Indonesia’s Largest,
Fastest Growing,
World Class Hospital Group
FY 2014
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
Contents
Where We Are In Lippo Karawaci
01
Highly Experienced & Professional Management
02
The Vision
03
The Journey
04
The Operations
05
A Day At Siloam
06
The Strategy & Business Model
07 - 09
Premier Private Hospital Group
10 - 13
4
SILO Ownership Structure
As of 31 Dec 2014
No. of Outstanding Shares : 23,077.689.619 Code : LPKR.JK ; LPKR IJ
LIPPO RELATED COMPANIES
25.10 %
DEVELOPMENT REVENUE
RESIDENTIAL & URBAN DEVELOPMENT
•
Lippo Village (Millenium Village)
•
Lippo Cikarang (Orange County)
• Tanjung
Bunga
•
San Diego Hills Memorial Park
• Kemang Village
• The St. Moritz
• City of Tomorrow • Park View Apartments
•The Nine Residence
•Holland Village
•Lippo Thamrin Office
• St Moritz Panakukang • Embarcadero
RECURRING REVENUE
HOSPITALS
COMMERCIAL
MANAGEMENT
ASSET
• Siloam Hospital
s
• Retail Malls
•
Aryaduta Hotels
• Town
Management
Services,
Leisure and
Restaurants
• REIT,
Mall & Hotel
Management
PUBLIC
5
Highly Experienced & Professional Management
Board of Directors
Romeo Lledo President
Director
dr. Andry Director, Chief
Enterprise & Operational Officer
dr. Anang Prayudi Director, Network and
Development
Prof. George Mathew Director, Talent and
Development dr. Grace Frelita
Director, Quality
Kailas N. Raina Director, Chief Financial Officer
Board of Commissioners
Ketut Budi Wijaya President Commissioner
Theo L. Sambuaga Commissioner Independent Commissioner Farid Harianto
Independent Commissioner
Prof. Dr. H. Muladi, S.H Independent Commissioner Rahmawaty
Commissioner dr. Gershu Paul
6
Reach
Scale
International
Quality
The Vision
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 Simatupang
BIMC Kuta BIMC Nusa Dua
SH Medan
Asri
SHLV
– Indonesia’s First Hospital to be
Accredited and Re-accredited by JCI
(2007, 2010 and 2013)
2013
–
The Company
successfully completed IPO
BIMC Nusa Dua
– Indonesia’s First
Hospital to be Accredited by ACHS
Australia (2014)
8
The Operations
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)
9
A Day At Siloam
316
Inpatient
Admissions
4,182
Outpatient
Visits
5
Cardiac
Procedures
100
Dialysis
Procedures
5
Neuro
Surgeries
2
Cardiac
Surgeries
19
Deliveries
8,728
Laboratory
Tests
469
Emergency
Visits
57
Major
10
4 Pillar Foundation
The Strategy & Business Model
Siloam Hospitals’ four pillar foundation has been key to the success of our existing hospitals
and will serve as the basis for replicating this success at our expansion hospitals…
1
Emergency
Excellence in
Emergency Services
500-911
2
Technology
3
Telemedicine
4
Doctors
State-of-the-Art
Medical Equipment
and Systems
Digital Telemedicine
“Hub and Spoke”
Siloam Doctor
Partnership and
Development
Program
11
Clinical Service Delivery
The Strategy & Business Model
• 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
– Gateway to Indonesia’s “Universal Healthcare Coverage” and Government
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-medicine
3
2
1
Siloam’sIntegrated 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 Centres of Excellence: Neuroscience, Cardiology, Cancer, Orthopedic, Urology, Fertility
• Hub and Spoke strategy and extensive coverage of specialised services via Digital Tele-Medicine
• Pioneering investments in Indonesia’s healthcare sector
– Comprehensive Cancer Centre opened in 2011
– Indonesia’s first Gamma Knife installed in 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
doctors’ welfare (SDPDP)
– Equip hospitals with State-of-the-Art facilities such as 128 slice CT Scan and 1.5T MRI
12
UPHMS (UPH Medical Sciences)
The Strategy & Business Model
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
13
Mature and Developing Hospitals
Premier Private Hospital Group
79.45% Ownership
EAST KALIMANTAN
SILOAM HOSPITALS BALIKPAPAN
232 Bed Capacity 103 GP and Specialists 141 Nurses
Centre of Excellence : Orthopedics & Emergency
EAST SUMATERA
SILOAM HOSPITALS JAMBI
100 Bed Capacity 69 GP and Specialists 123 Nurses
Centre of Excellence : Emergency
83.0% Ownership
SOUTH JAKARTA
MRCCC SILOAM SEMANGGI
334 Bed Capacity 176 GP and Specialists 212 Nurses
Centre of Excellence : Cancer, Liver & Emergency
TANGERANG (West of Jakarta)
SILOAM HOSPITALS LIPPO VILLAGE
JCIA
308 Bed Capacity 230 GP and Specialists 442 Nurses
Centre of Excellence : Cardiology, Neuroscience, Orthopedics & Emergency
WEST JAKARTA
SILOAM HOSPITALS KEBON JERUK
283 Bed Capacity 203 GP and Specialists 333 Nurses
Centre of Excellence : Urology, Orthopaedic, Cardiology & Emergency
EAST JAVA
SILOAM HOSPITALS SURABAYA
162 Bed Capacity 145 GP and Specialists 256 Nurses
Centre of Excellence : Fertility Treatment, Cardiology & Emergency
BEKASI (East of Jakarta)
SILOAM HOSPITALS CIKARANG
109 Bed Capacity 91 GP and Specialists 156 Nurses
14
New Hospitals in 2012
Premier Private Hospital Group
TANGERANG (West of Jakarta)
SILOAM GENERAL HOSPITAL (RSUS)
640 Bed Capacity 25 GP and Specialists 244 Nurses
Centre of Excellence : Emergency
SOUTH SUMATERA
SILOAM HOSPITALS PALEMBANG
357 Bed Capacity 128 GP and Specialists 184 Nurses
Centre of Excellence : Gastroenterology & Emergency
NORTH SULAWESI
SILOAM HOSPITALS MANADO
230 Bed Capacity 97 GP and Specialists 143 Nurses
Centre of Excellence : Emergency
SOUTH SULAWESI
SILOAM HOSPITALS MAKASSAR
360 Bed Capacity 101 GP and Specialists 220 Nurses
Centre of Excellence : Cardiology, Endocrinology & Emergency
DEPOK (South of Jakarta)
SILOAM HOSPITALS CINERE
40 Bed Capacity 16 GP and Specialists 57 Nurses
Centre of Excellence: Cardiology
80.0% Ownership
15
New Hospitals in 2013
Premier Private Hospital Group
BALI
SILOAM HOSPITALS BALI
283 Bed Capacity 109 GP and Specialists 149 Nurses
Centre of Excellence : Treatment for tourists, Orthopedics, Cardiology & Emergency
BALI
BIMC KUTA
21 Bed Capacity 51 GP and Specialists 61 Nurses
Centre of Excellence : Treatment for tourists & Emergency
BALI
BIMC NUSA DUA
20 Bed Capacity 57 GP and Specialists 69 Nurses
Centre of Excellence : Cosmetic Surgery & Emergency
SOUTH JAKARTA
SILOAM HOSPITALS TB SIMATUPANG
269 Bed Capacity 118 GP and Specialists 123 Nurses
16
New Hospitals in 2014
Premier Private Hospital Group
WEST JAVA
SILOAM HOSPITALS PURWAKARTA
210 Bed Capacity 39 GP and Specialists 148 Nurses
Centre of Excellence : Emergency
EAST NUSA TENGGARA
SILOAM HOSPITALS KUPANG
405 Bed Capacity 36 GP and Specialists 29 Nurses
Centre of Excellence : Emergency
NORTH SUMATERA
SILOAM HOSPITALS MEDAN
388 Bed Capacity 40 GP and Specialists 62 Nurses
Centre of Excellence : Emergency & Trauma
SOUTH JAKARTA
SILOAM HOSPITALS ASRI
40 Bed Capacity 90 GP and Specialists 92 Nurses
Centre of Excellence : Urology
Operational & Financial
Performance
18
Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population
Strong Financial Performance
737
890
2008 2009 2010 2011 2012 2013 2014 2015P
102
114
2008 2009 2010 2011 2012 2013 2014 2015P
( In Rp Bn )
( In Rp Bn )
Revenue
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).
19
FY2013 FY2014
4 Mature 2 Developing MRCCC RSUS
4 New 2012 4 New 2013 4 New 2014
FY2013 FY2014
4 Mature 2 Developing MRCCC RSUS
4 New 2012 4 New 2013 4 New 2014
Revenue growth is driven by the ramp-up of new hospitals opened in 2011, 2012 and 2013. This trend will continue in the coming years.
EBITDA growth is driven by the contribution of new hospitals opened in 2011, 2012 and 2013 as these hospitals are ramping up
their operations to the level of “Mature hospital category”.
It should also be noted of the following which have direct impact to EBITDA:
- On May 1, 2013, SIH started to incur rental expenses on the land and building being sub leased from the parent company. The total rental in FY2014 amounted to Rp 41 billion and FY2013 was Rp 11 billion.
- SHLC rental expense for its sale and leaseback agreement amounted to Rp 19 billion in FY2014 and Rp 25 billion in FY2013.
FY2014 Results by Hospital Category
Revenue & EBITDA Contribution
Note:
20
FY2014 Consolidated Results
Revenue & EBITDA Analyses
(i)
Notes:
(i) Represents rental expenses for the land and buldings, 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.
(ii) 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).
Particulars
FY2013 FY2014
∆% IDR Bn IDR Bn
GOR 2,504 3,341 33%
Service Cost 657 869 32%
NOR 1,847 2,472 34%
Material Cost 810 1,030 27%
Gross Margin 1,037 1,443 39%
Operating Expenses 703 916 30%
EBITDAR 334 526 58%
% to GOR 13.3% 15.8%
% to NOR 18.1% 21.3%
Rental (i) 36 61 71%
EBITDA(ii) 298 466 56%
% to GOR 11.9% 13.9%
% to NOR 16.2% 18.8%
NPAT 50 60 19%
% to GOR 2.0% 1.8%
21
FY2014 Consolidated Results
Balance Sheet
(i)
In Rp Bn
FY2013
FY2014
∆%
Assets
Cash & Equivalent
515
280
-46%Property and Equipment
1,402
1,589
13%Total Assets
2,601
2,844
9%Liabilities & Equity
Liabilities
962
1,190
24%Shareholders' Equity
1,639
1,654
1%22
Blended IPD Average Revenue Per Patient
FY2014
Average Revenue Per Patient
16.8 19.1
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
2010 2011 2012 2013 2014
Blended OPD Average Revenue Per Patient
0.6 0.7 0.6
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
2010 2011 2012 2013 2014
(Rp Mn)
23
OPD Visits (+24%)
FY2014
Operational Update Patient Visits & Admissions
662,916
137,628
50,681 30,139 100,941 32,259
-666,827
152,957
58,489 83,302
142,349
101,089
49,429
200,000 400,000 600,000 800,000
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
FY2013 FY2014
ED Visits (+30%)
74,615 100,000
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
FY2013 FY2014
(No of OPD Visits)
(No of ED Visits)
24
IPD Admissions (+34%)
FY2014
Operational Update Patient Visits & Admissions
44,442
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
FY2013 FY2014
Average Length Of Stay (ALOS)
(No of IPD Admissions)
- 0%
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
FY2013 FY2014
