PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter...

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Public Expose May 1, 2013 PT Sarana Meditama Metropolitan Tbk.

Transcript of PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter...

Page 1: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

Public ExposeMay 1, 2013

PT Sarana Meditama Metropolitan Tbk.

Page 2: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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Table of Contents

Titles Chapter

Business Overview 1

Prospect of the Industry 2

Business Strategies 3

Financial Highlights 4

Page 3: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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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

Page 4: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

Chapter 1

Business Overview

Page 5: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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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

Page 8: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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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

Page 9: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

Prospect of the Industry

Chapter 2

Page 10: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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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

Page 11: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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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

Page 12: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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Chapter 3

Business Strategies

Page 13: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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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

Page 14: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

Chapter 4

Financial Highlights

Page 15: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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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)

Page 16: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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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)

Page 18: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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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

Page 19: PT Sarana Meditama Metropolitan Tbk. Office Jl. Pulomas Barat VI no. 20 Jakarta Timur 13210 Chapter 1 Business Overview 4 Brief Company Overview Provides a full range of premier inpatient

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Thank You