Ramsay Generale De Sante Sa · EURONEXT:GDS
Ramsay Generale De Sante Sa — Générale de Santé — Investor Day (March 2015)
17 slides from Ramsay Generale De Sante Sa's investor day presentation, Mar 12, 2015
Slide 1: Investor Day
INVESTOR DAY RAMSAY HEALTH CARE /GÉNÉRALE DE SANTÉ MARCH 12th 2015 I 2015/03/12 I
Slide 2: Introduction
INTRODUCTION §PASCAL ROCHÉ › Chief Executive Officer §DENIS CHARLES › Group Head of Operations §ARNAUD JEUDY › Chief Financial Officer 2 I Investor day 2015/03/12 I
Slide 3: On a fact-based approach, France needs to adapt but has a huge potential
ON A FACT-BASED APPROACH, FRANCE NEEDS TO ADAPT BUT HAS A HUGE POTENTIAL 17,42 The 5th World Economy (2014) 1 31 French companies among the (in billion $) World top 500 global companies1 128 10,36 95 57 4,77 3,82 31 28 28 2,90 2,85 2,24 17 13 13 2,13 2,06 2,03 10 8 8 8 8 8 1 Source IMF 1 Source Fort
Slide 4: Medical services of private clinics are financed by the public health system within the ONDAM budget
MEDICAL SERVICES OF PRIVATE CLINICS ARE FINANCED BY THE PUBLIC HEALTH SYSTEM WITHIN THE ONDAM BUDGET MEDICAL CONSUMPTION HAS INCREASED FASTER THAN GNP 1 20% 75% 80% Share of chronical diseases in 66% medical expenses in France (%) 70% 15% 17% Medical consumption vs GNP in 60% France (%) 10% 12.70% 5
Slide 5: ONDAM budget will keep on increasing every year
ONDAM BUDGET WILL KEEP ON INCREASING EVERY YEAR ONDAM is characterized by an amount and its evolution, both voted and achieved. It is 6 chapters in ONDAM Voted objective expressed in 6 chapters regrouped in 4 categories ONDAM in 2013 Care for elderly people 1 objective in common €1bn €17bn Care for
Slide 6: An increasing French healthcare market
AN INCREASING FRENCH HEALTHCARE MARKET… HOSPITAL MARKET (IN €BN) A MASSIVE AND SECURE MARKET 90 84 › €79bn for healthcare facilities (MSO) 85 82 81 80 77 79 › A market split between 2 main categories : 75 − Non profit actors ; 75 72 ∑ = 2,000 actors 70 − For profit actors. 70 › 2% annual growth expe
Slide 7: Facing flat tariffs but positioning on the right activities
WE ARE FACING FLAT TARIFFS BUT BY POSITIONING ON THE RIGHT ACTIVITIES WE ARE STILL ABLE TO EXTRACT VALUE DRG EVOLUTION (PUT IN PLACE IN 2006) 4% 4% 2% 1% 0,47% 0% -0,05% 0,16% -0,21% -0,24% 0% 2007 2008 2009 2010 2011 2012 2013 2014 -2% -4% OUR EFFORTS ON CASE MIX AND LENGTH OF STAY COUNTERACT FLAT
Slide 8: A growing activity on a mid to long term perspective
A GROWING ACTIVITY ON A MID TO LONG TERM PERSPECTIVE… MORE THAN 50% OF OUR CORE MARKET IS ABOVE 60 YEARS OLD Age distribution in MSO1 Age distribution in FCR1 ∑ = 50% ∑ = 68% 39% 35% 34% 34% 26% 11% 15% 6% 0-19 20-59 60-79 >80 0-19 20-59 60-79 >80 1 Source: ATIH, Insee & Roland Berger THE FRENCH POP
Slide 9: Enjoying strong and sustainable drivers
…ENJOYING STRONG AND SUSTAINABLE DRIVERS 2015 OUR CORE MARKET IS GETTING BIGGER… 2030 Age in million1 Age in million1 ∑ = 15.7m ∑ = 19.6m 32,5 31,5 15 14,7 14,8 12 3,7 4,8 0-19 20-59 60-79 >80 60-79 >80 60-79 >80 Age in %1 Age in %1 ∑ = 25% ∑ = 30% 51% 48% 24% 22% 23% 19% 6% 7% 0-19 20-59 60-79 >80
Slide 10: Générale de Santé & Ramsay Santé combined group at a glance
GÉNÉRALE DE SANTÉ & RAMSAY SANTÉ COMBINED GROUP AT A GLANCE MAIN FIGURES COMBINED GEOGRAPHICAL DIVERSITY › 115 facilities › 1.5m of entries Paris › 600 operating rooms › 13,000 beds › 2,900 places Legend MCO +SSR › 23 clinics with obstetric authorization Psychiatry › 34,800 baby deliveries per year
Slide 11: Générale de Santé: a leader of a highly fragmented market
GENERALE DE SANTÉ : A LEADER OF A HIGHLY FRAGMENTED MARKET… ESTIMATED MARKET SHARES (2013) 15-16% 2% 13% 7% 6% 4% 4% 2% 2% (a) (a) Acquisition of Médi-Partenaires by Bridgepoint, current owner of Medipôle Sud Santé, announced in April 2014. Source: Roland Berger, based on 2012 revenues. GDS : EBITDA
Slide 12: Following a clear strategy
…FOLLOWING A CLEAR STRATGEY In this market Going further : performance is Générale de Santé “Become the healthcare preference", driven by four Key Success factors switching from a B2B to a B2C model Footprint • More than 95% of clinics in the most efficiency attractive quartiles Q1 and Q2 4 pillars
Slide 13: Care excellence: some medals of honor
CARE EXCELLENCE1 : SOME MEDALS OF HONOR 9 MSO ranked 8 ranked in top 4 ranked in top 40 in top 25 50 Myocardial Bariatric infarction General ranking surgery 7 ranked 8 ranked 7 ranked 8 ranked 9 ranked in top 50 in top 50 in top 50 in top 50 in top 40 Cataract Pneumology Pacemakers Hip prothesis Spi
Slide 14: Preparing the future by keeping a high investment level
WE HAVE BEEN PREPARING THE FUTURE BY KEEPING A HIGH INVESTMENT LEVEL Self financed CAPEX (in €m) Most clusters are involved in brownfield projects of development 99 100 98 88 Cluster without recent major development project Major project opened in 2013 Major project opened in 2014 Major short term p
Slide 15: Clear leader in day surgery in France
WE ARE THE CLEAR LEADER IN DAY SURGERY IN FRANCE, WHICH IS THE FUTURE OF HOSPITALISATION ANSWERS TO A NATIONAL SURVEY FOCUSED ON ONE DAY SURGERY 1 WHAT IS ONE WOULD ACCEPT A ONE DAY DAY SURGERY ? 60% 28% 19% SURGERY OPERATION ? 85% 15% IS IT THE FUTURE DO YOU TRUST ONE DAY 84% 16% 78% 22% OF SURGERY
Slide 16: Switching from a B2B to a B2C model: innovative services to patients
SWITCHING FROM A B2B TO A B2C MODEL : OFFERING INNOVATIVE SERVICES TO OUR PATIENTS • Patient, Practitioner Relationship Management via a CRM tool adapted to our healthcare business PPRM • Range of services proposed • Emergencies Department : to our patients in order to ü Enhance the visibility of en
Slide 17: An example of innovative services: the ED project
AN EXAMPLE OF INNOVATIVE SERVICES: THE ED PROJECT What : The ED project • Enhance the visibility of short waiting times in GDS services • Develop a guide of high-quality standards for ED organization • Develop services to meet patient expectations (eg. comfort in waiting area) • Develop a health eco