World Class Hospital Group
2
Disclaimer
This presentation has been prepared by PT Siloam International Hospitals, Tbk (SILO ) and is circulated for the purpose of general
information only. It is not intended for any specific person or purpose and does not constitute a recommendation regarding the securities of SILO. No warranty ( expressed or implied ) is made to the accuracy or completeness of the information. All opinions and estimations included in this report constitute our judgment as of this date and are subject to change without prior notice. SILO disclaims any
responsibility or liability whatsoever arising which may be brought against or suffered by any person as a result of reliance upon the whole or any part of the contents of this presentation and neither SILO nor any of its affiliated companies and their respective employees and agents accept liability for any errors, omission, negligent or otherwise, in this presentation and any inaccuracy herein or omission here from which might otherwise arise.
Forward –Looking Statements
The information communicated in this presentation contains certain statements that are or may be forward looking. These statements
t pi all o tai ords su h as ill , e pe ts a d a ti ipates a d ords of si ilar i port. B their ature, for ard looking statements involve a number of risks and uncertainties that could cause actual events or results to differ materially from those described in this presentation. Factors that could cause actual results to differ include, but are not limited to, economic, social, and political conditions in Indonesia ; the state of the property industry in Indonesia; prevailing market conditions; increases in regulatory burdens in Indonesia, including environmental regulation and compliance cost; fluctuations in foreign currency exchange rates; interest rate trends, cost of capital and capital availability; the anticipated demand and selling prices for SILO developments and related capital expenditures and investments; the cost of construction; availability of real estate property; competition from other companies and venues; shifts in customer demands; changes in operation expenses, including employee wages, benefits, and training, governmental and public policy
ha ges; “ILO’s a ilit to e a d re ai o petiti e; “ILO’s fi a ial o ditio , usi ess strateg as ell as the pla s a d objectives of
“ILO’s a age e t for future operatio s; ge eratio of future re ei a les; a d e iro e tal o plia e a d re ediatio . “hould one or more of these uncertainties or risks, among others, materialize, actual results may vary materially from those estimated, anticipated or projected. Specifically, but without limitation, capital costs could increase, projects could be delayed and anticipated improvements in production, capacity or performance might not be fully realized. Although SILO believes that the expectations of its management as
reflected by such forward –looking statements are reasonable based on information currently available to us, no assurances can be given
that such expectations will prove to have been correct. You should not unduly rely on such statements. In any event, these statements speak only as of the date hereof, and SILO undertakes no obligation to update or revise any of them, whether as a result of new information, future events or otherwise.
Where We Are In Lippo Karawaci
04
Highly Experienced & Professional Management
05
The Vision
06
The Journey
07
The Operations
08
A Day At Siloam
09
The Strategy & Business Model
10
–
13
Premier Private Hospital Group
14
–
18
4
Where We Are In Lippo Karawaci
1H 2015 Results
As of 30 Jun 2015
No. of Outstanding Shares : 23,077,689,619 Code : LPKR.JK ; LPKR IJ
LIPPO RELATED COMPANIES
25.98 %
DEVELOPMENT REVENUE
RECURRING REVENUE
HOSPITALS
COMMERCIAL
MANAGEMEN
ASSET
T
• “iloa
Hospitals
• Retail Malls
•
Aryaduta
Hotels
• REIT,
Mall &
Hotel
Management
• To
Management
Services, Leisure
and Restaurants
PUBLIC
74.02 %
TOWNSHIPS INDUSTRIAL
AND
COMMERCIAL PROPERTIES
OFFICE PROJECTS LARGE
Highly Experienced & Professional Management
Board of Directors
Romeo Lledo
Prof. George Mathew
Director
dr. Grace Frelita
Director
Kailas N. Raina
Director
Board of Commissioners
Ketut Budi Wijaya
President Commissioner
Theo L. Sambuaga
Commissioner
dr. Niel Nielson
Independent
dr. Gershu Paul Group Executive
6
The Vision
1H 2015 Results
Reach
Scale
International
Quality
Affordable and Accessible Healthcare
to all socio economic segments
Godly
Compassion
By 2017..
•
Beds
4,800 to 10,000
•
Patients per annum
2 million to 15 million
•
Hospitals
The Journey
1996
–
2006: Learning Phase
2007
–
2010: Consolidation Phase
2011 to Date: Expansion Phase
1996
SH Lippo Village
2002
2011
2012
2013
2014
2017
SH Lippo Cikarang
SH Surabaya
SH Kebon Jeruk
SH Balikpapan
SH Jambi SH MRCCC
RSUS
SH Manado
SH Makassar
SH Palembang
SH Cinere
SH Bali
SH TB Simatupang
BIMC Kuta
BIMC Nusa Dua
SH Medan
Asri
SHLV
– I do esia’s First Hospital to e
Accredited and Re-accredited by JCI
(2007, 2010 and 2014)
2013
–
The Company
successfully completed IPO
BIMC Nusa Dua
– I do esia’s First
Hospital to be Accredited by ACHS
Australia (2014)
8
The Operations
1H 2015 Results
Unrivalled network across Indonesia
JCI
Sumatra Population : 50.6 mio
Kalimantan Population : 13.8 mio
Java Population : 136.6 mio
Sulawesi Population : 17.4 mio
Papua Population : 3.6 mio
Bali Population : 3.9 mio
Nusa Tenggara Population : 9.2 mio
Maluku Population : 2.6 mio
Jakarta Population : 10 mio
Greater Jakarta Population : 28 mio
Operational Hospitals (20)
Future Developments (46)
A Day At Siloam
402
Inpatient
Admissions
5,292
Outpatient
Visits
5
Cardiac
Procedures
102
Dialysis
Procedures
6
Neuro
Surgeries
2
Cardiac
Surgeries
18
Deliveries
8,576
Laboratory
Tests
574
Emergency
Visits
57
Major
The Strategy & Business Model
4 Pillar Foundation
Clinical Service Delivery
4 Pillar Foundation
Siloa Hospitals’ four pillar fou datio has ee ke to the su ess of our e isti g hospitals a d ill ser e
as the asis for repli ati g this su ess at our e pa sio hospitals…
1 Emergency
Excellence in Emergency Services
1-500-911
2 Technology
3 Telemedicine
4 Doctors
State-of-the-Art Medical Equipment and Systems
Digital Telemedicine Hu a d “poke
Siloam Doctor Partnership and Development Program
12
Clinical Service Delivery
1H 2015 Results
• Primary clinics for corporate clients
• Public-Private-Partnership (PPP) model - Siloam Puskesmas (Public Health Clinic)
• RSUS –First general hospital using public sector model
– Additional demand from patients under governmental insurance and social schemes
– Gate ay to I do esia’s U i ersal Health are Co erage a d Go er e t
Health Insurance Programs
• Specialist access for primary healthcare demand
• Public-Private-Partnership
• High standard and accessible medical care through focus on clinical governance and affordable price points
• Access to Centres of Excellence through hub and spoke system and
Tele-Integrated Healthcare Delivery Model
Primary
Secondary Tertiary
Research and Education • Integrated platform with UPHMS and other partnerships • Medical students training at RSUS, SHLV, and SHKJ
• Integrated Centers of Excellence: Neuroscience, Cardiology, Cancer, Orthopedic, Urology, Fertility
• Hub and Spoke strategy and extensive coverage of specialized services via Digital Tele-Medicine
• Pio eeri g i est e ts i I do esia’s health are se tor
– Comprehensive Cancer Centre opened in 2011 – I do esia’s first Ga a K ife i stalled i 2012
• Best in class and highly accessible healthcare services platform through:
– Rapid expansion of hospital network across Indonesia – Attracting and retaining the best doctors with strong focus on
do tors’ elfare “DPDP
– Equip hospitals with State-of-the-Art facilities such as 128 slice CT Scan and 1.5T MRI
One-stop continuum of care at primary, secondary, tertiary and quaternary levels
UPH Medical Sciences (UPHMS)
Centre of Excellence and Global Reputation
• Alignment –across teaching and service delivery
• Affiliate with agencies such as ACORN/NUS/SGH/UOM
• Leading edge research
• Best practice Models
• Remote Access Diagnosis (RAD) and Remote Access Clinical Management (RACM)
• Telemedicine
• Centres of Clinical Excellence/ Accreditation
• Teaching Hospital paradigm
• Future workforce
• Systems based curriculum converged with PBL
• Best practice replication
• Clinical placement
• Foundation for Innovation
• Overseas training –
Singapore/Australia/USA/China
Bringing Together Clinical, Research & Education
·
Education Research
Premier Private Hospital Group
Mature Hospitals
Developing Hospitals
New Hospitals
Mature Hospitals
BEKASI (East of Jakarta)
SILOAM HOSPITALS CIKARANG
114 Bed Capacity 108 Operational Beds
91 GP and Specialists 165 Nurses
Centre of Excellence : Occupational Health & Emergency
79.61% Ownership EAST KALIMANTAN
232 Bed Capacity 165 Operational Bed 100 GP and Specialists 143 Nurses
Centre of Excellence : Orthopedics & Emergency SILOAM HOSPITALS BALIKPAPAN
SOUTH JAKARTA
MRCCC SILOAM SEMANGGI
334 Bed Capacity 122 Operational Beds 173 GP and Specialists 209 Nurses
Centre of Excellence : Cancer, Liver & Emergency
TANGERANG (West of Jakarta)
SILOAM HOSPITALS LIPPO VILLAGE
JCIA
308 Bed Capacity 274 Operational Beds 231 GP and Specialists 430 Nurses
Centre of Excellence : Cardiology, Neuroscience, Orthopedics & Emergency
WEST JAKARTA
SILOAM HOSPITALS KEBON JERUK
285 Bed Capacity 217 Operational Beds 210 GP and Specialists 330 Nurses
Centre of Excellence : Urology, Orthopaedic, Cardiology &
Emergency
EAST JAVA
SILOAM HOSPITALS SURABAYA
162 Bed Capacity 160 Operational Beds 142 GP and Specialists 255 Nurses
Centre of Excellence : Fertility Treatment, Cardiology & Emergency
16
NORTH SULAWESI
SILOAM HOSPITALS MANADO
236 Bed Capacity 177 Operational Beds
97 GP and Specialists 192 Nurses
Centre of Excellence : Emergency
Developing Hospitals
1H 2015 Results
SOUTH SULAWESI
SILOAM HOSPITALS MAKASSAR
360 Bed Capacity 215 Operational Beds 109 GP and Specialists 220 Nurses
Centre of Excellence : Cardiology, Endocrinology & Emergency
SOUTH SUMATERA
SILOAM HOSPITALS PALEMBANG
357 Bed Capacity 135 Operational Beds 137 GP and Specialists 185 Nurses
Centre of Excellence : Gastroenterology & Emergency
70.00% Ownership
BALI
SILOAM HOSPITALS BALI
281 Bed Capacity 127 Operational Beds 117 GP and Specialists 166 Nurses
Centre of Excellence : Treatment for tourists, Orthopedics, Cardiology & Emergency
EAST SUMATERA
SILOAM HOSPITALS JAMBI
94 Bed Capacity 84 Operational Beds 68 GP and Specialists 123 Nurses
Centre of Excellence : Emergency
83.0% Ownership
SOUTH JAKARTA
SILOAM HOSPITALS TB SIMATUPANG
269 Bed Capacity 80 Operational Beds 118 GP and Specialists 127 Nurses
New Hospitals
WEST JAVA
SILOAM HOSPITALS PURWAKARTA
202 Bed Capacity 169 Operational Beds
47 GP and Specialists 160 Nurses
Centre of Excellence : Emergency
EAST NUSA TENGGARA
SILOAM HOSPITALS KUPANG
416 Bed Capacity 100 Operational Beds
76 GP and Specialists 123 Nurses
Centre of Excellence : Emergency
NORTH SUMATERA
SILOAM HOSPITALS MEDAN
356 Bed Capacity 80 Operational Beds 43 GP and Specialists 87 Nurses
Centre of Excellence : Emergency & Trauma
18
TANGERANG (West of Jakarta)
SILOAM GENERAL HOSPITAL (RSUS)
640 Bed Capacity 250 Operational Beds
52 GP and Specialists 256 Nurses
Centre of Excellence : Emergency
Distinct Market Segment Hospitals
1H 2015 Results
SOUTH JAKARTA
SILOAM HOSPITALS ASRI
43 Bed Capacity 40 Operational Beds 98 GP and Specialists 84 Nurses
Centre of Excellence : Urology
DEPOK (South of Jakarta)
SILOAM HOSPITALS CINERE
50 Bed Capacity 37 Operational Beds 26 GP and Specialists 39 Nurses
Centre of Excellence: Cardiology
80.0% Ownership
BALI
BIMC KUTA
19 Bed Capacity 18 Operational Beds 51 GP and Specialists 66 Nurses
Centre of Excellence : Treatment for tourists & Emergency
BALI
BIMC NUSA DUA
39 Bed Capacity 20 Operational Beds 57 GP and Specialists 65 Nurses
Strong Financial Performance
Revenue & EBITDA Details
Balance Sheets
Revenue & EBITDA Contribution
Revenue & EBITDA by Category
Average Revenue Per Patient
Operational Update Patient Visits & Admissions
2015 Revenue Ramp Up
20
Strong Financial Performance
(Revised)
1H 2015 Results
Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population
737 890
2008 2009 2010 2011 2012 2013 2014 2015P
102 114
2008 2009 2010 2011 2012 2013 2014 2015P
In IDR Bn
FY Revenue
FY EBITDA
Note:
EBITDA refers to income before depreciation, provisions for post-employment benefits, allowance for impairment in value, corporate income taxes and other expense and/or income (consisting primarily of financing income and others-net).
+34% +68%
Revenue & EBITDA Details
In IDR Bn
Q1
∆% Q2 ∆% 1H ∆%
2014 2015 2014 2015 2014 2015
GOR 751 976 30% 816 1,011 24% 1,568 1,987 27%
Service Cost 188 244 30% 215 265 23% 403 509 26%
NOR 563 732 30% 602 746 24% 1,165 1,478 27%
Material Cost 238 291 22% 256 296 16% 494 587 19%
Gross Margin 325 441 36% 346 450 30% 671 891 33%
Operating Expenses 201 260 29% 229 273 19% 430 533 24%
EBITDAR 124 181 46% 117 177 51% 241 358 49%
% to GOR 16.5% 18.6% 14.3% 17.5% 15.3% 18.0%
% to NOR 22.0% 24.7% 19.4% 23.7% 20.6% 24.2%
Rental (i) 14 19 39% 19 24 27% 33 43 32%
EBITDA(ii) 110 162 47% 98 152 56% 208 315 51%
% to GOR 14.7% 16.6% 12.0% 15.1% 13.2% 15.8%
% to NOR 19.6% 22.1% 16.2% 20.4% 17.8% 21.3%
NPAT 24 34 37% 20 28 40% 45 62 39%
% to GOR 3.3% 3.4% 2.5% 2.8% 2.8% 3.1%
% to NOR 4.3% 4.6% 3.3% 3.8% 3.8% 4.2%
Notes:
(i) Represents rental expenses for the land and buildings, Siloam is leasing from FREIT, PT Lippo Karawaci Tbk and other parties. PT Lippo Karawaci started charging rent for the land and buildings of 9 hospitals on May 1,2013.
22
Balance Sheets
1H 2015 Results
In IDR Bn
FY2014
1H 2015
∆%
Assets
Cash & Equivalent
280
217
-22%Property and Equipment
1,589
1,603
1%Total Assets
2,844
2,978
5%Liabilities & Equity
Liabilities
1,190
1,279
7%Shareholders' Equity
1,654
1,699
3%Revenue
EBITDA
Revenue & EBITDA Contribution
23% 18%
1H 2014 1H 2015
Mature ≥ 5 Beds Mature 200-249 Mature 120-199 Beds Mature <120 Beds De elopi g ≥ Beds Developing 120-199 Beds Developing <120 Beds Ne ≥ Beds
New <100 Beds Distinct Market Segment
Commentary
1H 2014 1H 2015
Mature ≥ 5 Beds Mature 200-249 Mature 120-199 Beds Mature <120 Beds De elopi g ≥ Beds Developing 120-199 Beds Developing <120 Beds Ne ≥ Beds
New <100 Beds Distinct Market Segment
Revenue growth is driven by the ramp-up of new hospitals opened in 2011, 2012, 2013 and 2014. This trend will continue in the coming years.
EBITDA growth is driven by the contribution of new hospitals opened in 2011, 2012, 2013 and 2014. as these hospitals are ramping up their
operatio s to the le el of Mature hospital ategor .
Note:
24
Category
Operational Beds
No of
Hospitals
GOR
EBITDA
≥
250
1
363
78
21.6% / 29.6%200-249
1
254
37
14.4% / 20.4%120-199
3
437
64
14.7% / 19.7%<120
1
92
5
5.5% / 7.1%≥
1
107
18
16.4% / 22.2%120-199
3
263
46
17.5% / 24.0%<120
2
130
18
13.6% / 17.5%≥
2
86
18
21.4% / 26.8%<100
1
6
(8)
-125.3% / -254.4%Distinct Market Segment
5
244
38
15.7% / 20.6%Consolidated
20
1,983
315
15.8% / 21.3%Mature
Developing
New
% to GOR/NOR
Revenue & EBITDA by Category
1H 2015 Results
Note:
EBITDA refers to income before depreciation, provisions for post-employment benefits, allowance for impairment in value, corporate income taxes and other expense and/or income (consisting primarily of financing income and others-net).
(b)
(c)
(a) High recurrent investment to set up open hearth surgical center. Economies of scale of 500 procedures a year are expected to achieve starting in 2016.
(b) Under construction to replace its current overcrowded building facilities thus no growth in revenues and EBITDA are expected in the next 18 months.
(c) This hospital is in its phase II expansion program to achieve the economies of scale of over 250 beds to hit EBITDA of 20% of GOR.
21.4 21.2
≥ 5 Beds 200-249 Beds 120-199 Beds <120 Beds ≥ Beds 120-199 Beds <120 Beds ≥ Beds <100 Beds Distinct Market Segment 2012 2013 2014 1H 2015
Average Revenue Per Patient
Blended IPD Average Revenue Per Patient (IDR 17.0 Mn)
Blended OPD Average Revenue Per Patient (IDR 0.8 Mn)
0.8
≥ 5 Beds 200-249 Beds 120-199 Beds <120 Beds ≥ Beds 120-199 Beds <120 Beds ≥ Beds <100 Beds Distinct Market Segment 2012 2013 2014 1H 2015
IDR Mn
IDR Mn
Mature Developing New
26
≥ 5 Beds 200-249 Beds 120-199 Beds <120 Beds ≥ Beds 120-199 Beds <120 Beds ≥ Beds <100 Beds Distinct Market Segment 1H 2014 1H 2015
2%
Operational Update Patient Visits & Admissions
1H 2015 Results
OPD Visits (+31%)
No of OPD Visits12,561 12,366
≥ 5 Beds 200-249 Beds 120-199 Beds <120 Beds ≥ Beds 120-199 Beds <120 Beds ≥ Beds <100 Beds Distinct Market Segment 1H 2014 1H 2015
No of ED Visits
-14%
ED Visits (+25%)
95%
17%
Mature Developing New
Mature Developing New
Operational Update Patient Visits & Admissions
IPD Admissions (+34%)
Average Length Of Stay (4.0)
8,779
≥ 5 Beds 200-249 Beds 120-199 Beds <120 Beds ≥ Beds 120-199 Beds <120 Beds ≥ Beds <100 Beds Distinct Market Segment 1H 2014 1H 2015
No of IPD Admissions
- 4%
≥ 5 Beds 200-249 Beds 120-199 Beds <120 Beds ≥ Beds 120-199 Beds <120 Beds ≥ Beds <100 Beds Distinct Market Segment
1H 2014 1H 2015 ALOS
1%
30%
12%
Mature Developing New
28
2015 Revenue Ramp Up
1H 2015 Results
Quarterly
Cumulative
In IDR Bn
20%
26%
976
1,011
1,145
1,357
Q1 2015 A
Q2 2015 A
Q3 2015 P
Q4 2015 P
23%
30%
26%
3,341
976
1,987
3,132
4,490
2014 A
3M2015 A
6M2015 A
9M2015 P
2015 P
22%
44%
70%
In IDR Bn