Aster Dm Healthcare Ltd. · NSE:ASTERDM
Aster Dm Healthcare — Q1 FY24 Earnings Presentation
48 slides from Aster Dm Healthcare's earnings presentation, Aug 14, 2023
Slide 1: Exchange filing cover letter
August 14, 2023 The Secretary The Manager, Listing Department, Listing Department, BSE Limited, The National Stock Exchange of India Ltd 1st Floor, Phiroze Jeejeebhoy Towers Exchange Plaza, C-1, Block G Dalal Street, Mumbai 400001 Bandra Kurla Complex Scrip Code: 540975 Bandra (East), Mumbai 400051
Slide 2: Investor Presentation for the Quarter Ended 30th June 2023
INVESTOR PRESENTATION For the Quarter Ended on 30th June 2023
Slide 3: 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 4: Vision
VISION A Caring Mission with a Global Vision to Serve the World with Accessible and Affordable Quality Healthcare.
Slide 5: Aster DM Healthcare – Evolution
Aster DM Healthcare – Evolution New geographies, segments Brand “Aster” was formed, private Robust Growth across all Growth and Diversification into Building the foundations and service offerings equity investment, further expansion segments and geographies; Rapid aligned businesses across Expansion
Slide 6: Business Overview – Q1
Business Overview – Q1 One of the 33 (29) GCC : 15 (14) Largest Private Healthcare 5,866 GCC : 1,443 (1,260) service providers operating (5,293) Hospitals India : 181 (15) Capacity Beds India : 4,423 (4,033) in Asia (GCC & India) Presence in 7 Countries 4.75 Mn GCC. : 3.98 Mn 127 (121) GCC : 115 (11
Slide 7: Geographical Footprint
6 Geographical Footprint United Arab Emirates Kingdom of Saudi Arabia Kerala Andhra Pradesh Karnataka H(9) C(101) P(249) H(1) H(6) C(2) P(86) L(5) PEC(134) H(6) C(4) P(5) L(2) PEC(2) H(4) C(6) P(103) L(5) PEC (75) Oman Qatar Bahrain Jordan Maharashtra Telangana Tamil Nadu H(1) C(6) P(5) C(2) P(2) P(
Slide 8: Aster DM Healthcare – Financial Overview
Aster DM Healthcare – Financial Overview Revenue- Q1 FY24 EBITDA- Q1 FY24 India India India India 26% (PY: (PY XX%) : 24%) (PY:32% XX%) (PY : 29%) GCC GCC GCC 74% 68% (PY:: 71%) XX%) (PY: (PYXX%) : 76%) (PY Note: 1. Revenue and EBITDA shown above excludes other income 2. Above shown percentage of re
Slide 9: GCC Hospitals
GCC Hospitals 8 UAE Qatar Oman Aster Hospital Mankhool Aster Hospital Qusais Cedars Hospital Dubai Dubai Dubai CB:140 OB:118 CB:157 OB:126 CB:20 OB:12 2015, Leased 2018, Leased 2019, Leased Aster Hospital Al Raffah Hospital Al Raffah Hospital Doha Muscat Sohar CB:61 OB:30 CB:72 OB:52 CB:81 OB:63 201
Slide 10: India Hospitals
India Hospitals 9 Kerala Cluster Karnataka & Maharashtra Andhra & Telangana Cluster Cluster Aster Medcity Kochi, Kerala Aster CMI Ramesh Main Ramesh Ramesh Guntur CB: 759 OB: 616 Bengaluru, Karnataka Centre Sanghamitra Guntur, AP 2014, Owned CB:508 OB:374 Vijayawada, AP Ongole, AP CB:350 OB:225 MIMS
Slide 11: Hospitals: Pipeline Projects
Hospitals: Pipeline Projects Owned / Hospitals - GCC Location Planned Beds Expected Completion Year Present Status Leased/O&M Owned / Hospitals - India Location Planned Beds Expected Completion Year Present Status Leased/O&M
Slide 12: The Aster DM Healthcare Edge
The Aster DM Healthcare Edge • Strong track-record of financial, operational, societal growth trajectory in GCC • Holistic healthcare solutions for people, including primary, secondary, tertiary and Sturdy • Brisk scaling-up of operations across quaternary care Performance segments and geographies •
Slide 13: Historical Trends
Historical Trends Capacity Beds Outpatient Count (in mn) Inpatient Count (in ‘000) GCC India 326 5,756 5,866 10.3 9.8 273 5,293 9.4 254 4,907 5,065 8.7 4,804 4,561 7.7 218 220 4,317 4,423 3,905 4,033 3,460 3,693 3,757 85 2.3 2.3 73 1,101 1,111 1,150 1,160 1,439 1,260 1,443 FY19 FY20 FY21 FY22 FY23 F
Slide 14: An Integrated Healthcare Provider
AN INTEGRATED HEALTHCARE PROVIDER Aster – An Integrated Healthcare Provider
Slide 15: Aster - An Integrated Healthcare Provider
Aster - An Integrated Healthcare Provider FY23 Operational Information 1,800+ 326,300+ Cardiovascular IP Discharges Surgeries ~5.1 mn 22,800+ 1,300+ Clinic OPD Visits General Bariatric Surgeries Surgeries 4,000+ 1,500+ Joint ~ 9.8 mn Spine Replacements Pharmacy Surgeries Visits 17,700+ 400+ Urology
Slide 16: Aster – A Healthcare Ecosystem
Aster – A Healthcare Ecosystem Patient Life Cycle Management • Aster, over 35 years, Hospitals Clinics Pharmacies has created a Healthcare Ecosystem across two geographical regions • Indian operations act as a source of talent (Doctors, Nurses, and • In GCC region, Aster’s other employees) Primary C
Slide 17: Digital Health
Digital Health Currently ranks #1 among the Free Apps in Medical Category in the UAE Virtual Care – Omni-channel experience for Patients Online Pharmacy Digital CRM Influx of 270K unique users (6% growth over Q4 Over 110K+ net Installs of the App in the UAE in Q1FY24 Continuing engagement, edu
Slide 18: Aster Labs
Aster Labs was established in 2019, WE WILL Having built a strong presence in Karnataka & The focus is now on Profitability with TREAT YOU WELL is the brand promise that Kerala, Aster Labs has expanded to Andhra the existing infrastructure in place and every analysis will be most accurate, and help
Slide 19: Aster Pharmacy Footprint (India)
(INDIA) Our goal is to position ourselves as a prominent brand Aster Pharmacy opened 1st pharmacy in India in February’21 in the regions we serve. We strive to achieve and is expanding its footprint around Aster Ecosystem Vision recognition as a key player in these areas by Focused approach towa
Slide 20: GCC Healthcare – Unique traits
GCC Healthcare – Unique traits Population (Mn) Healthcare market in GCC states, which is mostly insurance driven, have developed certain unique traits due to the higher expat and working age population Expacts Nationals 35.3 Prevalence of Primary and Secondary Healthcare Facilities (Private Sector)
Slide 21: Aster - Awards & Service Excellence
Aster - Awards & Service Excellence 20 • Elected by World Economic Forum as a Young Dr. Azad Moopen • Recipient of the “Padma Shri” Award, the 4th Alisha Moopen Global Leader Chairman & Managing highest civilian award by the Government of India Deputy Managing • Harvard Business Council Internationa
Slide 22: Aster - Awards
Aster - Awards Times All India Multispecialty Hospitals Ranking Survey 2023 Outlook's Best Hospital Ranking Aster Medcity, Aster CMI, MIMS Calicut and 2023 UAE Innovation Award Aster RV, Aster Women & Child, Aster Aster Medcity , Aster CMI, MIMS Aster Hospitals, UAE Prime Calicut Aster Pharmacies IH
Slide 23: Aster - Awards
Aster - Awards Asian Hospital Cyber Security Council Middle East Technology Management Awards Aster Hospitals, UAE Excellence Awards Aster Hospitals Aster Hospitals ARIS COE Arabia Corporate Social Aster Hospitals, Bangalore World AI Show & Awards – Responsibility Awards Best Project Implementation
Slide 24: Operational and Financial Overview
OPERATIONAL AND FINANCIAL OVERVIEW Operational and Financial Overview
Slide 25: Clinical Highlights - FY24 Q1
Clinical Highlights - FY24 Q1 India 1st DBS surgery performed for Dystonia, in North Kerala by a team of Drs of Aster Medcity & MIMS Calicut. Advanced trauma care fracture rib fixation using Matrix Bions Depuy Advanced Rib Fixation Technique initiated at Aster Medcity. It was a game changer and
Slide 26: Revenue and Profitability Snapshot – FY24 Q1
Revenue and Profitability Snapshot – FY24 Q1 Revenue from Operations EBITDA (excl. Other Income) PAT Adjusted PAT Revenue excluding new hospitals4 is Rs. EBITDA excluding new hospitals4 and non- PAT excluding losses from new hospitals4, non recurring restructuring cost, one-time deferred tax 3,146
Slide 27: Geography – wise Financial Snapshot – Quarterly
Geography – wise Financial – Snapshot – Quarterly GCC INDIA CONSOLIDATED FY23 Q1 FY24 Q1 Gw (%) FY23 Q1 FY24 Q1 Gw (%) FY23 Q1 FY24 Q1 Gw (%) Revenue (₹) EBITDA (₹) PAT (₹) NM Adjusted PAT (₹) Excluding New Hospitals and non-recurring Excluding New Hospitals: Revenue, EBITDA Excluding New Hosp
Slide 28: Geography – wise Business Snapshot - Quarterly
Geography – wise Business – Snapshot - Quarterly GCC INDIA CONSOLIDATED FY23 Q1 FY24 Q1 FY23 Q1 FY24 Q1 FY23 Q1 FY24 Q1 Total Capacity Beds Operational Beds (Census) Operational Beds (Non-Census) Available Capacity Beds ALOS (Days) Occupancy Outpatient Visits In-patient visits ARPOBD (INR) Notes: 1.
Slide 29: Geography – wise Business Snapshot – Quarterly
Geography – wise Business – Snapshot – Quarterly KARNATAKA & ANDHRA & KERALA TOTAL MAHARASHTRA TELANGANA FY23 Q1 FY24 Q1 FY23 Q1 FY24 Q1 FY23 Q1 FY24 Q1 FY23 Q1 FY24 Q1 Total Capacity Beds Operational Beds (Census) Operational Beds (Non-Census) Available Capacity Beds ALOS (Days) Occupancy Outpatien
Slide 30: Segmental Performance FY24 Q1 - India
Segmental Performance FY24 Q1 - India Growth rates Hospitals & Hospitals & Hospitals - Labs & Unallocated Hospitals - Labs & Unallocated Clinics Clinics Q1 FY24 O&M Asset Wholesale & Total Gw % O&M Asset Wholesale & Total (Ex. O&M Asset (Ex. O&M Asset Light Pharmacy Eliminations Light Pharmacy Elimi
Slide 31: Maturity Wise Hospital Performance – India
Maturity Wise Hospital Performance – India FY 24 Q1 5% 12% ₹(9) 5 ₹ 41% -26.3% ₹36 396 12 95% 88% ₹152 ₹ 67% 20.2% ₹749 2,995 ₹ ₹ ₹ India hospitals 0-3 Years: Aster Mother Hospital Areekode, Aster Whitefield Women and Children Hospital, Aster Narayanadri, Ramesh IB and Aster G Madegowda Note: 1. Ast
Slide 32: Segmental Performance FY24 Q1 - GCC
Segmental Performance FY24 Q1 - GCC Growth rates Unallocated & GCC GCC Unallocated & FY24 Q1 GCC Hospitals GCC Clinics GCC Pharmacies Total GCC Clinics Total Eliminations Hospitals Pharmacies Eliminations No. of Business Units (#) 15 115 272 NA 402 -- -- -- -- -- Operational Beds (#) 1,115 NA NA NA
Slide 33: Maturity Wise Hospital Performance – GCC FY24 Q1
Maturity Wise Hospital Performance – GCC FY24 Q1 8% 20% ₹(14) 3 ₹ 31% -15.8% ₹91 220 12 92% 80% ₹184 ₹ 56% 18.4% ₹999 895 ₹ ₹ ₹ GCC hospitals 0-3 Years: Aster Hospital Sharjah, Aster Hospital Sonapur and Aster Royal Hospital, Muscat Note: 1. Revenue and EBITDA shown above excludes other income 2. Ab
Slide 34: Financial Summary – Profitability Statement
Financial Summary – Profitability Statement Particulars (INR Cr) FY23 Q4 FY23 Q1 FY24 Q1 Y-o-Y Gw% Q-o-Q Gw% As at Mar 31, As at Jun 30, India (in INR Cr) 2023 2023 Gross Debt 597 652 Revenue from operations 3,262 2,662 3,215 21% -1% Less: Cash, Bank Balance and Current Investments 87 87 Material co
Slide 35: Consol Trends - I
Consol Trends - I Revenue (INR Cr) EBITDA 1,565 11,933 1,483 10,253 1,258 8,652 8,608 1,063 7,963 863 3,215 388 2,662 292 FY19 FY20 FY21 FY22 FY23 FY23Q1 FY24Q1 FY19 FY20 FY21 FY22 FY23 FY23 Q1 FY24 Q1 EBITDA Margin ROCE 14.5% 14.5% 10.0% 9.7% 9.4% 13.1% 12.3% 12.1% 8.5% 11.0% 8.2% 10.8% 7.4% 5.1% F
Slide 36: Consol Trends - II
Consol Trends - II Net Debt (excl. Lease Liabilities) (INR Cr) Net Debt (incl. Lease Liabilities) (INR Cr) India GCC India GCC 2,783 5,416 5,261 5,432 2,329 358 633 4,499 4,521 4,706 242 2,004 2,002 1,043 1,110 1,806 1,848 1,847 825 306 652 763 319 359 565 510 2,425 4,783 2,087 4,218 4,322 1,698 3,8
Slide 37: India: Financial Trends
India: Financial Trends Revenue (INR Cr) EBITDA 2,983 453 2,384 353 1,631 1,645 1,314 183 838 144 651 121 123 84 FY19 FY20 FY21 FY22 FY23 FY23 Q1 FY24 Q1 FY19 FY20 FY21 FY22 FY23 FY23 Q1 FY24 Q1 EBITDA Margin PAT (Post- NCI) 147 14.8% 15.2% 14.7% 12.9% 11.3% 60 41 9.2% 8.7% 19 FY19 FY20 FY21 2.9% 4.
Slide 38: India Hospital & Clinics Cluster-Wise Trends
India Hospital & Clinics Cluster-Wise Trends Kerala Cluster Karnataka & Maharashtra Cluster Andhra & Telangana Cluster Revenue (INR Cr) Revenue (INR Cr) Revenue (INR Cr) 817 1,691 655 370 344 1,318 303 314 279 875 935 442 433 701 310 462 238 369 180 97 78 FY19 FY20 FY21 FY22 FY23 FY23 FY24 FY19 FY20
Slide 39: Strategy & Leadership
STRATEGY & LEADERSHIP Strategy & Leadership
Slide 40: GCC Strategy
Strengthening of our medical GCC Strategy tourism network • To further strengthen integration of GCC & India operations to provide consistent quality experience to The pandemic allowed us to reflect and re- patients across geographies invent certain processes at all the locations. • To position our
Slide 41: India Strategy
In line with focus India Strategy Aster DM Healthcare hopes to leverage its on derisking Focus on extensive experience business – large format of working in a 100% target of 40%- hospitals in Tier 1 insurance market in 50% of overall cities – Hospitals the GCC to derive revenues in the in Tier 1 cit
Slide 42: ESG: Committed to UN Sustainable Development Goals
ESG: Committed to UN Sustainable Development Goals
Slide 43: Story so far…
Story so far… Steady progress being made for FY ’24 with preparation, sign off, and audit of our ESG annual report. Highlighted below are key milestones achieved so far: External Assurance Materiality Assessment ESG Rating Partnered with Workshops KPMG for carrying out an independent Launched the as
Slide 44: ESG highlights for the year
ESG highlights for the year In this financial year we have made significant progress on all aspects of E: Environment, S: Social and G: Governance performance 577 MWh energy consumption reduction at 100% resolution of reported whistleblowing Medcare Hospital cases raised via the confidential reporti
Slide 45: Aster – ESG Strategy
Aster – ESG Strategy Current ESG practices •External engagement for •ESG Policy and ESG Risk •ESG Pillars identified in ESG •Board level ESG assurance of Aster’s ESG framework approved by the Report Aster Board commitment report against global frameworks Next steps External Assurance of Aster’s ES
Slide 46: Aster Board of Directors
Aster Board of Directors Dr. Azad Moopen Alisha Moopen T. J. Wilson Anoop Moopen Chairman and Managing Non-Executive Director Non-Executive Director Deputy Managing Director Director Shamsudheen Bin Daniel Robert Emmanuel David Mohideen Mammu Haji Mintz Gootam Non-Executive Director Non-Executive Di
Slide 47: Aster Leadership Team
Aster Leadership Team 46 Dr. Azad Moopen Founder, Chairman & Managing Director T. J. Wilson Dr. Malathi Fara Siddiqi Alisha Moopen Group Head - Governance & Group Chief Medical & Group Chief Human Deputy Managing Director Corporate Affairs, GCC Quality Officer Resources Officer Veneeth Purushotaman
Slide 48: Thank You
Thank You www.asterdmhealthcare.com Email: investors@asterdmhealthcare.com