Ramsay Generale De Sante Sa · EURONEXT:GDS
Ramsay Generale De Sante Sa — Ramsay Santé — Investor Day (December 2021)
26 slides from Ramsay Generale De Sante Sa's investor day presentation, December 2021
Slide 1: Ramsay Health Care Investor Briefings
Ramsay Health Care Investor Briefings December 2021 ramsayhealth.com
Slide 2: Important Information
IMPORTANT INFORMATION This document has been prepared by Ramsay Générale de Santé SA (the “Company”) and is being furnished solely for your information and personal use. This presentation includes only summary information and does not purport to be comprehensive. The information contained in this pr
Slide 3: Ramsay Santé
Ramsay Santé CEO Pascal Roché ramsayhealth.com
Slide 4: Introduction - Ramsay Santé Ownership Structure
INTRODUCTION - RAMSAY SANTÉ OWNERSHIP STRUCTURE Ramsay Santé has 2 main shareholders: €4.023 billion Ramsay Health Care (52.5%) Annual turnover as at 30.06.2021 Prédica (39.6%), a subsidiary of Crédit Agricole specialising in insurance €643.8 million EBITDA as at 30.06.2021 (IFRS16) Ramsay Santé
Slide 5: Ramsay Santé in 2021: A Leader in Integrated Care in Europe
RAMSAY SANTÉ IN 2021: A LEADER IN INTEGRATED CARE IN EUROPE Leading position in our markets A strong healthcare footprint in Europe A modern, quality focused provider #1 230 hospitals €900m CAPEX FY17 – FY21 #1 160 primary care centres 13 robots #2 100% of our facilities in France #1 900
Slide 6: Undisputed Leading Position in Key Strategic Markets
…WITH AN UNDISPUTED LEADING POSITION IN KEY STRATEGIC MARKETS Revenue split per geography1 Our Facilities in Europe 1. FY21; Germany is excluded as the facilities acquired as part of the Capio acquisition were sold in 1HFY21 # of clinics as of September 2020 6 RHC Investor Day Presentation December
Slide 7: Development Strategy Balancing and Diversifying Our Profile
OUR DEVELOPMENT STRATEGY HAS BEEN INSTRUMENTAL IN BALANCING AND DIVERSIFYING OUR PROFILE IN TERMS OF ACTIVITIES, CARE SETTINGS AND PAYOR MIX A progressive diversification of our care settings An extended footprint across care value chain Activity by type of care settings Revenue by (# visits breakdo
Slide 8: COVID Crisis Has Accelerated Existing Trends
COVID CRISIS HAS LARGELY CONTRIBUTED TO THE ACCELERATION OF TRENDS THAT ALREADY EXISTED Macroeconomic Funding / Payors Case mix • Inflation rates increasing • Nordics: • Important and accelerated shift towards • Increased healthcare funding as share of total ambulatory care post COVID and lower inpa
Slide 9: We Operate in Dynamic Healthcare Markets with Strong Fundamentals
WE OPERATE IN DYNAMIC HEALTHCARE MARKETS WITH STRONG FUNDAMENTALS France Sweden Norway Denmark Market size Healthcare spend as % of GDP 11.3% +2.1% 10.9% +0.0% 10.5% +4.4% 10% -0.7% and growth vs 2018 Private sector market share for healthcare 67% 85% 85% 85% provision 23% 23% 15% 15% 15% 15% 15% 15
Slide 10: State-of-the-Art Facilities Through Sustained Investment and Innovation
STATE-OF-THE-ART FACILITIES THANKS TO A SUSTAINED INVESTMENT AND INNOVATION POLICY Construction of new facilities Modernisation of existing buildings Clinique La Croix du Sud in Toulouse Extension of Saint Göran’s Hospital (Stockholm, Sweden); (31), opened in late 2018 After reinforcing emergency
Slide 11: Successfully Refinanced Our Debt With Sustainability Targets
WE HAVE SUCCESSFULLY REFINANCED OUR DEBT AND ALIGNED OUR FINANCING STRATEGY WITH OUR MISSION AND VALUES BY INCLUDING SUSTAINABILITY TARGETS our new debt, with much improved terms and conditions Term Loan1 Term Loan 2 Capex/ Acquistion & RCF Oversubscribed twice Maturity April 2026 April 2027 April 2
Slide 12: Acknowledged as Trusted Partner Thanks to Contribution to COVID Care
WE HAVE BEEN ACKNOWLEDGED AS A UNIQUE TRUSTED PARTNER TO OUR INSTITUTIONAL PARTIES AND COMMUNITY THANKS TO OUR CONTRIBUTION TO COVID CARE Ramsay Santé has been a key contributor in managing COVID within the private hospital sector More than 17,000 patients(1) treated in RS facilities in France, …All
Slide 13: COVID Crisis Is Not Over: Fifth Wave
COVID CRISIS IS NOT OVER AND OUR OPERATING COUNTRIES ARE CURRENTLY FACING A FIFTH WAVE A huge increase of daily new cases over the past weeks Worrying perspectives for healthcare systems # daily new cases as at December 9th We are already facing increasing pressure on healthcare: cancelled electiv
Slide 14: Positive Regulatory Developments for Private Providers in France
POSITIVE REGULATORY DEVELOPMENTS FOR PRIVATE PROVIDERS IN FRANCE… Multi-year visibility on tariffs Positive tariffs expected for 2022 Minimum tariffs at +0.2% per year for 2020, 2021, 2022 Annual growth in national hospital spending target increased at Enables mid-term planning 2.4% p.a. for 2
Slide 15: Trusted Partner Status Delivered Positive Funding and Business Outcomes
… TOGETHER WITH OUR “TRUSTED PARTNER” STATUS ALLOWED US TO OBTAIN POSITIVE OUTCOMES ON FUNDING AND BUSINESS ASPECTS Extra-funding relating to COVID Favorable decisions for business development 1. REVENUE GUARANTEE SCHEME¹ 1. NEW AUTHORISATIONS OBTAINED Securing a minimum top line for all care operat
Slide 16: Compensating for Headwinds: Nurses Shortage and Volumes Catch-up
…HELPING COMPENSATE FOR THE HEADWINDS WE ARE CURRENTLY FACING A national issue in the post-COVID context: as of Sept. 2021, ~30k nurses Government plan with key positions are vacant in French hospitals measure being an historical Nurses shortage (~6% of global headcounts), especially in salary incre
Slide 17: Acquisitions Have Driven Revenue and EBITDA Growth
ACQUISITIONS HAVE DRIVEN REVENUE AND EBITDA GROWTH, AND WE PROVED OUR RESILIENCE AND CAPACITY TO MAINTAIN PROFITABILITY DESPITE THE HEADWINDS IN RECENT YEARS Revenues multiplied by 2.3 since 2014 (m€) And EBITDA is multiplied by 2.1 (m€) (1) Published figure Nov 18 - Capio Published figure EBITDA ma
Slide 18: Improving Efficiency in French Core Hospital Business
IN FRANCE, WE IMPROVED EFFICIENCY WITHIN OUR CORE HOSPITAL BUSINESS AND WILL PURSUE OUR CONTINUOUS IMPROVEMENT JOURNEY The clustering of our assets to drive efficiency and innovation Active development of outpatient care in France Ambulatory rate Outpatient +24 pts dedicated facilities 69 70 73 59 4
Slide 19: Strong Assets Key to Attracting Doctors and Patients
RAMSAY SANTÉ DEVELOPED STRONG ASSETS THAT HAVE BEEN KEY TO ATTRACTING DOCTORS AND PATIENTS Research and teaching Strong digital footprint Strong digital development in 2021: 3,100 scientific publications between 2016 and 2021 • > 60k digital consultations / month • > 3,500 video consultations / mont
Slide 20: 2025 Plan: Four Strategic Pillars and Seven Enablers
OUR 2025 PLAN , FULLY ALIGNED WITH RAMSAY HEALTH CARE VISION, IS BASED ON FOUR STRATEGIC PILLARS SUPPORTED BY SEVEN ENABLERS Integrated digi-physical care to attract and retain patients in our system by designing coherent pathways One ambition Deliver advanced Become the Drive touchpoints & Expand o
Slide 21: Leveraging Local Core Competencies Across Geographies
AND LEVERAGE OUR LOCAL CORE COMPETENCIES TO SUPPORT DEVELOPMENT ACROSS GEOGRAPHIES Leader in Mental Health with 24 Maternity wards: leading wide comprehensive offering private player Leading Imaging operator with Leader in primary care: >100 centres and 10% 88 heavy equipment units of Swedish popula
Slide 22: Acquisition of Alles Lægehus in Denmark
AS AN EXAMPLE, THE RECENT ACQUISITION (OCTOBER 2021) OF ALLES LÆGEHUS, THE PRIMARY CARE LEADER IN DENMARK IS A DECISIVE STEP TOWARDS OUR AMBITION 32 primary care clinics #1 primary care player in Denmark +3 to be signed in the coming months Opportunity to develop in Norway 114 000 listed patients (~
Slide 23: Acquisition of Helsetelefonen, Norwegian Telehealth Provider
THE ACQUISITION OF HELSETELEFONEN, A LEADING NORWEGIAN PROVIDER OF TELEHEALTH SERVICES HAS STRONGLY REINFORCED OUR DIGITAL FRONT DOOR OFFERING Helsetelefonen: the entry point into a seamless digi-physical integrated pathway Patients with a medical question or issue Service available 24/7, 365 days p
Slide 24: Digital Front Door Addressing a Wide Range of Consumers
FROM DIGITALISATION OF HOSPITAL STAYS TO A DIGITAL FRONT DOOR ADDRESSING A WIDE RANGE OF CONSUMERS WITH POTENTIAL FOR ADDITIONAL REVENUES Over 1 million patients already experienced Ramsay Services Consumer / Patient Prevention Hospital care Home care services journey experience & Primary Care My Ra
Slide 25: Continued Investment to Implement 2025 Strategic Plan
WE WILL KEEP ON INVESTING IN ORDER TO STRENGTHEN OUR BUSINESS AS USUAL AND IMPLEMENT OUR 2025 STRATEGIC PLAN EXAMPLES OF KEY PROJECTS IN THE PORTFOLIO. A SIGNIFICANT INVESTMENT IS BEING ALLOCATED TO THE CREATION OF CLUSTERS OFFERING FURTHER DEVELOPMENT, ENHANCING THE ATTRACTION OF THE FACILITIES AND
Slide 26: Unique Integrated and Differentiated Health Care Operator in Europe
FINALLY, WE ARE A UNIQUE INTEGRATED AND DIFFERENTIATED HEALTH CARE OPERATOR IN EUROPE WITH PROFITABLE GROWTH AVENUES MARKET PATIENT QUALITY EFFICIENCY Strong underlying New patient segments to Best-in-class in the Continuous medical plans organic growth in the enter into / strongly Nordics a