthcare expenditure is private as opposed to public.
Healthcare market in India
Healthcare Delivery
(Hospitals)
Pharmaceuticals Industry
Medical Equipments
Health Insurance
Diagnostics Industry
Thyrocare Technologies Ltd. | 27 April 2016
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(Wholly owned subsidiary of Bank of Baroda)
Exhibit 4: Out of Pocket Expenditure as a % of Private Expenditure
0
20
40
60
80
100
Ind
ia
Ja
pa
n
Ma
laysia
Chin
a
Bra
zil
Au
str
alia
Th
aila
nd
UK
US
A
So
uth
Afr
ica
%
Source: Company ’s RHP, BOBCaps
Thyrocare Technologies Ltd. | 27 April 2016
| Equity research | 4
(Wholly owned subsidiary of Bank of Baroda)
Indian Diagnostic Industry
Size of the Indian Diagnostic Industry
In India’s healthcare industry, diagnostic services play the role of an information intermediary,
providing useful information disease diagnosis. From FY12 to FY15, the industry grew at a CAGR
of ~16% to ~Rs 377 billion. For the next three fiscal years, it is estimated that the Indian
diagnostic industry will grow at a CAGR of ~16-18% to reach ₹ 585-616 billion in FY18.
Exhibit 5: Growth in Indian Diagnostics Industry.
15.0%
15.5%
16.0%
16.5%
17.0%
17.5%
18.0%
18.5%
0
100
200
300
400
500
600
700
2011-2012E 2014-2015E 2017-2018P
%bn
Rs
Indian Diagnostics Industry CAGR (%)
Source: Company ’s RHP, BOBCaps.
Urban vs. Rural Demand
The urban population accounted for only ~28% of the entire Indian population in FY15, but
contributed to ~67% of the revenues of Indian diagnostic market. Urban centers, particularly
metros, tier-I and tier-II cities, have better access to the healthcare delivery systems, including
hospitals, clinics, and diagnostic centers. In addition, since the urban population has a higher
disposable income, they can offer (and have a higher demand for) more advanced healthcare
services and facilities, including consuming a greater number of diagnostic tests.
Wellness and Preventive Diagnostic Services
Wellness and preventive diagnostic services are aimed at identifying pre-existing diseases or the
likely risk of particular diseases before the onset of actual symptoms. It is expected that wellness
and preventive diagnostic services will assist people to more accurately identify risks so that they
can take corrective or precautionary measures before any chronic condition substantiates. The
majority of wellness and preventive tests is aligned to either specifically screen for a chronic
disease or contain a series of tests to ascertain the overall health condition of an individual. A
majority of these wellness and preventive tests consists of biochemistry tests to screen for an
individual’s risk of chronic diseases, such as cardiovascular diseases, diabetes and cancers.
Some diagnostics service providers also offer basic imaging services, such as Xrays and
ultrasounds, in addition to pathology testing services. The wellness and preventive diagnostic
services segment accounted for ~6-8% of the aggregate diagnostic services market in the fiscal
year 2014-2015. It is expected that this segment will grow at a CAGR of close to 25% over the
next three fiscal years. The following graphs set out the estimated contribution of the wellness
and preventive diagnostic services segment to the overall diagnostic industry in the fiscal year
2014-2015 and its expected contribution in the fiscal year 2017-2018.
From FY12 to FY15, the Indian Diagnostic industry grew at a CAGR of ~16% to ~Rs 377 b illion
The wellness and preventive diagnostic services segment accounted for ~6-8%
of diagnostic industry
Thyrocare Technologies Ltd. | 27 April 2016
| Equity research | 5
(Wholly owned subsidiary of Bank of Baroda)
Exhibit 6: Growth of preventive and wellness care market.
6-8%
92-94%
2014-2015E
Wellness & Preventive Care Rest of the Market
Total MarketRs. 377bn
7-9%
91-93%
2017-2018P
Wellness & Preventive Care Rest of the Market
Total MarketRs. 585-616tn
~23- 25%
Source: Company ’s RHP, BOBCaps
Organized vs. Unorganized Category
Diagnostic chains, which constitute the organized market, have emerged in recent years. The
organized market as constituting diagnostic service providers that offer pathology and imaging
services and operate out of more than one center, with large chains that have a pan-India
presence. These players adopt the hub and spoke model of business operations and utilize
modern logistics and information management systems to operate their network. The share of
diagnostic chains in the overall diagnostic market in India was ~15%. It is expected that the share
of diagnostic chains in the overall diagnostic market in India will grow at a CAGR of ~21-23% to
reach 16% in the fiscal year 2017-2018.
Exhibit 7: Categories of Diagnostic Centres
15% 16%
37% 37%
48% 47%
2014-2015E 2017-2018P
Diagnostic Chains Hospital Based Dianostic Centres
Standalone Diagnostic Centres
Source: Company ’s RHP, BOBCAPS
Exhibit 8: Regional Chains vs Pan India Chains
2012014-15E
60-65%
35-40%
Regional Diagnostic Chains Pan India Diagnostic Chains
2017-18P
58-63%
37-42%
Regional Diagnostic Chains Pan India Diagnostic Chains
Source: Company’s RHP, BOBCAPS
Growth Drivers for the industry:
Increase in evidence-based treatments
Need for greater health coverage as population and life expectancy increase
Demand for lifestyle diseases-related healthcare services to grow
Wide demand and supply gap.
Shift in Disease Profiles
Increase in Health Insurance Coverage
Emerging as Medical Tourism Destination
Rising Income Levels Make Quality Healthcare Services More Affordable
Diagnostic chains, which constitute the organized market, have emerged in recent years
Thyrocare Technologies Ltd. | 27 April 2016
| Equity research | 6
(Wholly owned subsidiary of Bank of Baroda)
Business Overview
The company is one of the leading pan-India diagnostic chains and conduct an array of medical
diagnostic tests and profiles of tests that centre on early detection and management of disorders
and diseases. The company has pan India presence with 1,041 authorized service providers
covering 466 cities and 24 states and one Union Territory. As of February 29, 2016, they offered
198 tests and 59 profiles of tests to detect a number of disorders, including thyroid disorders,
growth disorders, metabolism disorders, auto-immunity, diabetes, anemia, cardiovascular
disorders, infertility and various infectious diseases. The profiles of tests include 16 profiles of
tests administered under “Aarogyam” brand, which offers patients a suite of wellness and
preventive health care tests. The company primarily operates testing services through a fully-
automated Central Processing Laboratory and recently expanded operations to include a network
of Regional Processing Laboratories.
Brands: The company has cultivated additional brands to cover variety of means of testing, tests
and profiles of tests.
Exhibit 9: The brands that it offers are listed in the table below:
Brand Name Type of Services Offered
Thyrocare Diagnostic testing
Aarogyam Wellness and preventive care
NHL Cancer monitoring
WHATERS Water testing
Sugar Scan Testing of blood glucose levels
Source: Company ’s RHP
Exhibit 10: Service Network
Source: Company ’s RHP
The company has pan India presence with 1,041 authorized service providers covering 466 cities and 24 states and one
Union Territory
Thyrocare Technologies Ltd. | 27 April 2016
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(Wholly owned subsidiary of Bank of Baroda)
Operational Model of the Company
Hub-and-spoke model
Company believes in its “hub and spoke” model, whereby specimens are collected across
multiple locations within a region for delivery to a predesignated clinical laboratory for centralized
diagnostic testing, which provides greater economies of scale and offers a scalable platform for
the continued growth of its business.
Reference lab: The reference lab is located centrally, usually in a large metropolitan
area, and also typically accumulates samples from satellite labs and collection centers
across the country. The reference labs may be equipped to conduct both routine and
specialized pathology and radiology tests. Sizes of laboratories may differ as per
equipment installed and tests analyzed or services offered, and may also include a
work area, front office, back office and a sample collection area.
Satellite Labs: Satellite labs offer a limited range of services. They mainly act as
feeders for reference labs. Satellite labs may be either owned or franchised by a
diagnostic chain company.
Collection Centers: Collection centers are located in hospitals, nursing homes,
pathology labs, doctors’ clinics, prime commercial properties and reta il spaces, among
other places. Collection centers may be company-owned or franchised. A franchisee
usually pays a franchise fee, around Rs. 30,000-50,000, to get the license to operate a
collection center for a satellite lab. Typically, the collection centers are mainly involved
in the collection and forwarding of patient samples to a satellite or reference lab.
However, the collection centers of certain chains may also be equipped to conduct
some basic tests. The centers usually have basic equipment in the form of a refrigerator
and a centrifuge, and employ minimal staff, such as a receptionist, lab technician,
attendants and delivery staff.
A diagnostic chain consists of a reference lab connected to collection centers (owned
and/or franchised) and other reference and satellite labs. A typical satellite lab is usually
able to cater to a catchment area with a two to five kilometer radius by itself. However,
the reach of the satellite lab expands to a 15-20 kilometer radius as collection centers
act as spokes (a collection center is usually able to cater to an area with a three to five
kilometer radius).
Exhibit 11: Reference Lab
Source: Company ’s RHP, BOBCaps
198 tests and 59 profiles of tests to detect a number of acute and chronic disorders
A diagnostic chain consists of a reference lab connected to collection centers and other reference and satellite labs.
Thyrocare Technologies Ltd. | 27 April 2016
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(Wholly owned subsidiary of Bank of Baroda)
Exhibit 12: Satellite Lab
Source: Company ’s RHP
Functioning of logistics between collection centers and labs
Collection centers pick up samples, either directly from customers’ homes or from the patients at
the center itself. The samples are stored as per procedures laid down by the reference labs to
maintain the samples’ integrity. For example, whole blood samples are safely collected in
vacuum-filled sterile tubes called ‘vacutainers’, appropriately labelled or barcoded, and stored at
the appropriate temperature of 4-25 degrees Celsius depending on the type of test
recommended.
Samples collected at collection centers are picked up by collection personnel, usually two to three
times in a day. Every pick-up person from the satellite lab has a specified area of operation and
usually handles five to ten centers within a four to five kilometer radius area. Samples from all
collection centers of a particular area of operation are rounded up within a single staging area in
the city. Then, a single delivery person takes charge of the samples and sends them to the
reference lab or satellite labs with routine testing capabilities. The samples are usually
transported by road on two-wheelers or other modes of transport. Sample transport usually takes
from one hour to one day depending upon the distance between the area of collection and the
final drop point and the turnaround time during which the sample can be kept intact.
Thyrocare Technologies Ltd. | 27 April 2016
| Equity research | 9
(Wholly owned subsidiary of Bank of Baroda)
Exhibit 13: Delivery Cycle of the Company:
Source: Company ’s RHP
Thyrocare Technologies Ltd. | 27 April 2016
| Equity research | 10
(Wholly owned subsidiary of Bank of Baroda)
Strength of the Company
Trusted Brand: The name “Thyrocare” is quite familiar and the quality of services are renowned.
Trust plays a very critical role while making health-based decisions. Hence the Company scores
highly on this count.
Affordability in services offered: Thyrocare provides affordable healthcare services to reach
people of all income levels . At the same time, the company has never compromised on the
quality of its results. They are widely accepted by many medical practitioners in the country. This
particular aspect projects a qualitative as well as quantitative growth of the company.
Using technologies to cater the demands of the industry: Being in the healthcare industry, it
is a very crucial fact to understand the need of the day. Using a technology for the right need
gives utmost success to a company in this field. The company has always come out with different
brands like arogyam, whaters, etc as and when required.
Penetration to rural areas: At a time when urban areas are well facilitated with all the healthcare
luxuries, the company is concentrating on the rural areas of this country where there is a
significant gap between the demand and supply. This key s trategy of growth will become a
turning point for the company to show steepness in the growth curve.
Doorstep Collection of Samples: The company provides customer convenience through its
doorstep collection services. In today’s life when people run short of time, such services would be
of high demand.
Affordable healthcare services to reach people of all income levels.
The company has never compromised on the quality of its
results.
The company is concentrating on the rural areas of this
country where there is a significant gap between the demand and supply.
Thyrocare Technologies Ltd. | 27 April 2016
| Equity research | 11
(Wholly owned subsidiary of Bank of Baroda)
Risks
Highly competitive business segment: The diagnostic healthcare service industry is highly
competitive. Further, there is no significant entry barrier in this industry. The pricing of a
standalone diagnostic healthcare center may be at a significant discount to the company’s rate
card as these standalone diagnostic center may operate on lower cost base as compared to a
company owning chain of diagnostic center. India being a cost conscious market, pricing often
take precedence over quality.
Higher dependence on some tests for revenue : The Company offered 198 tests and 59
profiles of tests as of February 29, 2016; however, a considerable portion of revenue is derived
from a few specific tests. For example, ~17% of revenue from diagnostic services for Fiscal 2015
was derived from thyroid profile. As another example, 51% of revenue from diagnostic services
for Fiscal 2015 was derived from wellness and preventive care offerings. If competitors develop
similar diagnostic tests with competitive pricing, or if the test offerings fall out of favour, the
customer’s preferences change, or the ability to conduct these tests is impaired in any way.
Changes in technologies: The healthcare diagnostic testing services industry is characterized
by changing technology and new product introductions. The success depends, in part, on the
company’s ability to develop, acquire or license new and improved testing technologies on
favourable terms. Other companies or individuals, including the competitors, may obtain patents
or other proprietary rights relating to newer technologies that could reduce the demand for the
pathology testing services.
Changing Laws and Government Policies: The company’s business operations and future
expansion are largely driven by government policies. The business and financial performance
could be adversely affected by changes in, or interpretation of, existing laws, or the promulgation
of new laws, rules and regulations applicable to the business.
The diagnostic healthcare service industry is highly competitive.
The company’s business operations and future expansion are largely driven by government policies.
Thyrocare Technologies Ltd. | 27 April 2016
| Equity research | 12
(Wholly owned subsidiary of Bank of Baroda)
Financial snapshot
Exhibit 14: Income Statement
Y/E Mar (Rsmn) FY11 FY12 FY13 F14 F15 Dec 15
Net sales 779 1,091 1,343 1,500 1,801 1,709
growth (%)
40.1 23.1 11.7 20.1 (5.1)
COGS 234 291 356 425 552 489
Staff Cost 53 71 90 121 173 157
Other cost 135 239 262 267 343 354
EBITDA 356 490 635 687 733 708
growth (%)
38 30 8 7 (3)
Depreciation 13 21 33 64 107 81
EBIT 343 469 601 623 626 81
Interest income 33 51 57 66 70 37
Finance Cost - - - - - -
Extraordinary/Excep. items
- - - - - -
PBT 376 520 659 689 695 117
Tax 128 171 211 227 232 229
Minority interest - - - - - -
PAT 248 349 448 462 464 436
Non-recurring items - - - - - -
Adjusted PAT 248 349 568 462 485 436
growth (%)
41 63 (19) 5 -
Sources: Cmpany ’s RHP
Exhibit 15: Balance Sheet
Y/E Mar (Rsmn) FY11 FY12 FY13 F14 F15 Dec 15
Cash & Bank balances 400 590 175 119 43 40
Other Current assets 159 308 109 155 310 398
Investments 240 240 772 1,190 1,625 2,544
Net fixed assets 164 196 855 938 900 940
Goodwill - - - - - -
Other non-current assets
46 37 54 56 67 74
Total assets 1,009 1,371 1,965 2,457 2,944 3,997
Current liabilities 45 34 40 64 66 157
Borrowings 250 250 250 250 - -
Other non-current liabilities
39 62 75 81 89 83
Total liabilities 334 346 364 395 155 240
Share capital 108 108 109 109 505 537
Reserves & surplus 567 917 1,492 1,953 2,284 3,220
Shareholders' funds 675 1,025 1,601 2,063 2,789 3,757
Total liabilities 1,009 1,371 1,965 2,457 2,944 3,997
Sources : Company ’s RHP
Thyrocare Technologies Ltd. | 27 April 2016
| Equity research | 13
(Wholly owned subsidiary of Bank of Baroda)
Sales and Dealing Team
Purvesh Shelatkar – Senior Vice President & Head Equity +91-22-6138 9330 [email protected]
Anil Pawar – Senior Manager – Dealing +91-22-6138 9325 [email protected]
Sachin Sambare – Manager– Dealing +91-22-61389331/33 [email protected]
Ashwin Patil – Executive – Dealing +91-22-6138 9326 ashw [email protected]
Research Team Sectors
Vaishali Parkar Kumar – Analyst Agri, Auto, Defence +91-22-6138 9382 [email protected]
Padmaja Ambekar – Analyst Auto Ancillary, Infra, Midcap +91-22-6138 9381 [email protected]
Akanksha Tripathi – Analyst Footw ear, FMCG +91-22-6138 9383 [email protected]
Rishabh Mehta – Associate Textile, FMCG, Infra +91-22-6138 9384 [email protected]
Hareesha Kakkera – Associate BioTechnology, Pharmaceuticals
+91-22-6138 9351 [email protected]
Retail Dealing Team
Kshitij Kelkar +91-22-61389386 [email protected]
Kiran Sawardekar +91-22-61389385 [email protected]
Nisha Rasal +91-22-61389328 [email protected]
Debt Dealing Team
Minaxi Tiwari +91-22-61389336 minaxi.tiw [email protected]
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