max india limited...investor presentation april 2018 max group vision “to be the most admired...
TRANSCRIPT
Max India Limited
Investor Presentation
April 2018
www.maxindia.com
Max Group Vision “To be the most admired corporate for service excellence”
Sevabhav
Excellence
Credibility
• Positive social impact
• Helpfulness
• Culture of Service
• Mindfulness
• Expertise
• Dependability
• Entrepreneurship
• Business performance
• Transparency
• Integrity
• Respect
• Governance
1
2
Evolution of Max Group—Strong history of entrepreneurship and nurturing successful businesses
Health Insurance,
JV with Bupa Plc
1985 1993 2000
Forays into
Penicillin
bulk pharma
Enters Telecom in JV
with Hutchison
JV with Gist Brocades
(Asia’s largest Drug
manufacturer )
Shift from B2B to
B2C businesses:
●Life insurance
●Healthcare
●Clinical research
Hutchison
Fund raising ~ USD 360 Mn
● QIP- USD 156 Mn in 2007
● Warburg Pincus - 53 Mn in 2005
● IFC- 47 Mn(2007) &23 Mn (2009)
● Goldman Sachs 82 Mn in 2011
2005 2011 2007 2009 2012 2013 2014 2015 2016
NYL exits and JV with
MSI in 2012
● MSI is world’s 7th largest
general insurance group
● MSI acquired 26% stake for
USD 425 Mn
● Max Life valued at USD 1.6
bn
LHC inducted as JV
Partner in MHC
● LHC is 2nd largest hospital
chain in South Africa
● 2012 - Acquired 26% stake
for USD 81 Mn in MHC
● 2014 - Equalize stake in
MHC invests USD 120 Mn
Enter Senior
Living business,
launch first
community in
Dehradun with
200 units
Max India demerged into
3 listed hold cos
Landmark Acquisitions
by MHC
● Acquired 79% stake for
USD 40 Mn in 340 bedded
Pushpanjali hospital
expandable upto 540 beds
● Acquired 51% stake for
USD 100 Mn in 230
bedded Saket City
hospital, expandable upto
1200 beds
Note: Conversion rate assumed 1 USD = INR 64
Health & Allied
Business
Life Insurance
Business*
Max Group – Corporate Structure
3
Max Group - Sponsors
Manufacturing &
Other businesses
Ho
ldin
g
Co
mp
anie
s O
pe
rati
ng
C
om
pan
ies
70.75%
50%
51%
100%
51%
Group CSR Arm
30.3% 41.0% 38.1%
Sponsors stake in Max Group holding companies
100%
100%
100%
Max Group Overview
USD 2.6 billion+… 9 Mn Customers… 23,000 Employees… ~68,000 Agents…
2,850 Doctors…
Strong growth trajectory even in challenging times; a resilient & diversified business model
Steady revenue growth and cost rationalization leads to strong financial performance
Well established board governance….internationally acclaimed domain experts inducted
Diversified ownership…..marquee investor base
Superior brand recall with a proven track record of service excellence
Strong history of entrepreneurship and nurturing successful business partnerships
1
2
3
4
5
6
7
4
Max Group : Continues to grow from strength to strength
5
Group EBITDA (USD Mn)
69 82 97 112 160
FY'13 FY'14 FY'15 FY'16 FY'17
Group Revenue (USD Mn)
1,465 1,664 1,944 2,225 2,625
FY'13 FY'14 FY'15 FY'16 FY'17
Max India: High pedigree investor base
Number of outstanding shares* : 26.84 Cr.
Promoters 41.0%
IFC 3.1%
FII/ FPI 24.5%
Mutual Funds 17.5%
Others 13.9%
0.0%
0.0%
0.0%
0.0%
Shareholding Pattern as on Mar 31, 2018
6
Ward Ferry
International Finance Corporation
Government of Singapore
Target Asset management
New York Life Insurance
Nomura Singapore
Doric Capital
Comgest
TVF Fund
Reliance Mutual Fund
L&T Mutual Fund
HDFC Standard Life Insurance
UTI Mutual Fund
DSP Black Rock Mutual Fund
Shareholding concentrated with Marquee Investors
* Max Group Sponsors hold warrants convertible into 4% equity stake, post conversion Sponsor’s stake will increase form 41% to 45%, on fully-diluted equity base will increase to 28.7 Cr shares post conversion
www.maxhealthcare.in www.maxindia.com
MAX INDIA LIMITED
MAX HEALTHCARE
7
Sources: India Brand Equity Foundation – Healthcare report, July 2017, BofA Merrill Lynch
60 79 160
280
2010 2012 2017 2020 2025 2025
Indian healthcare sector *
Estimated size, Bn USD
Demand drivers for growth
* Includes hospitals, pharmaceuticals & medical technology / other companies
~500 mn
additional middle
class by 2025
~45%
Insurance
penetration by 2020
~134 mn
population > 60
years by 2020
~$8 bn
medical tourism
market size by 2020
~320 mn
at risk of dying due
to NCDs by 2020
~2 mn
beds required by
2025
CAGR
15.0%
CAGR
16.5%
Business As Usual Aspirational
320-340
450-470
Indian healthcare industry is expected to reach ~$470 billion fuelled by multiple demand drivers
8
Sources: BofA Merrill Lynch Global Research, IBEF Mar'15
Private players have established a dominating presence in tertiary /
quaternary care
70% 63% 60% 78% 80%
30% 37% 40% 22% 20%
Market Share Beds Inpatients Outpatients Doctors
Private sector Public sector
70%
20%
10%
Hospitals
Pharmaceuticals
Medical technology / Others
Indian healthcare
sector*
Market share %
Market size of private hospitals is expected to reach ~$ 120 bn by 2020
22 36
81
120
2009 2012 2015 2020
Private sector hospitals
Estimated size, Bn USD
CAGR
~24%
CAGR
~20%
* Includes hospitals, pharmaceuticals & medical technology / other companies
Hospitals constitute ~70% of Indian healthcare market with increasingly dominant role of private sector
9
At current level of public sector spending the scenario is not likely to change
1.15% 1.40% 1.30% 1.20%
2.50%
FY14 FY15 FY16 FY17 FY20-22
Source: LiveMint research, World Bank database, Hindustan Times
5%+ WHO guidelines
India- public spend on Healthcare
% of GDP
~8% USA
8-10% Developed countries
3.5-4% BRICS- excluding India
Hence, Government will keep shifting the burden of public health provision
towards private sector
10
The surge of VC/ PE investments in recent years has eased funding constraints on growth
Annual VC/ PE investment’s in India’s Healthcare ($ Million)
Recent examples
Source: Crisil research, company websites and presentations, secondary sources
No. of
deals 35 29 65 60 54
580 495
1,262 1,359900
1,5841,111
2016 2013 2015 2014 2012 2010 2011
~3x
50 86
TARGET INVESTOR AMOUNT DATE
$221 mn Jan ‘16
May ‘16
Dec ‘16
$68 mn
$63.5 mn
TARGET INVESTOR AMOUNT DATE
$200 mn Jul ‘17
Jul ‘17
Aug ‘17
$43 mn
$171 mn
Competition is intensifying with scale-up of well funded incumbents & availability of capital for new players
11
MHC vision
KEY ENABLERS WHERE DO WE WANT TO BE WHAT WILL WE BE KNOWN FOR
• Strong talent pool of
clinicians, nurses and
healthcare leaders
• Technology and
analytics enabled
clinical outcomes and
customer experience
• Integrated care
• Clinical excellence
• Transparency
• Speed
• Tech enabled
continued care
• #1 in selected specialties in
chosen geographies
• Focus on Tertiary and
Quaternary care
• Physical infrastructure in
North India; however
serving more than 300
towns in India and 30+
countries
To deliver international class healthcare with a total service
focus, by creating an institution committed to the highest
standards of medical & service excellence, patient care,
scientific knowledge, research and medical education
12
MHC is a dominant player in North India
410
522
Saket Noida
Gurgaon
Vaishali
Shalimar Bagh
Max Smart
41
72
OUTSIDE NCR NCR
Patparganj
248
Mohali
Bathinda
Dehradun
186
172
293 224
290
~2600 available beds across the network
Pitampura*
Panchsheel* Lajpat Nagar*
* Standalone Speciality Clinics with Outpatient and Day care facility
Greater Noida
112
13
MHC has invested in state of the art equipment to achieve clinical excellence (1/2)
Advanced robotics provides high precision, and
minimum invasive surgery across multiple
specialities such as Oncology, Neurology
High dose radiation with extreme
precision (~ 0.5 mm accuracy)
Advanced image guided surgery -
provides real-time views and automated
image processing
Provides precise correlation and facilitates
proper treatment for Oncology, surgical
planning and radiation therapy
Ro
bo
tic
s
Bra
in s
uit
e
No
vali
s
LIN
AC
P
ET-C
T
14
MHC has invested in state of the art equipment to achieve clinical excellence (2/2)
Robotic radio-surgery (non-invasive) system for
both cancerous & non-cancerous systems
Designed for revolutionary single incision
laproscopic surgery through catheter-based,
flexible instruments
Economical digital storage and convenient access to medical
images from multiple modalities
Cy
berK
nif
e*
Picture Archiving & Communication System - PACS
SP
IDE
R
* planned
15
MHC has a robust service excellence & quality framework which has resulted in enhanced customer experience
• “Sevabhav” trainings and Reward &
Recognition platform has led to
positive shift in mindset
• Structural Interventions through Six
Sigma and other methodologies has
resulted into business impact of over
USD 15 Mn
57% 69% 73% 79%
FY`15 FY`16 FY`17 YTD FY`18
Top 2 Box Rating*
* MHC is the only healthcare company who has deployed a third party
(IMRB) to conduct Satisfaction survey 16
MHC strong Governance Model helps us bring alignment and improve accountability
Executive Committee
Unit Heads
Unit Management Committee (MANCO)
Group Medical Advisory Council
(GMAC)
Hospital Medical Executive Council
(HMEC)
Doctor’s council
Managerial Clinical
Administration
Nomination &
remuneration Audit
Investment &
performance
review
Medical
excellence &
compliance
Service
excellence
Scientific
projects &
technology
Corporate
social
responsibility
Board & 7 committees
Governance
17
MHC has a proven record of building an institution
NABL/
NABH
accredited
ISO
9001:2000
& ISO
14001: 2004
certified
DL Shah
National
Award on
‘Economics
of Quality’
FICCI
Excellence
Awards -
Operational
Excellence
Leadership
positions in
NatHealth
and CII -
healthcare
First MHC
hospital started in
2002
MHC is one of the
top 3 healthcare
chains in India
Strengthened capabilities to provide comprehensive
tertiary & quaternary care
Network of highly qualified doctors, nurses and medical
personnel
Organic growth through expansion of hospital
network
JV with Life Healthcare, South Africa, extending
expertise and global reach
Business
World
Healthcare
Award in Patient
Experience &
Safety
18
Max Saket received JCI accreditation – highest
standards of clinical governance and compliance
MHC won 31 awards across multiple impact categories from various prestigious institutions in FY17 and FY18
Clinical Safety (7) Operational
Excellence (9) Service Quality (9) Others (6)
•Best customer service in
Healthcare
•3 projects qualified for
‘American Society for
Quality’
•BPM Asia Star 2017 by
CII Institute of Quality
•Best use of six sigma in
Healthcare
•Best green hospital
(reducing carbon foot print
of tertiary care hospital)
•Best patient safety
initiative (prevention of
patient fall)
•Best quality initiative
(BCMA medication
process improvement )
•Times Healthcare
Achievers Award
•ET Best Healthcare
brand
•Excellence in training
and development
19
Healthy revenue growth driven by hospital complexes
20
MHC Annual Gross Revenues by hospital complexes
Rs. Cr.
321505
693843 941
758260
309
381
560
672
554
568
593
666
779
954
804
FY15
1739
FY14
1407
FY13
1149
2116
FY17
2567
FY16
2181 +22%
9MFY18
Saket complex
East Delhi complex
Others
Note: Saket Complex includes Saket West Block, Saket East Block (unit of Devki Devi Foundation) and Max Smart (unit of Smart Hospital & Research Centre) hospital; East Delhi Complex includes Max Patparganj (unit of Balaji Medical and Diagnostic Research Centre) and Max Vaishali hospital
+14%
+27%
+31%
Steady margin expansion driven by cost efficiencies, build-up in Saket & East Delhi complexes and revenue ramp-up for new units
% EBITDA Margin, East Delhi complex xx % EBITDA Margin, MHC xx % EBITDA Margin, Saket complex xx xx
MHC EBITDA by hospital complexes
Rs. Cr.
6.2 8.3 10.2 10.5
12.8 13.2 15.0 14.3
13.9 13.9 14.2 14.2
11.4
12.6
13.6
795175
86
6470 75
98
107
115
91
343824
-35
4135
FY13
70
FY14
113
-3
FY15
173
FY16
221
FY17
281
189
+42%
Saket complex
East Delhi complex
Others
9.5
11.9
12.6
-11.1 -0.6 3.5 4.7 8.7 5.5
% EBITDA Margin, Others xx
Note : FY16 excludes Rs. 6 Cr. of one time expenses towards the Pushpanjali and Saket City acquisitions; FY15 excludes Rs 3 Cr of one off expenses; Saket Complex includes Saket West Block, Saket East Block and Max Smart; East Delhi Complex includes Max Patparganj and Max Vaishali ; FY17 margin erosion due to 2 acquisitions of Max Smart and Max Vaishali; 9MFY18 margin erosion due to regulatory impact including ortho implants, minimum wages etc.
+13%
+26%
21
9MFY18
Strong momentum across all volume and value levers in last 5 years
Maintained healthy occupancy levels despite strong bed
addition momentum Steady growth in Revenue per occupied bed
Consistent focus on key tertiary tower specialities Consistent improvement in Average Length of Patient
Stay
Figures in Rs. Thousands Per OBD
1,457 1,679 1,7501,2351,094908
630378394
2,330
FY17 9MFY18
+13%
FY16
2,379
592 651 2,049
FY15
1,680
445
FY14
1,472
FY13
1,302
34
FY13
37 33
39
FY15
41
FY16
44
FY17
+6%
YTD FY18 FY14
-2.6%
3.1
FY17
3.2 3.3
FY16 YTD FY18 FY15 FY14
3.4 3.5
FY13
3.5
Figures in Number of days
NOTE: FY16 and FY17 including Vaishali and Saket City Hospital;
Cardiac revenue impacted by stent price capping in FY17 and FY18;
Ortho revenue impacted by implant price capping in FY18
14%
3% 53%
12%
FY14
6%
54%
11%
YTD FY18
53%
9%
FY17
2%
9%
2%
14%
6%
FY15
13%
14%
56%
10%
10%
2%
10%
10%
7%
55%
13%
13%
2%
FY16
10%
12%
10%
7%
0% 12%
10%
8%
5% 3%
FY13
51%
15%
7%
10%
11%
4%
3%
Onco LBS Cardiac MAMBS Renal Neuro Ortho
73.572.171.173.574.369.7
Avg. unoccupied
beds
Avg. occupied
beds Occupancy (%)
22
MHC profitability ratios to improve with maturity of beds and further expansion
All figures for 9MFY18 Max Healthcare Fortis Apollo* Narayana
Health
Operational Beds (No.) +2,379 +3,500 +7,000 +5,300
Gross Capital Employed (Rs. Cr.)
2,292 8,024^ 4,437 1,358
Net Revenue (Rs. Cr.) 1,998 Cr, +8% 2,815 Cr, +1% 4,386 Cr, +11% 1,634 Cr, +17%
International Rev. 213 Cr, +22%,
10% of revenue 303 Cr,+3%
10.8% of revenue N.A
158 Cr, +48% 10% of revenue
Operating EBITDA (Rs. Cr.) 189 Cr 395**/192 Cr 499 Cr 160 Cr
Operating EBITDA Growth (%)
-7% -9%**/52% 1.1% -5%
Operating EBITDA Margin (%) 9.5% 14.0%**/6.8% 11.4% 9.8%
ROCE (%) 5%
(Mature units 13%) 4.0%^ 11.0% 8.4%
EBITDAR per OBD (Rs. lacs) 17.3 21.4 18.9 8.4
ALOS (days) 3.05 3.46 3.95 4.20
ARPOB/p.a (Rs. Cr.) 1.59 Cr 1.48 Cr 1.29 Cr 0.80 Cr
*Apollo Revenues excludes pharmacy revenue and grossed up for adjustment of doctor fee by 20% ^ Capital employed and ROCE based on overall consolidated numbers ** Before Net BT Costs; 23
Four dimensions to value creation for MHC
Existing network optimizat
ion
Hospital network growth
Alternate models
Key enablers
• Focus on identified key specialties
• Growth in international channel
• Cost initiatives
• Capacity expansion to 5000+ beds largely through brownfield & select greenfield assets
• M&A • FAR expansion • Greenfield • Max Lab
• Max@Home • Onco daycare • Tele-radiology • DiabetEase • Immigration Center
• Differentiated positioning
• Service experience • Patient safety • People • Compliance
24
A Increasing share of preferred channels to improve profitability
As the new units in the network mature, the share of preferred channels will increase in the revenue
mix and tend to mirror the share in current mature units
Action plan in place to further increase the share of preferred channels in the mature units
Preferred
Channels
Non-preferred
Channels Healthcare revenue channel share, FY17
Percent
Walk-in Inter-
national
• Sustained brand effort / experience
delivery on new positioning
• ATL/BTL campaigns for key specialties
• Strengthen ER capabilities
TPA
• Seek new engagement models in the
prevention/ wellness space
• Assess co-development of product targeted
at new customer segments
• Establish direct presence and
digital footprint in select markets
• Expand in attractive new markets
• JCI Accreditation at flagship units
MAC
Institutional
• Maintain share & improve quality of
business via upcountry channel
• Deprioritize; profitability
improvement through focus on
collections, material cost, and ALOS
25
21.2% 18.4%
34.2% 36.2%
20.9% 22.0%
MAC
10.3%
TPA
International
9MFY18
100.0%
Institutional/PSU
Walk-In
13.1%
100.0%
9.7%
FY17
14.0%
TRANS-
PLANT
High share of preferred specialties to improve profitability
Share of preferred tertiary/surgical specialties to increase in the revenue mix
Action plan in place to grow focused specialties
Healthcare revenue specialty share
Percent
• Build distinguished leadership
in all DMGs
• Establish a standalone centre
• Personalized medicine
ONCOLOGY
• Provide end to end service offering
• Launch specialized clinics
• Invest in high end Neuro equipment
NEURO
SCIENCES
CARDIO
SCIENCES
• Build comprehensive transplant
center in Saket complex; launch LTP
• Establish KTP and BMT programs in
selected locations
• Focus on high-end procedures
• Partnerships with renowned global
institutions – people & best practices
32% 32% 32% 32%
68% 68% 68% 68%
FY-15 FY-16 FY17 9MFY18
Secondary
Tertiary
A
26
Rs. 97 Cr. of cost savings achieved in FY16 and FY17 through structured cost initiatives
A
Rs. ~93 Cr. of further cost efficiency being targeted for FY18, out of which Rs. 56 Cr. is
already visible in P&L
8
21
15
19
25
25
12
12
16
FY16
Personnel Costs (Incl. Clinicians)
39
Other Indirect Costs
Material Costs
9MFY18 FY17
56 58
Procurement efficiency
Formulary driven substitutions
Increase in consumables reusability
ALOS and cost/OBD reduction esp. in PSU patients
Organization restructuring at units
Manpower contract rate negotiations
Physician compensation re-modelling
Materials procurement efficiency
Power saving through cheaper procurement, equipment
efficiency improvement and demand management
Collections and deductions management
27
MHC expansion prioritised in hospitals with superior profitability
Mohali:
85
Saket
complex: 315
S.Bagh: 104
Saket complex: 800
East Delhi complex: 200
Mullanpur: 400
Gr. Noida: 380
East Delhi
Complex: 106
* Bed Capacity as at January, 2018
B
300
1,780
419
FY22
85
9MFY18*
2,570
FY21 FY20
106
FY19 Total
5,260
FY23 & Beyond
28
Saket
complex: 300
• Founded by prominent Delhi clinician; operational since 2010
• Strategically situated on National Highway 24; 5 minutes from Max PPG - Potential to dominate the E. Delhi and Western UP
• Large asset with potential to grow
• ~300 beds, expandable to 540
• Built on a plot size of 3.46 acres with 0.4 mn. sq. ft. Builtup
• Infrastructure matching MHC’s LTFS standards Rechristened MHC Vaishali
Post acquisition
The Acquisition
Financial Turnaround
Q2FY16 H2FY16 9MFY17
12.2
0.6
5%
67%
15.5
2.6
17%
64%
17.2
2.4
14%
69%
Revenue* (cr)
EBITDA* (cr)
EBITDA (%)*
Occupancy
* Figures are monthly average Higher EBITDA in H2FY16 is due to exceptional items in Mar16
During FY16, MHC acquired the ~300 bedded Pushpanjali hospital in NCR, with potential to grow up to 540 beds
B
29
9MFY18
21.7
3.5
16%
73%
State-of-the-art transplant centre – for all transplants incl. heart, liver, kidney, bone marrow
Asia’s premier quaternary care with 7 centres of excellence
India's first international patient centre
Largest private facility in India
Dec 15 9MFY17
13.6
-0.8
-7%
69%
16.2
1.66
10%
76%
Revenue* (cr)
EBITDA* (cr)
EBITDA (%)*
Occupancy
~2000 beds in fully built state
Complex spread across 11.5 acres
300 – 500 beds to be dedicated to Cancer
Infrastructure to support all 6 tower
specialties
Adjoining 7.1 acres land to be developed to
offer complementary, allied healthcare
services such as Rehab, assisted living etc.
by GMHRC
Enterprise Value of Rs. 1,025 Cr. (Equity Value Rs. 325 Cr. for 51% stake and debt of Rs. 325 Cr; Rs. 375 Cr. (+12% p.a.) to be paid within 3 years for the balance 49% stake)
13.8
-0.52
-4%
66%
Q4FY16
30
Saket City Acquisition: Opportunity to create one of Asia’s largest Medicity in the heart of South Delhi
B
* Figures are monthly average
9MFY18
23.8
3.6
15%
84%
Max Lab: Consistent growth over the last one and half years by leveraging our assets
C
Network Expansion • Network of 550+ partners • Over 220 active partners in December • Started operations in NCR, Punjab, Faridabad, and
Uttarakhand • Added 2 HLMs, over 450+ beds
Technology • CRM platform for Sales Team for Team monitoring, Lead
creation, Partner management • Upgrade of LIS platform – project implementation
underway • Max Lab website under development
Operations • Sales team expanded to 21 from 8 (Mar) • Successful launch of Matrika, Monga HLM • Serviced over 100,000 orders in 9 months
Organization • Team size grew to 172 (35 in Mar17)
Building blocks in place to achieve the growth
aspiration
0.8
Q4’17
1.7 2.1
Q3’17
1.1
Q2’17
1.5
Q1’17
3.7
Q2’18 Q1’18
3.4
Q3’18
+371%
26.015.6
68.0
Q1’18 A
+475%
Q3’18 A
89.7
Q2’18 A
38.0
Q3’17 A Q4’17 A
Samples (‘000)
Revenue (Rs. Cr.)
* Pathology samples from Max@Home are also included 31
Max@Home: With Rs. 1.5 – 2 Cr. of investment till date, business is likely to end FY18 at ~Rs. 30 Cr. revenue
C
Home Sample Collection
• 24*7 coverage;
• 10% revenue contribution through out-of-hospital channels in
Q3
Medicine home delivery
• 15% increase in volumes from 4939 (Q2) to 5636 (Q3)
• Increased repeat business from 2% (Q2) to 12% (Q3)
Critical care nursing
• Critical care nursing service launched; Over 10 patients served
in Q3
New territory- Mohali
• Nursing and GDA launched in addition to sample collection and
pharmacy delivery
Max@home B2C platform
• ~450 tech features ; ~30 processes; 5 service line journeys
• Wireframes for ~20 roles across portal, mobile app & tablet
• Development & UAT planned in Q3FY18
Revenue (Rs. Cr.)
New services
Existing services
0.26
3.88
6%
94% 4.76
6.80 59%
41%
2.74
2.75
50%
50%
Samples (‘000)
Steady state EBITDA margin ~25%
32
30.0
9.610.4
+188%
FY 18 LE FY 17 FY 16
38.531.3
19.613.2
6.9
Q2’18 A Q1’18 A Q3’17 A Q3’18 A
+458%
Q4’17 A
9.2
36.0 51.8
61.8
216.4 218.5
275.3
439.2
421.4
14th June'16
July'16 Aug'16 Sep'16 Q3'17 Q4'17 Q1'18 Q2'18 Q3'18
Rev - Actual
Onco Day Care Center: Operationalized in July’16, EBITDAR break even on the 3rd month
C
• Standalone specialized facility away from
the hospital to ensure comfort and care
for our patients during chemotherapy
sessions
• Helps patients with their treatment and
disease by providing a non-hospital
environment and a highly efficient and
expert experience
• Key Differentiators:
o Strong clinical protocols
o Staff specially trained in soft/service
skills
o Personalized treatment
21st June’16 Chemo started
Saket doctors OPD started
7th July: X-ray started 1st Sept:
Ultra-sound started
YTD Dec’17 EBITDAR margin of 17.8% and
EBITDA margin of 8.7%
0.1
0.4
0.6
0.6
0.7
0.8
June'16
Q2'17
Q3'17
Q4'17
Q1'18
Q2'18
Daycare Chair turnover IMRB Scores
Pan MAX 75%
Oncology 79%
Onco DayCare 90%
Channel Mix (YTD Dec’17)
Cash 45%
TPA 18%
Others 37%
Success of this centre has paved the way for opening more such centres; Work on for the 2nd one in Gurgaon
Figures in Rs. Lacs
33
Immigration Center: Revenue growth at 75% vs. 9M’LY Max Bike Responder: Immediate medical care in emergencies
C
12.211.1
7.0
FY’16 9MFY18 FY’17
88.277.6
62.0
FY’16 YTD Dec’17 FY’17
Revenue (Rs. Cr.)
Volume (‘000)
Immigration Center
New Center
opened
Figures in Rs. Cr.
120
AVERAGE
MONTHLY
CALLS
15
AVG.
REACH TIME
MINS
58
LIVES SAVED &
COUNTING…
Max Bike Responder
Success of this centre has paved the way for opening
more such centres; Work on for the 2nd one in Mohali
34
www.maxbupa.com www.maxindia.com
MAX INDIA LIMITED
MAX BUPA HEALTH INSURANCE LIMITED
35
A symbiotic partnership in health insurance
Helping people live longer, healthier, happier lives +
Wh
at w
e d
o
Hig
hlig
hts
Domestic Health
Insurance
Global Health
Insurance
Dental and Travel
insurance Advice Primary Care
Clinics
Dental clinics Aged Care
► Leading international healthcare group present across 190+
nations, provides personal and company health insurance,
runs care homes for the elderly and hospitals in addition to a
range of health services
► Founded in 1947 in the UK, Bupa employs over 86,000
people across UK, Australia, Spain, Hong Kong, Poland, New
Zealand, Chile, Brazil, Thailand, Saudi Arabia, India and the
US
► Revenues of over £11 billion, over 70% coming from health
insurance covering over 16.5 million customers
► Diversified group with interests in insurance,
healthcare, manufacturing, real estate, learning
and senior living
► Founded in 1985 with an entry in the bulk
pharma business, Max has evolved into one of
the leading health services organizations in
India
► Over INR 168 billion in revenues, serving over 9
million customer with 23,000 employees and
2800 doctors.
Max Bupa is a 51:49 joint venture between Max Group and Bupa
In the business of Life
36
Our Vision and Mission
37
Vision Mission
To be the most admired
Health insurance company in
India
To help customers live
healthier, more successful
lives
Caring Respectful Ethical Accountable Trustworthy Enabling
Industry landscape Health insurance market (including PA,
Travel & contribution by life insurers)
FY 16-17
2,800
Travel &
LI contribution 2
PA
FY10-11
Retail
50,000
1,600
Government
sponsored
9,100
Corporate
FY19-20
(Estimated)
23,600
17,500
4,500
GWP in Rs cr
34,374
Low penetration and coverage HI penetration (premium as % of GDP) is only
~0.2% Only 32.5% of population has any kind of
health insurance, but significant under insurance
Increasing affluence and awareness Rise in income levels and healthcare spend per
capita Middle class expected to increase to 41% of
population by 2025 (from 5% in 2005)1
Rise in health care costs Medical inflation over 10% High out-of-pocket expenses (62% v/s ~10% in
US/UK & ~30% in China)
Rise in incidence of chronic diseases (viz. Cancer, heart diseases) & lifestyle related diseases (diabetes)
Regulatory & policy level interventions IRDAI’s consumer-centric approach Higher tax saving incentives on HI
Key drivers of growth
Indian health insurance market is likely to grow by ~15% CAGR in next 3 years
1 Mckinsey report ‘Tracking the growth of India’s middle class’ in 2007, IRDAI annual report
2 Growth rates for Travel & LI contribution of HI not available (Assumed at 16% same as 5 year CAGR of PA) 38
* Numbers are excluding Overseas medical and personal accident
Industry landscape
39
2,829
3,979
565
860
4
9
Apr-Dec'16 Apr-Dec'17
B2G
B2B
B2C
Segment-wise GWP (INR Cr)
Industry growth during YTD Dec’17*
8,516 10,628
11,122
12,986
1,704
1,908
Apr-Dec'16 Apr-Dec'17
B2G
B2B
B2C
+20%
21,343
25,521
+43%
3,398
4,849
SAHI growth during YTD Dec’17* MBHI growth during YTD
Dec’17*
26%
Overall sales growth
25%
17%
12%
41%
52%
120%
• Most of B2C growth in SAHI space is contributed by SAHIs which have invested over last 3 years and expanded their branch and Banca network.
• SAHI B2B growth at 52% vs overall 17% industry growth. Star is leading the B2B growth with more than 100% growth in FY17.
• SAHIs are growing @ 43% - Faster than the industry
Journey since inception
GWP, Rs cr
Ch
an
nel
Se
rvic
e m
od
el
• B2C
• Agency
• Direct channels
• TPD
• In-house
claims
processing
• Entered B2G - First RSBY
scheme won • Entered B2B
business
• Launched ‘Walk for Health’,
annual brand property
• First Banca partnership
(Deutsche bank)
• Rationalized TPD2
1. Does not include rural lives
• Reached ~3,100 network
providers
• 30-min claims
settlement (92% cases)
• Launched three more
banca partnerships
• Prioritized B2C
Retail Lives, ‘0001
xx% Y-o-y growth
CAGR
• CRM launched
• Walk for Health went
national touching 33
MM lives
• Launched 4 partners
(Sarv UP, Muthoot,
Coverfox, Bank
Bazaar)
Seg
men
t
• Launched Bank of
Baroda serving more
than 5,400 branches
• Standing Instructions
for auto renewal
• First ‘embedded’
product launched at
Federal bank
FY10-11
FY11-12
FY12-13
FY14-15
FY15-16
FY13-14 99
207
309
373
296%
108%
53%
18%
47
215
454
681
799
476
1,010
26
FY16-17
28%
594
1,345
25%
9MFY18
505
1,598
• Industry first digitally
enabled product
‘GoActive’ launched
on 13th Feb’18
• Commenced
business with South
Indian bank
• Launched India’s
first “Any time
health” machine
• Launched Point of
care desks for
customer delight
40
Healthy growth with consistent improvement in combined ratio
Max Bupa’s focus has been on
the B2C segment since
inception
While it is harder to build a
B2C book (linear customer
acquisition vs. lumpy demand
of B2B or B2G), Max Bupa has
grown at 26%, faster than
market (market growth ~19% –
till Apr-Dec’17)
B2C focus driven operating
model choices and some
execution challenges have
resulted in higher upfront opex
spend
Co
mb
ined
Rati
o*
(%)
Gro
ss w
ritt
en
pre
miu
m (
Rs c
r)
* Combined ratio = Claim ratio (Net claim incurred / Net Earned premium) + Opex ratio (Opex / GWP) +
Commission ratio (Net commissions / GWP)
151% 142% 127% 118% 116% 112%
2012-13 2013-14 2014-15 2015-16 2016-17 YTD Dec’17
162245
354466
584497
18
7
18
2013-14
309
56
2012-13
207 38
4 +30%
YTD Dec’17
505
2016-17
4
2015-16
594
6 4 476
6 4
2014-15
373
B2C B2B B2G
41
Max Bupa today
In a large, fast growing market Max Bupa delivers 2.6m customers, a vast distribution network and leading brand
1,818 employees
29 branches
7 banca partners
with 8,800 branches
accessing 101mn
customers
13,587 agents
98% B2C
business
4,064 providers in
network
64mn* lives touched
through Walk for
Health
(2016-2017)
1st of its kind,
Digitally enabled
wellness product -
GoActive
2.6m total
customers
GWP Rs. 505 cr
(Apr-Dec’17)
26% Growth
(Apr-Dec’17)**
Focus on B2C segment from inception
Investments in direct channels to support the “pull” model; Premium
infrastructure (office locations and size) in line with overall positioning
Launched first to industry innovations - Highest Sum Insured options,
No age restriction for enrolment, No claim loading, Guaranteed
renewability, No 2 year waiting period
Max Bupa is the only insurance company with an annual
brand property - Walk for Health initiative
Customer service is a key focus area –
~78% of customers rate claims
experience with Max Bupa as very good
or excellent
For the period ended Jan, 2018
*Duplicate reach across mediums
**Growth over same period last year 42
Comprehensive product suite
Key features include
hospitalization costs including:
► State of art coverage -
Cashless international
coverage (market first)
► Lowest (2 years) pre-existing
disease waiting period
► Out Patient benefits
► AYUSH benefits
► Maternity & New Born benefits
► Coverage from Day 1 for
accidents
► Waiver of 24 months waiting
period for specific conditions
below 45 yrs
► Loyalty benefit at renewal
Our flagship indemnity
product with the most
comprehensive coverage
Heartbeat
Key features include
hospitalization costs including:
► No limit on room rent and pre
and post hospitalization
expenses
► Added protection with Unique
Refill benefit
► All day care procedures
covered
► Unmatched renewal benefits
− No Claim Bonus (No reduction
in case of claims)
− Health check ups to help keep
track of the health condition
► AYUSH in-patient treatment
► Super top up
An indemnity product with
refill benefit, alternative
treatments & Extended Family
First proposition
Health Companion
Accident Care:
► Accidental death benefit
► Accidental Permanent Total
Disability
► Accidental Permanent Partial
Disability benefit
Critical Illness:
► Covers 20 critical illnesses
► 2 options: Lump sum & Lump
sum + staggered pay-out for 5
years
Hospital Cash:
► Daily cash benefit & double
cash benefit for ICU
A fixed benefit product with
unique 3-in-1 combination of
personal accident, critical
illness & hospital cash
Health Assurance
43
Comprehensive product suite
Group Health Insurance
includes:
► Group cover for hospitalization
benefit
Group Personal Accident:
► Accidental Death , Permanent
Total & Partial Disability
Loan linked group critical
illness
► Loan linked cover for 25 critical
illnesses
► Single pay up to 5 years
Group medical cover
► Customizable product for
employer employee groups –
B2B
A group product with
customized propositions by
selecting from over 35
product features and
parameters
Group Platform
44
Key features includes:
► Lifetime discount of 10% of
premium if purchased at or
before 35 years age
► Upto 10 OPD consultations
included in the cover
► Health coach option to enable
customers remain fit and
healthy
► Second medical opinion
► I-protect option to increase SI
by 10% every year
► Annual health check-
up/diagnostics of customers
choice
A digitally enabled, new age
customer centric product
offering that will serve the
everyday health needs of the
customer
GoActive
Distribution architecture
Largest distribution channel for the company
Spanning 29 branches across 19 cities
Over 48% contribution of overall revenue
Frontline sales force of 398 Agency Managers ~14,000 agents
One of the most productive agency force amongst SAHIs (Standalone Health Insurers)
7 Banca partnerships (2 foreign banks, 4 Indian banks and 1 rural bank), the highest
numbers amongst SAHIs
• Network of 8,800 bank branches across the country
• 616 FOS (included 7 of NBFC)
3 NBFC tie-ups (Capital First, Muthoot, Bajaj Finserv)
Brokers (Bajaj Capital, NJ Brokers, Shriram)
Rural business (RSBY)
One of the largest captive tele-sales set-up in industry
Capacity of 108 out-bound tele-callers
State-of-the-art technology infrastructure (Dialer / CRM) with secure environment
Online sales through MBHI website & web aggregators (6 partners, including Policy
Bazaar – a leading industry player)
Dedicated sales-force
55 full-time employees to address high-net worth individuals’ needs
Spread across top 4 metros
Agency
Banca &
Alliances
Digital
Direct sales
Distribution updated for Jan 2018
45
External recognition
46
Celent award for Model Insurer –Asia in category of ‘IT Management Best Practices’
India’s Greatest Brand for introducing a host of
innovations in the Indian HI sector by Asia One Awards
Recognized as the most admired health insurance brand in India as per the
India’s Most Admired Brands Survey 2017 by Trust Research Advisory
“Best Employee Engagement Campaign/Project” for “Step
for Health” by DMA India
‘Technology Maturity’ for CRM at the 6th India Insurance Awards – CRM recognized as an advanced technological innovation
ExternalAccolades
“Most innovative medical insurer” by Business world Healthcare Summit & Awards
‘Walk for Health’ recognized as an Internal Best Practice in Social Innovation
category ‘Living our Values’ identified as a Best Practice HR model
Strategic priorities – strengthening the foundation
Remarkable
customer
experience
Profitable
Growth
Portfolio Management
- Renewals
Build
Digital
People
First
Customer
Centric
Profitable
Growth
1 2
3
4
5
A
B
C
D Digitally enable end to end
customer journey
Build a Customer centric,
Compliant & Cost conscious
Culture
Broad base the franchise
with partnerships & alliances
Provider of choice in the
Affluent segment in urban
India
47
Disclaimer This presentation has been prepared by Max India Limited (the “Company”). No representation or warranty, express or implied, is made and
no reliance should be placed on the accuracy, fairness or completeness of the information presented or contained in the presentation. The
past performance is not indicative of future results. Neither the Company nor any of its affiliates, advisers or representatives accepts liability
whatsoever for any loss howsoever arising from any information presented or contained in the presentation. The information presented or
contained in these materials is subject to change without notice and its accuracy is not guaranteed.
The presentation may also contain statements that are forward looking. These statements are based on current expectations and
assumptions that are subject to risks and uncertainties. Actual results could differ materially from our expectations and assumptions. We do
not undertake any responsibility to update any forward looking statements nor should this be constituted as a guidance of future
performance.
This presentation does not constitute a prospectus or offering memorandum or an offer to acquire any securities and is not intended to
provide the basis for evaluation of the securities. Neither this presentation nor any other documentation or information (or any part thereof)
delivered or supplied under or in relation to the securities shall be deemed to constitute an offer of or an invitation.
No person is authorised to give any information or to make any representation not contained in and not consistent with this presentation
and, if given or made, such information or representation must not be relied upon as having been authorised by or on behalf of the Company
any of its affiliates, advisers or representatives.
The Company’s Securities have not been and are not intended to be registered under the United States Securities Act of 1993, as amended
(the “Securities Act”), or any State Securities Law and unless so registered may not be offered or sold within the United States or to, or for
the benefit of, U.S. Persons (as defined in Regulations S under the Securities Act) except pursuant to an exemption from, or in a transaction
not subject to, the registration requirements of the Securities Act and the applicable State Securities Laws.
This presentation is highly confidential, and is solely for your information and may not be copied, reproduced or distributed to any other
person in any manner. Unauthorized copying, reproduction, or distribution of any of the presentation into the U.S. or to any “U.S. persons”
(as defined in Regulation S under the Securities Act) or other third parties ( including journalists) could prejudice, any potential future
offering of shares by the Company. You agree to keep the contents of this presentation and these materials confidential.
48
ANNEXURES
49
Mr. Rahul Khosla (Chairman)
President – Max Group
Seasoned business leader with over 30 years of deep
global experience in Banking and Financial markets.
Mr. Mohit Talwar
Managing Director at Max India Ltd. & Max Financial
Services Ltd., Over 30 years of experience in Corporate
Finance and Investment Banking.
Dr. Omkar Goswami
Economist and Leading Academic
Serves on Board of many Indian MNCs including Dr
Reddy’s, Infosys, IDFC, Crompton Greaves, Cairn
India Ltd. etc
Mr. Kummamuri Murthy Narasimha
Independent Director; Leading Finance professional
associated with the development of Cost &
Management Information Systems for over 150 firms
Mr. Rajit Mehta
Managing Director & CEO- Max Healthcare
Over 20 years of experience in financial services.
Previously Chief Operating Officer at Max Life
Insurance. Dr. Ajit Singh
Partner at Artiman Ventures, focusing on early-
stage technology & life science investments
PhD in Computer Science from Columbia University
Dr. Pradeep Kumar Chowbey, Padmashri
Director of Max Institute of Minimal Access,
Metabolic and Bariatric Surgery. More than 35 yrs
of experience in Lap Surgery
Ms. Roshini Bakshi
Managing Director, Everstone Capital Asia (Singapore)
Extensive global management experience; Bachelors
in Economics from St Stephen’s College, Delhi and
MBA from IIM Ahmedabad.
MHC - Board of Directors
Mr. Adam Pyle
Non Executive Director and Group Executive, Strategy
and Investor relations, Life Healthcare Group
Commerce and Law graduate and currently
responsible at LHC for driving the international (Poland,
India and other territories) strategy, South Africa
strategy and managing Investor relationship
Mr. Pieter Van Der Westhuizen
Non Executive Director and Chief Financial Officer, Life
Healthcare
Part of the LHC group for last 17 years and has fulfilled
various financial roles
50
Ms. Tara Singh Vachani
Chief Executive Officer and Managing Director of
Antara Senior Living
A natural leader, she represents the dynamic new
cadre of young women entrepreneurs in India
Mr. Rajit Mehta
Managing Director & CEO- Max Healthcare
Over 20 years of experience in financial services.
Previously Chief Operating Officer at Max Life
Insurance.
Mr. Yogesh Sareen
Senior Director & Chief Financial Officer
Over 20 years of experience in across all facets of
finance; previously CFO of Fortis Healthcare.
Mr. Rohit Kapoor
Senior Director & Chief Growth Officer
18 years of diverse experience across industry and
management consulting with McKinsey & Company
Mrs. Swati Rustagi
Director- Human Resources & Chief People Officer
Over 17 years of experience in HR across FMCG,
Financial Services and Health Care sectors. Previously
global head of HR at Glenmark Pharmaceuticals
Mr. Anil Vinayak
Director & Zonal Head – NCR 1
Over 23 years of experience in Business Management
and Sales & Marketing; previously with Amex
Mr. Anas Wajid
Director- Sales & Marketing
More than 17 years of experience in diverse fields such
as advertising, retail , healthcare and media. Previously
Head, Sales and Marketing at Fortis Healthcare
Dr. Sandeep Buddhiraja
Director- Clinical Directorate & Institute of Internal Med.
Over 23 years of experience in the field of Internal
Medicine
Mrs. Vinita Bhasin
Senior Vice President & Head of Service Excellence
More than 19 years of in-depth experience across the
Financial Services sector; previously with Max Life
Insurance
Mr. Sumit Puri
Chief Information Officer
Over 21 years of experience in varied industries
such as Health/ Life Insurance, IT/ITES, and
Consulting; previously CIO of Prudential Life
Assurance
MHC – Management Team
51
Key Physicians
52
Dr. Harit Chaturvedi
Chairman – Cancer Care, Director & Chief Consultant -
Surgical Oncology
Over 25 years of experience in Surgical Oncology.
Dr. Sandeep Buddhiraja
Director - Clinical Directorate & Institute of Internal Med.
Over 23 years of experience in the field of Internal
Medicine
Strong consultant bench strength of 350+ across specialities : Cardiac – 100+
Oncology – 50+
Orthopaedics – 50+
Neurosciences – 50+
Renal – 50+
MAMBS – 25+
Dr. Anurag Krishna
Director- Paediatrics & Paediatrics Surgery
Over 20 years of experience in Paediatric surgery -
complex congenital malformations
Dr. A.K. Singh
Director – Max Institute of Neurosciences, Dehradun
Renowned Neurosurgeon having 40 years experience
Recipient of the BC Roy award
Dr. Pradeep Kumar Chowbey, Padmashri
Director of Max Institute of Minimal Access, Metabolic
and Bariatric Surgery.
More than 35 yrs of experience in Lap Surgery,
completed 70K+ major Lap procedures
Dr. K. K. Talwar
Chairman - Cardiology, Max Healthcare
Clinical experience of more than 39 years
Former Head, Department of Cardiology, AIIMS
Dr. Anant Kumar
Chairman – Urology,Renal Transplant, Robotics(Max
Saket Complex) and Uro-Oncology Max Saket
2200 Kidney Transplantations in the last 25 years
and over 1500 lap donors nephrectomy
Dr. Subhash Gupta
Chairman - Liver Transplant & Biliary Sciences
2,200+ liver transplant surgeries & over 30 year
experience in Liver Transplants
Recipient of the BC Roy award
MHC Network* – Performance Dashboard (Q3 & 9MFY18)
*The above results are for MHC Network of hospitals and includes results for Max Super Specialty Hospital, Saket, unit of Devki Devi Foundation, Max Super Speciality Hospital, Patparganj, unit of Balaji Medical and Diagnostic Research Centre ; Saket City Hospital unit of Gujarmal Modi Hospital & Research Centre & Max Multi Speciality Hospital Greater Noida unit of Four Season Foundation ^ on the basis of net revenue
53
Rs Cr
Dec-17 Dec-16 Dec-17 Dec-16
a) Financial Performance
Revenue (Gross) 703 639 10% 2,116 1,939 9%
Revenue (Net) 656 602 9% 1,998 1,850 8%
Direct Costs
Material Cost 162 147 10% 497 466 7%
Clincian Payout 116 101 15% 350 314 11%
Contribution 378 354 7% 1,151 1,070 8%
Contribution Margin^ 57.7% 58.8% (115) bps 57.6% 57.9% (26) bps
Indirect Costs
Personnel Cost 173 152 14% 510 446 14%
Other Indirect overheads 120 107 11% 352 330 7%
HO Costs 29 31 -6% 99 91 8%
EBITDA 56 63 -11% 189 203 -7%
EBITDA Margin^ 8.6% 10.5% (195) bps 9.5% 11.0% (151) bps
Finance Cost 35 34 5% 99 103 -4%
Cash Profit 21 30 -30% 90 100 -10%
Depreciation 34 32 9% 102 92 11%
Profit /(loss) before tax (14) (2) -615% (11) 9 -230%
Tax 1 0 0% 3 - 0%
Profit /(loss) after tax (14) (2) -660% (15) 9 -266%
b) Financial Position
Net Worth 1,106 1,106 0% 1,106 1,106 0%
Net Debt 1,190 1,091 9% 1,190 1,091 9%
Tangible Fixed Assets - Gross Block 2,053 2,014 2% 2,053 2,014 2%
Key Business Drivers Quarter Ended Y-o-Y
Growth
Nine months Ended Y-o-Y
Growth
54
MHC Network* – Performance Dashboard (Q3 & 9MFY18)
*The above results are for MHC Network of hospitals, includes results for Max Super Specialty Hospital, Saket, unit of Devki Devi Foundation, Max Super Speciality Hospital, Patparganj, unit of Balaji Medical and Diagnostic Research Centre; Saket City Hospital unit of Gujarmal Modi Hospital & Research Centre and Max Multi Speciality Hospital Greater Noida unit of Four Season Foundation
Dec-17 Dec-16 Dec-17 Dec-16
a) Patient Transactions (Nos in lacs)
Inpatient Discharges 0.51 0.46 13% 1.55 1.44 8%
Day care Procedures 0.12 0.12 -3% 0.38 0.38 1%
Outpatient Footfalls 16.05 15.09 6% 50.94 48.60 5%
Total 16.68 15.67 6% 52.87 50.42 5%
b) Average Inpatient Operational Beds 2,353 2,352 0% 2,319 2,342 -1%
c) Average Inpatient Occupancy 74.3% 68.8% 544 bps 74.4% 72.7% 169 bps
d) Average Length of Stay (days) 3.13 3.14 0% 3.05 3.12 2%
e) Average Revenue/Occupied Bed Day (Rs) 43,425 42,931 1% 41,187 40,392 2%
f) Other Operational Data
Physicians 2,862 2,677 7%
Employees 9,171 8,467 8%
Customer Base (in lacs) 40.7 34.2 19%
Key Business Drivers Quarter Ended Y-o-Y
Growth
Nine months Ended Y-o-Y
Growth
55
*Saket Complex includes Saket West Block, Saket East Block (unit of Devki Devi Foundation) & Max Smart (unit of Smart Hospital & Research Centre) hospital
^East Delhi Complex includes Max Patparganj (unit of Balaji Medical and Diagnostic Research Centre) & Max Vaishali hospital
MHC Network Hospitals (Saket* & East Delhi^ Complex) – Performance Dashboard (Q3 & 9MFY18)
Unit
Dec-17 Dec-16 Dec-17 Dec-16
Saket Complex
a) Financial Performance
Revenue(Net) Rs. Cr 247 220 12% 760 682 11%
EBITDA Rs. Cr 29 26 11% 91 83 9%
EBITDA Margin % 11.5% 11.7% 13 bps 11.9% 12.2% (24) bps
b) Average Inpatient Operational Beds No. 758 745 2% 738 750 -2%
c) Average Inpatient Occupancy % 75.5% 67.9% 764 bps 76.4% 71.0% 539 bps
d) Average Revenue/Occupied Bed Day Rs. 50,598 50,704 0% 51,861 48,800 6%
e) Average Length of Stay (days) 3.38 3.26 -4% 3.28 3.21 -2%
East Delhi Complex
a) Financial Performance
Revenue(Net) 174 158 10% 511 476 7%
EBITDA Rs. Cr 23 22 6% 64 67 -4%
EBITDA Margin % 13.3% 13.8% (51) bps 12.6% 14.1% (151) bps
b) Average Inpatient Operational Beds No. 716 665 8% 696 656 6%
c) Average Inpatient Occupancy % 79.0% 74.2% 480 bps 78.3% 77.6% 71 bps
d) Avg. Revenue/Occupied Bed Day Rs. 36,675 37,465 -2% 36,992 36,136 2%
e) Average Length of Stay (days) 3.13 3.24 3% 3.06 3.24 5%
Key Business Drivers Quarter Ended Y-o-Y
Growth
Year Ended Y-o-Y
Growth
MBHI - Board of Directors
56
K Narasimha
Murthy
Director
Mr. Murthy entered the Profession of
Cost & Management Accountancy in
1983. He is associated with the
development of Cost & MIS for more
than 150 companies
John Howard
Lorimer
Director
John joined Bupa's Board as a Non-
Executive Director in July 2011. He is
Chairman of Bupa’s Audit Committee
and a member of Bupa's Risk
Committee and UK Regulated Entities
Board
Marielle Theron
Director
Ms. Theron is a Principal of Erlen
Street Corporation, Switzerland, a
company that specialises in strategic
investment and management
consulting solutions
Pradeep Pant
Director
Pradeep is a highly experienced senior
business leader, now involved in
business consulting and education
Ashish
Mehrotra
MD & CEO
Ashish has over two decades of
extensive banking experience. In his last
role as MD and Head for Retail division
of Citibank in India, he was pivotal in
enabling bank gain a leadership position
in the wealth management business
Rajesh Sud
Chairman &
Director
Rajesh Sud is the CEO and Managing
Director of Max Life Insurance, one of
the first three private life insurers to
start operations in 2001
Rahul Khosla
Co-Vice
Chairman &
Director
Rahul Khosla is the President of Max
Group and Executive President, Max
Financial Services. He is a seasoned
business leader with 30 years of
experience in India & globally
Joy Linton
Director
Joy is the CFO of Bupa Plc. She has
over 25 years’ experience in financial
and strategic roles in Australia and the
UK.
Mohit Talwar
Director
Mohit is the Managing Director of Max
Financial Services and Max India. He
has an experience of over 30 years in
Corporate Finance and Investment
Banking.
Dr. Burjor Banaji
Director
Dr. Burjor Banaji is an ophthalmic
surgeon who introduced several firsts
in the field of ophthalmology to India
David Fletcher
Co-Vice
Chairman &
Director
David commenced in the new role of
Chief Risk Officer in January 2017. He
has been with Bupa since 2014 in
senior roles including Chief Internal
Auditor and MD of IDM.
D.K. Mittal
Independent
Director
Mr. D. K. Mittal is a former Indian
Administrative Service (IAS) officer of
1977 batch (UP cadre) and has served
the government of India in various
capacities.
MBHI – Management Team
57
Vikas Gujral Chief Operating
Officer
With over 18 years of experience,
Vikas joins us from Max Life
Insurance. Prior to Max Life, he has
worked with Bharti Airtel and GE
Capital.
Rahul Ahuja Chief Financial
Officer
Rahul has wide domain expertise built
over 19 years mainly in corporate
banking, financial services and
telecom.
Anurag Gupta Head – Agency
Anurag joins Max Bupa from Max Life,
where he has held a number of senior
roles across distribution and product
management over a decade.
Aseem has nearly two decades of
experience in sales and distribution
and has worked across channels -
Agency, Banca, Special markets &
Direct Sales.
Aseem Gupta Head – Portfolio
Management & Affinity
Channels
Priya Gilbile Head – Health Risk
Management
Priya is an adept healthcare
professional with more than 16 years
of experience in healthcare & health
insurance industry.
Anika Agarwal Head – Marketing
& Direct Sales
Anika heads the Marketing & E-
commerce verticals at Max Bupa and
is responsible for brand planning,
digital media, communications,
consumer insights, direct sales and E-
commerce.
Ramanan A V Actuarial head
Raman has joined us from
Cholamandalam MS General Insurance
where he was heading the Actuarial
department, he started his carrer as a
lecturer and has also worked with Tamil
Nadu Electricity Board for 20 years
Atul Bhandari Head – Banca
and Alliances
Atul has 15 years of experience in
product/process management &
sales/distribution, he joined us from
CITIBANK NA, prior to which he
worked in Standard Charted bank.
Partha Banerjee Head – Legal &
Compliance
Partha brings along 20 years of
diverse experience in Corporate,
Commercial, Taxation, IPR, Exchange
Control, M&A, Labour Laws and other
substantive and procedural laws.
Ashish
Mehrotra MD & CEO
Ashish has over two decades of
extensive banking experience. In his last
role as MD and Head for Retail division
of Citibank in India, he was pivotal in
enabling bank gain a leadership position
in the wealth management business
Max Bupa – Performance Dashboard (Q3 & 9MFY18)
58
* Earned Premium lower by Rs 8 Cr in Q3FY18 & Rs 22 Cr in 9MFY18 due to change in Unearned premium accounting from 1/365 method to
50% of net written premium, excludes the impact of reinsurance ceded
Dec-17 Dec-16 Dec-17 Dec-16
a) Gross written premium income
First year premium 61 50 23% 169 142 19%
Renewal premium 117 90 29% 336 259 30%
Total 178 140 27% 505 401 26%
b) Net Earned Premium* 151 121 25% 429 381 13%
c) Net Profit /(Loss) ^ (5) (9) 45% (10) 9 -217%
d) Claim Ratio(B2C Segment, normalized) 58% 53% (470) bps 58% 56% (250) bps
e) Avg. premium realization per life (B2C) 8,125 7,048 15% 8,011 6,977 15%
f) Conservation ratio (B2C Segment) 81% 85% (376) bps 82% 85% (274) bps
g) Lives In force in millions (including RSBY) 2.6 2.3 14%
h) Number of agents 14,550 15,821 -8%
i) Paid up Capital 926 926 -
Key Business Drivers Quarter Ended Y-o-Y
Growth
Nine months Ended Y-o-Y
Growth
MAX INDIA LTD. Max House, Okhla, New Delhi – 110 020
Phone: +91 11 26933601-10 Fax: +91 11 26933619
Website: www.maxindia.com
59