Sri Lanka’s Nawaloka Hospitals to sell Rs1.5bn in debt

Aug 12, 2013 (LBO) – Sri Lanka’s Nawaloka Hospitals Plc will sell 1.5 billion rupees in unsecured listed debt RAM Ratings Lanka said, giving them an ‘A’ rating. RAM Ratings Lanka assigns A rating to Nawaloka Hospital PLC’s proposed Listed, Rated, Unsecured and Redeemable debentures (2013/2023)

RAM Ratings Lanka has assigned a long-term issue rating of A to the Nawaloka
Hospitals PLC’s (“Nawaloka” or “the Company”) proposed LKR 1.5 billion Listed,
Rated, Unsecured, and Redeemable Debentures (2013/2023). Concurrently, we have
reaffirmed the Company’s respective long- and short-term corporate credit ratings at
A and P2; the long-term ratings carry a stable outlook.

Nawaloka with its 2 subsidiaries – New Nawaloka Hospitals (Pvt) Limited and New
Nawaloka Medical Centre (Pvt) Limited, collectively referred to as “the Group”, is a
leading private healthcare provider in Sri Lanka.

The ratings continued to be
supported by the Group’s strong competitive position, lower leverage and strong
debt-protection metrics as well as the bright demand outlook for the private
healthcare sector. On the other hand, the ratings are weighed down by its limited
geographical presence and capacity constraints, the shortage of skilled healthcare
personnel in the sector and the Group’s heightened exposure to liquidity risk.

With a 415-bed capacity, Nawaloka is the largest private hospital in Sri Lanka in
terms of bed-count at a single location. Despite keener competition, the Group’s
competitive position has remained strong, underpinned by its reputation and track
record. Meanwhile, plans are underway for the construction of 2 new mini-hospitals
outside Colombo, which will expand Nawaloka’s bed capacity and its geographical
presence.

Meanwhile, the Group’s balance sheet remains strong as reflected in its low gearing
ratio of 0.38 times as at FYE March 2013 (“FY Mar 2013”). Its debt protection metrics
are also robust, with a funds from operations (“FFO”) debt coverage of 0.62 times as
at the same date (end-March 2012: 0.54 times), which increased concurrent with an
overall improvement in performance and reduction in debt.

As anticipated, its
gearing will to rise to around 0.8 times following the issuance of the debenture to
funds its proposed capital expenditure (“capex”) via debt – within our projected
levels. Nonetheless, we expect its debt protection metrics to remain good, supported
by its strong business profile and cashflow generation.

On the other hand, Nawaloka’s capacity constraints and congestion at its only
hospital in Colombo, along with a limited geographical presence, may pressure its
competitive position. This was further exacerbated by the recent opening of another
private hospital in the vicinity.

To address these issues, the Group added 50
consultation rooms adjacent to the current hospital building and intends to build a
new multi-storey car park. These measures, as well as the 2 planned mini-hospitals
outside of Colombo, are expected to have a positive impact on patient volumes over
the medium term.

A significant challenge to the private healthcare sector’s growth potential is the
shortage of skilled personnel and the resultant impact on staff costs, which have
escalated over the years. As this cost increase cannot be fully passed on to
customers, given the competitive nature of the industry, persistent rising costs will
continue to affect Nawaloka’s profit margins

As at end-March, the Group had LKR 151.57 million of cash reserves against LKR
769.72 million of short-term borrowings, which accounted for 53.66% of its total
debt load; this translated into a cash and cash equivalents (“CCE”) to short-term
debt ratio of 0.20 times. Although Nawaloka’s liquidity position is pressured by its
reliance on short-term borrowings and its small cash holdings, it is still able to meet
its short-term commitments given the cash-based nature of its business.
Nawaloka operates a 415 bed hospital in Sri Lanka’s capital Colombo.

“The ratings continued to be supported by the Group’s strong competitive position, lower leverage and strong debt-protection metrics as well as the bright demand outlook for the private healthcare sector,” RAM Ratings said.

“On the other hand, the ratings are weighed down by its limited geographical presence and capacity constraints, the shortage of skilled healthcare personnel in the sector and the Group’s heightened exposure to liquidity risk.”

The group was planning two new mini-hospitals outside Colombo, which will expand Nawaloka’s bed capacity and its geographical presence.

The group had low gearing of 0.38 times as of March 2013.