Indian Hospital sector articles
Three of Indiaâs major hospital chains â Max Healthcare, Narayana Health, and Rainbow Childrenâs Medicare â and how they performed last quarter. All of them go by different playbooks, making them a good sample set to understand the broader hospital sector.
refer India's hospitals are avoiding the expansion trap
InvITs falling below PB value
Here are the key points and takeaways from the discussion on âInvITs falling below PB valueâ from TradingQ&A (may include reference from other sources too)
Discussion : InvITs falling below PB Value
Key Insights
-
INVITs trade below book value (P/B < 1)
INVITs often trade below 1Ă book value due to the depreciating nature of their underlying assetsâlike transmission lines or roadsâwhose value gradually erodes and often approaches zero at the end of their tenure ([tradingqna.com][1]).
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High yield is cash flow, not pure profit
Yields of ~10â15% in INVITs largely consist of both cash flow and return of capital. Because asset value declines over time, much of the yield is effectively drawing down on the initial capital ([forum.valuepickr.com][2]).
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INVITs â REITs
- REIT assets (land and buildings) often appreciate, partly due to rental escalations and development potential.
- INVIT contracts (e.g., transmission PPAs) tend to have diminishing cash flows, and the assets themselves depreciate ([tradingqna.com][1]).
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End-of-life asset value issue
At expiryâtypically 25â30 yearsâthe value of assets may drop to nearly zero, with little residual salvage. Hence, returns are front-loaded via distributions, rather than via capital appreciation ([tradingqna.com][1]).
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Growth requires either debt or equity issuance
To sustain dividends or grow, INVITs must either:
- Take on new debt, or
- Issue fresh equity, which can dilute existing investors ([tradingqna.com][1]).
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Structural differences among INVITs matter
- Some INVITs have BOOM (Build-Own-Operate-Maintain) structures with perpetual ownership potential.
- Others follow BOOT (Build-Own-Operate-Transfer), where assets are handed over at the end of the contract ([forum.valuepickr.com][3], [tradingqna.com][1]).
- Asset lifespan can varyâe.g., transmission towers may last 50â150 yearsâso real-world depreciation might be slower .
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Dividend sustainability hinges on new asset additions
Without fresh acquisition, INVITs are essentially streaming out principal. Therefore, consistent income and yield depend on either acquiring new revenue-generating assets or prudently managing debt ([tradingqna.com][1]).
Takeaways
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INVITs are primarily cash-flow instruments, not capital-appreciation plays. You receive your money back over time via distributions, not necessarily at maturity.
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A P/B ratio below 1 is normative, given asset depreciationâdonât assume undervaluation or âbargainsâ purely based on PB.
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High dividend yield = capital return. Effective yield drops over time if you donât reinvest or add assets, since part of the payment is drawing down your own investment.
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Comparisons to REITs can be misleading: REITs often ride on appreciating land values and escalating cash flows, unlike INVITs managing depreciating infrastructure assets.
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Check the INVITâs strategy:
- Are they acquiring new assets?
- Using debt responsibly?
- Aiming for BOOM vs. BOOT assets?
- Whatâs their asset life profile?
Investment Checklist for INVITs
Factor |
Why It Matters |
P/B Ratio |
A low P/B is expectedâfocus on yield source |
Contract type |
BOOM (perpetual?) vs BOOT (expiry risk) |
Asset lifespan |
Longer lives = slower depreciation |
Growth strategy |
Debt or equity? Acquisition pipeline? |
Yield composition |
Principal vs interest = sustainability |
Bottom line:
INVITs are structured to provide consistent cash flows over the assetâs useful life, not to deliver capital gains. A P/B under 1 reflects this design, not mispricing. To evaluate them, dig into their contract structure, asset longevity, and growth strategy. With the right expectations and due diligence, they can be a stable, income-generating assetâbut they behave very differently from REITs or equity investments.
References
[1]: InvITs falling below PB Value âInvITs falling below PB Value - Fundamental Analysis - Trading Q&Aâ
[2]: PGINVIT impairment of investments in subsidiaries and book value - Q&A: Questions & Answers - ValuePickr Forum âPGINVIT impairment of investments in subsidiaries and book valueâ
[3]: Investing Basics - Feel free to ask the most basic questions - Page 44 - Stock Analysis & Valuation - ValuePickr Forum âInvesting Basics - Feel free to ask the most basic questionsâ
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Gold Hedge or investment
Gold is often considered a safe haven when equities fall. Hereâs why gold tends to perform well during stock market downturns:
1. Gold is a âstore of valueâ
- Gold has intrinsic value and has been used as money or wealth for thousands of years.
- Unlike stocks, gold doesnât represent a business that can lose revenue, fail, or go bankrupt.
2. Equity falls = fear rises = gold demand rises
- When stock markets fall, itâs often due to economic uncertainty (recession, war, inflation, etc.).
- In such times, investors flee to safety, and gold is one of the first assets they turn to.
3. Gold has low correlation with equities
- Gold and stocks often move in opposite directions.
- This diversification makes gold a hedge in a balanced portfolio.
4. Gold benefits when central banks cut rates or do QE
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In bear markets, central banks often:
- Cut interest rates (bad for banks and bonds)
- Inject liquidity via money printing (quantitative easing)
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These actions can lead to currency devaluation and inflation â boosting gold prices.
5. Gold is seen as a hedge against currency devaluation
- If equities fall due to poor economic policy or high inflation, fiat currencies (like INR, USD) may weaken.
- Gold is priced in those currencies, so when they fall, gold prices rise.
6. Flight to physical/tangible assets
- During financial crises, paper assets (stocks, bonds) may seem risky or uncertain.
- Gold is a real, tangible asset you can holdâthis appeals to investors in times of distress.
Example: COVID-19 Crash (March 2020)
- Equity markets crashed â Gold initially dipped (liquidity panic) but then surged.
- In 2020, gold crossed âš55,000 per 10g in India as investors ran to safety.
Summary Table
Reason |
Impact on Gold |
Stock market panic |
â Gold demand |
Inflation |
â Gold as hedge |
Currency weakening |
â Gold price in INR/USD |
Low interest rates |
â Appeal of gold (no yield needed) |
Uncertainty (war, recession) |
â Safe-haven buying |
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- Is gold really the âsafe havenâ everyone thinks it is?