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Indonesia’s Largest, Fastest Growing, World Class Hospital Group FY 2014 PT Siloam International Hospitals Tbk

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Page 1: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

Indonesia’s Largest, Fastest Growing,

World Class Hospital Group

FY 2014

PT Siloam International Hospitals Tbk

Page 2: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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.

Page 3: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 4: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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 %

Page 5: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 6: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 7: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 8: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 9: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 10: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 11: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

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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

Page 13: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 14: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 15: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 16: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

Page 17: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

Operational & Financial

PerformanceFor The Year Ended December 31, 2014

Page 18: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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%

Page 19: PT Siloam International Hospitals Tbk · PDF fileThis presentation has been prepared by PT Siloam International Hospitals, Tbk ... • City of Tomorrow ... TANGERANG (West of Jakarta)

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

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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

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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

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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)

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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%

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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)

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Thank You