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Siloam - 3Q18 Presentation
Siloam - 3Q18 Presentation
Q3 2018 Results
Q3 2018 Results 2
FY-13 FY-14 FY-15 FY-16 FY-17 Q3-17 Q3-18 FY-13 FY-14 FY-15 FY-16 FY-17 Q3-17 Q3-18
Reclassified
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 serv ice, 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).
Q3 2018 Results 3
Gross Operating Revenue in Q3 2018 expanded by 11% Y-o-Y while EBITDA advanced 16%
6,000 1,800
11% 12% 13% 12% 16%
Q3 Y-o-Y △ 8% 10% 15% 12%
5,000
4,396 1,323
1,350
4,000
'17 '18 1,087 1,102
1,548 Q4 458
3,309 Q3
Q2
IDR bn
IDR bn
Q1
3,000 900 369 376
1,179
• Gross Operating Revenue (GOR) for Q3-2018 of • Professional Service Costs in Q3 rose by 8% from the
IDR1.55 trillion, up 11% previous year.
• Net Operating Revenue after Service Costs of • Material and Operating Costs were 10% and 15%
IDR1.18 trillion. higher respectively year-on-year.
• Gross profit of IDR721 billion – up 13% from the • Rental charges rose by 12% from Q3-2017.
previous year - resulting in a gross profit margin
of 46.6%.
Notes:
GOR refers to revenues relating to medical support services, professional fees and consultation fees, drugs and medical supplies, room serv ice, 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).
Q3 2018 Results 4
29.7%
27.4%
22.4% 21.3% 20.8%
EBITDAR EBITDA
(31.9%)
(44.5%)
Siloam Mature Hospitals EBITDAR Margins are comparable to 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).
Q3 2018 Results 5
Treatment Volumes improved across all venues, while average unit revenues expanded as well
2,400
5% 8% 8% 9%
2018 Q3
Outpatient 1.00
2017 Q3
Revenue per 0%
2,000
Visit (IDR mn) 1.00
1,775
1,600
Inpatient 5.00
616 Revenue per (2%)
Day (IDR mn) 5.10
in Thousands
1,200
• Outpatient visits, at 616 thousand in total, were 5% • Average Inpatient Revenue per Day was down slightly at
higher than Q3-2017. Rp5.0mn, even as the average inpatient stay dropped from
3.60 to 3.47 days.
• Inpatient Admissions rose by 8% from Q3-2017 to 53
thousand patients. • Inpatient visits grew 16% and as a result Inpatient Revenue
was 10% higher at Rp914 billion for the quarter.
• Inpatient Days expanded by 8% to 183 thousand.
• Outpatient Revenue per visit was flat at Rp1mn. Outpatient
• Emergency and Trauma Center visits were higher by Revenue in Q3 grew by 13% Y-o-Y to IDR633 billion.
9% from the previous year.
Notes:
*Financials and operational metrics include all hospitals and exclude clinics
Q3 2018 Results 6
We initiated a rapid expansion stage in 2011 which has resulted in a network capacity of 6,585 beds
GUM
Mature
BPJS SH Bekasi
New Timur
SH Bangka
Owned
Belitung
Hospitals SH
RSUPB SH Jember
Balikpapan
SH Lippo BIMC
SH Jambi Asri Sentosa SH Silampari
Cikarang Nusa Dua
# IPO
1996 2002 2011 2012 2013# 2014 2016* 2017* 2018 *Rights
SH SH SH SH TB SH SH Issue
SH MRCCC SH Medan SH Semarang
Lippo Village Surabaya Palembang Simatupang Samarinda Yogyakarta
SH
SH Cinere SH Bali SH Kupang SH Buton SH Bogor
Kebon Jeruk
SH SH Labuan Hosana
Leased SH Makassar BIMC Kuta
Purwakarta Bajo Medica
Hospitals
SH Manado
RSUS
11
Mature East
10
9 9 9 9 9 9 9 9 9 9 Sumatra: 52.2m Maluku: 1.7m
8 Sulawesi: 19.0m
Papua: 3.6m
9 9 9 9 9 9 9 9 9 9 9
Mature West8 8
Kalimantan: 21.3m
4 BPJS
3
5 5 5 5 5 5 5 5 5 5
4 New Java: 160.3m
1 1
Nusa Tenggara: 9.6m
Bali: 4.2 m
Q1-16 Q2-16 Q3-16 Q4-16 Q1-17 Q2-17 Q3-17 Q4-17 Q1-18 Q2-18 Q3-18
Notes:
*Financials and operational metrics include all hospitals and exclude clinics
Q3 2018 Results 8
ETC Conversions were up slightly at 41% overall, OPD Conversions was flat at 3.4% overall, with a
while New hospitals performed in line with Mature drop in New hospitals in Q3-2018
Hospitals
55% 3.9%
BPJS (6%) BPJS 6%
58% 3.6%
32% 3.8%
Mature East 2% Mature East 14%
32% 3.3%
40% 3.1%
Mature West 10% Mature West (4%)
36% 3.2%
45% 1.9%
New 28% New (26%)
35% 2.6%
Notes:
*Financials and operational metrics include all hospitals and exclude clinics
Q3 2018 Results 9
Occupancy Rates were down slightly to 56.4% in Utilization rates in Q3-2018 for Cath Labs, MRIs
Q3-2018 Vs 58.2% due to drops in BPJS and and CT Scans reflect the maturity and patient mix
Mature West inpatient days of our regions
63% BPJS 8% 22%
BPJS (4%)
65%
Mature East 21% 32% 60%
61%
Mature East 4%
59%
Mature West 26% 31% 33%
52%
Mature West (5%)
55% New 4% 8%
43%
New 52% Consolidated 19% 28% 35%
28%
Notes:
*Financials and operational metrics include all hospitals and exclude clinics
Q3 2018 Results 10
Notes:
(i) Reclassified, please see Financial Statements note 39.
(ii) Represents rental expenses for the land and buildings, Siloam is leasing from FREIT, PT Lippo Karawaci Tbk and other parties
(iii) 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).
(4) Operational metrics will differ slightly on slide 2 as figures on slide two don’t include clinics.
Q3 2018 Results 11
Balance Sheets
In IDR Bn 9M18 9M17 ∆%
Assets
Appendices
SH E.
2002 232 165 94 143 Orthopedics, Emergency 79.90%
Balikpapan KALIMANTAN
RS Grha
W. NUSA
Ultima 2017 69 40 45 61 Emergency
TENGGARA
Medika
SH Cardiology, Emergency,
S. SULAWESI 2012 362 215 132 217
Makassar Endocrinology
SH E.
2016 34 10 24 19 Emergency
Samarinda KALIMANTAN
Q3 2018 Results 14
MRCC
Siloam S. JAKARTA 2011 334 176 183 235 Cancer, Liver, Emergency
Semanggi
SH S. Gastroenterology,
2012 357 150 125 146
Palembang SUMATERA Emergency 70.39%
SH TB Cardiology, Emergency,
S. JAKARTA 2013 269 117 142 109
Simatupang Neuroscience, Oncology
E.
SH Jambi 2011 119 107 67 122 Emergency 83.00%
SUMATERA
RS Siloam
N.
Dhirga Surya 2014 356 117 113 121 Emergency, Trauma
SUMATERA
Medan
Q3 2018 Results 15
SH Asri
S. JAKARTA 2014 42 42 114 82 Urology
(West)
BIMC Kuta
BALI 2013 19 18 43 62 Tourists, Emergency
(East)
BPJS Hospitals
SH
W. JAVA 2014 219 212 79 216 Emergency
Purwakarta
E. NUSA
SH Kupang 2014 416 110 64 152 Emergency
TENGGARA
SH Labuan E. NUSA
2016 124 88 23 67 Emergency
Bajo TENGGARA
SGH
TANGERANG 2012 640 300 126 226 Emergency
(RSUS)
Q3 2018 Results 16
New Hospitals
Date Bed Operation GPs & Land/Building
Name Place Nurses Centre of Excellence Accreditation
Opened Capacity al Beds Specialists Ownership
RS Umum
Putera CIREBON 2017 114 104 51 118 Emergency
Bahagia
RS Siloam BANGKA
2017 412 33 42 49 Emergency
Bangka BELITUNG
RS Hosana
BEKASI 2017 101 60 37 65 Emergency
Bekasi
RS Siloam
YOGYAKARTA 2017 149 60 60 53 Emergency
Yogyakarta
Siloam
Medika Blu BEKASI 2017 56 32 33 53 Emergency
Plaza
RS Siloam
S. SUMATERA 2018 175 69 29 45 Emergency
Silampari
RS Umum
BEKASI 2017 50 50 38 59 Emergency
Sentosa
Q3 2018 Results 17
Clinics – currently 16 operational located in Bali, Balikpapan, Bekasi, Jakarta and Tangerang
MERUYA, PERMATA,
BALIKPAPAN
JAKARTA TANGERANG
CISOKA, LABUAN
BEKASI
TANGERANG BAJO
CYBERPARK,
CIANJUR
TANGERANG
JABABEKA, GADING
CIKARANG SERPONG
Q3 2018 Results 18
Beds >100 <100 <100 <100 <100 >100 >100 <100 >100 >100
Planned Opening 2019 2018 2019 2019 2019 Apr 2018 2018 2018 2019 2018
Environmental License
(AMDAL) P P P P P P P P P P
Building Permit
(IMB) P P P P P P P P P
Nuisance Permit
(HO) P P P P P P P P
Hospital Building
Permit (IMRS) P P P P P
Certificate of Proper
Building Function (SLF) P P P P P
Operational
License (IO) P P
* As of April
Q3 2018 Results 19
Corporate Structure
As of 31 Mar 2018
No of Outstanding Shares :
22,771,585,119 Code : LPKR.JK ; LPKR IJ
As of 31 Sep 2018
No . Of Outstanding Shares : 1,624,765,625
Code : SILO
Q3 2018 Results 20
Our initial growth strategy relied on leasing hospitals, while we increasingly own new developments
Mature East 2 3 5
Sale and
Leaseback Mature West 2 3 4
of Hospitals
20.34%*
Sublease of New 1 3 6
Hospitals
Our vision is to provide affordable and accessible healthcare to all socio-economic segments
Continuum of care at primary, secondary, tertiary &
Siloam’s Integrated quaternary levelsCenters of Excellence: Neuroscience, Cardiology,
• Integrated
Healthcare Delivery Model: Cancer, Orthopedic, Urology, Fertility
• Access to Centres of • Hub and Spoke strategy for specialized services via Digital
Excellence through hub & Tele-Medicine
spoke system and Tele- • Pioneering investments in Indonesia’s healthcare sector
Our affiliation with UPH Medical Sciences is key in acquiring, training and retaining professional staff
• Future workforce
• Systems based curriculum converged with PBL
• Best practice replication
• Clinical placement
• Foundation for Innovation Centre of Excellence and
Global Reputation
• Overseas training –Singapore/Australia/USA/China
Clinical
Hospitals in Indonesia
1 MOH 32 33 34 36 33 33 33
2 PROVINCE GOVERNMENT 89 96 98 113 120 136 138
3 MUNICIPAL GOVERNMENT 88 92 93 98 97 97 97
4 DISTRICT GOVERNMENT 444 455 463 469 480 497 510
5 ARMY / POLICE 155 159 170 170 167 171 171
6 OTHER MINISTRIES 79 79 79 79 77 78 78
/ PUBLIC
COMPANIES
7 PRIVATE 1,179 1,314 1,472 1,525 1,627 1,765 1,800
TOTAL 2,066 2,228 2,409 2,490 2,601 2,777 2,827
years
years
Mn Mn
Source:
Kompas Newspaper 12 July 2017
edition.
Q3 2018 Results 26
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.
THANK YOU
BALI• BALIKPAPAN • CIKARANG • DEPOK• JAKARTA• JAMBI • KUPANG• MAKASSAR • MANADO• MEDAN• PALEMBANG• PURWAKARTA •SURABAYA• TANGERANG