Dubai: The UAE-based Aster DM Healthcare is in discussions with its banks to change some terms of a syndicated loan to counter difficult business conditions including delays to payments it is owed, sources familiar with the matter said.

The company, which operates hospitals, clinics and pharmacies in the Gulf and India, raised a multi-tranche syndicated loan equivalent to about Dh600 million ($163 million) in March last year, Thomson Reuters data shows.

Aster wants to modify in particular the period during which it may draw down the loan. “There are some loan covenants they want to reset,” said one banking source.

A spokesman for Aster declined to comment.

A number of health care firms in the UAE are looking at debt refinancing options in order to improve their positions because of sluggish business, bankers said.

Some are struggling as a result of changes in medical insurance rules in Abu Dhabi, as well as tough competition and a slowing economy, which has led to thousands of expatriates leaving because of job losses.

Another source said Aster’s problems were partly a result of the slow pace of payments in Saudi Arabia where, according to its website, it operates a 220-bed hospital in Riyadh. The Saudi Arabian economy slowed sharply last year because of low oil prices and the government delayed payments to many of its suppliers.


Earlier this year Indian lender ICICI Bank — which had a lead role in Aster’s syndicated loan — approached banks to sound out their appetite for a refinancing of that facility. That option was discarded in favour of a loan waiver that would change the drawdown period, sources said. ICICI did not respond to a request for comment.

Aster plans to launch an initial public offer of shares in India this year, its chairman told Reuters last October. It hired India’s Kotak Mahindra Bank, Bank of America-Merrill Lynch and Goldman Sachs to arrange the IPO.

Aster’s loan was provided by Abu Dhabi Commercial Bank, ICICI Bank, Mashreqbank, National Bank of Fujairah, and Standard Chartered Bank as mandated lead arrangers. National Bank of Abu Dhabi, National bank of Oman and State bank of India were also involved with less senior lead arranger roles, according to Thomson Reuters data.