en company presentation q2 2015
I do esia’s Largest, Fastest Gro i g,
World Class Hospital Group
1H 2015 Results
1H 2015 Results
2
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
t pi all o tai ords su h as ill , e pe ts a d a ti ipates a d ords of si ilar i port. B their ature, for ard 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
ha ges; “ILO’s a ilit to e a d re ai o petiti e; “ILO’s fi a ial o ditio , usi ess strateg as ell as the pla s a d objectives of
“ILO’s a age e t for future operatio s; ge eratio of future re ei a les; a d e iro e tal o plia e a d re ediatio . “hould 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.
Table of Contents
Where We Are In Lippo Karawaci
Highly Experienced & Professional Management
The Vision
The Journey
The Operations
A Day At Siloam
The Strategy & Business Model
Premier Private Hospital Group
Financial & Operational Performance
04
05
06
07
08
09
10 – 13
14 – 18
19 – 28
1H 2015 Results
4
Where We Are In Lippo Karawaci
LIPPO RELATED COMPANIES
PUBLIC
25.98 %
74.02 %
As of 30 Jun 2015
No. of Outstanding Shares : 23,077,689,619
Code : LPKR.JK ; LPKR IJ
DEVELOPMENT REVENUE
TOWNSHIPS
LARGE
SCALE
INTEGRATED
DVPT
INDUSTRIAL
AND
COMMERCIAL
PROPERTIES
RECURRING REVENUE
OFFICE
PROJECTS
HOSPITALS
• “iloa
Hospitals
COMMERCIAL
• Retail Malls
• Aryaduta
Hotels
ASSET
MANAGEMEN
T
• REIT, Mall &
Hotel
Management
• To
Management
Services, Leisure
and Restaurants
1H 2015 Results
5
Highly Experienced & Professional Management
Board of Commissioners
Ketut Budi Wijaya Theo L. Sambuaga
President
Commissioner
Commissioner
Lambock V.
Nahattands
Independent
Commissioner
Jenny Kuistono
Commissioner
Farid Harianto
Independent
Commissioner
dr. Niel Nielson
Independent
Commissioner
Ir. Jonathan L.
Parapak
Independent
Commissioner
dr. Gershu Paul
Group Executive
Chairman
Board of Directors
Romeo Lledo
President Director,
Independent Director
dr. Andry
Director
dr. Anang
Prayudi
Director
dr. Grace
Frelita
Director
Kailas N. Raina
Director
Prof. George
Mathew
Director
Richard Setiadi
Director
1H 2015 Results
The Vision
By 2017..
• Beds
International
Reach
Quality
Godly
Compassion
4,800 to 10,000
• Patients per annum
2 million to 15 million
• Hospitals
20 to over 50 hospitals
14 to over 25 cities
Scale
Affordable and Accessible Healthcare
to all socio economic segments
6
1H 2015 Results
The Journey
SHLV – I do esia’s First Hospital to e
Accredited and Re-accredited by JCI
(2007, 2010 and 2014)
RSUS
BIMC Nusa Dua – I do esia’s First
Hospital to be Accredited by ACHS
Australia (2014)
SH
Purwakarta
SH Manado
SH Makassar
SH Bali
SH Kupang
SH Palembang
SH TB
Simatupang
SH Medan
SH
Lippo Village
SH Lippo
Cikarang
SH MRCCC
1996
2002
2011
2012
2013
SH Jambi
SH Cinere
BIMC Kuta
SH
Kebon Jeruk
SH
Surabaya
SH
Balikpapan
2014
2017
Asri
BIMC
Nusa Dua
2013 – The Company
successfully completed IPO
1996 – 2006: Learning Phase
2007 – 2010: Consolidation Phase
2011 to Date: Expansion Phase
7
1H 2015 Results
The Operations
Unrivalled network across Indonesia
Sumatra Population :
50.6 mio
Sulawesi Population :
17.4 mio
Maluku Population :
2.6 mio
JCI
ACHSI
Kalimantan Population :
13.8 mio
Papua Population :
3.6 mio
Java Population :
136.6 mio
Nusa Tenggara Population :
9.2 mio
Bali Population :
3.9 mio
Operational Hospitals (20)
Future Developments (46)
Greater Jakarta Population :
28 mio
Jakarta Population :
10 mio
8
1H 2015 Results
A Day At Siloam
402
Inpatient
Admissions
5,292
Outpatient
Visits
574
Emergency
Visits
102
Dialysis
Procedures
8,576
Laboratory
Tests
57
Major
Surgeries
2
Cardiac
Surgeries
6
Neuro
Surgeries
5
Cardiac
Procedures
18
Deliveries
9
The Strategy & Business Model
4 Pillar Foundation
Clinical Service Delivery
UPH Medical Sciences (UPHMS)
1H 2015 Results
4 Pillar Foundation
1
Emergency
2
Technology
3
Telemedicine
4
Doctors
Excellence in
Emergency Services
1-500-911
State-of-the-Art Medical
Equipment and Systems
Digital Telemedicine
Hu a d “poke
Siloam Doctor
Partnership and
Development Program
4 Pillar Foundation
Siloa
Hospitals’ four pillar fou datio has ee ke to the su ess of our e isti g hospitals a d ill ser e
as the asis for repli ati g this su ess at our e pa sio hospitals…
11
1H 2015 Results
12
Clinical Service Delivery
“iloa ’s
Integrated Healthcare
Delivery Model
•
Access to
Centres of
Excellence
through hub and
spoke system
and Telemedicine
•
•
•
3
Quaternary
Integrated Centers of Excellence: Neuroscience, Cardiology, Cancer, Orthopedic, Urology, Fertility
Hub and Spoke strategy and extensive coverage of specialized services via Digital Tele-Medicine
Pio eeri g i est e ts i I do esia’s health are se tor
– Comprehensive Cancer Centre opened in 2011
– I do esia’s first Ga
a K ife i stalled i 2012
Tertiary
•
•
•
High standard and
accessible medical
care through focus
on clinical
governance and
affordable price
points
Specialist access for
primary healthcare
demand
Public-PrivatePartnership
2
Secondary
1
Primary
Research and Education
• 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
do tors’ elfare “DPDP
– Equip hospitals with State-of-the-Art facilities such as 128 slice
CT Scan and 1.5T MRI
• 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
– Gate ay to I do esia’s U i ersal Health are Co erage a d Go er e t
Health Insurance Programs
• Integrated platform with UPHMS and other partnerships
• Medical students training at RSUS, SHLV, and SHKJ
One-stop continuum of care at primary, secondary, tertiary and quaternary levels
1H 2015 Results
UPH Medical Sciences (UPHMS)
Bringing Together Clinical, Research & Education
Centre of Excellence and
Global Reputation
• Alignment – across teaching
and service delivery
• Affiliate with agencies such
as ACORN/NUS/SGH/UOM
• Leading edge research
Clinical
• Best practice Models
• Remote Access Diagnosis (RAD)
and Remote Access Clinical
Management (RACM)
• Telemedicine
• Centres of Clinical Excellence/
Accreditation
• Teaching Hospital paradigm
·
Research
Education
• Future workforce
• Systems based curriculum
converged with PBL
• Best practice replication
• Clinical placement
• Foundation for Innovation
• Overseas training –
Singapore/Australia/USA/China
13
Premier Private Hospital Group
Mature Hospitals
Developing Hospitals
New Hospitals
Distinct Market Segment Hospitals
1H 2015 Results
15
Mature Hospitals
SILOAM HOSPITALS LIPPO VILLAGE
SILOAM HOSPITALS CIKARANG
TANGERANG (West of Jakarta)
JCIA
308 Bed Capacity
274 Operational Beds
231 GP and Specialists
430 Nurses
Centre of Excellence : Cardiology, Neuroscience,
Orthopedics & Emergency
BEKASI (East of Jakarta)
114 Bed Capacity
108 Operational Beds
91 GP and Specialists
165 Nurses
Centre of Excellence : Occupational Health &
Emergency
79.84% Ownership
SILOAM HOSPITALS KEBON JERUK
SILOAM HOSPITALS BALIKPAPAN
WEST JAKARTA
285 Bed Capacity
217 Operational Beds
210 GP and Specialists
330 Nurses
Centre of Excellence : Urology, Orthopaedic,
Cardiology &
Emergency
EAST KALIMANTAN
232 Bed Capacity
165 Operational Bed
100 GP and Specialists
143 Nurses
Centre of Excellence : Orthopedics & Emergency
79.61% Ownership
SILOAM HOSPITALS SURABAYA
MRCCC SILOAM SEMANGGI
EAST JAVA
162 Bed Capacity
160 Operational Beds
142 GP and Specialists
255 Nurses
Centre of Excellence : Fertility Treatment,
Cardiology &
Emergency
SOUTH JAKARTA
334 Bed Capacity
122 Operational Beds
173 GP and Specialists
209 Nurses
Centre of Excellence : Cancer, Liver &
Emergency
1H 2015 Results
16
Developing Hospitals
SILOAM HOSPITALS JAMBI
SILOAM HOSPITALS PALEMBANG
EAST SUMATERA
SOUTH SUMATERA
94 Bed Capacity
84 Operational Beds
68 GP and Specialists
123 Nurses
Centre of Excellence : Emergency
83.0% Ownership
357 Bed Capacity
135 Operational Beds
137 GP and Specialists
185 Nurses
Centre of Excellence : Gastroenterology &
Emergency
70.00% Ownership
SILOAM HOSPITALS MANADO
SILOAM HOSPITALS BALI
NORTH SULAWESI
236 Bed Capacity
177 Operational Beds
97 GP and Specialists
192 Nurses
Centre of Excellence : Emergency
BALI
SILOAM HOSPITALS MAKASSAR
SILOAM HOSPITALS TB SIMATUPANG
SOUTH SULAWESI
SOUTH JAKARTA
269 Bed Capacity
80 Operational Beds
118 GP and Specialists
127 Nurses
Centre of Excellence : Cardiology, Oncology,
Neuroscience &
Emergency
360 Bed Capacity
215 Operational Beds
109 GP and Specialists
220 Nurses
Centre of Excellence : Cardiology,
Endocrinology &
Emergency
281 Bed Capacity
127 Operational Beds
117 GP and Specialists
166 Nurses
Centre of Excellence : Treatment for tourists,
Orthopedics, Cardiology &
Emergency
1H 2015 Results
New Hospitals
SILOAM HOSPITALS PURWAKARTA
SILOAM HOSPITALS KUPANG
WEST JAVA
202 Bed Capacity
169 Operational Beds
47 GP and Specialists
160 Nurses
Centre of Excellence : Emergency
EAST NUSA TENGGARA
416 Bed Capacity
100 Operational Beds
76 GP and Specialists
123 Nurses
Centre of Excellence : Emergency
SILOAM HOSPITALS MEDAN
NORTH SUMATERA
356 Bed Capacity
80 Operational Beds
43 GP and Specialists
87 Nurses
Centre of Excellence : Emergency & Trauma
There are currently 46 sites under
various stages of development
17
1H 2015 Results
18
Distinct Market Segment Hospitals
SILOAM GENERAL HOSPITAL (RSUS)
BIMC KUTA
TANGERANG (West of Jakarta)
BALI
19 Bed Capacity
18 Operational Beds
51 GP and Specialists
66 Nurses
Centre of Excellence : Treatment for tourists &
Emergency
640 Bed Capacity
250 Operational Beds
52 GP and Specialists
256 Nurses
Centre of Excellence : Emergency
SILOAM HOSPITALS CINERE
BIMC NUSA DUA
DEPOK (South of Jakarta)
BALI
50 Bed Capacity
37 Operational Beds
26 GP and Specialists
39 Nurses
Centre of Excellence: Cardiology
39 Bed Capacity
20 Operational Beds
57 GP and Specialists
65 Nurses
Centre of Excellence : Cosmetic Surgery &
Emergency
SILOAM HOSPITALS ASRI
80.0% Ownership
SOUTH JAKARTA
43 Bed Capacity
40 Operational Beds
98 GP and Specialists
84 Nurses
Centre of Excellence : Urology
Financial & Operational
Performance
For The Six Months Ended June 30, 2015
Strong Financial Performance
Revenue & EBITDA Details
Balance Sheets
Revenue & EBITDA Contribution
Revenue & EBITDA by Category
Average Revenue Per Patient
Operational Update Patient Visits & Admissions
2015 Revenue Ramp Up
1H 2015 Results
20
Strong Financial Performance (Revised)
FY Revenue
FY EBITDA
In IDR Bn
*
In IDR Bn
781*
4,490
+68%
+34%
17%
3,341
+33%
466
2,504
+42%
+40%
+56%
1,788
298
+35%
+22%
+16%
+21%
737
890
1,259
1,030
+12%
102
14%
2008
2009
2010
2011
2012
2013
2014 2015P
2008
+23%
114
13%
2009
+10%
140
14%
2010
+43%
155
221
14%
12%
12%
12%
2011
2012
2013
2014 2015P
Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population
* Adjusted to conform YTD forecast from Rp 4,902 Bn and Rp 868 Bn, respectively.
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).
1H 2015 Results
21
Revenue & EBITDA Details
Q1
In IDR Bn
2014
2015
GOR
751
976
Service Cost
188
NOR
∆%
Q2
2014
2015
30%
816
1,011
244
30%
215
563
732
30%
Material Cost
238
291
Gross Margin
325
Operating Expenses
EBITDAR
∆%
1H
∆%
2014
2015
24%
1,568
1,987
27%
265
23%
403
509
26%
602
746
24%
1,165
1,478
27%
22%
256
296
16%
494
587
19%
441
36%
346
450
30%
671
891
33%
201
260
29%
229
273
19%
430
533
24%
124
181
46%
117
177
51%
241
358
49%
% to GOR
16.5%
18.6%
14.3%
17.5%
15.3%
18.0%
% to NOR
22.0%
24.7%
19.4%
23.7%
20.6%
24.2%
Rental (i)
14
19
39%
19
24
27%
33
43
32%
EBITDA (ii)
110
162
47%
98
152
56%
208
315
51%
% to GOR
14.7%
16.6%
12.0%
15.1%
13.2%
15.8%
% to NOR
19.6%
22.1%
16.2%
20.4%
17.8%
21.3%
24
34
20
28
45
62
3.3%
4.3%
3.4%
4.6%
2.5%
3.3%
2.8%
3.8%
2.8%
3.8%
3.1%
4.2%
NPAT
% to GOR
% to NOR
37%
40%
39%
Notes:
(i)
Represents rental expenses for the land and buildings, 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).
1H 2015 Results
Balance Sheets
FY2014
1H 2015
∆%
280
217
-22%
Property and Equipment
1,589
1,603
1%
Total Assets
2,844
2,978
5%
Liabilities
1,190
1,279
7%
Shareholders' Equity
1,654
1,699
3%
D/E Ratio
0.72
0.75
5%
In IDR Bn
Assets
Cash & Equivalent
Liabilities & Equity
22
1H 2015 Results
23
Revenue & EBITDA Contribution
Revenue
EBITDA
10%
12%
10%
12%
6%
4%
4%
12%
5%
7%
12%
4%
6%
6%
14%
23%
6%
13%
5%
5%
5%
24%
21%
22%
14%
15%
12%
13%
34%
23%
18%
1H 2014
1H 2015
24%
1H 2014
1H 2015
Mature ≥ 5 Beds
Mature 200-249
Mature ≥ 5 Beds
Mature 200-249
Mature 120-199 Beds
Mature
World Class Hospital Group
1H 2015 Results
1H 2015 Results
2
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
t pi all o tai ords su h as ill , e pe ts a d a ti ipates a d ords of si ilar i port. B their ature, for ard 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
ha ges; “ILO’s a ilit to e a d re ai o petiti e; “ILO’s fi a ial o ditio , usi ess strateg as ell as the pla s a d objectives of
“ILO’s a age e t for future operatio s; ge eratio of future re ei a les; a d e iro e tal o plia e a d re ediatio . “hould 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.
Table of Contents
Where We Are In Lippo Karawaci
Highly Experienced & Professional Management
The Vision
The Journey
The Operations
A Day At Siloam
The Strategy & Business Model
Premier Private Hospital Group
Financial & Operational Performance
04
05
06
07
08
09
10 – 13
14 – 18
19 – 28
1H 2015 Results
4
Where We Are In Lippo Karawaci
LIPPO RELATED COMPANIES
PUBLIC
25.98 %
74.02 %
As of 30 Jun 2015
No. of Outstanding Shares : 23,077,689,619
Code : LPKR.JK ; LPKR IJ
DEVELOPMENT REVENUE
TOWNSHIPS
LARGE
SCALE
INTEGRATED
DVPT
INDUSTRIAL
AND
COMMERCIAL
PROPERTIES
RECURRING REVENUE
OFFICE
PROJECTS
HOSPITALS
• “iloa
Hospitals
COMMERCIAL
• Retail Malls
• Aryaduta
Hotels
ASSET
MANAGEMEN
T
• REIT, Mall &
Hotel
Management
• To
Management
Services, Leisure
and Restaurants
1H 2015 Results
5
Highly Experienced & Professional Management
Board of Commissioners
Ketut Budi Wijaya Theo L. Sambuaga
President
Commissioner
Commissioner
Lambock V.
Nahattands
Independent
Commissioner
Jenny Kuistono
Commissioner
Farid Harianto
Independent
Commissioner
dr. Niel Nielson
Independent
Commissioner
Ir. Jonathan L.
Parapak
Independent
Commissioner
dr. Gershu Paul
Group Executive
Chairman
Board of Directors
Romeo Lledo
President Director,
Independent Director
dr. Andry
Director
dr. Anang
Prayudi
Director
dr. Grace
Frelita
Director
Kailas N. Raina
Director
Prof. George
Mathew
Director
Richard Setiadi
Director
1H 2015 Results
The Vision
By 2017..
• Beds
International
Reach
Quality
Godly
Compassion
4,800 to 10,000
• Patients per annum
2 million to 15 million
• Hospitals
20 to over 50 hospitals
14 to over 25 cities
Scale
Affordable and Accessible Healthcare
to all socio economic segments
6
1H 2015 Results
The Journey
SHLV – I do esia’s First Hospital to e
Accredited and Re-accredited by JCI
(2007, 2010 and 2014)
RSUS
BIMC Nusa Dua – I do esia’s First
Hospital to be Accredited by ACHS
Australia (2014)
SH
Purwakarta
SH Manado
SH Makassar
SH Bali
SH Kupang
SH Palembang
SH TB
Simatupang
SH Medan
SH
Lippo Village
SH Lippo
Cikarang
SH MRCCC
1996
2002
2011
2012
2013
SH Jambi
SH Cinere
BIMC Kuta
SH
Kebon Jeruk
SH
Surabaya
SH
Balikpapan
2014
2017
Asri
BIMC
Nusa Dua
2013 – The Company
successfully completed IPO
1996 – 2006: Learning Phase
2007 – 2010: Consolidation Phase
2011 to Date: Expansion Phase
7
1H 2015 Results
The Operations
Unrivalled network across Indonesia
Sumatra Population :
50.6 mio
Sulawesi Population :
17.4 mio
Maluku Population :
2.6 mio
JCI
ACHSI
Kalimantan Population :
13.8 mio
Papua Population :
3.6 mio
Java Population :
136.6 mio
Nusa Tenggara Population :
9.2 mio
Bali Population :
3.9 mio
Operational Hospitals (20)
Future Developments (46)
Greater Jakarta Population :
28 mio
Jakarta Population :
10 mio
8
1H 2015 Results
A Day At Siloam
402
Inpatient
Admissions
5,292
Outpatient
Visits
574
Emergency
Visits
102
Dialysis
Procedures
8,576
Laboratory
Tests
57
Major
Surgeries
2
Cardiac
Surgeries
6
Neuro
Surgeries
5
Cardiac
Procedures
18
Deliveries
9
The Strategy & Business Model
4 Pillar Foundation
Clinical Service Delivery
UPH Medical Sciences (UPHMS)
1H 2015 Results
4 Pillar Foundation
1
Emergency
2
Technology
3
Telemedicine
4
Doctors
Excellence in
Emergency Services
1-500-911
State-of-the-Art Medical
Equipment and Systems
Digital Telemedicine
Hu a d “poke
Siloam Doctor
Partnership and
Development Program
4 Pillar Foundation
Siloa
Hospitals’ four pillar fou datio has ee ke to the su ess of our e isti g hospitals a d ill ser e
as the asis for repli ati g this su ess at our e pa sio hospitals…
11
1H 2015 Results
12
Clinical Service Delivery
“iloa ’s
Integrated Healthcare
Delivery Model
•
Access to
Centres of
Excellence
through hub and
spoke system
and Telemedicine
•
•
•
3
Quaternary
Integrated Centers of Excellence: Neuroscience, Cardiology, Cancer, Orthopedic, Urology, Fertility
Hub and Spoke strategy and extensive coverage of specialized services via Digital Tele-Medicine
Pio eeri g i est e ts i I do esia’s health are se tor
– Comprehensive Cancer Centre opened in 2011
– I do esia’s first Ga
a K ife i stalled i 2012
Tertiary
•
•
•
High standard and
accessible medical
care through focus
on clinical
governance and
affordable price
points
Specialist access for
primary healthcare
demand
Public-PrivatePartnership
2
Secondary
1
Primary
Research and Education
• 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
do tors’ elfare “DPDP
– Equip hospitals with State-of-the-Art facilities such as 128 slice
CT Scan and 1.5T MRI
• 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
– Gate ay to I do esia’s U i ersal Health are Co erage a d Go er e t
Health Insurance Programs
• Integrated platform with UPHMS and other partnerships
• Medical students training at RSUS, SHLV, and SHKJ
One-stop continuum of care at primary, secondary, tertiary and quaternary levels
1H 2015 Results
UPH Medical Sciences (UPHMS)
Bringing Together Clinical, Research & Education
Centre of Excellence and
Global Reputation
• Alignment – across teaching
and service delivery
• Affiliate with agencies such
as ACORN/NUS/SGH/UOM
• Leading edge research
Clinical
• Best practice Models
• Remote Access Diagnosis (RAD)
and Remote Access Clinical
Management (RACM)
• Telemedicine
• Centres of Clinical Excellence/
Accreditation
• Teaching Hospital paradigm
·
Research
Education
• Future workforce
• Systems based curriculum
converged with PBL
• Best practice replication
• Clinical placement
• Foundation for Innovation
• Overseas training –
Singapore/Australia/USA/China
13
Premier Private Hospital Group
Mature Hospitals
Developing Hospitals
New Hospitals
Distinct Market Segment Hospitals
1H 2015 Results
15
Mature Hospitals
SILOAM HOSPITALS LIPPO VILLAGE
SILOAM HOSPITALS CIKARANG
TANGERANG (West of Jakarta)
JCIA
308 Bed Capacity
274 Operational Beds
231 GP and Specialists
430 Nurses
Centre of Excellence : Cardiology, Neuroscience,
Orthopedics & Emergency
BEKASI (East of Jakarta)
114 Bed Capacity
108 Operational Beds
91 GP and Specialists
165 Nurses
Centre of Excellence : Occupational Health &
Emergency
79.84% Ownership
SILOAM HOSPITALS KEBON JERUK
SILOAM HOSPITALS BALIKPAPAN
WEST JAKARTA
285 Bed Capacity
217 Operational Beds
210 GP and Specialists
330 Nurses
Centre of Excellence : Urology, Orthopaedic,
Cardiology &
Emergency
EAST KALIMANTAN
232 Bed Capacity
165 Operational Bed
100 GP and Specialists
143 Nurses
Centre of Excellence : Orthopedics & Emergency
79.61% Ownership
SILOAM HOSPITALS SURABAYA
MRCCC SILOAM SEMANGGI
EAST JAVA
162 Bed Capacity
160 Operational Beds
142 GP and Specialists
255 Nurses
Centre of Excellence : Fertility Treatment,
Cardiology &
Emergency
SOUTH JAKARTA
334 Bed Capacity
122 Operational Beds
173 GP and Specialists
209 Nurses
Centre of Excellence : Cancer, Liver &
Emergency
1H 2015 Results
16
Developing Hospitals
SILOAM HOSPITALS JAMBI
SILOAM HOSPITALS PALEMBANG
EAST SUMATERA
SOUTH SUMATERA
94 Bed Capacity
84 Operational Beds
68 GP and Specialists
123 Nurses
Centre of Excellence : Emergency
83.0% Ownership
357 Bed Capacity
135 Operational Beds
137 GP and Specialists
185 Nurses
Centre of Excellence : Gastroenterology &
Emergency
70.00% Ownership
SILOAM HOSPITALS MANADO
SILOAM HOSPITALS BALI
NORTH SULAWESI
236 Bed Capacity
177 Operational Beds
97 GP and Specialists
192 Nurses
Centre of Excellence : Emergency
BALI
SILOAM HOSPITALS MAKASSAR
SILOAM HOSPITALS TB SIMATUPANG
SOUTH SULAWESI
SOUTH JAKARTA
269 Bed Capacity
80 Operational Beds
118 GP and Specialists
127 Nurses
Centre of Excellence : Cardiology, Oncology,
Neuroscience &
Emergency
360 Bed Capacity
215 Operational Beds
109 GP and Specialists
220 Nurses
Centre of Excellence : Cardiology,
Endocrinology &
Emergency
281 Bed Capacity
127 Operational Beds
117 GP and Specialists
166 Nurses
Centre of Excellence : Treatment for tourists,
Orthopedics, Cardiology &
Emergency
1H 2015 Results
New Hospitals
SILOAM HOSPITALS PURWAKARTA
SILOAM HOSPITALS KUPANG
WEST JAVA
202 Bed Capacity
169 Operational Beds
47 GP and Specialists
160 Nurses
Centre of Excellence : Emergency
EAST NUSA TENGGARA
416 Bed Capacity
100 Operational Beds
76 GP and Specialists
123 Nurses
Centre of Excellence : Emergency
SILOAM HOSPITALS MEDAN
NORTH SUMATERA
356 Bed Capacity
80 Operational Beds
43 GP and Specialists
87 Nurses
Centre of Excellence : Emergency & Trauma
There are currently 46 sites under
various stages of development
17
1H 2015 Results
18
Distinct Market Segment Hospitals
SILOAM GENERAL HOSPITAL (RSUS)
BIMC KUTA
TANGERANG (West of Jakarta)
BALI
19 Bed Capacity
18 Operational Beds
51 GP and Specialists
66 Nurses
Centre of Excellence : Treatment for tourists &
Emergency
640 Bed Capacity
250 Operational Beds
52 GP and Specialists
256 Nurses
Centre of Excellence : Emergency
SILOAM HOSPITALS CINERE
BIMC NUSA DUA
DEPOK (South of Jakarta)
BALI
50 Bed Capacity
37 Operational Beds
26 GP and Specialists
39 Nurses
Centre of Excellence: Cardiology
39 Bed Capacity
20 Operational Beds
57 GP and Specialists
65 Nurses
Centre of Excellence : Cosmetic Surgery &
Emergency
SILOAM HOSPITALS ASRI
80.0% Ownership
SOUTH JAKARTA
43 Bed Capacity
40 Operational Beds
98 GP and Specialists
84 Nurses
Centre of Excellence : Urology
Financial & Operational
Performance
For The Six Months Ended June 30, 2015
Strong Financial Performance
Revenue & EBITDA Details
Balance Sheets
Revenue & EBITDA Contribution
Revenue & EBITDA by Category
Average Revenue Per Patient
Operational Update Patient Visits & Admissions
2015 Revenue Ramp Up
1H 2015 Results
20
Strong Financial Performance (Revised)
FY Revenue
FY EBITDA
In IDR Bn
*
In IDR Bn
781*
4,490
+68%
+34%
17%
3,341
+33%
466
2,504
+42%
+40%
+56%
1,788
298
+35%
+22%
+16%
+21%
737
890
1,259
1,030
+12%
102
14%
2008
2009
2010
2011
2012
2013
2014 2015P
2008
+23%
114
13%
2009
+10%
140
14%
2010
+43%
155
221
14%
12%
12%
12%
2011
2012
2013
2014 2015P
Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population
* Adjusted to conform YTD forecast from Rp 4,902 Bn and Rp 868 Bn, respectively.
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).
1H 2015 Results
21
Revenue & EBITDA Details
Q1
In IDR Bn
2014
2015
GOR
751
976
Service Cost
188
NOR
∆%
Q2
2014
2015
30%
816
1,011
244
30%
215
563
732
30%
Material Cost
238
291
Gross Margin
325
Operating Expenses
EBITDAR
∆%
1H
∆%
2014
2015
24%
1,568
1,987
27%
265
23%
403
509
26%
602
746
24%
1,165
1,478
27%
22%
256
296
16%
494
587
19%
441
36%
346
450
30%
671
891
33%
201
260
29%
229
273
19%
430
533
24%
124
181
46%
117
177
51%
241
358
49%
% to GOR
16.5%
18.6%
14.3%
17.5%
15.3%
18.0%
% to NOR
22.0%
24.7%
19.4%
23.7%
20.6%
24.2%
Rental (i)
14
19
39%
19
24
27%
33
43
32%
EBITDA (ii)
110
162
47%
98
152
56%
208
315
51%
% to GOR
14.7%
16.6%
12.0%
15.1%
13.2%
15.8%
% to NOR
19.6%
22.1%
16.2%
20.4%
17.8%
21.3%
24
34
20
28
45
62
3.3%
4.3%
3.4%
4.6%
2.5%
3.3%
2.8%
3.8%
2.8%
3.8%
3.1%
4.2%
NPAT
% to GOR
% to NOR
37%
40%
39%
Notes:
(i)
Represents rental expenses for the land and buildings, 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).
1H 2015 Results
Balance Sheets
FY2014
1H 2015
∆%
280
217
-22%
Property and Equipment
1,589
1,603
1%
Total Assets
2,844
2,978
5%
Liabilities
1,190
1,279
7%
Shareholders' Equity
1,654
1,699
3%
D/E Ratio
0.72
0.75
5%
In IDR Bn
Assets
Cash & Equivalent
Liabilities & Equity
22
1H 2015 Results
23
Revenue & EBITDA Contribution
Revenue
EBITDA
10%
12%
10%
12%
6%
4%
4%
12%
5%
7%
12%
4%
6%
6%
14%
23%
6%
13%
5%
5%
5%
24%
21%
22%
14%
15%
12%
13%
34%
23%
18%
1H 2014
1H 2015
24%
1H 2014
1H 2015
Mature ≥ 5 Beds
Mature 200-249
Mature ≥ 5 Beds
Mature 200-249
Mature 120-199 Beds
Mature