Product Quantum (Rs. Cr) Long Term Rating Short Term Rating
Bank Loan Ratings 156.91 ACUITE B+ | Stable | Reaffirmed -
Total Outstanding 156.91 - -
 
Rating Rationale

­Acuité has reaffirmed the long-term rating of ‘ACUITE B+’ (read as ACUITE B plus) on the Rs. 156.91 Cr bank facilities of Medicant Hospital and Research Centre Private Limited (MHRCPL). The outlook is ‘Stable’.

Rationale for reaffirmation
The rating reflects the company’s exposure to risks related to its ongoing project and expected leveraged capital structure. The rating also factors delay in the project due to material unavailability. These
Weaknesses are partially offset by the extensive experience of the directors in the healthcare hospitals industry and financial closure from Bank.

About the Company
­Medicant Hospital and Research Centre Private Limited (MHRCPL) is a New Delhi based company incorporated on 23rd Nov 2016. The directors are Dr. Majid Ahmed Talikoti, Dr. Jahan Ara Talikoti, Dr. Uma Kishore, Rajesh Kumar, Shiwani, Jagdish Teli. MHRCPL is setting up a 315-bed Super Multi speciality hospital at Bokaro, Jharkhand with total investment of around Rs. 202.95 Cr. The hospital is envisioned to have the latest technology, advanced machines apart from being NABH (National Accreditation Board for Hospitals & Healthcare Providers) and NABL (National Accreditation Board for Testing and Calibration Laboratories) accredited. MHRCPL is scheduled to commence its project in February 2024.  
 
Unsupported Rating
­Not Applicable
 
Analytical Approach
­Acuité has considered the standalone business and financial risk profiles of MHRCPL to arrive at the rating.
 
Key Rating Drivers

Strengths
  • ­Extensive experience of the partners buoyed by favourable location expected to support occupancies
The extensive experience of the directors, their strong understanding of the market dynamics and expected healthy relationships with suppliers and customers will support the business. The proposed hospital has location advantage of being located at proximity to Bokaro railway station and upcoming airport which will support the occupancy rates.

Weaknesses
  • Leveraged capital structure in initial phase of operation 
The company’s capital structure is expected to remain below average marked by low networth base and high gearing over the medium term. The tangible net worth of the company improved to Rs. 35.40 Cr as on 31st March 2023 as compared to Rs.20.09 Cr as on 31st March, 2022 due to equity infusion by the promoters. Gearing of the company will increase and is expected to remain at high levels in FY2023-24 as the company plans to avail long term facility from bank for its pending construction, plant and machinery purchase and installation. The total cost of project is Rs.202.95 Cr which is to be funded partly through Rs.143.91 Cr term loan from Punjab National Bank and remaining from promoter’s contribution. In this project, up to December 2023, the company has incurred Rs.117.01 Cr which has been funded by term loan of Rs. 76.71 Cr. and promoter’s funding of Rs. 40.30 Cr.  In FY24, the company is expected to use the remaining sanctioned amount, and with this the gearing level is expected to increase in FY24. The promoters are resourceful and will infuse any incremental funding requirement if the situation arises. The scheduled time for completion of the project is February 2024. Acuité believes that going forward the financial risk profile of the company is expected to be below average due to leveraged capital structure over the medium term.
  • Exposure to implementation risk due to early stages of project development
MHRCPL is scheduled to commence its project in November 2020 and has already completed the hospital building structure as on August 2022. The management expects the hospital to commence operations in the beginning of February 2024. Originally scheduled to start in April 2023, the project faced delays due to material unavailability, and it is now set to begin in February 2024.
Ability to execute the project in a timely manner with no cost or time overruns and early stabilization of the project are key credit sensitivities. Acuité would continue to monitor the project progress, and the track record of operations, once commercialised, and take rating actions appropriately.
  • Highly regulated nature of healthcare industry
The healthcare industry is regulated by several policies and bodies in terms of pricing, quality control, safety and health standards, and several other certifications and control standards. The company has to undergo for the necessary approvals and certifications, further the same has to be regularly upgraded for smooth functioning of their business. Any changes or regulations by the regulatory bodies may hamper the business of the companies prevailing in the industry.
Rating Sensitivities
­
  • Timely completion of the project without any cost or time overrun
  • Timely stabilisation of operations 
 
All Covenants
­None
 
Liquidity Position
Stretched
The company’s liquidity position is expected to remain stretched in initial stages of operation. However, if the operations stabilises the debt servicing should be met out timely. The Company is also required to maintain a debt service reserve account (DSRA) account post completion date to meet three months’ interest servicing requirement.  The promoters are expected to infuse equity and unsecured loans to support the business from time to time. The company has also applied for working capital limits. However, timely implementation of the project and generation of expected cash accrual will be key rating sensitivity factors.
 
Outlook: Stable
­Acuité believes that ­MHRCPL will maintain a 'Stable' outlook on the basis of the positive outlook in the health care industry. The outlook may be revised to 'Positive' in case of timely stabilisation of operations. Conversely, the outlook may be revised to 'Negative' in case of slippages in project execution, significant cost over-run resulting in deterioration in the liquidity and leverage position on a prolonged basis.
 
Other Factors affecting Rating
­None
 

Particulars Unit FY 23 (Actual) FY 22 (Actual)
Operating Income Rs. Cr. 0.00 0.00
PAT Rs. Cr. (0.22) (0.12)
PAT Margin (%) 0.00 0.00
Total Debt/Tangible Net Worth Times 0.96 0.00
PBDIT/Interest Times (9.14) (739.32)
Status of non-cooperation with previous CRA (if applicable)
­Not Applicable
 
Any other information
­None
 
Applicable Criteria
• Default Recognition :- https://www.acuite.in/view-rating-criteria-52.htm
• Service Sector: https://www.acuite.in/view-rating-criteria-50.htm
• Application Of Financial Ratios And Adjustments: https://www.acuite.in/view-rating-criteria-53.htm

Note on complexity levels of the rated instrument
­­I­n order to inform the investors about complexity of instruments, Acuité has categorized such instruments in three levels: Simple, Complex and Highly Complex. Acuite’ s categorisation of the instruments across the three categories is based on factors like variability of the returns to the investors, uncertainty in cash flow patterns, number of counterparties and general understanding of the instrument by the market. It has to be understood that complexity is different from credit risk and even an instrument categorized as 'Simple' can carry high levels of risk. For more details, please refer Rating Criteria “Complexity Level Of Financial Instruments” on www.acuite.in.
 

Date Name of Instruments/Facilities Term Amount (Rs. Cr) Rating/Outlook
12 Oct 2022 Term Loan Long Term 143.91 ACUITE B+ | Stable (Assigned)
Working Capital Term Loan Long Term 13.00 ACUITE B+ | Stable (Assigned)
­

Lender’s Name ISIN Facilities Date Of Issuance Coupon Rate Maturity Date Quantum
(Rs. Cr.)
Complexity Level Rating
Punjab National Bank Not Applicable Term Loan Not available Not available Not available 143.91 Simple ACUITE B+ | Stable | Reaffirmed
Punjab National Bank Not Applicable Working Capital Term Loan Not available Not available Not available 13.00 Simple ACUITE B+ | Stable | Reaffirmed

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