Siloam Hospitals | Investor Relations - Company Presentation - Rumah Sakit Siloam Hospitals

2016 Indonesia Hospital of The Year
Frost and Sullivan

FY 2016 Results

FY 2016 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
Corporate Structure

Highly Experienced & Professional Management
The Vision
The Journey
The Operations
The Strategy & Business Model
Premier Private Hospital Group
Hospitals Under Development
Financial Performance
Operational Performance
Appendices

04
05
06
07
08
09
10 – 14
15 – 26
27 – 31

32 – 39
40 – 51
52 – 55

FY 2016 Results

Where We Are In Lippo Karawaci
LIPPO RELATED COMPANIES

PUBLIC

19.19%

80.81%

As of 31 Dec 2016
No of Outstanding Shares : 23,077,689,619
Code : LPKR.JK ; LPKR IJ

62.1%

PT SILOAM INTERNATIONAL
HOSPITALS TBK

54.4%
PT LIPPO CIKARANG TBK

As of 31 Dec 2016
No. of Outstanding Shares : 1,300,612,500
Code : SILO

59.8%
PT GOWA MAKASSAR TOURISM
DEVELOPMENT TBK

100%
PT BOWSPRIT ASSET
MANAGEMENT

4


FY 2016 Results

Corporate Structure

LIPPO KARAWACI RELATED COMPANIES

CVC CAPITAL PARTNERS

PUBLIC

62.09%

15.00%

22.91%

As of 31 December 2016
No . Of Outstanding Shares : 1,300,612,500
Code : SILO


5

FY 2016 Results

6

Highly Experienced & Professional Management
Board of Commissioners

Lee Heok Seng
President
Commissioner

Theo L. Sambuaga Jenny Kuistono
Commissioner
Commissioner

Farid Harianto
Independent
Commissioner


Ir. Jonathan L.
Parapak
Independent
Commissioner

dr. Niel Nielson
Independent
Commissioner

Andy
Purwohardono*
Commissioner

John Pitsonis*
Commissioner

Board of Directors

Caroline Riady*

Romeo Lledo
President Director, Vice President
Director
Independent Director

*Appointed on October 11, 2016

dr. Andry
Director

dr. Anang Prayudi dr. Grace Frelita
Director
Director

Budi Legowo
Director

Norita Alex
Director


Atiff Gill*
Director

Ryanto Tedjomulja*
Director

FY 2016 Results

The Vision
By 2019..
• Beds
International
Reach
Quality
Godly
Compassion

over 10,000

• Patients per annum

over 15 million

• Hospitals

over 50 hospitals
over 25 cities
Scale

Affordable and Accessible Healthcare
to all socio economic segments

7

FY 2016 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 Manado
SH Bali

SH Kupang

SH Buton

SH Palembang

SH TB
Simatupang

SH Medan

SH Samarinda

2014

2016

SH Lippo
Cikarang

SH MRCCC

1996

2002

2011

2012

2013

SH Jambi

SH Cinere

BIMC Kuta

SH
Balikpapan

SH Labuan
Bajo

SH Makassar
SH
Lippo Village

SH
Kebon Jeruk
SH
Surabaya

SH
Purwakarta

Asri

BIMC
Nusa Dua

2013 – The Company
successfully completed IPO
1996 – 2006: Learning Phase

2007 – 2010: Consolidation Phase

2011 to Date: Expansion Phase

8

FY 2016 Results

9

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 (23)
Completed Hospitals Awaiting for Operational License (3)
Future Developments (40)
Newly Acquired Hospitals (2)
Greater Jakarta Population :
28 mio

Jakarta Population :
10 mio

The Strategy & Business Model
4 Pillar Foundation
Clinical Service Delivery
UPH Medical Sciences (UPHMS)
Value Creation Plan

11
12
13
14

FY 2016 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

FY 2016 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

FY 2016 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

FY 2016 Results

Value Creation Plan
• Replace current top
down pricing
mechanism with
detailed bottom up
data driven pricing

• Centralize drug and
medical supplies
procurement, reduce
SKUs to ~1000

• Increase utilization
through raising doctor
willingness to
prescribe test
• Introduce data driven
pricing

Strategic
Pricing

Increased
Equipment
Utilization

Optimized
Drug
Procurement

Optimized
SG&A
• Reduce redundancies
in overhead staff,
nursing staff and
centralize
procurement of nonmedical supplies

14

Premier Private Hospital Group
Mature Hospitals
Developing Hospitals
Distinct Market Segment Hospitals
New Hospitals
Siloam Clinic
Completed Hospital In Yogyakarta
Completed Hospital In Bogor
Completed Hospital In Bekasi Blu Plaza
Newly Acquired Hospital In Bekasi
Newly Acquired Hospital In Mataram, Lombok

16
17 – 18
19
20
21
22
23
24
25
26

FY 2016 Results

16

Mature Hospitals
SILOAM HOSPITALS BALIKPAPAN

SILOAM HOSPITALS LIPPO VILLAGE
TANGERANG (West of Jakarta)
JCIA
308 Bed Capacity
274 Operational Beds
228 GP and Specialists
375 Nurses
Centre of Excellence : Cardiology, Neuroscience,
Orthopedics & Emergency

SILOAM HOSPITALS KEBON JERUK
WEST JAKARTA
285 Bed Capacity
215 Operational Beds
208 GP and Specialists
303 Nurses
Centre of Excellence : Urology,
Orthopaedic, Cardiology & Emergency

SILOAM HOSPITALS SURABAYA
EAST JAVA
162 Bed Capacity
160 Operational Beds
161 GP and Specialists
244 Nurses
Centre of Excellence : Fertility Treatment,
Cardiology & Emergency

EAST KALIMANTAN
232 Bed Capacity
165 Operational Bed
111 GP and Specialists
156 Nurses
Centre of Excellence : Orthopedics & Emergency
79.61% Ownership

SILOAM HOSPITALS PURWAKARTA
JCIA

WEST JAVA
202 Bed Capacity
190 Operational Beds
60 GP and Specialists
168 Nurses
Centre of Excellence : Emergency

FY 2016 Results

Developing Hospitals

79.84% Ownership

SILOAM HOSPITALS CIKARANG

SILOAM GENERAL HOSPITAL (RSUS)

BEKASI (East of Jakarta)

TANGERANG (West of Jakarta)

114 Bed Capacity
108 Operational Beds
94 GP and Specialists
156 Nurses
Centre of Excellence : Occupational Health &
Emergency

640 Bed Capacity
300 Operational Beds
75 GP and Specialists
227 Nurses
Centre of Excellence : Emergency

SILOAM HOSPITALS JAMBI

SILOAM HOSPITALS MANADO

EAST SUMATERA
100 Bed Capacity
90 Operational Beds
66 GP and Specialists
121 Nurses
Centre of Excellence : Emergency

NORTH SULAWESI
238 Bed Capacity
177 Operational Beds
112 GP and Specialists
193 Nurses
Centre of Excellence : Emergency

MRCCC SILOAM SEMANGGI

SILOAM HOSPITALS MAKASSAR

SOUTH JAKARTA
334 Bed Capacity
155 Operational Beds
174 GP and Specialists
284 Nurses
Centre of Excellence : Cancer, Liver &
Emergency

SOUTH SULAWESI

83.0% Ownership

362 Bed Capacity
215 Operational Beds
119 GP and Specialists
228 Nurses
Centre of Excellence : Cardiology,
Endocrinology &
Emergency

17

FY 2016 Results

Developing Hospitals
SILOAM HOSPITALS PALEMBANG

SILOAM HOSPITALS MEDAN

SOUTH SUMATERA

NORTH SUMATERA

357 Bed Capacity
150 Operational Beds
135 GP and Specialists
162 Nurses
Centre of Excellence : Gastroenterology &
Emergency
70.00% Ownership

356 Bed Capacity
75 Operational Beds
102 GP and Specialists
88 Nurses
Centre of Excellence : Emergency & Trauma

SILOAM HOSPITALS CINERE

SILOAM HOSPITALS TB SIMATUPANG

DEPOK (South of Jakarta)

SOUTH JAKARTA
269 Bed Capacity
118 Operational Beds
147 GP and Specialists
129 Nurses
Centre of Excellence : Cardiology, Oncology,
Neuroscience &
Emergency

50 Bed Capacity
37 Operational Beds
20 GP and Specialists
42 Nurses
Centre of Excellence: Cardiology

80.0% Ownership

SILOAM HOSPITALS KUPANG
EAST NUSA TENGGARA
416 Bed Capacity
110 Operational Beds
56 GP and Specialists
150 Nurses
Centre of Excellence : Emergency

18

FY 2016 Results

19

Distinct Market Segment Hospitals
SILOAM HOSPITALS BALI

BIMC KUTA

BALI

BALI
19 Bed Capacity
18 Operational Beds
50 GP and Specialists
66 Nurses
Centre of Excellence : Treatment for tourists &
Emergency

281 Bed Capacity
111 Operational Beds
126 GP and Specialists
192 Nurses
Centre of Excellence : Treatment for tourists,
Orthopedics, Cardiology &
Emergency

SILOAM HOSPITALS ASRI
SOUTH JAKARTA
42 Bed Capacity
42 Operational Beds
105 GP and Specialists
83 Nurses
Centre of Excellence : Urology

BIMC NUSA DUA
BALI
39 Bed Capacity
24 Operational Beds
46 GP and Specialists
53 Nurses
Centre of Excellence : Cosmetic Surgery &
Emergency

FY 2016 Results

New Hospitals
SILOAM HOSPITALS LABUAN BAJO

SILOAM HOSPITALS SAMARINDA

EAST NUSA TENGGARA
124 Bed Capacity
60 Operational Beds
25 GP and Specialists
62 Nurses
Centre of Excellence : Emergency

EAST KALIMANTAN
34 Bed Capacity
10 Operational Beds
34 GP and Specialists
18 Nurses
Centre of Excellence : Emergency

SILOAM HOSPITALS BUTON
SOUTHEAST SULAWESI
140 Bed Capacity
45 Operational Beds
30 GP and Specialists
72 Nurses
Centre of Excellence : Emergency

20

FY 2016 Results

Siloam Clinic
CYBER PARK KARAWACI

FAÇADE

RECEPTION

GP’s CON“ULTATION ROOM

FAÇADE

RECEPTION

GP’s CON“ULTATION ROOM

MERTANADI BALI

21

FY 2016 Results

Completed Hospital In Yogyakarta

FAÇADE

MAIN LOBBY

FRONT OFFICE

OUT PATIENT DEPARTMENT

22

FY 2016 Results

Completed Hospital In Bogor

FAÇADE

EMERGENCY DEPARTMENT

MAIN LOBBY

OUT PATIENT DEPARTMENT

23

FY 2016 Results

Completed Hospital In Bekasi Blu Plaza

FAÇADE

EMERGENCY DEPARTMENT

FRONT OFFICE

OUT PATIENT DEPARTMENT

24

FY 2016 Results

Newly Acquired Hospital In Bekasi

FAÇADE

FRONT OFFICE

LOBBY WAITING AREA

OUT PATIENT DEPARTMENT

25

FY 2016 Results

Newly Acquired Hospital In Mataram, Lombok

FAÇADE

FRONT OFFICE

IN PATIENT DEPARTMENT

OUT PATIENT DEPARTMENT

26

Hospitals Under Development
Licensing Requirement
For Completion In 2017

28
29 – 31

FY 2016 Results

Licensing Requirement
Licensing Process
In order to be able to fully commission a new hospital, we have to go through a licensing process involving local governments and
provincial health departments. This process involves more than 40 licenses and can be summarized into 6 most critical licenses.
Environmental License
(AMDAL)

Building Permit
(IMB)

Hospital
Building Permit
(IMRS)

Nuisance
Permit (HO)

Certificate of
Proper Building
Function (SLF)

Operational
License (IO)

Status of Major Projects for 2016 & 2017
Hospital
Yogyakarta
Bekasi Blu Plaza
Bogor
Bangka
Lubuk Linggau
Jember
Sorong
Semarang Hoo
Bekasi Grand Mall
Banjarmasin
Gunung Sahari

AMDAL

IMB

HO

IMRS

SLF

IO

28

FY 2016 Results

For Completion In 2017

BANGKA BELITUNG

Sept 2016

Current

Sept 2016

Current

Sept 2016

Current

JEMBER

LUBUK LINGGAU

29

FY 2016 Results

For Completion In 2017

SORONG

Sept 2016

Current

30

FY 2016 Results

For Completion In 2017
BANJARMASIN

BATU LIPPO MALL

BEKASI GRAND MALL

KALIMALANG

LIPPO KUNINGAN

MANADO KAIRAGI

NINE RESIDENCE

PALANGKARAYA

GUNUNG SAHARI

PLUIT VILLAGE

SEMARANG HOO

SURABAYA CITO

31

Financial Performance
Strong Financial Performance
Revenue & EBITDA Details
Balance Sheets
Steady Ramp-up Model
Hospitals Ramp-Up
Comparable Margin with Peers

33
34
35
36
37 – 38
39

FY 2016 Results

33

Strong Financial Performance
Revenue

EBITDAR & EBITDA

In IDR Bn

In IDR Bn
+25%

% to NOR
+21%

5,168

809
22%

+24%

+27%

4,144

671
22%

+33%

3,341

+58%

3,720

+42%

+33%

+34%

+35%

1,847

1,259

574
+23%

19%

466

+23%

2,472
1,788

GOR

NOR

3,042

2,504

526
21%

+22%
+40%

674
+17% 18%

EBITDAR

+45%

EBITDA

881

187
155

18% +56%

251

298

20% +35% 16%

21% +43%

1,273
+44%

19%

334

221
17%

18%

FY 2011

FY 2012

FY 2013

FY 2014

FY 2015

FY 2016

FY 2011

FY 2012

FY 2013

FY 2014

FY 2015

FY 2016

Siloam is the clear leader and fastest growing private hospital group in Indonesia serving all segments of the population
Notes:
GOR refers to revenues relating to medical support services, professional fees and consultation fees, drugs and medical supplies, room service, administration, operating theatre, delivery rooms, registration fees and other services.
NOR is calculated by deducting service costs (doctor consultation and professional fees) from GOR.
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).

FY 2016 Results

34

Revenue & EBITDA Details
FY
In IDR Bn

∆%

2015

2016

GOR

4,144

5,168

25%

Service Cost

1,102

1,449

31%

NOR

3,042

3,719

22%

Material Cost

1,219

1,477

21%

Gross Margin

1,823

2,243

23%

Operating Expenses

1,152

1,434

24%

671

809

21%

% to GOR

16.2%

15.6%

% to NOR

22.0%

21.7%

Rental (i)

97

135

39%

EBITDA (ii)

574

674

17%

% to GOR

13.8%

13.0%

% to NOR

18.9%

18.1%

62

99

1.5%
2.0%

1.9%
2.7%

EBITDAR

NPAT
% to GOR
% to NOR

60%

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).

FY 2016 Results

Balance Sheets
2015

2016

∆%

Cash & Equivalent

160

740

363%

Other Current Assets

796

1,166

46%

Property and Equipment

1,553

1,694

9%

Other Non-Current Assets

477

615

29%

2,986

4,216

41%

384

145

-62%

Liabilities

1,246

1,087

-13%

Shareholders' Equity

1,740

3,219

80%

Total Liabilities & Equity

2,986

4,216

41%

Gearing Ratio

0.22

0.05

-79%

Net Gearing Ratio

0.13

-0.19

-248%

In IDR Bn
Assets

Total Assets
Liabilities & Equity
Debt

35

FY 2016 Results

36

Steady Ramp-up Model
Contribution

EBITDA Margin
% to NOR

12%

12%

19%

35%

34%

19%

29%
27%
42%

45%

29%
35%
19%
15%

53%

45%

42%

51%

-247%

0%
FY 2015

FY 2016
Revenue
Mature

Developing

FY 2015

-5%
FY 2016

EBITDA
Distinct
New

FY 2015
Mature

FY 2016
Developing

Distinct

New

Increasing contribution from developing hospitals

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).

FY 2016 Results

Hospitals Ramp-Up
Manado (Operational in 2012)
In IDR Bn

% to NOR

63,410

276

8,398

70.1%

22.5%
5,299

38,242

40.3%

94
0.0%
BPJS
FY 2013

47.1%
BPJS
FY 2016

Revenue

177
beds

-0.5%
FY 2013

FY 2016

EBITDA Margin

FY 2013

FY 2016

FY 2013

OPD Visits

FY 2016

IPD Admissions

FY 2013

177
beds
FY 2016

Occupancy Rate

Makassar (Operational in 2012)
In IDR Bn

% to NOR

308

123,491

26.0%

13,854

13.5%

34.5%
40,312

102
0.0%
BPJS
FY 2013

28.7%
BPJS
FY 2016

Revenue

74.0%

4,893
179
beds

FY 2013

FY 2016

EBITDA Margin

FY 2013

FY 2016

FY 2013

OPD Visits
Proven track record of ramp-up hospitals

FY 2016

IPD Admissions

FY 2013

215
beds
FY 2016

Occupancy Rate

37

FY 2016 Results

Hospitals Ramp-Up
Palembang (Operational in 2012)
In IDR Bn

% to NOR

101,786

192

8,586

24.4%

43.8%

4,916

92

45,748

9.6%
0.0%
BPJS
FY 2013

63.9%

0.0%
BPJS
FY 2016

Revenue

135
beds
FY 2013

FY 2016

EBITDA Margin

FY 2013

FY 2016

FY 2013

OPD Visits

FY 2016

IPD Admissions

FY 2013

150
beds
FY 2016

Occupancy Rate

TB (Operational in 2013)
In IDR Bn

% to NOR

89,554

233

5,748
51.4%

22.6%
16.2%

2,863

113

0.0%
BPJS
FY 2014

37,020

18.9%
BPJS
FY 2016

Revenue

42.9%

80
beds
FY 2014

FY 2016

EBITDA Margin

FY 2014

FY 2016

FY 2014

OPD Visits
Proven track record of ramp-up hospitals

FY 2016

IPD Admissions

FY 2014

118
beds
FY 2016

Occupancy Rate

38

FY 2016 Results

39

Comparable Margin with Peers
SILO EBITDAR Margin

SILO EBITDA Margin

% to NOR

Peers EBITDA Margin

% to NOR

% to NOR

37.4%
36.3%

37.0%
35.1%
34.0%

32.9%
30.6%

31.8%
29.4%
27.4%
22.5%

21.6%

18.8%

22.8%

18.8%
15.4%

-209.2%
Mature

Developing

FY 2015

Distinct

FY 2016

New

-246.9%
Mature

Developing
FY 2015

Distinct

New

Hospital A Hospital B Hospital C Hospital D

FY 2016

Siloam Mature and Distinct Hospitals EBITDAR Margin are comparable to the Peers EBITDA Margin

Note:
EBITDAR refers to income before depreciation, provisions for post-employment benefits, allowance for impairment in value, corporate income taxes, other expense and/or income (consisting primarily of financing income and others-net) and rental.
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).

Operational Performance
Medical Equipment Utilization
Outpatient Visits
Emergency Visits
In-patient Admissions
Bed Occupancy Rate
Average Revenue Per Patient
Manpower Availability

41
42 – 43
44 – 45
46 – 47
48 – 49
50
51

FY 2016 Results

Medical Equipment Utilization
CT-Scan
50.0%
40.5%
40.0%
30.7%
30.0%

22.2%

18.7%

20.0%

17.1%

13.5%
6.3%

10.0%

7.0%
0.0%

2.7%

0.0%
Mature

Developing

Distinct
FY 2015
FY 2016

New

Consolidated

MRI
40.0%

32.7%
30.0%

29.1%
23.7%
20.2%

20.0%
20.0%

15.6%
12.0% 11.5%

10.0%
0.0%

0.0%

0.0%
Mature

Developing

Distinct
FY 2015
FY 2016

New

Consolidated

41

FY 2016 Results

42

Outpatient Visits
1st Quarter

2nd Quarter
+20%

+22%

+9%

466,298
383,060

+36%

215,036
207,497
196,889
152,962

Mature

Developing

-

Distinct
2015

+26%

209,124
209,129
190,511
165,911

+29%
42,740
33,209

+10%

467,166
389,487

45,742
33,065

1,025
New

+38%

Consolidated

Mature

Developing

2016

Distinct
2015

3rd Quarter

-

3,171
New

2016

4th Quarter
+19%

+6%

452,427
379,423

+28%

210,777
191,247
180,487
164,039

Mature

Developing

Distinct
2015

2016

+14%

+20%
504,730
421,593

+24%
+3%

228,460
221,313
193,650
184,717

+27%
44,232
34,897

Consolidated

-

44,728
43,226

6,171
New

Consolidated

Mature

Developing

Distinct
2015

2016

-

10,229
New

Consolidated

FY 2016 Results

43

Outpatient Visits
Full Year
+20%
1,890,684
1,573,563
+10%
836,720

761,537

+28%
855,863
667,629

+23%
144,397

Mature

Developing

177,442

Distinct
2015

20,659

-

2016

New

Consolidated

FY 2016 Results

44

Emergency Visits
1st Quarter

2nd Quarter
+24%

+18%

67,039
53,882

+30%

30,539
28,868
23,473
24,440

+25%
5,969

Mature

Developing

7,451

+17%

60,064
49,851

+20%
+25%

26,200
26,115
22,229
21,871
-

Distinct
2015

+20%

5,751

181
New

Consolidated

Mature

Developing

2016

-

Distinct
2015

3rd Quarter

7,183

566
New

2016

4th Quarter
+11%
55,934
50,174

+6%

+11%

22,843
24,029
21,728
21,474

Developing

+8%
53,87058,170
+9%
-9%
25,715
25,47524,434
23,500

+11%
6,972

Mature

Consolidated

2015

6,254

7,737

-

Distinct
2016

+28%

4,895

1,325
New

Consolidated

Mature

Developing

-

Distinct
2015

2016

1,767
New

Consolidated

FY 2016 Results

Emergency Visits
Full Year
+16%
241,231
207,777
+14%

+13%
103,541
91,643

92,547

105,202

+21%
23,587

Mature

Developing

28,625

Distinct
2015

3,863

-

2016

New

Consolidated

45

FY 2016 Results

46

In-patient Admissions
1st Quarter

2nd Quarter
+22%
44,852
36,914

+28%

+10%

+15%
22,841
18,641 17,841
16,144

Developing

-

Distinct
2015

42,396
35,690

+24%

21,156
17,481
17,029
15,904

+11%
2,929 3,253

Mature

+19%

2,757 3,267

117
New

+18%

Consolidated

Mature

Developing

2016

Distinct
2015

3rd Quarter

-

492
New

Consolidated

2016

4th Quarter
+16%
+18%

+3%

40,467
34,418

+22%

20,875
15,233 17,098
14,745

Mature

Developing

3,401

Distinct
2015

2016

+12%

22,076
17,950 19,632
16,491

+32%
2,575

+9%

44,753
38,731
+17%
3,057

-

958
New

2,608
Consolidated

Mature

Developing

-

Distinct
2015

2016

1,670
New

Consolidated

FY 2016 Results

In-patient Admissions
Full Year
+18%
172,468
145,753
+21%
+10%
63,284

69,305

71,600

86,948
+19%
10,869

Mature

Developing

12,978

Distinct
2015

2016

3,237

New

Consolidated

47

FY 2016 Results

48

Bed Occupancy Rate
1st Quarter

74%
69%

2nd Quarter

71%
63%

60%

59%

71%

72%
58%

54%

70%

64%

67%

61%
50%

33%

26%
971
beds

1,004
beds

Mature

1,396 1,507
beds beds

Developing

205
beds

205
beds

Distinct
2015

0%

19
beds

New

2,572 2,735
beds beds

Consolidated

985
beds

1,004
beds

Mature

1,388 1,507
beds beds

Developing

2016

61%

56%

58%

1,004
beds

Mature

1,393 1,517
beds beds

Developing

205
beds

192
beds

Distinct
2015

60%

65%

68%

62%

2016

Distinct

0%

70
beds

New

2,578 2,769
beds beds

Consolidated

2016

0%

100
beds

New

60%

63%

45%

43%

985
beds

188
beds

4th Quarter

63%

61%

205
beds

2015

3rd Quarter

62%

67%

66%

62% 65%

115
beds

2,641 2,849
beds beds

47%

2,583 2,813
beds beds

Consolidated

992
beds

1,004
beds

Mature

1,444 1,535
beds beds

Developing

205
beds

195
beds

Distinct
2015

2016

0%

New

Consolidated

FY 2016 Results

Bed Occupancy Rate
Full Year

69%

65%

57%

64%

63%

60%

64%

48%
32%
992
beds

1,004
beds

Mature

1,444
beds

1,535
beds

Developing

205
beds

195
beds

Distinct
2015

2016

115
beds

0%
New

2,641
beds

2,849
beds

Consolidated

49

FY 2016 Results

50

Average Revenue Per Patient
In-patient Average Revenue Per Patient
IDR Mn

35.0
28.6

30.0
25.0
20.0

19.7 19.0
17.8 18.6

30.7 29.7

20.4

17.9 17.9 17.7 18.4

15.8 15.2 15.7 17.0

15.0
10.0

6.7

5.0

-

-

-

Mature

Developing
FY 2013

Distinct
FY 2014
FY 2015

New

Consolidated

FY 2016

Blended Out Patient Average Revenue Per Patient
IDR Mn

1.4

1.3

1.2
1.0

1.1
0.8

0.8

0.8

0.8

0.9
0.8

0.8

0.8

1.0

1.1

0.8

0.8

0.6

0.8

0.8

0.4

0.4

0.2

-

-

-

Mature

Developing
FY 2013

Distinct
FY 2014
FY 2015

New
FY 2016

Consolidated

0.9

FY 2016 Results

51

Manpower Availability
Doctors

Nurses
1,842
1,699
1,503

3,564

3,740

3,244
1,209
2,628
960
1,948

735
1,576
445

421

462

FY 2014

FY 2015

FY 2016

304
151

189

FY 2011

FY 2012

FY 2013
GP

FY 2011

FY 2012

Specialist

FY 2013

FY 2014

FY 2015

FY 2016

Nurses
Siloa ’s rete tio of Doctors and Nurses is strong

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).

Appendices
Lippo Group
Comparison Health Statistics
Hospitals in Indonesia

53
54
55

FY 2016 Results

Lippo Group
TMT

RETAIL
Hypermart

297 Stores; 3.9mn
loyalty card
members
Nationwide in 67
cities
- 112 Hypermart
- 106 Boston
- 77 Foodmart
- 2 SmartClub
Mkt. Cap.
- Rp7.91T (Jun 2016)
- US$596mn
Mkt Share
- 35.5%

-

-

5
3

Matahari Dept
Store

Stores Nationwide
- 146 stores in 67
cities
- 3.36 million card
members
- 6th most valuable
brand in Indonesia
Mkt. Cap.
- Rp56.7T (Jun 2016)
- US$4.3B
Mkt Share
- 34.4%

Technology – Multimedia –
Telecommunications

REAL ESTATE
Township

PT Lippo Karawaci Tbk.
•Largest RI Property
Group;
Mkt Cap
• Rp 24.12T (Jun 2016)
• US$1.8B

• Residential and light
industrial estate
Mkt Cap
• Rp 5.2T (Jun 2016)
• US$ 400mn

Commercial Malls
/ Int Devt

Largest modern mall
operator /
management in RI
• 63 malls in 31
cities; 45 pipeline
• accounts for over
20-30% of all
modern retail mall
space in Indonesia

Healthcare

• 23 Hospitals
• 2,890 beds in 12
cities
• 23 Targeted
Hospitals (2016)
• 7 Targeted
Hospitals (2017)
• Mkt Cap
• Rp12.5T (Jun 2016)
• US$940mn

- Leading PayTV and Internet
Service Provider
- Over 750,000 subscribers
Mkt Cap
- Rp2.3T (Jun 2016)
- US$170mn

- Largest High-speed Cable
Network Operator
- over 1.8mn Homepass 847k
subs
- Mkt Cap
- Rp 12.4T (Jun 2016)
- US$940mn

IT Services &
Other
TMT

- IT Services & Systems
Integrator
- 80% Mkt Share
Mkt Cap
- Rp 3.76T (Jun 2016)
- US$284mn

- First 4G LTE Operator
in RI; 30 MHz spectrum
- Over 1.4 million Bolt
subscribers
- 3,300 installed BTS
(Jabodetabek)

- DTH PayTV; 184 ch / 30HD;
over 250k subs

• Integrated township
Mkt Cap
• Rp 634.6B (Jun 2016)
• US$ 47.9mn

8 Hotels
nationwide

- Most aggressive and
successful online retailer
- Well positioned to be the
#1 online B2C retailer in
Indonesia

- Manages over US$2.5 billion in assets
- Combined Market Capitalization of US$ 1.43 Trillion
- Publicly listed in SNG

- Multi-screen Entertainment
Centers; 102 screens; 19
sites; 14 Cities

- O e of I do esia’s e est
and most progressive B2B
and B2G providers
- Pro ides a free a d
effective E-Procurement
system.

88 Stores

39 bookstores

Multimedia

(Jun 2016)

- TV News and
Publication Group
- over a 1.2 million
online readership

-Tier 3 / 4 Data Center;
multi-fiber optic ready
- In partnership with
Mitsui MKI

Financial
Services

UPH Foundation

- Leading privately
owned securities house
- Shareholder in Bussan
Auto Finance (BAF) – a
national multifinance
company; in partnership
with Yamaha Motors Co.
Ltd., and Mitsui & Co.
Ltd.

- Life, general and
medical insurance
provider
Mkt Cap
- Rp 741.0B (Jun 2016)
- US$ 56mn

- Over 92 Nobu Bank
branches in 47 cities
nationwide
Mkt Cap
- Rp2.01T (Jun 2016)
- US$151.8m

• Non-Profit Educ.
Foundation
• Over 29 schools
nationwide in 22 cities
-- 17,800 students
-- 1,400 teachers
-- 432 Staff

53

FY 2016 Results

54

Comparison Health Statistics
Hospital beds per 10,000 pops
Physician per10,000 pops
Health Profesionals per 10,000
pops
Life expectancy at birth (years)
IMR per 1,000 live birth
MMR per 100,000 live birth
% Government Expenditure
% Private Expenditure
Healthcare Spend as % of GDP

Indonesia Vietnam Malaysia Singapore South Korea
9
20
19
20
103
2
12
12
20
21

Per capita total expenditure on
healthcare (USD)

45
75
4
40
55
45
4

77
83
1
10
40
60
5

72
82
2
11
53
47
7

24
68
28
174
32
68
4

32
76
6
27
56
44
6

293

308

938

3.578

2.398

215

646

UK

28.1

USA

24.5
21.4
19.5
14.9

9.4

UK

9.1

South Korea

7.2

Vietnam

6.0

China

5.6

Singapore

Vietnam

11.9

Malaysia

4.0

India

4.0

Indonesia

2.0

Source : World Bank, WHO 2016

4.191

UK
29
25

29
28

123
79
4
14
47
53
17

116
81
2
9
84
16
9

9.146

3.311

17.1

Australia

12.0
7.0

139
83
2
6
67
33
9

USA

Malaysia
India

USA

Total Healthcare Spending as % of GDP
32.7

China

7
7

24
76
11
54
42
58
6

Australia

Singapore

China Australia
38
39
15
33

16
69
14
126
39
61
3

Physicians per 10,000 pops

South Korea

India

Indonesia

4.6

3.1

FY 2016 Results

55

Hospitals in Indonesia
No

OWNER

31 Dec 10

31 Dec 11

31 Dec 12

31 Dec 13

31 Dec 14

31 Dec 15

31 Dec 16

1

MOH

31

32

32

33

34

36

33

2

PROVINCE GOVERNMENT

85

85

89

96

98

113

120

3

MUNICIPAL GOVERNMENT

63

86

88

92

93

98

97

4

DISTRICT GOVERNMENT

403

411

444

455

463

469

480

5

ARMY / POLICE

131

134

155

159

170

170

167

6

OTHER MINISTRIES /
PUBLIC COMPANIES

79

80

79

79

79

79

77

7

PRIVATE

840

893

1,179

1,314

1,472

1,525

1,627

1,632

1,721

2,066

2,228

2,409

2,490

2,601

TOTAL
Source : Ministry of Health