Aster DM Healthcare Ltd. · NSE:ASTERDM
Aster DM Healthcare — Q1 FY2019 Earnings Presentation
34 slides from Aster DM Healthcare's earnings presentation, 2018
Slide 1: Investor Presentation – For the quarter ended 30th June-2018
Investor Presentation – For the quarter ended 30th June-2018 1
Slide 2: Disclaimer
Disclaimer This presentation has been prepared by Aster DM Healthcare Limited (the "Company"), content of which was compiled from sources believed to be reliable for informational purposes only and are based on information regarding the Company and the economic, regulatory, market and other condit
Slide 3: Snapshot, Evolution and Footprint; Operational and Financial Overview; Strategy and Leadership
Aster – Snapshot, Evolution and Footprint Aster – An Integrated Healthcare Provider Operational and Financial Overview Strategy and Leadership 3
Slide 4: Geographical Footprint
Geographical Footprint Hospitals – 9 GCC Clinics – 103 Pharmacies - 213 Hospitals - 11 Clinics - 9 INDIA United Arab Emirates Kerala Aster Medcity, Kochi Medcare Hospital, Dubai Aster MIMS, Calicut Medcare Orthopedics and Spine Aster MIMS, Kottakkal Hospital, Dubai DM WIMS, Wayanad Aster Hospital Ma
Slide 5: Aster DM Healthcare – At a Glance (1/2)
Aster DM Healthcare – At a Glance (1/2) HOSPITALS One of Largest Private CAPACITY BEDS healthcare service providers GCC: 887 GCC: 9 4,925 20 India: 4,038 India: 11 operating in Asia (GCC & India) PATIENT VISITS – FY19 Q1 Present in 9 Countries CLINICS (UAE, Saudi Arabia, Qatar, Oman, ~4.3 mn GCC: ~3
Slide 6: Aster DM Healthcare – At a Glance (2/2)
Aster DM Healthcare – At a Glance (2/2) Revenue - FY19 Q1 Revenue - FY19 Q1 India 17% Pharmacies INR ~1,789 Cr 26% Hospitals 49% GCC Clinics 83% 25% EBITDA - FY19 Q1 EBITDA - FY19 Q1 India Pharmacies 14% 15% INR ~139 Cr Clinics Hospitals 28% 57% GCC 86% Note: 1. Above shown percentage of revenue and
Slide 7: The Aster DM Healthcare Edge
The Aster DM Healthcare Edge Aster DM – A Healthcare Ecosystem • Presence across hospitals, clinics & pharmacies and providing primary, secondary and tertiary/ quaternary care • Strategic and sizeable network of clinics enable patient feeder Differentiated Asset-light Business Model in GCC structure
Slide 8: Aster DM Healthcare - Evolution
Aster DM Healthcare - Evolution Building the foundations New geographies, segments Brand “Aster” was formed, private equity Robust Growth across all segments and and service offerings investment, further expansion geographies; Rapid Expansion in India 1987: Commenced 2003: Expansion to new geography
Slide 9: Robust Growth Over Last 5 Years
ROBUST GROWTH OVER LAST 5 YEARS Aster DM - Revenue from Operations (INR Cr) Outpatient Count (in mn) Inpatient Count (in '000) 6,721 7.8 5,931 6.7 211 5,250 5.6 158 3,876 4.2 125 2,871 3.4 104 2.1 85 1,922 1,775 2.2 52 38 1.8 2.1 48 52 1,556 1,775 - - - - - - - - - - - - - - - FY13 FY14 FY15 FY16 FY
Slide 10: Snapshot, Evolution and Footprint
Aster – Snapshot, Evolution and Footprint Aster – An Integrated Healthcare Provider Operational and Financial Overview Strategy and Leadership 10
Slide 11: Aster - An Integrated Healthcare Provider
Aster - An Integrated Healthcare Provider FY18 Operational Information 1,700+ 2,10,000+ Cardiovascular IP Discharges Surgeries ~4.9 mn 9,500+ 550+ Clinic OPD Visits General Bariatric Surgeries Surgeries Clinics $ 1 ₹6 0% 900+ Joint 1,200+ ~ 9.2 mn Replacements Spine Surgeries Pharmacy Visits 7,000+
Slide 12: Aster – A Healthcare Ecosystem
Aster – A Healthcare Ecosystem ▪ Aster, over 30 years, has created a healthcare eco-system across two geographical regions ▪ In GCC region, Aster’s primary care clinics act as the initial touch-points in the patient journey, while pharmacies and hospitals continue the care ▪ For complex tertiary car
Slide 13: GCC Healthcare – Unique Traits
GCC Healthcare – Unique Traits Healthcare market in GCC states have developed certain unique traits due to the higher expat Population (mn) and working age population Expat% -> ~80% ~70% ~45% ~30% Prevalence of Primary and Secondary Healthcare Facilities (Private Sector) 32.0 ➢ Due to lower % of old
Slide 14: Aster - Awards & Service Excellence
Aster - Awards & Service Excellence JCI Accreditation for 6 Hospitals Padma Shri Award 1 Clinic and 1 diagnostic centre “The Sheikh Khalifa Excellence Award” Dr. Azad Moopen, Chairman & (2018) Managing Director – Aster DM Medcare Hospital Dubai, Medcare Healthcare received “Padma Shri Orthopaedics a
Slide 15: Operational and Financial Overview
Aster – Snapshot, Evolution and Footprint Aster – An Integrated Healthcare Provider Operational and Financial Overview Strategy and Leadership 15
Slide 16: Key Highlights – FY19 Q1
Key Highlights – FY19 Q1 Clinical Highlights ➢ Aster CMI performed Asia’s first ever liver transplant using the Normothermic Perfusion Machine (keeps liver outside the body for upto 24 hrs) ➢ The Nipah virus outbreak was confirmed on May 20th, 2018 in Calicut & Mallapuram districts, Aster MIMS Calic
Slide 17: Revenue and Profitability Snapshot
Revenue and Profitability Snapshot REVENUE EBITDA PAT (Pre – NCI) ₹ 1565 ₹ 1789 ₹ 48 ₹ 139 ₹ (80) ₹ 20 $ 243 $ 267 $7 $ 21 $ (12) $3 1.1% 7.7% FY18 Q1 FY19 Q1 3.1% -5.1% FY18 Q1 FY19 Q1 FY18 Q1 FY19 Q1 USD Growth ▪ FY18 Q1 (FY19 Q1) EBITDA also includes losses of two new hospitals in GCC (Medcare
Slide 18: Business – Snapshot (1/2)
Business – Snapshot (1/2) GCC INDIA CONSOLIDATED FY18 Q1 FY19 Q1 FY18 Q1 FY19 Q1 FY18 Q1 FY19 Q1 Total Capacity Beds 863 887 3,944 4,038 4,807 4,925 Operational Beds 750 769 2,881 2,939 3,631 3,708 ALOS (Days) 2.2 2.0 3.7 3.5 3.2 2.9 Occupancy 53% 57% 63% 59% 60% 58% Outpatient Visits ~0.3 mn ~0.3 m
Slide 19: Business – Snapshot (2/2)
Business – Snapshot (2/2) GCC INDIA CONSOLIDATED FY18 Q1 FY19 Q1 FY18 Q1 FY19 Q1 FY18 Q1 FY19 Q1 Revenue (₹) 1,289 Cr 1,482 Cr 275 Cr 307 Cr 1,565 Cr 1,789 Cr EBITDA (₹) 32 Cr 119 Cr 16 Cr 20 Cr 48 Cr 139 Cr PAT (Pre – NCI) (₹) (60) Cr 30 Cr (20) Cr (10) Cr (80) Cr 20 Cr Note: 1. Revenue is calculat
Slide 20: Segmental Performance
Segmental Performance India - Unallocated India - Unallocated GCC GCC GCC GCC GCC Clinics Hospitals & & Total - FY19 Q1 GCC Clinics Hospitals FY18&Gw % & Total Hospitals - Pharmacies Hospitals Pharmacies - Gw% Clinics - Eliminations Gw% Clinics Eliminations Gw% - Gw% Gw% - Gw% No. of Business Units
Slide 21: Vintage-wise Performance
Vintage-wise Performance GCC Hospitals - Revenue (INR Cr) GCC Clinics - Revenue (INR Cr) India Hospitals and Clinics - Revenue Consolidated - Revenue (INR Cr) (INR Cr) 53 54 159 52 590 399 453 1,630 1,789 537 307 255 Established Units Ramp-up units Total Established Units Ramp-up units Total Establi
Slide 22: Hospitals List
Hospitals List Commencement/ Bed Operational Ow ned Hospitals - GCC Location Acquisition Year Capacity Beds /Leased Medca re Hos pi tal Duba i , UAE 2007 64 55 Lea s ed Al Ra ffa Hos pi tal Mus ca t, Oma n 2009 86 74 Lea s ed Capacity Operational Geography Beds Beds Al Ra ffa Hos pi tal Soha r, Oma
Slide 23: Maturity Wise Hospital Performance – GCC
Maturity Wise Hospital Performance – GCC Key Performance indicators Revenue Maturity Hospitals Operational Beds (INR in Crs.) EBITDA ARPOBD Occupancy EBITDA % (INR in Cr.) 9% 18% ₹(2) 0-3 Years 2 ₹ ~195,000 22% ₹ 53 135 Over 3 Years 91% 82% ₹ ~147,100 64% ₹86 7 ₹537 634 16.1% 9 ₹ 590 769 ₹ ~150,400
Slide 24: Maturity Wise Hospital Performance – India
Maturity Wise Hospital Performance – India Key Performance indicators Revenue Maturity Hospitals Operational Beds (INR in Crs.) EBITDA ARPOBD Occupancy EBITDA % (INR in Cr.) 16% 37% ₹ 1.1 0-3 Years 2 ₹ ~42,500 47% 2.2 % ₹ 50 1073* Over 3 Years 84% 63% ₹ ~24,400 61% ₹24.4 9 ₹255 1866 9.6% 11 ₹ 305 29
Slide 25: Financial Summary – Profitability Statement (1/2)
Financial Summary – Profitability Statement (1/2) FY19 Q1- Particulars (INR Cr) Q4 FY18 FY18 Q1 FY19 Q1 Growth% Revenue from operations 1,784 1,556 1,775 Other income (Excluding Interest and Investment Income) 7 8 15 Revenue 1,791 1,565 1,789 14% Material consumption 484 492 552 Doctors cost 374 360
Slide 26: Financial Summary – Balance Sheet & Ratios
Financial Summary – Balance Sheet & Ratios As at 31st As at 30th Particulars (INR Cr) March, 2018 June, 2018 LIABILITIES Shareholders Equity 2,832 2,922 Minority Interest 358 380 Debt 2,241 2,426 Other current and non-current liabilities 2,054 2,277 Total Liabilities 7,484 8,004 ASSETS Fixed Assets
Slide 27: New Projects and Capex Plan
New Projects and Capex Plan Expected Completion Owned / Hospitals - GCC Location Type Planned Beds Stage Year Leased/O&M Aster Hospital Qusais, Dubai, UAE Greenfield 117 Q2 FY 2019 Construction Leased Aster Hospital Sonapur, Dubai, UAE Greenfield 41 Q1 FY 2020 Construction Leased Aster Hospital Shar
Slide 28: Strategy and Leadership
Aster – Snapshot, Evolution and Footprint Aster – An Integrated Healthcare Provider Operational and Financial Overview Strategy and Leadership 28
Slide 29: ADMHL – Strategy & Outlook (1/2)
ADMHL – Strategy & Outlook (1/2) Strengthening of hub and A comprehensive human Scalable systems Strengthening of our medical spoke model in GCC resource strategy utilizing our implementation, tightly tourism network geographical diversity and integrated with catering to future growth operations/mar
Slide 30: ADMHL – Strategy & Outlook (2/2)
ADMHL – Strategy & Outlook (2/2) Profitability growth & brand Building of brand, talent Specialized, asset-light Cost Optimization positioning using product- and capability in KSA – a growth in India mix and technology key market in GCC • Focus on margin expansion through • There is significant dema
Slide 31: India Strategy
India Strategy India is geographically well positioned for Focus on In line with medical tourism focus on large format from the GCC hospitals in Tier 1 derisking states, MENA business – cities – Hospitals region and South- in Tier 1 cities The new National Health Protection Scheme target of 25% East
Slide 32: Aster Leadership Team
Aster Leadership Team Dr. Azad Moopen Dr. Harish Pillai Mukta Arora Chairman and Managing Director Chief Executive Officer – India Chief Information Officer Alisha Moopen Jobilal M. Vavachan Chief Executive Officer – Chief Executive Officer, Aster Fara Siddiqi GCC Hospitals & Clinics Pharmacies, Ast
Slide 33: Aster Board of Directors
Aster Board of Directors strategy andleadership Shamsudheen Bin Ravi Prasad Mohideen Mammu Haji Dr. Azad Moopen Independent Director Chairman and Managing Director Non-Executive Director Alisha Moopen Daniel James M. Madhavan Chief Executive Officer – Snyder GCC Hospitals & Clinics Nambiar Independe
Slide 34: www.asterdmhealthcare.com
www.asterdmhealthcare.com
Aster DM Healthcare — Q1 FY2019 Earnings Presentation on 6ix