bimbsec - ihh healthcare - 20120724 - ipo note
TRANSCRIPT
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BIMB SECURITIES RESEARCH
MARKET INSIGHTTuesday, 24 July 2012
IPO Note
PP16795/03/2013(031743)
| 1
BuyTarget Price RM3.30
Offer Price RM2.80
KLCI 1,636.17
Listing MAIN
Sector Consumer
Shariah Compliant Y
Issued Shares (m) 8,057.1
Market Capitalisation (RMm) 22,589.8
Estimated Free Float 33%
Majority Shareholders
Khazanah Nasional 46.80%
MBK Healthcare 20.06%
Details of IPO (RMm)
Institution Placement 498.01
MITI Tranche 360.00
Global Institute Tranche 138.01
Malaysia Public Offering
Malaysia Public 208.51
Bumiputera 80.57
Non-Bumiputera 80.57
Eligible Directors 4.50
Eligible employees 22.59Business associates 20.27
Singapore Offering 140.64
Singapore public 52.00
Singapore placement 36.00
Eligible Directors 3.75
Eligible employees 16.60
Business associates 32.28
Cornerstone Offering 1,387.50
TOTAL 2,234.65
Tentative Dates
Closing for Application 12-Jul-2012
Listing 25-Jul-2012
Utilisation of Proceeds (RMm)
Details of utilisation RMm
Repayment of bank 4,662.76
Working Capital and General 279.64
Estimated Listing Expenses 187.60
Total 5,130.00
Thong Pak Leng
[email protected] ext 186
IPO NoteIHH Holdings
An Integrated Healthcare Provider
IHH Holdings provides a full spectrum of healthcare services, from primary
healthcare clinics to secondary and tertiary hospitals. It is one of the worlds
largest healthcare providers with an estimated market capitalisation of
RM22.6bn. At the moment, IHH global healthcare network operates over 4,900
licensed beds encompassing 30 hospitals. In addition, the group have more
than 3,300 new beds in the pipeline to be delivered through new hospital
developments in Malaysia, Singapore, Turkey and other regional countries. We
are positive on the outlook of IHH given its nature of being in a recession proof
industry and strong market positioning. We value IHH at RM3.30 based on 30x
PER over FY13 EPS of 11sen. With potential upside of more than 17%, werecommend IHH a BUY.
An integrated healthcare provider. The business portfolio of IHH include
integrated healthcare business, ancillary healthcare business, project
consultation and education besides investing and hold equity interest in Plife
REIT which is one of the Asias largest healthcare real estate investment and
Apollo, one of the Indias largest private healthcare providers. The main
component of IHH includes Parkway Pantai Ltd (PPL), Acibadem Holdings and
IMU Health (IMU).
Strong team of medical specialists. At present, IHH has about 3,260 specialists
where about 1,200 are based in Singapore or about 90.0% of the total number of
private specialists in Singapore whilst 760 are in Malaysia with the balance of1,300 in Turkey.
Continue to grow. Presently, IHH global healthcare network operates over 4,900
licensed beds in 30 hospitals. In addition, the group have more than 3,300 new
beds in the pipeline to be delivered through new hospital developments in
Malaysia, Singapore, Turkey and other regional countries.
Strong earnings growth ahead. For FY12 and FY13 we expect IHH to register net
earnings of RM763.3m and RM883.7m respectively representing growth of
478.1% and 15.8% respectively.
Earnings TableFY 31 Dec (RMm) 2009 2010 2011 2012E 2013E
Revenue 3,946.3 4,506.7 5,190.8 6,011.0 6,996.1EBITDA 774.6 888.8 1,029.7 1,424.6 1,647.2
Pretax profit 470.3 155.1 333.4 1,083.4 1,254.1
Tax (6.8) (76.4) (87.8) (227.5) (263.4)
MI (36.3) (37.3) (113.6) (92.6) (107.1)
Net Profit 427.2 41.5 132.0 763.3 883.7
Core Net profit (26.3) 75.3 (45.9) 763.3 883.7
Core EPS (sen) (0.3) 0.9 (0.6) 9.5 11.0
Core EPS growth (%) 0.0% -400.0% -166.7% -1683.3% 15.8%
DPS (sen) n.a. n.a. n.a. n.a. n.a.NTA/ share (RM) 0.27 (0.64) 0.59 0.69 0.81
Net gearing (x) 0.0 1.9 0.1 net cash net cash
PER (x) (933.3) 311.1 (466.7) 29.5 25.5
Div. yield (%) n.a. n.a. n.a. n.a. n.a.P/ NTA (x) 10.2 (4.4) 4.7 4.0 3.4
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INTRODUCTION
Brief Background. IHH was incorporated in Malaysia on 21 May 2010 under the name of Integrated
Healthcare Holding SB. It was then converted into a public company on 2 April 2012 and changed the
name to IHH Healthcare Berhad involving in healthcare services (HCS), consultation, education and
investment in healthcare service sector. It is one of the largest players in Asia via Parkway Pantai
Limited (PPL) and IMU Health plus holding a 60% stake in Acibadem, one of the largest healthcareservice providers in Turkey. IHH has also interests in Apollo (11.2%) the largest healthcare service
provider in India and PLife REIT (35.8%) which is one of the Asias largest healthcare real estate
investment trusts. IHH hospitals operate under the brand names of Mount Elizabeth, Pantai, Gleneagles
and Acibadem that are well known within the respective countries.
IHH Group Structure
*Unless indicated otherwise, all entities are wholly-owned.Source: Prospectus
Main Components of IHH
Parkway Pantai
Limited (PPL)
PPL is one of Asias largest private healthcare providers with a network of 16
hospitals with more than 3,000 beds, over 60 medical centres and clinics, and
ancillary healthcare businesses. PPL owns and operates Mount Elizabeth,
Gleneagles and Parkway East hospitals in Singapore, nine Pantai Hospitals and
two Gleneagles Hospitals in Malaysia and has operations in India, the PRC, Hong
Kong, Brunei and Vietnam.
Acibadem Holdings Acibadem is Turkeys leading integrated private healthcare provider of high quality
diagnostic and treatment services. It runs a network of 15 hospitals (14 in Turkey, 1
in Macedonia), 10 outpatient clinics and a number of ancillary healthcare
businesses providing clinical lab services, ambulance transport, health sector
catering and cleaning and hospital design and planning.
IMU Health (IMU) IMU owns and operates International Medical University, Malaysias first private
healthcare university, offering a total of 17 academic programmes, including
medical, dental, pharmacy, nursing, health sciences and complementary medicine
programmes. As at 29 February 2012, IMU has 36 international partner universities,
which is the largest network of partner universities in the region. IMU has trained
about 7,000 students since it was founded in 1992 and had an enrolment of 2,963
students as at 31 December 2011. IMU also owns Pantai College which trains nurses
and allied health professionals for PPL hospitals.
Source: Prospectus
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A leading healthcare provider. IHH had progressively developed their businesses through both organic
growth and acquisition with the objective to be one of the largest listed private healthcare providers in
the world. In meeting its objective, the Group had streamlined its operations, enhanced its branding,
achieved greater synergies and cost savings. Going forward IHH has plans to provide more healthcare
centres to serve Central Eastern Europe, Middle East and Africa as well as strengthening its existing
presence. Currently, IHH has a strong workforce of more than 24,000 servicing its healthcare network of
over 4,900 beds spanning across countries like Singapore, Malaysia, Turkey, China (PRC), Vietnam, HongKong, Brunei and Macedonia.
Utilisation of Proceeds
Details of utilisation Estimated timeframe for
utilisation upon listing
RMm Percentage
Repayment of bank borrowings Within 12 months 4,662.76 90.9%
Working Capital and General Corporate Within 12 months 279.64 5.5%
Estimated Listing Expenses Within 12 months 187.60 3.7%
Total 5,130.00 100.0%
Source: Prospectus
Allocation of IPO shares
Categories Enlarged Share
Capital (million)
Percentage of
enlarged share
capital
Institution Placement
MITI Tranche 360.00 4.47%
Global Institute Tranche 138.01 1.71%
498.01 6.18%
Malaysia Public Offering
Malaysia Public
Bumiputera 80.57 1.00%
Non-Bumiputera 80.57 1.00%
Eligible Directors of the group 4.50 0.06%
Eligible employees of the group 22.59 0.28%
Business associates and persons who have contributed to the
success of the group
20.27 0.25%
208.51 2.59%
Singapore Offering
Singapore public 52.00 0.65%
Singapore placement 36.00 0.45%
Eligible Directors of the group 3.75 0.05%
Eligible employees of the group 16.60 0.20%Business associates and persons who have contributed to the
success of the group
32.28 0.40%
140.64 1.75%
Cornerstone Offering 1,387.50 17.22%
TOTAL 2,234.65 27.74%
Source: Prospectus
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INVESTMENT MERITS
Strong market positioning in Asia. IHH have strength in its domestic market particularly Singapore,
Malaysia and Turkey riding on brands like Pantai, Gleneagles, Mount Elizabeth and Acibadem. The PPL
hospitals of The Mount Elizabeth brand enjoys premium market positioning with the Gleneagles
brand enjoys high market positioning in Singapore while the Pantai brand has the strongest
reputation among private hospitals in Malaysia.Strong team of medical specialists. At present, IHH has about 3,260 specialists where about 1,200 are
based in Singapore or about 90.0% of the total number of private specialists in Singapore whilst 760 are
in Malaysia with the balance of 1,300 in Turkey.
Still huge potential to grow. Most of the developed and mature economies such as United States and
United Kingdom have over 3.0 hospital beds per 1,000 populations. In comparison, countries like
Singapore, Thailand, Malaysia, Indonesia and India have a ratio of hospital beds per 1,000 population of
below 3.0. A low proportion of beds per 1,000 populations is indicative of latent demand for additional
hospital beds reflecting the growth potential for healthcare infrastructure in the country.
Doctors Per 1,000 Population Ratio
Source: Prospectus
Good destination for medical travel. We believe IHH will benefit from the strong growth from medical
travel as their hospitals are strategically located within the medical tourism destinations i.e. Malaysia,
Singapore and Turkey. In 2011, medical tourism in Malaysia generated approximately RM509.8m in
revenues from approximately RM253.8m in 2007, registering a CAGR of 19.0% during the same period.
Singapore is recognised for its HCS and medical expertise and is one of the most favoured medical
travel destinations in Southeast Asia. Singapore medical travel revenues and the number of medical
travellers are expected to grow at CAGRs of 14.7% and 13.1 % respectively between 2011 and 2016.
Meanwhile Turkey has emerged as one of the most popular medical travel destinations in the CEEMENA
region due to its high quality medical facilities, high concentration of specialists and capabilities in
complex surgical procedures.
Medical Travel Size in Malaysia, Singapore and Turkey
Source: Prospectus
1.71.4
1.2
0.70.3 0.3
1.8 1.8
0.7
4.3
3.3
2.7 2.62.4 2.3
2.11.7
3.6
2.9
2 .4 2 .42.2
2.0
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
5.0
Doctors per 1,000 Population ratio
2008 2009 2010 2011E 2012F 2013F 2014F 2015F 2016F
Malaysia 374 336 393 578 660 753 859 980 1,120
Singapore 370 342 399 461 533 604 681 761 851
Turkey 74 92 110 125 143 166 193 227 267
0
200
400
600
800
1,000
1,200
Mumber of Medical
Travellers ('000)
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Growing of ageing population. Life expectancy has improved over the decades due to better living
conditions from increased wealth, access to better nutrition, healthcare and sanitation, as well as the
political stability in countries. The growing of ageing population will lead to increase in the demand for
healthcare services due to higher occurrence of non-communicable lifestyle diseases such as
cardiovascular diseases as well as cancer and age related diseases such as arthritis and diabetes, among
others; higher requirement for diagnosis and hospital-based inpatient and outpatient treatment; and
longer duration of care.
Population 65 years and above (in million)
Country 2006 % of total
population
2010 % of total
population
CAGR 2006-
2010
South East Asia
Indonesia 11.66 5.2% 13.20 5.6% 3.2%
Thailand 5.16 8.2% 5.68 8.9% 2.4%
Vietnam 4.96 5.9% 5.30 6.0% 1.7%
Malaysia 1.15 4.3% 1.44 5.1% 5.7%
Singapore 0.36 8.1% 0.46 9.0% 6.4%Brunei 0.13 3.3% 0.14 3.6% 3.2%
Asia
PRC 100.98 7.7% 119.24 8.9% 4.2%
India 50.94 4.7% 57.74 4.9% 3.2%
Kong 0.84 12.3% 0.90 12.7% 1.7%
Central & Eastern Europe, the Balkans, Turkey, the Middle East and North Africa (CEEMA)
Russia 19.48 13.7% 18.29 12.8% -1.6%
Ukraine 7.55 16.2% 7.08 15.5% -1.6%
Turkey 4.63 6.7% 5.06 6.9% 2.3%
Egypt 3.40 4.8% 3.91 5.0% 3.6%
Romania 3.21 14.9% 3.20 14.9% -0.1%
Saudi Arabia 0.72 3.0% 0.82 3.0% 3.3%
Macedonia 0.23 11.2% 0.24 11.8% 1.5%
UAE 0.03 0.7% 0.02 0.4% -7.2%
Developed Countries
USA 37.11 12.4% 40.48 13.1% 2.2%
Japan 26.04 20.4% 28.95 22.7% 2.7%
Germany 16.00 19.5% 16.63 20.4% 1.0%
United Kingdom 9.72 16.1% 10.32 16.6% 1.5%
Korea 4.67 9.7% 5.45 11.1% 3.9%Source: Prospectus
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Aggressive expansion plan. As detailed by the table below, IHH has mapped out its expansion plans
over the next 5 years potentially adding around 3,300 new beds from its current total of 4,900.
Hospitals Expansion
COUNTRIES HOSPITALS DESCRIPTION ADDITION
Malaysia Gleneagles Medical
Centre Penang
New building which is expected to be completed by
the end of 2012 and which will add 188 beds to itsexisting capacity.
188
Pantai Hospital KL A new 12-storey building with 120 additional beds by
the end of 2014.
120
Pantai Hospital Klang Increasing capacity by 80 beds and is expected to be
completed by mid-2014.
80
Gleneagles KL Additional 100 beds by by mid-2015. 100
Gleneagles KK (new) Scheduled to open in early 2015, will mark PPL's entry
into East Malaysia. The hospital will have 250 beds,
providing tertiary hospital services to the community
in Kota Kinabalu, Sabah.
250
Pantai Hospital Manjung
(new)
Situated an hour's drive from Ipoh city, will provide
healthcare services to the community in the upcoming
Manjung township by early 2014. The hospital isexpected to have 100 beds.
100
Gleneagles Medini (new) Situated in Medini, Iskandar Malaysia, and will target
the Malaysian market as well as medical travellers
from Singapore. The first phase of 150 beds is
expected to be operational in early 2015 and it is
expected that it will subsequently be expanded to its
intended size of300 beds.
300
Singapore Mount Elizabeth Novena
Hospital (new)
Capacity to operate up to 333 beds and 13 operating
theatres. Scheduled to open in two phases, the first
phase with 180 beds by July 2012, and the remainder
153 beds in the 2H2013.
153
India Apollo Gleneagles
Hospital
Located at Kolkata, is a 425-licensed bed multi-
specialty tertiary hospital, which is currently in theprocess ofincreasing its licensed beds to 510.
85
Gleneagles Khubchandani
Hospital (new)
Located in Mumbai, is currently under development
and will have 450 beds and expecting to be
operational end 2012.
450
GM Modi Hospital (new) Located in New Delhi, India, is planned to be
developed into a 300 beds hospital facility.
300
Vietnam City International Hospital
(new)
Located in Ho Chi Minh City, Vietnam, having 313 beds
and expected to be operational in 2013.
313
PRC and
Hong Kong
Shanghai International
Medical Center (SIMC)
(new)
Located within the Shanghai International Medical
Zone, an area in Shanghai designed to be a medical
hub. SIMC is a tertiary hospital and is expected to
operate up to 450 beds in 2014.
450
Turkey Acibadem Sistina Skopje
Clinical Hospital
Located in Skopje, Macedonia, presently having 179
licensed beds. Will add 81 beds to its existing capacity
and is expected to open its oncology department in
2012.
81
Acibadem Maslak Hospital Located in Masalak, Istanbul presently having 183
licensed beds. Additional 120 beds to its existing
capacity and is expected to be operational in 2015.
120
Acibadem Ankara Hospital
(new)
Located at Ankara, will have 78 beds and scheduled to
be operational in 3Q2012.
78
Acibadem Bodrum
Hospital (new)
Located at Bodrum, will have 110 beds and has
commenced operations in June 2012.
110
TOTAL 3,278
Source: Prospectus
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RISK FACTORS
Key Risks Factors
Political risks IHHs businesses are heavily concentrated in Singapore, Malaysia and Turkey.
Hence, the operations are exposed to political risks which may have adverse
effect on the companys business.
Exchange rate fluctuations IHH is exposed to foreign exchange risk as sales and purchases, cash and cashequivalent and etc which done in currency other than the respective functional
currencies of IHH group entities. Fluctuations in currencies will have negative
impact on its results of operations and financial condition.
Highly dependent on
doctors, nurses and other
healthcare professionals.
The performance and execution of IHHs growth is depend on the doctors and
other supporting staff such nurses, admin and other healthcare practitioners. A
shortage of medical personnel in certain areas or locations may cause IHHs
operation to a halt or delay.
The value of our intangible
assets and costs of
investment may become
impaired.
The M&As prior to listing, resulted to goodwill and other intangible assets
amounting to RM11,585.8m as at 31 March 2012 representing approximately
49.8% ofIHHs total assets and 93.6% of consolidated total equity. In accordance
with applicable accounting standards, IHH will periodically evaluate the goodwill
and other intangible assets to determine whether all or a portion of their carrying
values may no longer be recoverable, hence there is a risk of impairment which
will charge to the income statement.
Source: Prospectus
FINANCIALS AND VALUATION
Promising future. IHH experienced strong revenue growth in the past few years contributed by strong
performance in Hospitals and Healthcare services as well as consolidation of Parkway and Pantai Irama
and the acquisition of Acibadem Holdings. We believe the aggressive expansion plan to increase its
hospital beds by more than 60% over the next 3 to 5 years should sustain groups earnings growth.
FY11 Revenue Breakdown
Source: Prospectus
Strong earnings growth ahead. For FY12 and FY13 we expect IHH to register net earnings of RM763.3m
and RM883.7m respectively representing growth of 478.1% and 15.8% respectively. The commendable
growth is mainly due to strong revenue growth in PPL Malaysia, PPL Singapore and Acibadem.
Moreover, most of the proceeds from IPO will be used to repay borrowing which will result in lower
finance cost by about 80% based on our estimates.
Premium Valuation over its peers. We value IHH at RM3.30 based on FY13 EPS of 11sen over target
PER of 30x, a slight premium over its regional peers. We view that the premium is justifiable given its
strong earnings growth going forward and sheer size as one of the worlds largest healthcare company.At RM3.30, the stock offers 17.8% potential upside over its listing price of RM2.80. We recommend a
BUY on IHH.
Healthcare
21.7% Education
3.3%
Non-healthcare
0.4%Hospital
74.6%
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Regional Peers Average PER Band
Companies 3-year average PER
Band
Market Cap
(RMm)
Weight Adjusted
PER
KPJ Healthcare Bhd 21.0 3,880.0 11.7% 2.5
Raffles Medical Group Ltd 22.7 3,535.3 10.7% 2.4
Fortis Healthcare Ltd 81.6 2,283.9 6.9% 5.6
Apollo Hospitals Enterprise Ltd 36.0 4,845.0 14.6% 5.3
Bangkok Chain Hospital PCL 15.4 1,798.7 5.4% 0.8
Bangkok Dusit Medical Services PCL 23.5 15,400.9 46.6% 10.9
Ramkhamhaeng Hospital PCL 13.0 1,339.3 4.0% 0.5
Total 33,083.1 100% 28.1
Source: BIMB Securities/ Bloomberg
Income StatementFY 31 Dec (RMm) 2009 2010 2011 2012E 2013E
Revenue 3,946.3 4,506.7 5,190.8 6,011.0 6,996.1
EBITDA 774.6 888.8 1,029.7 1,424.6 1,647.2
Pretax profit 470.3 155.1 333.4 1,083.4 1,254.1
Tax (6.8) (76.4) (87.8) (227.5) (263.4)
MI (36.3) (37.3) (113.6) (92.6) (107.1)
Core Net profit 427.2 41.5 132.0 763.3 883.7
EPS (sen) 5.3 0.5 1.6 9.5 11.0
EPS growth (%) 0.0% -90.6% 220.0% 493.8% 15.8%
DPS (sen) n.a. n.a. n.a. n.a. n.a.NTA/ share (RM) 0.27 (0.64) 0.59 0.69 0.81
Net gearing (x) 0.0 1.9 0.1 net cash net cash
PER (x) 52.8 560.0 175.0 29.5 25.5
Div. yield (%) n.a. n.a. n.a. n.a. n.a.P/ NTA (x) 10.2 (4.4) 4.7 4.0 3.4
ROE (%) 18.5% 1.6% 1.4% 4.6% 5.0%ROA (%) 17.0% 0.5% 0.7% 3.3% 3.6%
Source: BIMB Securities
Balance SheetFY 31 Dec (RMm) 2009 2010 2011 2012E 2013E
Non Current Assets 2,461.3 13,116.5 19,127.9 19,020.5 19,452.5
Current Assets 49.2 2,727.1 3,892.5 5,924.4 6,850.6
Total Assets 2,510.5 15,843.6 23,020.3 24,944.8 26,303.1
Current Liabilities 72.1 5,592.2 2,428.9 2,732.9 3,114.9
Non Current Liabilities 115.9 7,055.4 3,694.9 3,694.9 3,694.9
Shareholders' Fund 2,313.3 2,936.4 16,304.6 17,067.9 17,951.5
Minority Interests 9.2 259.5 592.1 286.9 379.5
Equity & Liabilities 2,510.5 15,843.6 23,020.3 23,782.5 25,140.8
Source: BIMB Securities
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DEFINITION OF RATINGS
BIMB Securities uses the following rating system:
STOCK RECOMMENDATION
BUY Total return (price appreciation plus dividend yield) is expected to exceed 10% in the next 12 months.
TRADING BUY Share price may exceed 15% over the next 3 months, however longer-term outlook remains uncertain.
NEUTRAL Share price may fall within the range of +/- 10% over the next 12 months
TAKE PROFIT Target price has been attained. Fundamentals remain intact. Look to accumulate at lower levels.
TRADING SELL Share price may fall by more than 15% in the next 3 months.
SELL Share price may fall by more than 10% over the next 12 months.
NOT RATED Stock is not within regular research coverage.
SECTOR RECOMMENDATION
OVERWEIGHT The Industry as defined by the analysts coverage universe, is expected to outperform the relevant primary market
index over the next 12 months
NEUTRAL The Industry as defined by the analysts coverage universe, is expected to perform in line with the relevant primary
market index over the next 12 months
UNDERWEIGHT The Industry as defined by the analysts coverage universe, is expected to underperform the relevant prima ry market
index over the next 12 months
Applicability of ratings
The respective analyst maintains a coverage universe of stocks, the list of which may be adjusted according to needs. Investment ratings
are only applicable to the stocks which form part of the coverage universe. Reports on companies which are not part of the coverage do
not carry investment ratings as we do not actively follow developments in these companies.
Disclaimer
The investments discussed or recommended in this report not be suitable for all investors. This report has been prepared for information
purposes only and is not an offer to sell or a solicitation to buy any securities. The directors and employees of BIMB securities Sdn Bhd may
from time to time have a position in or either the securities mentioned herein. Members of the BIMB Group and their affiliates may
provide services to any company and affiliates of such companies whose securities are mentioned herein. The information herein wasobtained or derived from sources that we believe are reliable, but while all reasonable care has been taken to ensure that stated facts are
accurate and opinions fair and reasonable, we do not represent that it is accurate or complete and it should not be relied upon as such. No
liability can be accepted for any loss that may arise from the use of this report. All opinions and estimates included in this report constitute
our judgements as of this and are subject to change without notice. BIMB Securities Sdn Bhd accepts no liability for any direct, indirect or
consequential loss arising from use of this report.
Published by
BIMB SECURITIES SDN BHD (290163-X)
A Participating Organisation of Bursa Malaysia Securities Berhad
Level 32, Menara Multi Purpose, Capital Square,
No. 8 Jalan Munshi Abdullah,
50100 Kuala Lumpur
Tel: 03-2691 8887, Fax: 03-2691 1262 Kenny Yee
http://www.bimbsec.com.my Head of Research
http://www.bimbsec.com.my/http://www.bimbsec.com.my/http://www.bimbsec.com.my/