Ramsay Health Care Limited · ASX:RHC
Ramsay Health Care — Investor Day (March 2023)
33 slides from Ramsay Health Care's investor day presentation, Mar 30, 2023
Slide 1: ASX Announcement: Investor Presentation Europe
ASX ANNOUNCEMENT 30th March 2023 For personal use only RAMSAY HEALTH CARE LIMITED – INVESTOR PRESENTATION EUROPE Enclosed a presentation on Ramsay Santé to be made in Europe on Thursday 30th March. For further information please contact: Kelly Hibbins Group Head of Investor Relations Ramsay Health C
Slide 2: Ramsay Santé Investor Day
RAMSAY SANTÉ For personal use only INVESTOR DAY March 30TH 2023
Slide 3: Disclaimer
DISCLAIMER For personal use only 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
Slide 4: Today's Speakers
TODAY’S SPEAKERS For personal use only Pascal ROCHÉ Jérôme BRICE Henrik BREHMER Group CEO Group CFO Chief Strategy & Public Affairs Officer 3
Slide 5: Introduction - Ramsay Santé Ownership Structure
INTRODUCTION - RAMSAY SANTÉ OWNERSHIP STRUCTURE For personal use only Ramsay Santé has 2 main shareholders: €4,301 billion Ramsay Health Care (52.79%) Annual turnover as at 30.06.2022 Prédica (39.82%), a subsidiary of Crédit Agricole specialising in insurance €658.4 million Other shareholders:
Slide 6: A Unique European Healthcare Player with a Non Replicable Model
RAMSAY SANTÉ, A UNIQUE EUROPEAN HEALTHCARE PLAYER WITH A NON REPLICABLE MODEL For personal use only … leveraging a wide range of local … European strengths and materialized leader in know-how to through integrated increase and resilient care… accelerate financial value performance. creation… … with
Slide 7: Ramsay Santé in 2022: Leader in Integrated Care in Europe
RAMSAY SANTÉ IN 2022: LEADER IN INTEGRATED CARE IN EUROPE, BASED ON PATIENT CENTRICITY AND MEDICAL OUTCOMES For personal use only Leading position in our markets A strong healthcare A modern quality focused footprint in Europe provider > €1,1 bn CAPEX FY17 to FY22 244 hospitals & clinics 17 robots 1
Slide 8: Integrated Care Along the Whole Care Chain in Four Countries
WE PROVIDE INTEGRATED CARE ALONG THE WHOLE CARE CHAIN IN OUR FOUR MAIN OPERATING COUNTRIES For personal use only MEDICINE SURGERY OBSTETRICS DIALYSIS EMERGENCY PRIMARY CARE HOME CARE REHABILITATION MENTAL HEALTH IMAGING ELDERLY & GERIATRIC CARE DIGITAL CARE & E- HEALTH 7
Slide 9: Dynamic Healthcare Markets with Strong Fundamentals
WE OPERATE IN DYNAMIC HEALTHCARE MARKETS WITH STRONG FUNDAMENTALS For personal use only France Sweden Norway Denmark Market size Healthcare spend as % of 12.4% +10.5% 11.4% +4.6% 10.1% +0.6% 10.8% +7.4% GDP and growth vs 2018 Private sector market share for 67% 85% 85% 85% healthcare provision 23% 1
Slide 10: Development Strategy Balancing and Diversifying Our Profile
OUR DEVELOPMENT STRATEGY HAS BEEN INSTRUMENTAL IN BALANCING AND DIVERSIFYING OUR PROFILE For personal use only FY22 revenue split H1 FY23 revenue split Our Facilities in Europe 3%2% 1% 3% 3% 0,5% A more balanced France revenue split per 25% 27% Sweden geography Norway 69% 67% Denmark Italy 3% <0,5%
Slide 11: Key Achievements: More Patients, More Settings, More Contacts
KEY ACHIEVEMENTS AND STRONG DEVELOPMENT RESULTING IN “MORE PATIENTS, MORE SETTINGS AND MORE CONTACTS” For personal use only Strong development of +18% patients’ visits* +27% of new settings contacts with customers Total number of visits Total number of settings Emails sent to our customers for 1.9m
Slide 12: Positive Market Trends with Underlying Growth in All Markets
POSITIVE MARKET TRENDS WITH UNDERLYING GROWTH IN ALL OUR MARKETS For personal use only French private sector has recovered 2019 level of activity In Sweden, dramatic waiting lists increase confirm the while public face more difficulties underlying demand MSO economic volume by type of player Jan. –
Slide 13: Positive Regulatory Developments in France and Nordic Countries
SOME POSITIVE REGULATORY DEVELOPMENTS IN FRANCE AND NORDIC COUNTRIES… For personal use only Post‐COVID context driving Strong support from Government in 2022… That should continue in 2023 opportunities H1 FY23 funding and compensations received in addition to tariff increase 2023 perspectives and tr
Slide 14: Headwinds and Uncertainties We Face
…HELP COMPENSATE FOR THE HEADWINDS AND UNCERTAINTIES WE FACE For personal use only French funding reforms: • PR announcement to reduce the share of activity‐based funding from Regulatory 2024 onwards and put in place funding based on public health objectives • Rehabilitation funding reform postponed
Slide 15: Staff Shortage in France: Improved Situation
STAFF SHORTAGE IN FRANCE: IMPROVED SITUATION FOR ENHANCED CAPACITY TO TAKE CARE OF PATIENTS’ NEEDS, IN A TOUGH AND COMPLEX CONTEXT For personal use only After facing dramatic situation since COVID outbreak, particularly critical in FY22 (800 vacant positions in average), situation improves constantl
Slide 16: Resilience: Acquisitions Driving Revenue and EBITDAR Growth
WE PROVED OUR RESILIENCE IN RECENT YEARS; ACQUISITIONS AND SUCCESSFUL INTEGRATION HAVE DRIVEN REVENUE AND EBITDAR GROWTH For personal use only WITH PROVEN CAPACITY TO MAINTAIN PROFITABILITY Revenues multiplied by 2.6 since 2014 And EBITDAR is multiplied by 2.1 (m€) Apr 22 – Acquisition of GHP (m€) N
Slide 17: Secured Long-Term Funding Perspectives
SECURED LONG-TERM FUNDING PERSPECTIVES For personal use only Amortization plan of Ramsay Santé debt 16
Slide 18: Strong Balance Sheet with Active Development Strategy
WE PROVED OUR ABILITY TO MAINTAIN A STRONG BALANCE SHEET TOGETHER For personal use only WITH ACTIVE DEVELOPMENT STRATEGY FY22 INVESTMENT AND M&A CAPEX Leveraging profile from Jun-14 to Dec-22 Net leverage historically under 4.0x except following Capio and GHP acquisition 217 € m Investment 5.0% of r
Slide 19: State-of-the-Art Facilities and Equipment
STATE-OF-THE-ART FACILITIES AND EQUIPMENT THANKS TO A SUSTAINED INVESTMENT AND INNOVATION POLICY For personal use only Construction, Modernization and Extension New proximity centres Clinique Ange Gardien (France) Saint Göran’s Hospital (Stockholm, Sweden): Primary Care centre (Argenteuil, France) ▪
Slide 20: Value Creation from Acquisitions and Portfolio Optimization
WE DEMONSTRATED OUR CAPACITY TO CREATE VALUE FROM ACQUISITIONS AND CONSTANTLY MANAGE AND OPTIMIZE OUR PORTFOLIO For personal use only Value creation from recent key acquisitions: synergies and strengths leveraged across the Group Synergies well above initial +13% clinics; +18% patients Expected syne
Slide 21: Our 2025 Plan: Four Strategic Pillars, Seven Enablers
OUR 2025 PLAN , IS BASED ON FOUR STRATEGIC PILLARS For personal use only 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 our care in our hospitals
Slide 22: Significant Achievements of Our Strategic Plan
SIGNIFICANT ACHIEVEMENTS OF OUR STRATEGIC PLAN LEVERAGING BEST PRACTICES BETWEEN COUNTRIES For personal use only PREVENTION PRIMARY ENTRY HOSPITAL OUTPATIENT & AT HOME Become the preferred primary Deliver advanced care in our Drive touchpoints & loyalty by Expand our outpatient services entry point
Slide 23: Development of Primary Care in All Countries
DEVELOPMENT OF PRIMARY CARE IS ONGOING IN ALL COUNTRIES, LEVERAGING For personal use only CROSS COUNTRY FERTILISATION Capitation and fee for service Capitation model in free‐care models choice models 136 centres Only private player Country of reference with in 13/21 experimenting the capitation
Slide 24: Imaging Services Growth in France and Denmark
IMAGING SERVICES GROWTH IN FRANCE AND DENMARK IS AN EXAMPLE OF OUR For personal use only SUCCESSFUL DEVELOPMENT OF ADJACENCIES # Authorizations Imaging volumes (# exams) 115 CAGR 125k 98 +33% 88 Best 47 practice sharing 40 97k 36 85k 43 53 37 15 15 15 June 2021 Dec. 2022 > Jan. 2023 FY 2021 FY 2022
Slide 25: Ambitious Digital Roadmap
OUR AMBITIOUS DIGITAL ROADMAP AIMS TO PROVIDE A SINGLE ENTRY POINT TO AN INTEGRATED HEALTH ECOSYSTEM, LEVERAGING COUNTRIES BEST PRACTICES For personal use only 24
Slide 26: Sweden: Digital Entry Point and Digi-Physical Care
AS AN EXAMPLE, IN SWEDEN, WE FOCUS ON THE DIGITAL ENTRY POINT AND DIGI-PHYSICAL CARE TO BECOME A PREFERRED PARTNER IN HEALTH For personal use only Illustrative, simplified overview of the digi-physical pathway Impact Patients Search, and Identify Interact with Are directed to Care visit Get digital
Slide 27: Sweden: Network Offering for Integrated Digital Care
AS AN EXAMPLE, IN SWEDEN, OUR « NETWORK » OFFERING IS AN ACHIEVEMENT FOR ADVANCED INTEGRATED DIGITAL CARE PROVISION For personal use only One single point of contact for a seamless and personalized pathway A successful digital offering Through our “Network” offering, an Success of our overall applic
Slide 28: Engaged with Our People for Quality of Care
AS A LEADING INTEGRATED HEALTHCARE COMPANY, WE ARE ALWAYS ENGAGED WITH OUR PEOPLE TO DO THE BEST FOR OUR PATIENTS For personal use only Quality of care tightly monitored with the aim to meet the highest standards Best‐in‐class for quality, outperforming public and Quality report and Quality work – C
Slide 29: Ramsay Santé Becomes a Mission Company
BESIDES, RAMSAY SANTÉ BECOMES A MISSION COMPANY*, A LEVER TO MAKE A DIFFERENCE IN SOCIETY AND ADDRESS OUR STAKEHOLDERS’ EXPECTATIONS For personal use only What? Defining Ramsay Santé's unique role in society. Why? Providing Ramsay Santé's sustainability plan. When? An ongoing commitment since 2020 w
Slide 30: Social and Environmental Objectives Consistent with Purpose
OUR 4 SOCIAL AND ENVIRONMENTAL OBJECTIVES ARE FULLY CONSISTENT WITH BOTH OUR PURPOSE AND OUR STRATEGIC PLAN For personal use only Systematize the dialogue with Promote access to care for all our stakeholders # To welcome all patients and all # Building stakeholder confidence pathologies # Involving
Slide 31: A Unique Integrated and Differentiated Healthcare Operator in Europe
FINALLY, WE ARE A UNIQUE INTEGRATED AND DIFFERENTIATED HEALTH CARE OPERATOR IN EUROPE WITH PROFITABLE GROWTH AVENUES For personal use only MARKET + PATIENT + QUALITY + EFFICIENCY ▪ Strong underlying ▪ New patient segments to ▪ Best‐in‐class in the ▪ Continuous medical plans organic growth in the ent
Slide 32: Q&A
For personal use only Q&A
Slide 33: For personal use only
For personal use only