Aster and Blackstone-backed Quality Care to Merge and Create One of theTop 3 Hospital Chains in India with 10,150+ beds
prabaha tv : Aster DM Healthcare Limited (“Aster”), one of India’s largest and fastest growing integrated healthcare service providers,and Quality Care India Limited (“QCIL” or “Quality Care”), backed by Blackstone and TPG, one of the largest privately held hospital chains in India with a focus on emerging cities, have today signed definitive agreements for a merger. The merger has been approved by the Board of Directors of the respective companies and is subject toregulatory, corporate and shareholders’ approvals. The merged listed entity will be named Aster DM Quality Care Limited.
Aster DM Quality Care Limited will have a combined portfolio of four leading brands: Aster DM, CARE Hospitals, KIMSHEALTH and Evercare. The combined entity will have a of network of 38 hospitals and 10,150+beds spread across 27 citiesmaking it one of the top 3 hospital chains in India.
Rationale for the merger:
- Scale: Create one of thetop 3 hospital chains in Indiain terms of revenue & number of beds (38hospitals &10,150+beds) with strong presence across South & Central India
- Enhanced Metrics: Strong financial and operational metrics with superiormargins and returns post transaction
- Accretive: Merger is expected to be EPS accretive
- Diversification:Well-diversified presence across nine Indian states and a low overlap of hospitals along with a growing 360-degree ecosystem of labs, clinics and pharmacies
- Synergies: Combination expected to result in synergies from revenue, procurement&supply chain, capex, and integration of corporate functions. The MergedEntity is positioned for substantial revenue growth, leveraging clinical depth to drive future success
- Growth Potential: Significant opportunities for both brownfield and greenfield expansion (c.3,500 new bedsexpected between FY24-27)
- Backed by globalmarquee investors: Blackstone and TPG, among the world’s largest alternative asset managers,are highly reputed in the Indian public markets having backed numerous companies in the listed space
Dr. Azad Moopen, Founder and Chairman of Aster DM Healthcare,said: “The new combined entity ‘Aster DM Quality Care Ltd.’ is poised to become one of the largest healthcare players in the industry, setting new benchmarks in patient-centric care, innovation, and accessibility. Aster with almost four decades of leadership in GCC and India continues to be one of the biggest healthcare leaders in both the regions. The Moopen family who hasbeen instrumental in managing Aster’s India and GCC businesses will also lead the new merged entity. Thus, by combining the strengths of two pioneers, we are not only expanding our footprint but also creating a transformative force capable of reshaping the healthcare landscape. The integration of Aster and Quality Care’s extensive network and deep operational expertise with backing from Blackstone and TPG– among the most respected private equity firms will enhance our ability to deliver world-class healthcare services, drive innovation, and improve patient outcomes. The merger will also provide our medical professionals with an opportunity to cater to higher and diverse patient inflows.”
Mr. Amit Dixit, Head of Asia for Blackstone Private Equity, said: “We are committed to creating one of India’s leading platforms in thehealthcare sector. It is in our DNA to be a builder of businesses – using our scale, operational expertise, and global life sciences insights, we will help grow the platform, expand its footprint, and develop it into a world-class healthcare institution.We are excited to partner with the Moopen family which shares our valuesand strong governance standards. We believe Varun Khanna is a terrific leader and canhelp build the combined entity.”
Ms. Alisha Moopen, Deputy Managing Director of Aster DM Healthcare,said:“Setting gold standards in global healthcare has always been our guiding motto at Aster. The accelerated growth of Aster over the last 10 years in India showcases our deep clinical leadership and our ability to respond and cater to the market demand ahead of the curve.Combining the highest standards of service excellence whilst setting benchmarks for clinical outcomes has been our hallmark, distinguishing us from our peers. Through this merger with Quality Care, backed by Blackstone and TPG, we are creating a powerful force that will elevate healthcare standards through this strategic partnership.”
Mr. Ganesh Mani, Senior Managing Director at Blackstone Private Equity, said:“Life sciences is a key investment theme for Blackstone globally.We have built a unique healthcare private equity practice in India including a transformative buy-and-build hospital chain platform at Quality Care. The partnership between Aster and Quality Care is expected to significantly benefit patients, clinicians, employees, the community,and shareholders. Our focus is on enhancing patient care and experience through investments in best-in-class infrastructure and technology, and ensuring that we deliver top-notch quality of care.”
Mr. Vishal Bali, Senior Advisor at TPG, said: “Healthcare has long been a thematic focus for TPG globally and in India, and we are pleased to see Quality Care’s partnership with Aster to create one of India’s top 3 multi-specialty hospital chains. TPG has been a long-term investor in the hospitals segment in India, and is focused on building institutions of healthcare with a foundation of continuous quality improvement and standardized care to improve clinical outcomes and patient safety.”
Mr. Varun Khanna, Group Managing Director of Quality Care, said:“This merger demonstrates our aligned cultures and value systems, and furthers our commitment to address bed shortage in India’s underserved regions. The teams at Aster and Quality Care have established a strong legacy of positively impacting patients’ lives and meeting the evolving needs of communities.Ilook forward to leading this platform into a new era focused on healthcare excellence and serving the best interests of the patients.”
Aster is valued at a multiple of 36.6x on FY24 adjustedpostIND AS EV/ EBITDA. In comparison, QCIL is valued at a multiple of 25.2xbased on FY24 adjustedpostIND AS EV/ EBITDA.Based on the swap ratio recommended in the valuation report, the resultant shareholding of the Merged Entity will be 24.0% and 30.7% held by Aster Promoters and Blackstonerespectively, with the balance 45.3%being held by public and other shareholders.
