en company presentation q3 2015
2015 Indonesia Healthcare Services
Provider of The Year
Frost and Sullivan
9M 2015 Results
9M 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
Hospitals Under Development
Financial & Operational Performance
04
05
06
07
08
09
10 – 13
14 – 19
20 – 27
28 – 35
9M 2015 Results
4
Where We Are In Lippo Karawaci
LIPPO RELATED COMPANIES
PUBLIC
26.91%
73.09%
As of 30 Sep 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
COMMERCIAL
• Siloam Hospitals • Retail Malls
70.8%
• Aryaduta
Hotels
As of 30 Sep 2015
No. of Outstanding
Shares : 337,300,000
Code : SILO
ASSET
MANAGEMEN
T
• REIT, Mall &
Hotel
Management
• To
Management
Services, Leisure
and Restaurants
9M 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
9M 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
9M 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
Total
operational
hospital
2015
Asri
BIMC
Nusa Dua
2013 – The Company
successfully completed IPO
1996 – 2006: Learning Phase
2007 – 2010: Consolidation Phase
2011 to Date: Expansion Phase
7
9M 2015 Results
8
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)
Completed Hospital Awaiting for Operational License (1)
Future Developments (45)
Greater Jakarta Population :
28 mio
Jakarta Population :
10 mio
9M 2015 Results
A Day At Siloam
393
Inpatient
Admissions
5,213
Outpatient
Visits
564
Emergency
Visits
135
Dialysis
Procedures
10,574
Laboratory
Tests
69
Major
Surgeries
2
Cardiac
Surgeries
6
Neuro
Surgeries
11
Cardiac
Procedures
22
Deliveries
9
The Strategy & Business Model
4 Pillar Foundation
Clinical Service Delivery
UPH Medical Sciences (UPHMS)
11
12
13
9M 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
9M 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
9M 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
Completed Hospital In Yogyakarta
15
16
17
18
19
9M 2015 Results
15
Mature Hospitals
SILOAM HOSPITALS LIPPO VILLAGE
SILOAM HOSPITALS CIKARANG
TANGERANG (West of Jakarta)
JCIA
308 Bed Capacity
274 Operational Beds
233 GP and Specialists
418 Nurses
Centre of Excellence : Cardiology, Neuroscience,
Orthopedics & Emergency
BEKASI (East of Jakarta)
114 Bed Capacity
108 Operational Beds
91 GP and Specialists
164 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
213 GP and Specialists
332 Nurses
Centre of Excellence : Urology, Orthopaedic,
Cardiology &
Emergency
EAST KALIMANTAN
232 Bed Capacity
165 Operational Bed
103 GP and Specialists
155 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
250 Nurses
Centre of Excellence : Fertility Treatment,
Cardiology &
Emergency
SOUTH JAKARTA
334 Bed Capacity
122 Operational Beds
165 GP and Specialists
220 Nurses
Centre of Excellence : Cancer, Liver &
Emergency
9M 2015 Results
16
Developing Hospitals
SILOAM HOSPITALS JAMBI
SILOAM HOSPITALS PALEMBANG
EAST SUMATERA
SOUTH SUMATERA
100 Bed Capacity
89 Operational Beds
71 GP and Specialists
119 Nurses
Centre of Excellence : Emergency
83.0% Ownership
357 Bed Capacity
135 Operational Beds
138 GP and Specialists
184 Nurses
Centre of Excellence : Gastroenterology &
Emergency
70.00% Ownership
SILOAM HOSPITALS MANADO
SILOAM HOSPITALS BALI
NORTH SULAWESI
238 Bed Capacity
177 Operational Beds
97 GP and Specialists
216 Nurses
Centre of Excellence : Emergency
BALI
SILOAM HOSPITALS MAKASSAR
SILOAM HOSPITALS TB SIMATUPANG
SOUTH SULAWESI
SOUTH JAKARTA
269 Bed Capacity
80 Operational Beds
135 GP and Specialists
125 Nurses
Centre of Excellence : Cardiology, Oncology,
Neuroscience &
Emergency
360 Bed Capacity
215 Operational Beds
109 GP and Specialists
218 Nurses
Centre of Excellence : Cardiology,
Endocrinology &
Emergency
281 Bed Capacity
127 Operational Beds
115 GP and Specialists
169 Nurses
Centre of Excellence : Treatment for tourists,
Orthopedics, Cardiology &
Emergency
9M 2015 Results
New Hospitals
SILOAM HOSPITALS PURWAKARTA
SILOAM HOSPITALS KUPANG
WEST JAVA
202 Bed Capacity
169 Operational Beds
47 GP and Specialists
162 Nurses
Centre of Excellence : Emergency
EAST NUSA TENGGARA
416 Bed Capacity
100 Operational Beds
79 GP and Specialists
137 Nurses
Centre of Excellence : Emergency
SILOAM HOSPITALS MEDAN
NORTH SUMATERA
356 Bed Capacity
80 Operational Beds
43 GP and Specialists
86 Nurses
Centre of Excellence : Emergency & Trauma
There are currently 45 sites under
various stages of development
17
9M 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
61 Nurses
Centre of Excellence : Treatment for tourists &
Emergency
640 Bed Capacity
250 Operational Beds
52 GP and Specialists
249 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
38 Nurses
Centre of Excellence: Cardiology
39 Bed Capacity
20 Operational Beds
57 GP and Specialists
64 Nurses
Centre of Excellence : Cosmetic Surgery &
Emergency
SILOAM HOSPITALS ASRI
80.0% Ownership
SOUTH JAKARTA
42 Bed Capacity
40 Operational Beds
99 GP and Specialists
84 Nurses
Centre of Excellence : Urology
9M 2015 Results
19
Completed Hospital In Yogyakarta (in April 2015 awaiting license to operate)
FAÇADE
MAIN LOBBY
FRONT OFFICE
OUT PATIENT DEPARTMENT
Hospitals Under Development
For Completion In Late 2015 and 2016
For Completion In Late 2016 and 2017
Locations of Siloam Medika Under Development
Capacity Expansion of Existing Hospitals
21 – 23
24 – 25
26
27
9M 2015 Results
For Completion In Late 2015 and 2016
BANGKA BELITUNG
9M2015
Current
9M2015
Current
9M2015
Current
BAU-BAU
BOGOR
21
9M 2015 Results
For Completion In Late 2015 and 2016
JEMBER
9M2015
Current
9M2015
Current
9M2015
Current
LABUAN BAJO
LUBUK LINGGAU
22
9M 2015 Results
For Completion In Late 2015 and 2016
SORONG
9M2015
Current
23
9M 2015 Results
For Completion In Late 2016 and 2017
AMBON
9M2015
Current
9M2015
Current
9M2015
Current
BANDUNG
CEMPAKA PUTIH
24
9M 2015 Results
For Completion In Late 2016 and 2017
PANAKUKANG
MAKASSAR
9M2015
Current
9M2015
Current
SEMARANG
SRONDOL
Current
25
9M 2015 Results
Locations of Siloam Medika Under Development
NINE RESIDENCE
SURABAYA CITO
BEKASI GRAND MALL
SENTUL BELLANOVA
KALIMALANG
SAMARINDA
GAJAH MADA PLAZA
BLU PLAZA BEKASI
PLUIT VILLAGE
GUNUNG SAHARI
KUNINGAN TOWER
METROPOLIS TANGERANG
26
9M 2015 Results
Capacity Expansion of Existing Hospitals
SILOAM HOSPITALS LIPPO VILLAGE
5th Floor OPD Extension – Completion November 2015
MRCCC SILOAM SEMANGGI
120 New Beds – Completion Q1 2016
SILOAM HOSPITALS KEBON JERUK
BPJS Beds – Completed September 2015
SILOAM GENERAL HOSPITAL (RSUS)
50 New Beds – Operational December 2015
SILOAM HOSPITALS BALIKPAPAN
Cardiac Centre – Completed September 2015
SILOAM HOSPITALS PALEMBANG
BPJS Beds – Completed September 2015
27
Financial & Operational
Performance
For The Nine Months Ended September 30, 2015
Strong Financial Performance
Revenue & EBITDA Details
Balance Sheets
Revenue & EBITDA Contribution
Average Revenue Per Patient
Patient Visits & Admissions
29
30
31
32
33
34 – 35
9M 2015 Results
29
Strong Financial Performance
FY Revenue
FY EBITDA
In IDR Bn
In IDR Bn
466
3,341
+33%
+56%
14%
3,013
431
14%
2,504
+40%
+35%
298
12%
1,788
221
+42%
+43%
+22%
1,259
12%
155
140 +10%
1,030
12%
14%
2010
2011
2012
2013
2014
9M2015
2010
2011
2012
2013
2014
9M2015
Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population
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).
9M 2015 Results
30
Revenue & EBITDA Details
9M
In IDR Bn
∆%
2014
2015
2,415
3,013
25%
626
795
27%
1,789
2,218
24%
Material Cost
756
886
17%
Gross Margin
1,033
1,333
29%
Operating Expenses
670
832
24%
EBITDAR
363
501
38%
% to GOR
15.0%
16.6%
% to NOR
20.3%
22.6%
Rental (i)
54
69
27%
EBITDA (ii)
309
431
40%
% to GOR
12.8%
14.3%
% to NOR
17.3%
19.4%
51
68
2.1%
2.9%
2.2%
3.0%
GOR
Service Cost
NOR
NPAT
% to GOR
% to NOR
32%
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).
9M 2015 Results
Balance Sheets
FY2014
9M2015
∆%
Cash & Equivalent
280
180
-36%
Other Current Assets
561
757
35%
1,589
1,581
0%
Other Assets
414
495
20%
Total Assets
2,844
3,014
6%
Liabilities
1,190
1,310
10%
Shareholders' Equity
1,654
1,704
3%
Total Liabilities & Equity
2,844
3,014
7%
0.72
0.77
7%
In IDR Bn
Assets
Property and Equipment
Liabilities & Equity
D/E Ratio
31
9M 2015 Results
32
Revenue & EBITDA Contribution
Revenue
EBITDA
11%
12%
6%
5%
11%
5%
5%
13%
12%
6%
4%
14%
10%
4%
6%
6%
16%
22%
6%
5%
4%
24%
20%
22%
14%
13%
11%
13%
33%
22%
18%
9M 2014
9M 2015
24%
9M 2014
9M 2015
Mature ≥ 5 Beds
Mature 200-249
Mature ≥ 5 Beds
Mature 200-249
Mature 120-199 Beds
Mature
Provider of The Year
Frost and Sullivan
9M 2015 Results
9M 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
Hospitals Under Development
Financial & Operational Performance
04
05
06
07
08
09
10 – 13
14 – 19
20 – 27
28 – 35
9M 2015 Results
4
Where We Are In Lippo Karawaci
LIPPO RELATED COMPANIES
PUBLIC
26.91%
73.09%
As of 30 Sep 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
COMMERCIAL
• Siloam Hospitals • Retail Malls
70.8%
• Aryaduta
Hotels
As of 30 Sep 2015
No. of Outstanding
Shares : 337,300,000
Code : SILO
ASSET
MANAGEMEN
T
• REIT, Mall &
Hotel
Management
• To
Management
Services, Leisure
and Restaurants
9M 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
9M 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
9M 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
Total
operational
hospital
2015
Asri
BIMC
Nusa Dua
2013 – The Company
successfully completed IPO
1996 – 2006: Learning Phase
2007 – 2010: Consolidation Phase
2011 to Date: Expansion Phase
7
9M 2015 Results
8
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)
Completed Hospital Awaiting for Operational License (1)
Future Developments (45)
Greater Jakarta Population :
28 mio
Jakarta Population :
10 mio
9M 2015 Results
A Day At Siloam
393
Inpatient
Admissions
5,213
Outpatient
Visits
564
Emergency
Visits
135
Dialysis
Procedures
10,574
Laboratory
Tests
69
Major
Surgeries
2
Cardiac
Surgeries
6
Neuro
Surgeries
11
Cardiac
Procedures
22
Deliveries
9
The Strategy & Business Model
4 Pillar Foundation
Clinical Service Delivery
UPH Medical Sciences (UPHMS)
11
12
13
9M 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
9M 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
9M 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
Completed Hospital In Yogyakarta
15
16
17
18
19
9M 2015 Results
15
Mature Hospitals
SILOAM HOSPITALS LIPPO VILLAGE
SILOAM HOSPITALS CIKARANG
TANGERANG (West of Jakarta)
JCIA
308 Bed Capacity
274 Operational Beds
233 GP and Specialists
418 Nurses
Centre of Excellence : Cardiology, Neuroscience,
Orthopedics & Emergency
BEKASI (East of Jakarta)
114 Bed Capacity
108 Operational Beds
91 GP and Specialists
164 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
213 GP and Specialists
332 Nurses
Centre of Excellence : Urology, Orthopaedic,
Cardiology &
Emergency
EAST KALIMANTAN
232 Bed Capacity
165 Operational Bed
103 GP and Specialists
155 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
250 Nurses
Centre of Excellence : Fertility Treatment,
Cardiology &
Emergency
SOUTH JAKARTA
334 Bed Capacity
122 Operational Beds
165 GP and Specialists
220 Nurses
Centre of Excellence : Cancer, Liver &
Emergency
9M 2015 Results
16
Developing Hospitals
SILOAM HOSPITALS JAMBI
SILOAM HOSPITALS PALEMBANG
EAST SUMATERA
SOUTH SUMATERA
100 Bed Capacity
89 Operational Beds
71 GP and Specialists
119 Nurses
Centre of Excellence : Emergency
83.0% Ownership
357 Bed Capacity
135 Operational Beds
138 GP and Specialists
184 Nurses
Centre of Excellence : Gastroenterology &
Emergency
70.00% Ownership
SILOAM HOSPITALS MANADO
SILOAM HOSPITALS BALI
NORTH SULAWESI
238 Bed Capacity
177 Operational Beds
97 GP and Specialists
216 Nurses
Centre of Excellence : Emergency
BALI
SILOAM HOSPITALS MAKASSAR
SILOAM HOSPITALS TB SIMATUPANG
SOUTH SULAWESI
SOUTH JAKARTA
269 Bed Capacity
80 Operational Beds
135 GP and Specialists
125 Nurses
Centre of Excellence : Cardiology, Oncology,
Neuroscience &
Emergency
360 Bed Capacity
215 Operational Beds
109 GP and Specialists
218 Nurses
Centre of Excellence : Cardiology,
Endocrinology &
Emergency
281 Bed Capacity
127 Operational Beds
115 GP and Specialists
169 Nurses
Centre of Excellence : Treatment for tourists,
Orthopedics, Cardiology &
Emergency
9M 2015 Results
New Hospitals
SILOAM HOSPITALS PURWAKARTA
SILOAM HOSPITALS KUPANG
WEST JAVA
202 Bed Capacity
169 Operational Beds
47 GP and Specialists
162 Nurses
Centre of Excellence : Emergency
EAST NUSA TENGGARA
416 Bed Capacity
100 Operational Beds
79 GP and Specialists
137 Nurses
Centre of Excellence : Emergency
SILOAM HOSPITALS MEDAN
NORTH SUMATERA
356 Bed Capacity
80 Operational Beds
43 GP and Specialists
86 Nurses
Centre of Excellence : Emergency & Trauma
There are currently 45 sites under
various stages of development
17
9M 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
61 Nurses
Centre of Excellence : Treatment for tourists &
Emergency
640 Bed Capacity
250 Operational Beds
52 GP and Specialists
249 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
38 Nurses
Centre of Excellence: Cardiology
39 Bed Capacity
20 Operational Beds
57 GP and Specialists
64 Nurses
Centre of Excellence : Cosmetic Surgery &
Emergency
SILOAM HOSPITALS ASRI
80.0% Ownership
SOUTH JAKARTA
42 Bed Capacity
40 Operational Beds
99 GP and Specialists
84 Nurses
Centre of Excellence : Urology
9M 2015 Results
19
Completed Hospital In Yogyakarta (in April 2015 awaiting license to operate)
FAÇADE
MAIN LOBBY
FRONT OFFICE
OUT PATIENT DEPARTMENT
Hospitals Under Development
For Completion In Late 2015 and 2016
For Completion In Late 2016 and 2017
Locations of Siloam Medika Under Development
Capacity Expansion of Existing Hospitals
21 – 23
24 – 25
26
27
9M 2015 Results
For Completion In Late 2015 and 2016
BANGKA BELITUNG
9M2015
Current
9M2015
Current
9M2015
Current
BAU-BAU
BOGOR
21
9M 2015 Results
For Completion In Late 2015 and 2016
JEMBER
9M2015
Current
9M2015
Current
9M2015
Current
LABUAN BAJO
LUBUK LINGGAU
22
9M 2015 Results
For Completion In Late 2015 and 2016
SORONG
9M2015
Current
23
9M 2015 Results
For Completion In Late 2016 and 2017
AMBON
9M2015
Current
9M2015
Current
9M2015
Current
BANDUNG
CEMPAKA PUTIH
24
9M 2015 Results
For Completion In Late 2016 and 2017
PANAKUKANG
MAKASSAR
9M2015
Current
9M2015
Current
SEMARANG
SRONDOL
Current
25
9M 2015 Results
Locations of Siloam Medika Under Development
NINE RESIDENCE
SURABAYA CITO
BEKASI GRAND MALL
SENTUL BELLANOVA
KALIMALANG
SAMARINDA
GAJAH MADA PLAZA
BLU PLAZA BEKASI
PLUIT VILLAGE
GUNUNG SAHARI
KUNINGAN TOWER
METROPOLIS TANGERANG
26
9M 2015 Results
Capacity Expansion of Existing Hospitals
SILOAM HOSPITALS LIPPO VILLAGE
5th Floor OPD Extension – Completion November 2015
MRCCC SILOAM SEMANGGI
120 New Beds – Completion Q1 2016
SILOAM HOSPITALS KEBON JERUK
BPJS Beds – Completed September 2015
SILOAM GENERAL HOSPITAL (RSUS)
50 New Beds – Operational December 2015
SILOAM HOSPITALS BALIKPAPAN
Cardiac Centre – Completed September 2015
SILOAM HOSPITALS PALEMBANG
BPJS Beds – Completed September 2015
27
Financial & Operational
Performance
For The Nine Months Ended September 30, 2015
Strong Financial Performance
Revenue & EBITDA Details
Balance Sheets
Revenue & EBITDA Contribution
Average Revenue Per Patient
Patient Visits & Admissions
29
30
31
32
33
34 – 35
9M 2015 Results
29
Strong Financial Performance
FY Revenue
FY EBITDA
In IDR Bn
In IDR Bn
466
3,341
+33%
+56%
14%
3,013
431
14%
2,504
+40%
+35%
298
12%
1,788
221
+42%
+43%
+22%
1,259
12%
155
140 +10%
1,030
12%
14%
2010
2011
2012
2013
2014
9M2015
2010
2011
2012
2013
2014
9M2015
Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population
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).
9M 2015 Results
30
Revenue & EBITDA Details
9M
In IDR Bn
∆%
2014
2015
2,415
3,013
25%
626
795
27%
1,789
2,218
24%
Material Cost
756
886
17%
Gross Margin
1,033
1,333
29%
Operating Expenses
670
832
24%
EBITDAR
363
501
38%
% to GOR
15.0%
16.6%
% to NOR
20.3%
22.6%
Rental (i)
54
69
27%
EBITDA (ii)
309
431
40%
% to GOR
12.8%
14.3%
% to NOR
17.3%
19.4%
51
68
2.1%
2.9%
2.2%
3.0%
GOR
Service Cost
NOR
NPAT
% to GOR
% to NOR
32%
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).
9M 2015 Results
Balance Sheets
FY2014
9M2015
∆%
Cash & Equivalent
280
180
-36%
Other Current Assets
561
757
35%
1,589
1,581
0%
Other Assets
414
495
20%
Total Assets
2,844
3,014
6%
Liabilities
1,190
1,310
10%
Shareholders' Equity
1,654
1,704
3%
Total Liabilities & Equity
2,844
3,014
7%
0.72
0.77
7%
In IDR Bn
Assets
Property and Equipment
Liabilities & Equity
D/E Ratio
31
9M 2015 Results
32
Revenue & EBITDA Contribution
Revenue
EBITDA
11%
12%
6%
5%
11%
5%
5%
13%
12%
6%
4%
14%
10%
4%
6%
6%
16%
22%
6%
5%
4%
24%
20%
22%
14%
13%
11%
13%
33%
22%
18%
9M 2014
9M 2015
24%
9M 2014
9M 2015
Mature ≥ 5 Beds
Mature 200-249
Mature ≥ 5 Beds
Mature 200-249
Mature 120-199 Beds
Mature