Provider of The Year
Frost and Sullivan
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
–
19
Hospitals Under Development
20
–
27
4
Where We Are In Lippo Karawaci
9M 2015 Results
As of 30 Sep 2015
No. of Outstanding Shares : 23,077,689,619 Code : LPKR.JK ; LPKR IJ
LIPPO RELATED COMPANIES
26.91%
DEVELOPMENT REVENUE
RECURRING REVENUE
HOSPITALS
COMMERCIAL
MANAGEMEN
ASSET
T
•
Siloam Hospitals
70.8%
• Retail Malls
•
Aryaduta
Hotels
• REIT,
Mall &
Hotel
Management
• To
Management
Services, Leisure
and Restaurants
PUBLIC
73.09%
TOWNSHIPS INDUSTRIAL
AND
COMMERCIAL PROPERTIES
OFFICE PROJECTS LARGE
SCALE INTEGRATED DVPT
Highly Experienced & Professional Management
Board of Directors
Romeo Lledo President Director, Independent Director
dr. Andry Director
dr. Anang Prayudi Director
Prof. George Mathew Director dr. Grace
Frelita Director
Kailas N. Raina Director
Board of Commissioners
Ketut Budi Wijaya President Commissioner
Theo L. Sambuaga Commissioner
Lambock V. Nahattands Independent Commissioner
Ir. Jonathan L. Parapak Independent Commissioner Farid Harianto
Independent Commissioner
dr. Niel Nielson Independent Commissioner
Richard Setiadi Director Jenny Kuistono
Commissioner
dr. Gershu Paul Group Executive
6
The Vision
9M 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
2015
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)
SH Kupang SH Purwakarta
Total
operational
8
The Operations
9M 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
ACHSI
Operational Hospitals (20)
A Day At Siloam
393
Inpatient
Admissions
5,213
Outpatient
Visits
11
Cardiac
Procedures
135
Dialysis
Procedures
6
Neuro
Surgeries
2
Cardiac
Surgeries
22
Deliveries
10,574
Laboratory
Tests
564
Emergency
Visits
69
Major
The Strategy & Business Model
4 Pillar Foundation
11
Clinical Service Delivery
12
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
9M 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-medicine
3
2
1
“iloa ’s
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
15
Developing Hospitals
16
New Hospitals
17
Distinct Market Segment Hospitals
18
Mature Hospitals
BEKASI (East of Jakarta)
SILOAM HOSPITALS CIKARANG
114 Bed Capacity 108 Operational Beds
91 GP and Specialists 164 Nurses
Centre of Excellence : Occupational Health & Emergency
79.61% Ownership EAST KALIMANTAN
232 Bed Capacity 165 Operational Bed 103 GP and Specialists 155 Nurses
Centre of Excellence : Orthopedics & Emergency
SILOAM HOSPITALS BALIKPAPAN
SOUTH JAKARTA
MRCCC SILOAM SEMANGGI
334 Bed Capacity 122 Operational Beds 165 GP and Specialists 220 Nurses
Centre of Excellence : Cancer, Liver & Emergency
TANGERANG (West of Jakarta) SILOAM HOSPITALS LIPPO VILLAGE
JCIA
308 Bed Capacity 274 Operational Beds 233 GP and Specialists 418 Nurses
Centre of Excellence : Cardiology, Neuroscience, Orthopedics & Emergency
WEST JAKARTA
SILOAM HOSPITALS KEBON JERUK
285 Bed Capacity 217 Operational Beds 213 GP and Specialists 332 Nurses
Centre of Excellence : Urology, Orthopaedic, Cardiology &
Emergency
EAST JAVA
SILOAM HOSPITALS SURABAYA
162 Bed Capacity 160 Operational Beds 142 GP and Specialists 250 Nurses
Centre of Excellence : Fertility Treatment, Cardiology & Emergency
16
NORTH SULAWESI
SILOAM HOSPITALS MANADO
238 Bed Capacity 177 Operational Beds
97 GP and Specialists 216 Nurses
Centre of Excellence : Emergency
Developing Hospitals
9M 2015 Results
SOUTH SULAWESI
SILOAM HOSPITALS MAKASSAR
360 Bed Capacity 215 Operational Beds 109 GP and Specialists 218 Nurses
Centre of Excellence : Cardiology, Endocrinology & Emergency
SOUTH SUMATERA
SILOAM HOSPITALS PALEMBANG
357 Bed Capacity 135 Operational Beds 138 GP and Specialists 184 Nurses
Centre of Excellence : Gastroenterology & Emergency
70.00% Ownership
BALI
SILOAM HOSPITALS BALI
281 Bed Capacity 127 Operational Beds 115 GP and Specialists 169 Nurses
Centre of Excellence : Treatment for tourists, Orthopedics, Cardiology & Emergency
EAST SUMATERA
SILOAM HOSPITALS JAMBI
100 Bed Capacity 89 Operational Beds 71 GP and Specialists 119 Nurses
Centre of Excellence : Emergency
83.0% Ownership
SOUTH JAKARTA
SILOAM HOSPITALS TB SIMATUPANG
269 Bed Capacity 80 Operational Beds 135 GP and Specialists 125 Nurses
New Hospitals
WEST JAVA
SILOAM HOSPITALS PURWAKARTA
202 Bed Capacity 169 Operational Beds
47 GP and Specialists 162 Nurses
Centre of Excellence : Emergency
EAST NUSA TENGGARA SILOAM HOSPITALS KUPANG
416 Bed Capacity 100 Operational Beds
79 GP and Specialists 137 Nurses
Centre of Excellence : Emergency
NORTH SUMATERA
SILOAM HOSPITALS MEDAN
356 Bed Capacity 80 Operational Beds 43 GP and Specialists 86 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 249 Nurses
Centre of Excellence : Emergency
Distinct Market Segment Hospitals
9M 2015 Results
SOUTH JAKARTA
SILOAM HOSPITALS ASRI
42 Bed Capacity 40 Operational Beds 99 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 38 Nurses
Centre of Excellence: Cardiology
80.0% Ownership
BALI BIMC KUTA
19 Bed Capacity 18 Operational Beds 51 GP and Specialists 61 Nurses
Centre of Excellence : Treatment for tourists & Emergency
BALI
BIMC NUSA DUA
39 Bed Capacity 20 Operational Beds 57 GP and Specialists 64 Nurses
Completed Hospital In Yogyakarta
(in April 2015 awaiting license to operate)
FAÇADE MAIN LOBBY
Hospitals Under Development
For Completion In Late 2015 and 2016
21
–
23
For Completion In Late 2016 and 2017
24
–
25
Locations of Siloam Medika Under Development
26
BAU-BAU
BANGKA BELITUNG
For Completion In Late 2015 and 2016
BOGOR
9M2015
9M2015
9M2015
Current
Current
22
LABUAN BAJO
JEMBER
For Completion In Late 2015 and 2016
9M 2015 Results
LUBUK LINGGAU
9M2015
9M2015
9M2015
Current
Current
SORONG
For Completion In Late 2015 and 2016
24
BANDUNG
AMBON
For Completion In Late 2016 and 2017
9M 2015 Results
CEMPAKA PUTIH
9M2015
9M2015
9M2015
Current
Current
SEMARANG
SRONDOL
PANAKUKANG
MAKASSAR
For Completion In Late 2016 and 2017
9M2015
9M2015
Current
Current
26
Locations of Siloam Medika Under Development
9M 2015 Results
NINE RESIDENCE
KUNINGAN TOWER
SURABAYA CITO
SAMARINDA
BEKASI GRAND MALL
BLU PLAZA BEKASI GAJAH MADA PLAZA
SENTUL BELLANOVA
PLUIT VILLAGE
METROPOLIS TANGERANG
Capacity Expansion of Existing Hospitals
SILOAM HOSPITALS LIPPO VILLAGE
5thFloor OPD Extension –Completion November 2015
SILOAM GENERAL HOSPITAL (RSUS)
50 New Beds –Operational December 2015
SILOAM HOSPITALS PALEMBANG
BPJS Beds –Completed September 2015
SILOAM HOSPITALS BALIKPAPAN
Cardiac Centre –Completed September 2015
SILOAM HOSPITALS KEBON JERUK
BPJS Beds –Completed September 2015
MRCCC SILOAM SEMANGGI
Strong Financial Performance
29
Revenue & EBITDA Details
30
Balance Sheets
31
Revenue & EBITDA Contribution
32
Average Revenue Per Patient
33
Patient Visits & Admissions
34
–
35
Financial & Operational
Performance
Strong Financial Performance
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).
Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population
1,030
1,259
1,788
2,504
3,341
3,013
2010 2011 2012 2013 2014 9M2015
140 155
221
298
466
431
2010 2011 2012 2013 2014 9M2015
+22%
+42%
+10%
+43% +40%
+35%
FY Revenue
FY EBITDA
14%
12%
12%
14%
12%
+33%
14%
+56% In IDR Bn
30
Revenue & EBITDA Details
9M 2015 Results
In IDR Bn
9M
∆%
2014 2015
GOR 2,415 3,013 25%
Service Cost 626 795 27%
NOR 1,789 2,218 24%
Material Cost 756 886 17%
Gross Margin 1,033 1,333 29%
Operating Expenses 670 832 24%
EBITDAR 363 501 38%
% to GOR 15.0% 16.6%
% to NOR 20.3% 22.6%
Rental (i) 54 69 27%
EBITDA(ii) 309 431 40%
% to GOR 12.8% 14.3%
% to NOR 17.3% 19.4%
NPAT 51 68 32%
% to GOR 2.1% 2.2%
% to NOR 2.9% 3.0% 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.
Balance Sheets
In IDR Bn
FY2014
9M2015
∆%
Assets
Cash & Equivalent 280 180 -36%
Other Current Assets 561 757 35%
Property and Equipment 1,589 1,581 0%
Other Assets 414 495 20%
Total Assets
2,844
3,014
6%Liabilities & Equity
Liabilities 1,190 1,310 10%
Shareholders' Equity 1,654 1,704 3%
Total Liabilities & Equity
2,844
3,014
7%32
Revenue
EBITDA
Revenue & EBITDA Contribution
9M 2015 Results
22% 18%
9M 2014 9M 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
9M 2014 9M 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:
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 9M 2015
Average Revenue Per Patient
Blended IPD Average Revenue Per Patient (IDR 17.6 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 9M 2015
IDR Mn
IDR Mn
Mature Developing New
34
187,075
144,098
206,036
76,386 187,842
149,495
229,050
82,063
61,307
125,462
71,057 78,911
3,840
162,943
50,000 100,000 150,000 200,000 250,000
≥ 5 Beds 200-249 Beds 120-199 Beds <120 Beds ≥ Beds 120-199 Beds <120 Beds ≥ Beds <100 Beds Distinct Market Segment
9M 2014 9M 2015
0%
Patient Visits & Admissions
9M 2015 Results
OPD Visits (+27%)
No of OPD Visits
17,542 17,586
≥ 5 Beds 200-249 Beds 120-199 Beds <120 Beds ≥ Beds 120-199 Beds <120 Beds ≥ Beds <100 Beds Distinct Market Segment
9M 2014 9M 2015
No of ED Visits
-10%
ED Visits (+23%)
51% 17%
Mature Developing New
Mature Developing New
-11
Patient Visits & Admissions
IPD Admissions (+28%)
Average Length Of Stay (4.0)
13,204
≥ 5 Beds 200-249 Beds 120-199 Beds <120 Beds ≥ Beds 120-199 Beds <120 Beds ≥ Beds <100 Beds Distinct Market Segment
9M 2014 9M 2015
No of IPD Admissions
- 3%
≥ 5 Beds 200-249 Beds 120-199 Beds <120 Beds ≥ Beds 120-199 Beds <120 Beds ≥ Beds <100 Beds Distinct Market Segment
9M 2014 9M 2015
ALOS
1% 22%
10%
Mature Developing New