PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter...
Transcript of PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter...
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Public ExposeMay 1, 2013
PT Sarana Meditama Metropolitan Tbk.
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Table of Contents
Titles Chapter
Business Overview 1
Prospect of the Industry 2
Business Strategies 3
Financial Highlights 4
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Profile
Company PT. Sarana Meditama Metropolitan Tbk.
Establishment 1984
Industry Healthcare
Subsidiary PT. Sarana Meditama International
Head Office Jl. Pulomas Barat VI no. 20Jakarta Timur 13210
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Chapter 1
Business Overview
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Brief Company Overview
Provides a full range of premier inpatient and outpatient hospital services through two hospitals – SMM and SMI
Accredited by the Ministry of Health for 16 medical services, the maximum amount
Certified as Class B, the premiere certification for private hospitals in Indonesia
SMM SMI
Inception 1984 2007
Location Pulomas Alam Sutera
Building Area (m2) 11,093 24,790
Total Beds / PremiumBeds 145 / 49 101 / 28
Bed Occupancy Rate 67.7% 65.0%
Inpatient Days 35,882 24,035
Outpatient Number 116,747 83,394
NorthJakarta
EastJakarta
SouthJakarta
WestJakarta Central
Jakarta
Tangerang
Depok
Bekasi
SMMSMI
OMNI LocationsCommunities Served
Bogor
Overview
YTD 2012
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Facility and Specialty Centers
SMM
InceptionLocationOwned/LeasedApprox. Sq. MetersOrdinary Bed CapacityNo. of Total BedsNo. of Premium BedsNo. of Operating TheatersSpecialistsMedical Staff (including nurses)
1984PulomasOwned11,093168145493114307
SMI
InceptionLocationOwned/LeasedApprox. Sq. MetersOrdinary Bed CapacityNo. of Total BedsNo. of Premium BedsNo. of Operating TheatersSpecialistsMedical Staff (including nurses)
2007Alam SuteraOwned24,79023210128479311
■ Electromedic Diagnosis■ Intensive Care Unit■ Laboratory■ Medical Check-up■ Medical Rehabilitation■ Pharmacy■ Radiology
■ Customer Service Program■ Home Care■ Medical Evacuation■ Social Programs■ Others
Specialty Centers Allied Health & Medical Services Support Services
■ 29 specialty and subspecialty centers■ Five Centers of Excellence Cardiology Center Kawasaki Center Neurosurgery Center Orthopedics Center Urology Centre
■ Full range of inpatient and outpatientservices
■ Comprehensive medical support fordiagnosis and treatment
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Company Milestones
The hospital (Omni) inPulomas was founded as anon-profit hospitalorganization in 1972 toprovide psychiatricdiagnosis and therapy tothe local community
In 1984, SMM was set upand became the owner ofthe hospital
In 1988, SMM started tostrategically transforminto a general hospital toprovide a full range ofmedical services
In 2007, SMI, locatedin Alam Sutera wasfounded to capture therapidly growingmedical servicedemand in Westernpart of Jakarta
In 2008, Omni formallyestablished five centersof excellence to providedifferentiated premierservice
Omni hospitals wererecognized bySuperbrands in the year2008/2009
In 2009/2010, both SMMand SMI were accreditedby Ministry of Health inall 16 fields of services
Omni introduced a teamof professional managersto better position thehospitals, and devisestrategies to transformoperations, customerrelationships, sales andmarketing
Addition of 25 beds(including 20 premiumbeds) in SMM effectiveMay 2011
Roadmap of A Fast Growth, Leading Premier Health Care Provider
The Companycompleted a successfullisting on the IndonesiaStock Exchangeeffective 11 January2013.
Commencement of theAesthetic Center atSMM effective Feb2013
Scheduled expansion of18 premium beds atSMI(Alam Sutera) in thesecond- half 2013
1972 – 2006 2007 2008 - 2009 2010-2011 2012-2013
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Management per AGM dated May 1, 2013
Board ofBoard ofCommissionersCommissioners
Board ofBoard ofDirectorsDirectors
Dr Henry Naland, Sp. B(K) OnkCommissioner
Michael Cho Yu ChungPresident Commissioner
Drs Herbudianto, AkIndependent Commissioner
Hassan ThemasDirector – Non affiliated
Dr Maria Theresia Yulita, MARSDirector
Dr Raymond Oenleng, MARSDirector
Noersing, MBAPresident Director
Samuel CheungDirector
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Prospect of the Industry
Chapter 2
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Under-Served Healthcare Market in a Fast Growing Economy
Indonesia has the world’s fourth largest population at 238 million and is projected to grow at 1.1% annually for thenext five years
The middle class in Indonesia is expected to grow from 36% to 58% of the country’s total population in 2020
Greater Jakarta, which the Omni hospitals primarily serve, experienced an annual population growth of 3.6% over thelast 10 years; its population reached 27.9 million in 2010
Projected GDP growth outpaces population growth, implying an improvement in individual consumption power
Health service is a severely under-served market in Indonesia
Health expenditure per capita in Indonesia is US$55, significantly lower than other neighboring developingcountries
400.0
500.0
600.0
700.0
800.0
900.0
1,000.0
1,100.0
1,200.0
1,300.0
2010 2011 2012 2013 2014 2015
in U
S$ b
illlio
n, c
urre
nt p
rice
Indonesia GDP Growth Per Capital Healthcare Spending
2116
33 22
6744
128
30 2742 38
9581
222
45 55 6780
168 169
337
0
50
100
150
200
250
300
350
400
India Indonesia Philippines Vietnam Thailand China MalaysiaPer
Capita T
ota
l H
ealth
Expenditure
(in
US$)
2000 2005 2009
CountryIndiaIndonesiaPhilippinesVietnamThailandChinaMalaysia
2000 - 2009 CAGR8.8%14.7%8.2%15.4%10.8%16.1%11.4%
Total Health Exp. As a % of GDP4.2%2.4%3.8%7.2%4.3%4.6%4.8%
Source : World Health Organization (WHO) Health Statistic 2011
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Challenges of Indonesia Hospital Industry
More than 100,000 Indonesians go abroad every year to seek medical assistance due to the lack of reliable andhigh quality domestic hospital service
These patients have contributed approximately US$600 million annually to the foreign hospital service market Significant market opportunities exist for middle to high level hospital service providers in the Greater Jakarta
area
Limited Middle toHigh End Hospital
Services
With six beds per 10,000 inhabitants, Indonesia has one of the lowest beds to population ratio amongAsian countries
Most non-profit organizations, public hospitals and social community hospitals in Indonesia do not havethe capital necessary to upgrade their facilities and equipment
Inadequate MedicalFacilities and
Equipment
Density of medical staff in Indonesia is low compared with other developing Asian countries Physician density is 2.88 per 10,000 inhabitants, much lower than the world average of 14 physicians
per 10,000 inhabitants, putting great pressure on the healthcare system
Shortage ofMedical Staff
Most specialists work as partners rather than employees of hospitals and may simultaneously work fora maximum of three hospitals
This unique dynamic coupled with limited supply of specialists result in the high specialist turnover andtherefore increases the competition among hospitals to retain leading specialists
High Turnover ofSpecialists
Indonesian hospitals are managed directly by authorized doctors This regulation excludes professional commercial management from most care facilities and can result
in inefficiency
ManagementStructure
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Chapter 3
Business Strategies
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Increase Capacity forPremier Services
Develop Specialty Servicesfor Complex Medical
Conditions
Strategic Marketing
Attract and Retain LeadingSpecialists and Nurses
Enhance Relationshipswith Key Medical Suppliers
Roll-out Model
Business Strategies (Summary)
Add another 52 beds toOMNI hospitals by 2015
Bed occupancy rate ofPremium Beds, amongother beds, will continue torise
Transfer management andoperational know-how to newlocations to drive revenuegrowth through quick ramp-up.
Target expansion in citiesoutside Jakarta to gain first-mover advantage andleverage on brand strength
Invite leading specialists toexpand existing programs anddevelop new programs
Continue to invest in world classtechnology for the hospitals
Aim to gain significant marketshare in each specialty
Further penetrate local andspecialty communities todrive inpatient volumesthrough innovative marketingstrategies
Expand and maintainrelationships with corporateand insurance customers
High historical specialistretention
Specialists realize value byadvertising and holding seminars
Provide seamless managementsupport and working environment
Comprehensive nursing program
Standardization helpsconsolidate pharmaceuticalsuppliers, so as to obtainlarger discounts and achievebetter inventory management
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Chapter 4
Financial Highlights
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Financial Performance
2009 2010 2011 2012 2013 P
142.1172.7
241.6270.5
321.5
Net Revenue (in bio Rp)
2009 2010 2011 2012 2013 P
40.856.9
103.3
122.6
145.5
Gross Profit (in bio Rp)
2009 2010 2011 2012 2013 P
17.3
32.3
63.6
76.5
92.5
EBITDA (in bio Rp)
2009 2010 2011 2012 2013 P
(29.2)(24.9)
(12.2)
23.3
31.1
Net Income (in bio Rp)
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Revenue Distribution 2012 (in bio Rp)
Electromedic Diagnostic (EMD)Electromedic Diagnostic, Extracorporealshock wave lithotripsy, ExtracorporealShock Wave Therapy, CT Scan andMagnetic Resonance Imaging
Inpatient ServicesInpatient Accommodation,Operating Theatre,Delivery Room services
Medical Check-up (MCU)Individual and CorporateMCU services
Ancillary ServicesPharmacy, Laboratory,Radiology, Pathology Anatomyand Bone Mineral Densitometry
Outpatient ServicesHaemodialysis, Accident &Emergency, SpecialistPoliclinics
Other ServicesMedical Rehabilitation,Other Services, Homecare,Mini-shop
Inpatient,54.7
Outpatient,13.3
Ancillary,162.5
EMD,7.5
MCU,3.6
Others,36.4
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Financial Performance
Description 31-Dec-11 31-Dec-2012(Pre IPO)
31-Dec-12 Proforma(Post IPO)
Curret Assets 43 38 51Non-Current Assets 260 253 272Total Assets 303 291 323
Current Liabilities 145 134 134Non Current-Liabilities 162 138 103Total Liabilities 307 272 237
Equity attributable to owner of the Parent Entity (4) 19 86Non-controlling interest (0) (0) (0)Total Equity (4) 19 86
Total Liabilities and Equity 303 291 323
(in bio Rp)
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Financial Ratios
Gross Profit Margin 28.7% 32.9% 42.8% 45.3%
EBITDA Margin 12.2% 18.7% 26.3% 28.3%
Return on Asset -9.0% -7.8% -4.0% 8.0%
Return on Equity -88.5% -305.3% -301.3% 123.2%
Current Ratio 0.4x 0.3x 0.3x 0.3x
Debt to Equity 8.8x 38.4x (75.9)x 14.4x *
* The Debt to Equity ratio was 3.2x as per Proforma Post IPO
Financial Ratios 2009A 2010A 2011A 2012A
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Thank You