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Indonesia’s Largest, Fastest Growing,
World Class Hospital Group
FY 2014
PT Siloam International Hospitals Tbk
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
typically contain words such as “will”, “expects” and “anticipates” and words of similar import. By their nature, forward 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
changes; SILO’s ability to be and remain competitive; SILO’s financial condition, business strategy as well as the plans and objectives of
SILO’s management for future operations; generation of future receivables; and environmental compliance and remediation. Should 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.
Contents
Where We Are In Lippo Karawaci 01
Highly Experienced & Professional Management 02
The Vision 03
The Journey 04
The Operations 05
A Day At Siloam 06
The Strategy & Business Model 07 - 09
Premier Private Hospital Group 10 - 13
Financial & Operational Performance 14 – 21
4SILO Ownership Structure 01
As of 31 Dec 2014
No. of Outstanding Shares : 23,077.689.619
Code : LPKR.JK ; LPKR IJ
LIPPO RELATED COMPANIES
25.10 %
DEVELOPMENT REVENUE
RESIDENTIAL & URBAN DEVELOPMENT
• Lippo Village (Millenium Village)
• Lippo Cikarang (Orange County)
• Tanjung Bunga
• San Diego Hills Memorial Park
• Kemang Village
• The St. Moritz
• City of Tomorrow
• Park View Apartments
• The Nine Residence
• Holland Village
• Lippo Thamrin Office
• St Moritz Panakukang
• Embarcadero
RECURRING REVENUE
HOSPITALS COMMERCIALASSET
MANAGEMENT
• Siloam Hospitals • Retail Malls
• Aryaduta Hotels
• Town Management Services, Leisure and Restaurants
• REIT, Mall & HotelManagement
PUBLIC
74.90 %
5Highly Experienced & Professional Management
Board of Directors
Romeo Lledo
President
Director
dr. Andry
Director, Chief
Enterprise &
Operational Officer
dr. Anang Prayudi
Director, Network and
Development
Prof. George Mathew
Director, Talent and
Development
dr. Grace Frelita
Director, Quality
Kailas N. Raina
Director, Chief
Financial Officer
Board of Commissioners
Ketut Budi Wijaya
President
Commissioner
Theo L. Sambuaga
Commissioner
Lambock V.
Nahattands
Commissioner
Ir. Jonathan L.
Parapak
Independent
Commissioner
Farid Harianto
Independent
Commissioner
Prof. Dr. H. Muladi, S.H
Independent
Commissioner
02
Rahmawaty
Commissioner
dr. Gershu Paul
Group Executive
Chairman
6
Reach
Scale
International Quality
The Vision
Affordable and Accessible Healthcare
to all socio economic segments
Godly
Compassion
By 2017.. • Beds
4,800 to 10,000
• Patients per annum2 million to 15 million
• Hospitals20 to over 50 hospitals
14 to over 25 cities
03
04The Journey
1996 – 2006: Learning Phase 2007 – 2010: Consolidation Phase 2011 to Date: Expansion Phase
1996
SH
Lippo Village
2002 2011 2012 2013 2014 2017
SH Lippo
Cikarang
SH
Surabaya
SH
Kebon Jeruk
SH
Balikpapan
SH Jambi
SH MRCCC
RSUS
SH Manado
SH Makassar
SH
Palembang
SH Cinere
SH Bali
SH
Simatupang
BIMC Kuta
BIMC
Nusa Dua
SH Medan
Asri
SHLV – Indonesia’s First Hospital to be
Accredited and Re-accredited by JCI
(2007, 2010 and 2013)
2013 – The Company
successfully completed IPO
BIMC Nusa Dua – Indonesia’s First
Hospital to be Accredited by ACHS
Australia (2014)
SH Kupang
SH
Purwakarta
8The Operations 05
Unrivalled network across Indonesia
JCI
Sumatra Population :
50.6 mio
Kalimantan Population :
13.8 mio
Java Population :
136.6 mio
Sulawesi Population :
17.4 mio
Papua Population :
3.6 mio
Bali Population :
3.9 mio
Nusa Tenggara Population :
9.2 mio
Maluku Population :
2.6 mio
Jakarta Population :
10 mio
Greater Jakarta Population :
28 mio
Operational Hospitals (20)
Future Developments (46)
ACHSI
9A Day At Siloam 06
316 Inpatient
Admissions
4,182 Outpatient
Visits 5 Cardiac
Procedures
100 Dialysis
Procedures
5 Neuro
Surgeries2Cardiac
Surgeries
19 Deliveries
8,728 Laboratory
Tests
469 Emergency
Visits
57 Major
Surgeries
10
4 Pillar Foundation
The Strategy & Business Model
Siloam Hospitals’ four pillar foundation has been key to the success of our existing hospitals
and will serve as the basis for replicating this success at our expansion hospitals…
1
Emergency
Excellence in
Emergency Services
500-911
2
Technology
3
Telemedicine
4
Doctors
State-of-the-Art
Medical Equipment
and Systems
Digital Telemedicine
“Hub and Spoke”
Siloam Doctor
Partnership and
Development
Program
4 Pillar Foundation
07
11
Clinical Service Delivery
The Strategy & Business Model
• Primary clinics for corporate clients
• Public-Private-Partnership (PPP) model - Siloam Puskesmas (Public Health
Clinic)
• RSUS – First general hospital using public sector model
– Additional demand from patients under governmental insurance and social
schemes
– Gateway to Indonesia’s “Universal Healthcare Coverage” and Government
Health Insurance Programs
• Specialist access for
primary healthcare
demand
• Public-Private-
Partnership
• High standard and
accessible medical
care through focus
on clinical
governance and
affordable price
points
• Access to
Centres of
Excellence
through hub and
spoke system
and Tele-
medicine
3
2
1
Siloam’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 Centres of Excellence: Neuroscience, Cardiology, Cancer, Orthopedic, Urology,
Fertility
• Hub and Spoke strategy and extensive coverage of specialised services via Digital Tele-Medicine
• Pioneering investments in Indonesia’s healthcare sector
– Comprehensive Cancer Centre opened in 2011
– Indonesia’s first Gamma Knife installed in 2012
• Best in class and highly accessible healthcare services platform
through:
– Rapid expansion of hospital network across Indonesia
– Attracting and retaining the best doctors with strong focus on
doctors’ welfare (SDPDP)
– Equip hospitals with State-of-the-Art facilities such as 128 slice
CT Scan and 1.5T MRI
One-stop continuum of care at primary, secondary, tertiary and quaternary levels
Quaternary
08
12
UPHMS (UPH Medical Sciences)
The Strategy & Business Model
Centre of Excellence and
Global Reputation
• Alignment – across
teaching and service
delivery
• Affiliate with agencies
such as
ACORN/NUS/SGH/UOM
• Leading edge research
• Best practice Models
• Remote Access Diagnosis (RAD)
and Remote Access Clinical
Management (RACM)
• Telemedicine
• Centres of Clinical Excellence/
Accreditation
• Teaching Hospital paradigm
• Future workforce
• Systems based curriculum
converged with PBL
• Best practice replication
• Clinical placement
• Foundation for Innovation
• Overseas training –
Singapore/Australia/USA/China
Bringing Together Clinical, Research & Education
·
EducationResearch
Clinical
09
13
Mature and Developing Hospitals
Premier Private Hospital Group
79.45% Ownership
EAST KALIMANTANSILOAM HOSPITALS BALIKPAPAN
232 Bed Capacity
103 GP and Specialists
141 Nurses
Centre of Excellence : Orthopedics & Emergency
EAST SUMATERA
SILOAM HOSPITALS JAMBI
100 Bed Capacity
69 GP and Specialists
123 Nurses
Centre of Excellence : Emergency
83.0% Ownership
SOUTH JAKARTA
MRCCC SILOAM SEMANGGI
334 Bed Capacity
176 GP and Specialists
212 Nurses
Centre of Excellence : Cancer, Liver &
Emergency
TANGERANG (West of Jakarta)
SILOAM HOSPITALS LIPPO VILLAGE
JCIA308 Bed Capacity
230 GP and Specialists
442 Nurses
Centre of Excellence : Cardiology,
Neuroscience, Orthopedics & Emergency
WEST JAKARTA
SILOAM HOSPITALS KEBON JERUK
283 Bed Capacity
203 GP and Specialists
333 Nurses
Centre of Excellence : Urology,
Orthopaedic, Cardiology & Emergency
EAST JAVA
SILOAM HOSPITALS SURABAYA
162 Bed Capacity
145 GP and Specialists
256 Nurses
Centre of Excellence : Fertility Treatment,
Cardiology & Emergency
10
BEKASI (East of Jakarta)
SILOAM HOSPITALS CIKARANG
109 Bed Capacity
91 GP and Specialists
156 Nurses
Centre of Excellence : Occupational Health &
Emergency
14
New Hospitals in 2012
Premier Private Hospital Group
TANGERANG (West of Jakarta)SILOAM GENERAL HOSPITAL (RSUS)
640 Bed Capacity
25 GP and Specialists
244 Nurses
Centre of Excellence : Emergency
SOUTH SUMATERA
SILOAM HOSPITALS PALEMBANG
357 Bed Capacity
128 GP and Specialists
184 Nurses
Centre of Excellence : Gastroenterology &
Emergency
NORTH SULAWESI
SILOAM HOSPITALS MANADO
230 Bed Capacity
97 GP and Specialists
143 Nurses
Centre of Excellence : Emergency
SOUTH SULAWESISILOAM HOSPITALS MAKASSAR
360 Bed Capacity
101 GP and Specialists
220 Nurses
Centre of Excellence : Cardiology,
Endocrinology &
Emergency
11
DEPOK (South of Jakarta)SILOAM HOSPITALS CINERE
40 Bed Capacity
16 GP and Specialists
57 Nurses
Centre of Excellence: Cardiology
80.0% Ownership
70.39% Ownership
15
New Hospitals in 2013
Premier Private Hospital Group
BALISILOAM HOSPITALS BALI
283 Bed Capacity
109 GP and Specialists
149 Nurses
Centre of Excellence : Treatment for tourists,
Orthopedics, Cardiology &
Emergency
12
BALIBIMC KUTA
21 Bed Capacity
51 GP and Specialists
61 Nurses
Centre of Excellence : Treatment for tourists &
Emergency
BALI
BIMC NUSA DUA
20 Bed Capacity
57 GP and Specialists
69 Nurses
Centre of Excellence : Cosmetic Surgery &
Emergency
SOUTH JAKARTA
SILOAM HOSPITALS TB SIMATUPANG
269 Bed Capacity
118 GP and Specialists
123 Nurses
Centre of Excellence : Cardiology, Oncology,
Neuroscience & Emergency
16
New Hospitals in 2014
Premier Private Hospital Group
WEST JAVASILOAM HOSPITALS PURWAKARTA
210 Bed Capacity
39 GP and Specialists
148 Nurses
Centre of Excellence : Emergency
13
EAST NUSA TENGGARASILOAM HOSPITALS KUPANG
405 Bed Capacity
36 GP and Specialists
29 Nurses
Centre of Excellence : Emergency
NORTH SUMATERA
SILOAM HOSPITALS MEDAN
388 Bed Capacity
40 GP and Specialists
62 Nurses
Centre of Excellence : Emergency & Trauma
SOUTH JAKARTA
SILOAM HOSPITALS ASRI
40 Bed Capacity
90 GP and Specialists
92 Nurses
Centre of Excellence : Urology
There are currently 46 sites under
various stages of development
Operational & Financial
PerformanceFor The Year Ended December 31, 2014
18
Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population
Strong Financial Performance
737 890
1,030 1,259
1,788
2,504
3,341
4,902
2008 2009 2010 2011 2012 2013 2014 2015P
102 114 140 155
221
298
466
868
2008 2009 2010 2011 2012 2013 2014 2015P
( In Rp Bn ) ( In Rp Bn )
+21%
+16%+22%
+42%
+12%+23%
+10%
+43%
15
+40%
+35%
Revenue EBITDA
Note:EBITDA refers to income before depreciation, provisions for post-employment benefits, allowance for impairment in value, corporate income taxes and other expense and/or income (consisting primarily of financing income and others-net).
+47%+86%
14%13%
14% 12%
12%
12%
14%
+33%
18%
+56%
19
60%49%
8%
8%
13%
11%
13%
13%
13%
FY2013 FY2014
4 Mature 2 Developing MRCCC RSUS
4 New 2012 4 New 2013 4 New 2014
EBITDARevenue
Commentary
83%
52%
6%
7%
7%
8%
8%
18%
5%
FY2013 FY2014
4 Mature 2 Developing MRCCC RSUS
4 New 2012 4 New 2013 4 New 2014
Revenue growth is driven by the ramp-up of new hospitals opened in 2011, 2012 and 2013. This trend will continue in the coming
years.
EBITDA growth is driven by the contribution of new hospitals opened in 2011, 2012 and 2013 as these hospitals are ramping up
their operations to the level of “Mature hospital category”.
It should also be noted of the following which have direct impact to EBITDA:
- On May 1, 2013, SIH started to incur rental expenses on the land and building being sub leased from the parent company. The
total rental in FY2014 amounted to Rp 41 billion and FY2013 was Rp 11 billion.
- SHLC rental expense for its sale and leaseback agreement amounted to Rp 19 billion in FY2014 and Rp 25 billion in FY2013.
FY2014 Results by Hospital Category
Revenue & EBITDA Contribution
Note: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).
16
20
FY2014 Consolidated Results
Revenue & EBITDA Analyses
(i)
Notes:
(i) Represents rental expenses for the land and buldings, Siloam is leasing from FREIT, PT Lippo Karawaci Tbk and other parties. PT Lippo Karawaci started
charging rent for the land and buildings of 9 hospitals on May 1, 2013.
(ii) EBITDA refers to income before depreciation, provisions for post-employment benefits, allowance for impairment in value, corporate income taxes and
other expense and/or income (consisting primarily of financing income and others-net).
ParticularsFY2013 FY2014
∆%IDR Bn IDR Bn
GOR 2,504 3,341 33%
Service Cost 657 869 32%
NOR 1,847 2,472 34%
Material Cost 810 1,030 27%
Gross Margin 1,037 1,443 39%
Operating Expenses 703 916 30%
EBITDAR 334 526 58%
% to GOR 13.3% 15.8%
% to NOR 18.1% 21.3%
Rental (i) 36 61 71%
EBITDA (ii) 298 466 56%
% to GOR 11.9% 13.9%
% to NOR 16.2% 18.8%
NPAT 50 60 19%
% to GOR 2.0% 1.8%
% to NOR 2.7% 2.4%
17
21
FY2014 Consolidated Results
Balance Sheet
(i)
In Rp Bn FY2013 FY2014 ∆%
Assets
Cash & Equivalent 515 280 -46%
Property and Equipment 1,402 1,589 13%
Total Assets 2,601 2,844 9%
Liabilities & Equity
Liabilities 962 1,190 24%
Shareholders' Equity 1,639 1,654 1%
D/E Ratio 0.37 0.42
18
22
Blended IPD Average Revenue Per Patient
FY2014
Average Revenue Per Patient 19
16.8 19.1
5.1
39.0
19.1
9.3
40.9
5.0
15.5
19.8
11.1
39.4
7.1
15.6 20.2 21.5
11.6
36.2
7.0
15.1
28.9
7.7
-
10.0
20.0
30.0
40.0
50.0
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
2010 2011 2012 2013 2014
Blended OPD Average Revenue Per Patient
0.6 0.7 0.6
2.0
0.7 0.5
2.1
0.2
0.5
0.8
0.5
2.1
0.2
0.6
1.0 0.8
0.6
2.1
0.3
0.6
1.3
0.6
-
0.5
1.0
1.5
2.0
2.5
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
2010 2011 2012 2013 2014
(Rp Mn)
(Rp Mn)
23
OPD Visits (+24%)
FY2014
Operational Update Patient Visits & Admissions 20
662,916
137,628 50,681 30,139
100,941 32,259 -
666,827
152,957
58,489 83,302 142,349
101,089 49,429
-
200,000
400,000
600,000
800,000
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
FY2013 FY2014
ED Visits (+30%)
74,615
16,534
4,192 4,409
23,655
8,301 -
76,696
18,094
6,871 7,855
30,471 19,968
11,150
-
20,000
40,000
60,000
80,000
100,000
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
FY2013 FY2014
(No of OPD Visits)
(No of ED Visits)
1%
11%
15% 176%
41%213%
3%
9%
64%78%
29%
141%
24
IPD Admissions (+34%)
FY2014
Operational Update Patient Visits & Admissions 21
44,442
10,806 4,803 7,422
15,744
2,692 -
44,427
12,735
5,646
12,345
20,859
9,802 9,253
-
10,000
20,000
30,000
40,000
50,000
60,000
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
FY2013 FY2014
Average Length Of Stay (ALOS)
(No of IPD Admissions)
- 0%
18%
18%
66%
32%
264%
4.2
3.4
5.2 5.6
4.6
3.2
4.2
3.50
4.5 4.7 4.2
3.6 3.0
-
1.0
2.0
3.0
4.0
5.0
6.0
4 Mature 2 Developing MRCCC RSUS 4 New 2012 4 New 2013 4 New 2014
FY2013 FY2014
(ALOS)
Thank You