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MNCS Initiate Report - PRDA (220721)
MNCS Initiate Report - PRDA (220721)
MNCS Initiate Report - PRDA (220721)
Company Profile PT Prodia Widyahusada Tbk (PRDA) is a company engaged in the clinical
laboratory business, established in 1973 with more than 48 years of experience in
the healthcare services business. PRDA conducted an IPO on December 7, 2016,
The Largest Company in The by releasing 187.5 million shares. PRDA is the largest laboratory with a revenue
Clinical Laboratory in market share of 39.2% in Indonesia. PRDA operates a service network spread
Indonesia across 127 cities and 34 provinces through 269 outlets, consisting of: 1) 148
clinical labs & PHC; 2) 106 POC outlets; 3) 11 Hospital labs; and 4) 4 Specialty
clinics. Since 2012, PRDA has been the only clinical laboratory in Indonesia
accredited by the College of American Pathologists (CAP), the highest standard
of excellence, and the first clinical laboratory in Indonesia to receive NGSP
certification for HbA1c testing as well as SNI ISO 15189.
Exhibit 01. Shareholder Structure
PTProdiaWidyahusadaTbk
Occupational In Vitro
Health Diagnostics Nationwide Outlet Network across Indonesia
Service (IVD) industry
Source: Company
Clinical Labs & PHC POC Outlets Hospital Lab Speciality Clinics
350
300 7 4
5
14 14 4 4
2 11
9 12 11
250
150
100
0
2016 2017 2018 2019 2020 1Q21
Source: Company
2018 2019
Prodia
28.20% 26.90%
38.80% 39.20%
Next 5 Players (Kimia
farma, Pramita, Parahita,
Biomedika, Cito)
Source: Company
Business Model PRDA provides clinical laboratory services for the diagnosis and observation of diseases
and other health conditions. The Company has four (4) regional reference laboratories
Strong relationship with located in Jakarta, Medan, Surabaya and Makassar to optimize the observation of
medical commodities supply specimens at the examination location more quickly and efficiently. PRDA has a
chain diversified customer base: 1) Individual patients; 2) Doctor's referral patients; 3)
Corporate inspection; 4) Referral to other hospitals/labs.
Scalable hub and spoke PRDA applies the hub and spoke business model, which currently has 4 hubs in Jakarta,
business model Medan, Surabaya and Makassar, while the number of spokes owned is around 148
branches. The spokes/branches carry out 300-400 types of routine tests, while at the
hubs, they carry out 800-850 types of tests, both routine and esoteric (advanced) tests. If
any esoteric checks are not carried out at the branch, the branch (spoke) will send
requests for esoteric tests to the nearest hub which operates 24/7. “Hub and spoke”
model offers a scalable platform reducing turnaround time and cost. Spokes facilitate
deeper penetration within the region, strengthening the brand and driving higher
volumes. Efficiency of a clinical laboratory improves with increasing test volumes making
automated tests less expensive and labs more cost-efficient.
Centralized information
Prodia Clinical Labs, Hospitals Prodia Referral with integrated IT
and Other Clinics may refer tests Lab Services platform that connects
to PRLS (PRLS) each lab to PRLS
Source: Company
Proactive scientific PRDA has a team of more than 500 marketing personnel and laboratory information
marketing strategies services who carry out various marketing activities to reach the general public, doctors
and companies. This effort is supported by PRDA's long engagement with the medical
community. PRDA engages with the medical community, not only through traditional
advertising and marketing, but through scientific marketing activities including
supporting physicians and their research in the field of clinical laboratory medicine,
holding seminars and other marketing activities to educate physicians, hospitals,
companies and the general public on issues health and benefits of clinical trials as well
as educating and collaborating with physicians in the development and implementation
of tests.
Strong relationships through the work of more Introduced new tests, such as NIPT ProSafe, Amino Acid Profile,
than 500 Marketing and Laboratory Fatty Acid Profile, CArisk, DIArisk, Liquid biopsy EGFR Mutation, New
Information Service personnel Born Screening, 17OH Progesterone & PKU
Quality Service New Test Introduction
Source: Company
What’s Next? Currently, PRDA is focusing on developing digital transformation or embracing future
healthcare, which has been included in the Company's strategic plan for the past few
years. PRDA seeks to increase digitization through the “Prodia Mobile” application,
which is expected to increase its capabilities in data management and business growth
in the future. This digital implementation is a form of service to customer needs/
customer experience, especially in responding to customer needs for Covid-19
examinations. PRDA also continues to increase the number of outlets, which are planned
to add 1-2 clinical labs, 20 POC outlets, 1-2 hospital labs and 1 specialty clinic which will
start in 2021.
Source: Company
Prodia Home
Customer Service
Centric
Tele-Consultation
Tele-Radiology
• General Practitioners
• Clinical Pathologists
Tele-Health* • Internist
• Clinical Nutritionist
• Sport Medicine
Source: Company
Industry Outlook The existence of three new variants of the Covid-19 virus (alpha, beta, delta variants)
increase the spread which resulting in Indonesia entering the Wave II/Second wave.
Indonesia is in Wave II of
Starting with daily cases increasing on June 1, 2021 by 4,824 cases/day to a record high
Covid-19
more than 50,000/day in Indonesia with an average daily test rate of 75,000/day (as of 1
June-6 July 2021). Thus, the government imposes restrictions on emergency micro-scale
activities (PPKM darurat) on 3-20 July 2021. On the other hand, vaccinations in Indonesia
are continuously increasing, where currently only 36 million had received the first dose
and 15 million for the second dose (as of 12 July 2021) from the planned target of 181
million vaccinations with an average daily vaccination level of 360,000/day (as of 11 July
2021).
3,000,000 45,000
40,000
2,500,000
35,000
2,000,000 30,000
25,000
1,500,000
20,000
1,000,000 15,000
10,000
500,000
5,000
- -
Sep-20
Feb-21
Aug-20
Jan-21
Jul-20
Jul-21
Oct-20
Mar-20
Mar-21
Jun-20
Dec-20
Jun-21
Apr-20
Nov-20
Apr-21
May-20
May-21
Sources: Ourworlddata.org, MNCS
lhs
Total Vaccinated (lhs) Full Vaccinated (lhs) New Vaccination (rhs) rhs
40,000,000 1,600,000
35,000,000 1,400,000
30,000,000 1,200,000
25,000,000 1,000,000
20,000,000 800,000
15,000,000 600,000
10,000,000 400,000
5,000,000 200,000
- -
Gradual Public Awareness The existence of Covid-19 raises public awareness of the health system and quality in
toward the Importance of Indonesia. Although household spending decreased by -2.23% YoY in 1Q21 (vs 2.83%
Healthcare YoY in 1Q20), the health and education component grew by 0.31% YoY in 1Q21, or one
of the two components that saw an increase in 1Q21. We assess that people's
consumption patterns are shifting to the health component as a new habit, so that
people are increasingly prioritizing health consumption. More people are enrolled in the
National Health Insurance ("JKN") program followed by the rising income leading them
to access personal or other forms of health insurance. Thus, there will be an increased
demand for quality health services and faster disease screening. Rising income levels
and accessibility of healthcare services combined with increasing incidence of
communicable and non-communicable diseases, such as cardiovascular disease, cancer
and diabetes, are expected to drive the clinical laboratory testing market. This is because
clinical laboratory testing plays a central role in health care, which can provide
information in overall medical decisions.
250
224 222
208
200 188
172
157
150 133
100
50
-
2014 2015 2016 2017 2018 2019 2020
Source: BPJS
Indonesia's Growing Middle The World Bank and IMF predict that in FY24F, Indonesia will become the fifth-largest
Class Presents Opportunities economy in the world. The majority of Indonesia's income will come from the middle
in Healthcare Sector class, which is expected to drive demand for affordable healthcare. The increase in the
middle class will be followed by an increase in unhealthy consumption patterns. Data
shows that in 2018, the percentage of smoking among Indonesian youth increased to
9.1% (vs. 7.2% in 2013), and consumption of vegetables and fruits decreased in 95.5% of
adults. In addition, 33.5% of people lack physical activity, 29.3% of adults smoke daily,
31% are centrally obese, while 21.8% are obese. The lifestyle of the Indonesian people
today will cause more lifestyle-related diseases, such as cardiovascular, tuberculosis, and
cancer. Hypertension and stroke lead to the highest death rate, with prevalences of
34.1% and 10.9%, respectively in 2018. WHO estimates that by 2030, lifestyle-related
diseases will be the main cause of 87% of deaths. Indonesia has the potential to lose
USD4.4 trillion from 2012 to 2030 due to the impact of chronic or “non-communicable”
diseases (NCDs).
Sales of medicines and hospitalizations are the main contributors to the hospital
business, although some hospitals have laboratory facilities. However, with lower
intensity compared to drugs and inpatient care, hospitals prefer to refer to other clinical
laboratories to grow in the private laboratory business in Indonesia.
180
160
140 36.3 29.3
120 34.7
% 100
80 95.5
93.5
60 93.6
40
20
26.2 31
14.4
0
2007 2013 2018
40.0%
34.1%
35.0%
30.0%
25.0%
20.0%
15.0% 10.9%
8.5%
10.0%
3.8%
5.0% 1.8%
0.0%
Hypertension Stroke Diabetes Mellitus chronic renal Cancer
failure
Clinical laboratories in Clinical laboratory refers to a center where tests are performed on clinical specimens to
Indonesia are dominated by obtain information about a patient's health-related to the diagnosis, treatment and
private ownership prevention of disease. Clinical laboratory testing can be done in many places, such as
hospitals, clinics, and independent laboratories. The clinical laboratory testing market is
segmented into the public and private sectors. The private sector consists of hospital
laboratories, independent laboratories and clinics. However, most tests are outsourced to
private independent clinical laboratories, either through a doctor's referral or by referring
samples that have been collected on site. In 2019, the private sector owned most clinical
laboratories, which was 1,056 laboratories or 81.7%. The second-largest ownership of
clinical laboratories is district/city government laboratories, with 206 laboratories or
15.9%. The third-largest ownership is owned by the provincial government, which are 27
laboratories or 2.1%. Hence, the Ministry of Health owned 4 laboratories translating to
0.3% ownership.
0.30% 2.10%
15.90%
Ministry of Health
Provincial Government
District Government
Private
81.70%
Investment Thesis PRDA will continue to focus on creating the most complete and up-to-date clinical
laboratories in Indonesia, both routine and advanced, to support better health diagnoses.
PRDA will focus on Along with health awareness, the demand for laboratory examinations is increasing,
becoming the largest especially amid the pandemic. Currently, PRDA is able to conduct 56 Health clinical trials.
Clinical laboratory PRDA cooperates with more than 1,500 hospitals that send samples to PRDA, both
private hospitals, chain hospitals and government hospitals. PRDA continues to strive to
increase market share in Indonesia. Currently, the independent market lab is around IDR5
trillion and PRDA has 39.2% market share of the total market. In addition to digitization,
PRDA plans to launch a minimum of 10 new types of tests every year, such as: 1)
Launching Health Genomics, Bone, Muscle & Joint Genomics, and Skin and Hair
Genomics; 2) Conducted more than 1,000,000 Covid-19 tests (PCR and Antibody Tests);
and 3) Launched Immunohistochemical Testing for Lymphoma Cancer. We believe that
these three combinations will be a positive catalyst for PRDA in the future.
Source: Company
Genomic test: Agility to PRDA has carried out various examination developments and service innovations to
Create Values become a leader in next-generation technology in the laboratory and healthcare sector. In
2019, PRDA developed a genetic-based examination, namely Prodia Genomics. The
Genomic Examination development includes: 1) NIPT-Prosafe to determine the risk of
chromosomal abnormalities in the fetus; 2) CArisk to determine risk factors for cancer; 3)
DIArisk to assess a person's risk of diabetes; 4) TENSrisk to see the risk of hypertension; 4)
IMMUNErisk is able to detect a person's risk of 7 (seven) types of diseases related to the
immune system; 5) VASCULArisk which can detect the risk of cardiovascular and
cerebrovascular disease; and 6) Prodia Nutrigenomics to identify appropriate nutritional
intake and types of exercise. Therefore, it is highly recommended to observe a person's
genome from the data set that is closest to their racial group. While global genomic
studies have advanced, Southeast Asia is still lagging. This knowledge gap is what Prodia is
trying to fill.
We consider this strategy to be quite good, given the prevalence of Indonesian public
health behaviors. Although genomic testing is a new business that contributes 4% to 5% of
total revenue, management targets the contribution to increase to 25% in the next 4 years.
We see the segmentation will focus on middle-up income with ASP in the range of IDR7
million-IDR20 million/test and not covered by BPJS. Given the much higher ASP than other
tests, this leaves room for management-adjustable margins.
Research Evaluation
Laboratory Laboratory
Mass
Spectrometr y & Molecular
Separation Next Generation Diagnostic
Science Laborator y
Laboratory Laboratory
Anatomical Advance
Pathology Immunology
Laboratory Laboratory
Source: Company
Source: Company
Covid 19 a ‘Blessing in The Covid-19 outbreak has also become a "blessing in disguise" due to several factors,
Disguise’ especially for testing kit in which PRDA is using automatic Cobas6800 for Covid-19
RT-PCR testing. On the other hand, PRDA also seized the opportunity through screening
for Covid-19 survivors by launching a quantitative SARS-CoV-2 Antibody test (Spike-
Receptor Binding Domain/Spike-RBD) is to determine whether immunity has been
formed or requires adjustments from vaccinations. Moreover, PRDA has opened the
Vaccination of Mutual Cooperation program since June-2021. Vaccination of Mutual
Assistance is a program service of vaccination Covid-19 to the employer/employee and
family funding borne by the company. In the first phase of the Vaccine Mutual
Cooperation from May-2021 to 2022, PRDA has prepared 56 branches to distribute the
vaccine. The government has set the price for a complete dose of vaccine at IDR879k/
person, the price is determined through the Decree of the Minister of Health number
HK.01.05/MENKES/4643/2021. We assess that the "gotong royong" vaccine will have a
positive impact on PRDA, due to the potential to increase the volume of patients during
the vaccine distribution period.
Source: Company
Potential revenue from PCR/ Currently, the government has set an upper limit on the price of PCR and rapid antigen at
antigen test to total PRDA IDR900k/test and IDR250K/test, respectively. In 1H21 PRDA has served 630,000 tests, so if
revenue in FY21E we annualized there would be 1.26 million tests in FY21E (vs 1 million tests in FY20).
However, with the current business competition, quite a few other companies offer prices
for PCR at the level of IDR900k/test and rapid antigen IDR150k/test. We tried to do a
simple calculation to see the contribution of PCR and rapid in PRDA, which resulted in the
lowest scenario at IDR378 billion to the highest scenario at IDR929 billion in FY21E. These
also calculate the portion disbursement between 25%-75% for each type carried out, and
potentially contributes 17%-42% to total revenue in FY21E.
Exhibit 19. Scheme of PCR and Antigen test to Total Revenue PRDA in FY21E
PCR and Rapid Test with Scheme ASP at level IDR900k/test (PCR) and IDR250k/test (Rapid)
PCR 75% 851 PCR 50% 567 PCR 25% 284
Rapid 25% 79 Rapid 50% 158 Rapid 75% 236
Total (IDR Bn) 929 725 520
PCR and Rapid Test with Scheme ASP at level IDR750k/test (PCR) and IDR150k/test (Rapid)
PCR 75% 709 PCR 50% 473 PCR 25% 236
Rapid 25% 47 Rapid 50% 95 Rapid 75% 142
Total (IDR Bn) 756 567 378
Sources: various Sources, MNCS
Integrated Healthcare Although PRDA has a digital platform since 2018, PRDA has also collaborated with other
Providers, benefiting PRDA telemedicine platforms such as HaloDoc, one of the big players in this industry. We
believe that this integration will provide good benefits for PRDA to rising patient volume
and reducing marketing costs. Telemedicine should play a key role in the future of the
healthcare business, in our view. WHO defined telemedicine as health services provided
by health workers using information and communication technology to diagnose, treat,
prevent, and evaluate the health condition of someone who is in a position far from
health facilities. Currently PRDA has collaborated, including with: 1) HaloDoc; 2)
AloDokter; 3) Grabhealth; 4) GoodDoctor; 5) Traveloka; 6) Tiket.com
Better margin ratio than In the financial section, we compare the EBITDA margin and net profit margin of PRDA
peers, due to independence vs. 3 hospitals and 3 healthcare in Indonesia in the 2018-2020 period. PRDA is able to
on the payment side increase its EBITDA margin and net profit margin above the average in 2019-2020 due to
efficiencies related to equipment rental and promotion, this is because management is
trying to digitize, which will have an impact on cost efficiency. In addition, the relatively
low capital intensity compared to hospitals resulting in better cash flow and return
ratios due to payments methods do not come from BPJS which usually require a longer
payback period. On the other hand, the healthcare and hospital sectors have increased
in line with the Covid-19 pandemic, due to positive financial reports and also healthcare
industry needed during the pandemic.
Exhibit 20. PRDA vs Peers
Revenue has the potential to We expect PRDA revenue to grow by 17.60% YoY in FY21E, driven by increasing demand
grow double digits in FY21E for clinical laboratory testing and higher prices given its strong competitive position. Key
drivers include year-on-year growth in number of tests, number of tests per customer
visit and revenue per visit assuming our ASP blended at IDR654k/person. In addition, the
existence of self-vaccination and telemedicine also has the potential to be a catalyst for
increased patient visits in FY21E.
Exhibit 21. Trend and forecasting of revenue and Volume Patient PRDA in FY17-FY22E
3,000 4.00
3.50
2,500
3.00
2,000
2.50
1,500 2.00
1.50
1,000
1.00
500
0.50
- -
2017 2018 2019 2020 2021E 2022E
Exhibit 22. Trend and forecasting of Average Selling Price PRDA in FY17-FY22E
700,000
680,000
660,000
640,000
620,000
600,000
580,000
560,000
540,000
2017 2018 2019 2020 2021E 2022E
Manageable debt exposure PRDA has regularly distributed dividends with an average DPR level of 53% proving
and dividend in the long run PRDA's strong business position. Furthermore, we believe PRDA will maintain its financial
condition and ratios with the company's solvency ratio is relatively stable with a DER level
of 0.02x and recorded net-cash at the level of IDR1.09 trillion in FY20. Therefore, we
expect management to be able to maintain its leverage, with DER level in FY21E/FY22F of
0.02x. Manageable debt exposure should encourage superior margins in the future.
- 0
FY18 FY19 FY20 FY21E FY22F
Sources: Bloomberg, MNCS
IDR Billion FY18 FY19 FY20 FY21E FY22F IDR Billion FY18 FY19 FY20 FY21E FY22F
Revenue 1,599.76 1,744.27 1,873.38 2,203.16 2,531.10 Cash and cash equivalents 937.48 1,011.85 1,134.54 1,552.01 2,043.03
Cost Of Revenue (656.95) (703.26) (827.15) (837.20) (987.13) Trade Receivables 164.54 147.03 139.43 163.98 188.38
Gross Profit 942.81 1,041.01 1,046.22 1,365.96 1,543.97 Inventory 33.97 32.65 68.20 69.03 81.39
Operating Expenses (774.23) (824.96) (744.46) (925.33) (1,050.41) Total Current Assets 1,202.10 1,254.35 1,360.01 1,806.00 2,336.91
Operating Profit 132.48 168.58 216.05 301.76 440.63 Fixed Assets - net 519.81 517.91 567.93 708.40 820.91
Finance Cost (5.89) (3.32) (5.16) (9.18) (10.48) Total Non-Current Assets 728.29 756.62 872.04 1,066.04 1,231.79
Finance Income 47.67 52.07 42.48 52.07 79.87 TOTAL ASSETS 1,930.38 2,010.97 2,232.05 2,872.04 3,568.69
Income Tax Expenses (46.24) (54.54) (70.33) (96.71) (112.59) Other current liabilities 32.08 26.30 21.94 33.22 38.16
Profit of the Year 175.45 210.26 268.75 386.82 450.36 Total Current Liabilities 164.28 143.55 210.16 227.32 266.24
Net Profit 175.45 210.26 268.75 386.82 450.36 Other Long-term liabilities 184.61 199.25 211.68 248.95 286.00
Total Long-term
203.93 207.81 233.60 276.19 316.92
Liabilities
EPS 187.15 224.28 286.66 412.61 480.39 Total Equity 1,562.17 1,659.60 1,788.30 2,368.53 2,985.53
Net Income 175.45 210.26 268.75 386.82 450.36 Growth Year on Year
Depreciation 76.47 80.63 81.54 109.53 137.49 Revenue Growth 9.12% 9.03% 7.40% 17.60% 14.88%
Change in Working
(16.48) 15.76 31.66 (23.35) (6.64) Gross Profit Growth 10.46% 10.42% 0.50% 31.21% 13.03%
Capital
Change in others (57.87) (2.50) 40.62 8.14 1.82 Operating Profit Growth 27.25% 28.16% 39.67% 103.95% 12.01%
CFO 177.57 304.15 422.58 481.14 583.03 Net Income Growth 16.35% 19.84% 27.82% 83.97% 16.43%
Others 65.60 (30.23) (65.40) (53.53) (53.23) GPM 58.93% 59.68% 55.85% 62.00% 61.00%
CFI (120.41) (108.96) (196.97) (303.53) (303.23) OPM 10.54% 12.39% 16.11% 20.00% 19.50%
Dividend Paid 60.32 87.73 105.13 193.41 166.63 NPM 10.97% 12.05% 14.35% 17.56% 17.79%
Net Change in Debt (19.78) (22.63) 24.69 9.19 7.53 ROA 9.09% 10.46% 12.04% 13.47% 12.62%
CFF (71.42) 79.73 142.26 239.87 211.22 DER (x) 0.03 0.01 0.02 0.02 0.02
Net Cash Increase (14.25) 274.92 367.87 417.47 491.02 Current Ratio (x) 7.32 8.74 6.47 7.94 8.78
Closing Balance 937.48 1,011.85 1,134.54 1,552.01 2,043.03 Quick Ratio (x) 7.11 8.51 6.15 7.64 8.47
Disclaimer
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