praram 9 hospital - listed...
TRANSCRIPT
PRARAM 9 HOSPITAL Opportunity Day : 3Q19 Results
11 December 2019
Website
VISION &
MILESTONES
THB 200 mm Rights offering
1st private hospital with 64 Slice CT Scan
Implementation of Pharmacy Robot
Signed Kidney referral MOUs
Started new building construction
1st private hospital with 640 Slice CT Scan
500 Kidney Transplant Cases
Started using 4D Ultrasound
2016 2018 2017 2013 2004 1992 2001 2005
Started hospital operation
Listed in the Stock Exchange of Thailand
2019
W9 Wellness Center
Joint Care Center
Excellence CG Scoring
Professional Healthcare Community ใส่ใจสขุภาพ ดูแลดว้ยมอือาชพี
P.2
Key Strategies
Brand Awareness
2
3
Operational Statistics & Financial Performance 4
Overview & PR9’s Strengths 1
Agenda
P.3
Key Strategies
Brand Awareness
2
3
Operational Statistics & Financial Performance 4
Overview & PR9’s Strengths 1
Agenda
P.4
Overview 2 Medical Institutes plus 22 Medical Centers
Tertiary-care hospital with world class medical quality (both general and complex treatments)
Me
dic
al
Ac
cre
dit
ati
on
T
ech
no
log
y
Oth
er
Ke
y A
ch
ieve
me
nts
2010 / 2013 / 2016 / 2019 – JCI 4th accredited
2016 / 2019 - CCPC: Kidney
2000 - ISO 9001:1994 2003 - ISO 9001:2000
2004 / 2007 - HA Level 3
− 2017 : 640-slice CT Scan − 2016 : Pharmacy Robot − 2005 : 64-slice CT Scan − 2004 : 4D Ultrasound
2017: Best Utilization Award
AXA Provider Award
2019: Thailand Top Company Awards 2019 (Healthcare Sector)
Business+ magazine & University of the Thai Chamber of
Commerce
2017: Fertility Service Provider of the Year
Global Health and Travel Awards 2017
Imaging Center
(X-Ray)
Mind Center
Breast Clinic Hair Center
Eye Center
Obstetric
Gynecology Center
Orthopedic
Center
Medical Center
Surgery Center Pediatrics
Center
Ear Nose and
Throat Center
Dental Center Check-Up
Center
Skin Rejuvenation
Cosmetic Laser
Surgery &
Dermatology Center
Rehabilitation Center
Emergency Center
Gastroenterology
(GI)
and Hepatobiliary
(Liver)
Neurology
Center
Diabetes Metabolic
Center
Thyroid Center
Cardiovascular
Institute Kidney Transplant
Institute
W9 Wellness Center
Joint Care
Center
2018: Thailand Top Company Awards 2018 (Healthcare Sector)
Business+ magazine & University of the Thai Chamber of
Commerce
2019: Excellent CG Scoring
The Stock Exchange of Thailand & Thai Institute of Directors
P.5
JCI Accreditation
JCI Accreditation - Hospital Program Since 2010 The 4th Accredited : 22 November 2019
Clinical Care Program Certification: Kidney The 2nd Accredited : 26 November 2019
P.6
Praram 9 Hospital PCL was the only one new listed company, received the 5-Star CG Scoring from IOD (The Thai Institute of Directors Association (IOD), with support from the Stock Exchange of Thailand (SET), announced its 2019 CGR findings covering 677 listed companies on 28 Oct 2019.)
http://www.thai-iod.com/imgUpload/Brochure%20CGR%202019%2014%20Nov%2019(2).pdf Source: The Thai Institute of Directors Association / Publications
Excellent CG Scoring
P.7
PR9’s Strengths
Complex Medical Treatments • Tertiary-care hospital with world class medical quality & Excellence Doctors JCI Accreditation plus specialty accreditation (Kidney Transplant Institute)
Value for Money Services • PR9’s Pricing policy with International Standard of tertiary care and high class service quality => Green Hospital Rating : Department of Internal Trade, Ministry of Commerce
Strategic Location in New CBD • Prime location with strong healthcare demand and promising growth opportunities => High density populated area (office building / residential commute / embassy / life-style center etc.), including the new Chinese expat community
P.8
Complex Medical Treatments & Excellence Doctors
โรคซับซ้อน โรคเรื้อรัง เราเชี่ยวชาญ
P.9
Value for Money Services
https://hospitals.dit.go.th/app/drug_price_search.php
Source: Department of Internal Trade, Ministry of Commerce
Received the “Green-Rated” Hospital From Department of Internal Trade, Ministry of Commerce
Offer Friendly Medicine Pricing for Our Patients
P.11
Strategic Location in New CBD Located in New CBD area &
New China-Town (Huai Khwang-Ratchada)
Note (1): Include Huaykwang, Makkasan, Klong Teoy Nuea, Klong Tun Nuea, Bangkapi, Dindang area
P.12
Key Strategies
Brand Awareness
2
3
Operational Statistics & Financial Performance 4
Overview & PR9’s Strengths 1
Agenda
P.13
PR9 Key Strategies
Top Line Initiatives
Hospital Network Expansion and Medical Cooperation Increase Corporate and Insurance Coverage International Patients Expansion
21 step down ICU beds
81 normal ward beds
24 ICU/CCU beds
21 normal ward beds
21 normal ward beds
Leverage expertise to build new customers base
Enhance medical treatment quality in the long term
Scope and
Scale Expansion
Comprehensive medical check-up program
Joint Care Center Wellness Center Pain & Rehab Center Allergy Center
Margin Expansion
Increase capacity utilization which will result in lower unit cost Increase service intensity Digital Hospital Transformation
Revitalizing Brand Awareness
2018 2019E 2020E 2022E 2021E
1
2
3
P.14
Where we are today Where we want to be
New Building (Wellness & Life Style)
Renovated Existing Building
(Chronic)
Offer Comprehensive Medical Services Health Promotion/ Disease Prevention / Curative Medicine / Rehabilitation
Recognized complex medical treatments providers
Health Promotion Disease Prevention Curative Medicine Rehabilitation
Leverage expertise to build new customers base • Lifestyle Medical Center • Aging-related Medical Center • Cancer Center
A B
Scale and scope of services expansion 1
Land : 2-3-89 Rai Usable Area : 24,500 m2
OPD Room : 83 Exam Rooms IPD Room : 59 Ward Beds Parking : 381 Cars
Land : 6-0-74 Rai Usable Area : 32,825 m2
OPD Room : 114 Exam Rooms IPD Room : 166 Ward Beds (plus 88 beds : future project) Parking : 449 Cars
P.15
Projects in Pipeline
Project Type Details Approx. Period Total Cost
(THB mm)
1) Renovation of existing
building
Upgrade /
Renovate
Under construction
21 Step Down ICU beds – FL9
21 Normal ward beds – FL11
10 Normal ward beds – FL10
2018 – 2019 137
Future Projects
24 ICU & CCU beds
42 Normal ward beds
Re-Façade
2020 – 2022 235
2) New building New 16-story building with 2 underground floors 2017 - Q4/2019 2,343
3) Home Office New 6-story office building for back-office personnel 2018 - Q4/2019 70
4) Nurse Condominium New 8-story nurse condominium, approx. 80 rooms 2018 – 2019 200
5) Digital Hospital Upgrade Strategy for digital transformation 2018 - 2020 50
P.16
Construction Progress – Building 2
: November 2019
P.17
New Hospital Building
Phase I B2 - B1 : Parking, Community Lounge, Food Court Fl.1 – Fl.2 : Registration, ER, Event Space, Retail, Parking Fl.3 – Fl.6 : Parking Fl.8 : Pharmacy, Cashier Fl.9 : Hair Center, Skin Center, Mind Center, X-ray, Lab Fl.11 : Pain Management & Wellness Center Fl.14 : Data center, IT Fl.17 : IPD Ward, VIP Lounge Phase II Fl.7 : GI Scope, OR, Recovery Room Fl.8 : OPD GI, EYE Center, ENT Center Fl.10 : OPD Pediatric, Dental Center Fl.12 : Check-up Fl.14 : Function Area, Executive Office, IPD Pharmacy Fl.15 : IPD Ward, VIP Room
Total Area : 39,300 m2
Usable Area : 24,500 m2
OPD Room : 83 Exam Rooms IPD Room : 59 Ward Beds Parking : 381 Cars
P.18
Plaza
Relaxing Lobby
Welcome Hall
Check Up Center
Check Up Center
VIP Lounge
IPD Room
IPD Room - VIP
Building 2
P.19
Construction Progress – Building 2
: IPD Room 17Fl. : Exam Room 9Fl.
P.20
Comprehensive clinical programs for both pain
& wellness program
Manuthera Manipulation Bed
Hydrotherapy
Ice Lab Transcranial Magnetic
Pain Treatment Wellness Program
Yoga Fitness
PR9 Pain Management & Wellness Center (11 Fl.)
P.21
: Back Office Building
: Nurse Condominium Construction Progress
P.22
Top Line
Initiatives
Network
Expansion &
Cooperation
Corporate
& Insurance
Coverage
Int’l
Patient Expansion
1. New Market Penetration
2. Product Customization
3. Online Channel Enhancement
4. Marketing Activities
5. Customer Relationship Program
Top Line Initiatives 2
P.23
No. of Kidney transplant cases
Network Expansion and Medical Cooperation
Medical Network for Kidney Transplant
Wellness Cooperation
78 77
11M/2018 11M/2019
P.24
Remark: 14 cases in Nov 2019 was the highest record of Kidney transplant cases in a month
LOCAL MARKETING & E-MKT PROGRESS Jul. - Sep. 2019
- Promotion Campaign : 27th Anniversary Packages - Occasional Campaign : By SBU - GI pack > Jul. - Mother days > Aug. - Heart Screening > Sep. - Special Package : Joint Care Center (TKA)
Domestic Marketing Division
Domestic Patients
P.25
Corporate Customer Marketing Activities - Health Education Seminar - Customized packages for corporate customers
บริษัท ทีจีเอส เอ็นเตอร์ไพรส์ เน็ตเวิร์ค จ ากัด
บรรยายหัวข้อ “คนยคุใหม ่รู้ทันเบาหวาน” โดย แพทย์หญิงอารีสา มโนชญ์ปิติพงศ์ อายุรแพทย์ผู้เชี่ยวชาญด้านโรคต้อมไร้ท้อ และเมตาบอลิซึ่ม ศูนย์เบาหวานและเมตาบอลิก
ธนาคารไทยพาณิชย์ ส านักงานใหญ่
บรรยายหัวข้อเรื่อง " โรคไต...ภยัรา้ยใกลต้วัคนออฟฟศิ " โดย แพทย์หญิงผ่องพรรณ ทานาค
แพทย์ผู้เช่ียวชาญ สถาบันโรคไตและเปลี่ยนไต พระรามเก้า ผู้เข้าร่วมงานจ านวน 446 ท่าน
P.26
Insurance Customer - Customer Trusted Card Distribution - Health Seminar - Customized Packages for Insurance
ผู้แทนประกัน จากบริษัทประกันชั้นน าในเมืองไทย
ยอด Active : ตัวแทนขอสว่นลด Insurance trusted card ตั้งแต่ 1 ม.ค.61 – ปัจจุบัน = 591 คน / จากสมาชิกตัวแทน 1,668 คน
บัตร Insurance trusted card เป็นบัตรสว่นลดประกนัหลงั fax claim, สามารถลดค่าหอ้ง 20% ค่ายากลบับา้น 5%
P.27
Insurance Customer – Activities
P.28
1st event at Zhengzhou Changjiang Infertility hospital
CHINESE MARKETING PROGRESS
2nd event at Taiyuan Tianlun Infertility hospital
The next activities will be held on 13th-16th Dec. 2019 in Quanzhou & Shanghai
P.29
Margin Expansion 3
Increase capacity utilization Increase service intensity Digital Hospital Transformation
Queue Management System
Step Down ICU beds Digital Hospital Transformation
P.30
Key Strategies
Brand Awareness
2
3
Operational Statistics & Financial Performance 4
Overview & PR9’s Strengths 1
Agenda
P.31
Brand Awareness
P.32
Brand Essence
P.33
Key Strategies
Brand Awareness
2
3
Operational Statistics & Financial Performance 4
Overview & PR9’s Strengths 1
Agenda
P.34
145.9 150.6 345.7 377.9
-0.050.050.150.250.350.450.550.650.750.850.95
0.0100.0200.0300.0400.0
3Q2018 3Q2019 9M2018 9M2019
710.8 743.5
0.0500.0
3Q2018 3Q2019
Financial Summary PR9 reported total medical revenue in 3Q2019 of Baht 743.5
million, an increase of 4.6% from 3Q2018. This was mainly from an increase of OPD revenue 8.0% yoy, while IPD revenue in 3Q19 slightly increased at 0.5% yoy.
Medical revenue from international patients grew 11.1% yoy. While insurance and corporate contract payment methods keep
growing at 10.7% and 24.7% yoy, respectively as a result of marketing campaigns and marketing activities.
Med
ical R
even
ue
EBIT
DA
Net P
rofit
PR9 reported EBITDA in 3Q2019 of Baht 150.6 million, an increase of 3.2% from Baht 145.9 million in 3Q2018, while the EBITDA margin were 20.0% in 3Q2019 and 20.4% in 3Q2018.
PR9 reported net profits for the period Baht 88.8 million, an increase of 1.6% from Baht 87.3 million in 3Q2018, representing the net profit margin for the period of 11.8% and 12.2% respectively.
19.0% 405.5
0.0
500.0
9M2018 9M2019
1,988.7 2,109.3
20.4% 20.0% 17.2% 17.7% 18.5%
372.1
87.3 88.8 189.9 210.6
-0.050.050.150.250.350.450.550.650.750.850.95
0.0100.0200.0300.0400.0
3Q2018 3Q2019 9M2018 9M2019
10.9% 232.7
12.2% 11.8% 9.4% 9.9% 10.5% 211.1
P.35
Total Revenue
Total Revenue
349 353 388 405 374 376 419
1,090 1,169 293 283 323 308 321 295 324
899 940
11 6 5 10 9 9 10
23 28
1Q18 2Q18 3Q18 4Q18 1Q19 2Q19 3Q19 9M18 9M19OPD Revenue IPD Revenue Other revenue
Unit: THB mm
(45%) (55%)
(44%) (56%)
(46%) (54%)
(45%) (55%)
(43%) (57%)
(46%) (54%)
(45%) (55%)
(45%) (55%)
653.3 642.0 716.0 722.3 704.3 679.8
2,011.3 2,137.3
753.2
(44%) (56%)
+5.2% YOY
+6.3% YOY
P.36
Total Revenue +5.2% Medical Revenue +4.6% OPD +8.0% IPD +0.5%
601.9 622.5
108.9 121.0
3Q18 3Q19
Thai Inter
+3.4%
+11.1%
Revenue Breakdown : 3Q18 & 3Q19
Unit: THB mm Total Revenue
536.0 544.9
138.4 153.2
36.4 45.4
3Q18 3Q19
Self Pay Insurance Contract Comp.
+24.7%
+1.7%
+10.7% 5%
19% 75%
6% 21% 73%
388.1 419.1
322.7 324.4
5.2 9.7
3Q18 3Q19
OPD IPD Other rev.
45% 55%
By Payor Revenue
By Nationality Revenue
44% 56% 16%
84% 15% 85%
716.0 753.2
P.37
Total Revenue +6.3% Medical Revenue +6.1% OPD +7.3% IPD +4.6%
1,703.3 1,773.2
285.4 336.2
9M18 9M19
Thai Inter
+4.1%
+17.8%
Revenue Breakdown : 9M18 & 9M19
Unit: THB mm Total Revenue
1,520.2 1,580.4
377.3 423.6
91.2 105.5
9M18 9M19
Self Pay Insurance Contract Comp.
+15.7%
+4.0%
+12.3% 5%
19% 76%
5% 20% 75%
1,089.8 1,169.4
898.9 940.0
22.6 27.9
9M18 9M19
OPD IPD Other rev.
45% 55%
By Payor Revenue
By Nationality Revenue
45% 55% 16%
84% 14% 86%
2,011.3 2,137.3
P.38
102 103
112 115
105 106
117
1Q18 2Q18 3Q18 4Q18 1Q19 2Q19 3Q19
Key Operational Volume
Unit: ’000 visits
OPD Visits
OPD
+3.9% (YOY)
IPD Average Daily Census (ADC)
111 96
117 105 106
91 109
1Q18 2Q18 3Q18 4Q18 1Q19 2Q19 3Q19
IPD
-6.8% (YOY)
P.39
Occupancy Rate : Normal Ward, ICU-CCU
74.3%
55.9%
70.0% 61.5% 61.4%
52.4%
64.6% 73.6% 68.3%
74.2% 74.3% 77.8% 72.7% 73.4%
1Q18 2Q18 3Q18 4Q18 1Q19 2Q19 3Q19
Normal Ward ICU-CCU Ward Occupancy Rate ICU-CCU Occupancy Rate
125 142 142 142 142 142 142
24 24 24 24 24 24 24
P.40
101.6 98.2 145.9 25.8
143.4 83.9 150.6 345.7 377.9
15.5% 15.3% 20.4% 20.4%
12.3%
20.0% 17.2% 17.7%
1Q2018 2Q2018 3Q2018 4Q2018 1Q2019 2Q2019 3Q2019 9M2018 9M2019EBITDA EBITDA Margin
52.0 50.4 87.3 86.1 35.7 88.8 189.9 210.6
8.0% 7.8% 12.2%
-4.5%
12.2%
5.2%
11.8% 9.4% 9.9%
1Q2018 2Q2018 3Q2018 4Q2018 1Q2019 2Q2019 3Q2019 9M2018 9M2019Net Profit Net Profit Margin
197.9 186.9 227.1 225.1 224.8 181.5 237.6
30.8% 29.4% 32.0% 31.6% 32.3% 27.1% 32.0% 30.8% 30.5%
1Q2018 2Q2018 3Q2018 4Q2018 1Q2019 2Q2019 3Q2019 9M2018 9M2019Gross Profit Gross Profit Margin
Profitability : 3Q19 & 9M19
Unit: THB mm
Gro
ss
Pro
fit
EB
ITD
A
Ne
t P
rofi
t
Unit: THB mm
Unit: THB mm
142.2
82.8
3.6%
11.5%
19.7%
405.5
16.4%
57.8 8.5%
111.5
19.0%
10.9%
197.0 29.4% 659.4
611.8
232.7
-32.7
643.9
31.3%
372.1 18.5%
211.1 10.5%
P.41
Balance Sheets
Solid Balance Sheets
1,669 1,881 2,095
3,873 3,981 380 413
762
551 689
2015 2016 2017 2018 Sep-19
Equity Liabilities
Unit: THB mm
2,049 2,294 2,857
4,424 4,670
None of Interest Bearing Debt Outstanding
0.23 0.22
0.36
0.14 0.17
2015 2016 2017 2018 Sep-19
D/E Ratio
D/E Ratio
P.42
Balance Sheets
P.43
“Thank You”