Ramsay Health Care Ltd RHC

Morningstar Rating

We Maintain Ramsay's Narrow Moat Rating on Potential Ramsay Santé Demerger

Business Strategy and Outlook

Ramsay is returning to its core Australian business after a period of global expansion. It sold its German business in 2020, Ramsay Sime Darby in 2023, and now plans to demerge its 53% stake in Ramsay Santé in 2026, subject to shareholder approval. We support the exits, as market fundamentals are generally less attractive overseas. Around 80% of Ramsay's Australian revenue comes from commercial private health insurance, or PHI, agreements, compared with around 30% or less in its other geographies. This gives the Australian business greater pricing flexibility, while publicly funded activity is generally subject to government budgets and government-set tariffs. We also see limited benefits operating globally given differing regulatory and funding regimes and the local nature of staffing, a hospital's highest cost.

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