Upload
phunglien
View
227
Download
0
Embed Size (px)
Citation preview
Bumrungrad Hospital Public Company Limited
The Presentation for Debenture Issuance
Financial Advisor
Joint Lead Underwriters
11 November 2011
• The information contained in this presentation is for information purposes only and does not constitute an offer or invitation to sell or the solicitation of an offer or invitation to purchase or subscribe for any securities of Bumrungrad Hospital Public Company Limited (the "Company“ or “BH”) in any jurisdiction nor should it or any part of it form the basis of, or be relied upon in connection with, any contract or commitment whatsoever.
• This presentation is being communicated only to persons who have professional experience in matters relating to investments and/or to persons to whom it is lawful to communicate it under the laws of applicable jurisdictions. Other persons should not rely or act upon this presentation or any of its contents.
• Certain information and statements made in this presentation contain the Company's forward-looking statements. All forward-looking statements are the Company's current expectation of future events and are subject to a number of factors that could cause actual results to differ materially from those described in the forward-looking statements. Prospective investors should take care with respect to such statements and should not place undue reliance on any such forward-looking statements.
• This presentation has been prepared by the Company solely for the use at this presentation. The information in this presentation has not been independently verified. No representation, warranty, express or implied, is made as to, and no reliance should be placed on, the fairness, accuracy, completeness or correctness of the information and opinions in this presentation. None of the Company, any of its affiliates or any of their respective agents, advisors or representatives, shall have any liability (in negligence or otherwise) for any loss or damage howsoever arising from any use of this presentation or its contents or otherwise arising in connection with this presentation. The information presented or contained in this presentation is current as of the date hereof and is subject to change without notice and its accuracy is not guaranteed. None of the Company, any of its affiliates or any of their respective agents, advisors or representatives, makes any undertaking to update any such information subsequent to the date hereof.
• This presentation should not be construed as legal, tax, investment or other advice. No part of this presentation shall be relied upon directly or indirectly for any investment decision-making or for any other purposes. Prospective investors should undertake their own assessment with regard to any investment and should obtain independent advice on any such investment’s suitability, inherent risks and merits and any tax, legal and accounting implications which it may have for them.
• Certain data in this presentation were obtained from various external data sources, and none of the Company, any of its affiliates or any of their respective agents, advisors or representatives have verified such data with independent sources. Accordingly, the Company makes no representation as to the accuracy or completeness of those data, and such data involve risks and uncertainties and are subject to change based on various factors.
Disclaimer
1
Table of Contents
2
1. Company Information / Q3 Update Financials
2. Key Investment Highlights / Debenture Issue / Potential Key Covenants
3. Key Timeline
• Established in 1980; listed on SET in 1989
• Major operations divided into Bangkok facility and international
business
Bangkok Facility
Facilities
One of the largest and most sophisticated private hospitals in
South-East Asia
538 licensed inpatient beds and over 4,000 outpatients
capacity
per day
Thailand’s leading tertiary medical center
Accreditation
1st hospital in Asia to receive US JCI Accreditation
1st private hospital in Thailand with Thai Hospital Accreditation
Patients
Over one million patients treated annually
International following with over 400,000 international
patients from 190 countries
Services
34 specialist centers
With a 30-year track record, BH is now the leading healthcare service provider in South-East Asian region
Shareholding Structure
Bangkok Insurance
Pcl., 14.65%
Sinsuptawee AM,
8.68%Bangkok Bank Pcl.,
1.08%
Thai NVDR,
10.49%
Bangkok Dusit
Medical Services Pcl.,
14.25%
UOB Kay Hian (HK) -
Client Account,
8.29%
Others,
44.69%
Fact Sheet
4
As of 26 August 2011
Note: As of August 2011
Private Hospitals Comprehensive wellness center specializing in
preventive care
Vitallife Corporation Ltd. (“Vitallife”)
100.0% 31.5%
Asian Hospital Inc. (“AHI”)
56.5%
* Strategic partners of Bumrungrad International Limited are: - Istithmar 19.5% - Temasek 19.5% - Asia Financial Holding 19.5% - Bangkok Bank 10.0%
Mafraq Hospital
Management Contract
International business
Bumrungrad International Ltd.*
100.0%
Asia Global Research Co., Ltd. (“AGR”)
Clinical research
Bumrungrad Hospital Plc. (“BH”)
Bangkok Chain Hospital PCL doing business as
Kasemrad Hospital Group
Operates Bumrungrad International Hospital, Bangkok
24.99%
Core business of BH is the renowned Bumrungrad International Hospital, Bangkok
Group Structure
5
On 4 Nov 2011, BIL entered into a SPA in relation to the
sale of 3 subsidiaries in the Philippines (BIPI, NSH, and
AHI) to Metro Pacific Investments Corporation. The sale
transactions will be completed in Dec 2011 and Jan
2012.
BIL has notified SEHA that it would not renew the
Management Services Agreement. The contract will end December 31, 2011
BH’s management team comprises individuals with extensive experience in healthcare management
K. Linda Lisahapanya Managing Director
Mr. Dennis Brown CEO
Bumrungrad International Ltd.
Mr. Mack Banner CEO
Bumrungrad International, Bangkok
Mr. Anthony Tan CEO
Vitallife Corporation Ltd.
Dr. Suthipong Treeratana CEO
Asia Global Research Co., Ltd.
Dr. Sinn Anuras Group Medical Director
Mr. Dennis Brown Corporate CEO
Management Team
6
Bangkok Flagship Facility
Medical Tourism
Quality
Financial Strength
Operational Competitiveness
Selective Growth
• 1st hospital in Asia to receive US JCI Accreditation (since 2002)
• JCI ‘Disease-Specific’ certifications: heart and stroke programs (2006), diabetes and kidney programs (2010)
• 1st private hospital in Thailand with Thai Hospital Accreditation (since 1999)
• 1st private hospital to receive Thailand Quality Class standard (2008) - based on US Baldrige Award
• Efficient workflow with comprehensive hospital management system
• 1st hospital in Asia to implement: robotic pharmacy dispensing
system automated laboratory system
• Recognized as leading desired employer and innovative provider
•More experience treating international patients with over 400,000 international patients from 200 countries
• Diverse international patient base, with 40% international volume
• Established specialized international services to accommodate international patients
• Proven long-term revenue & profit growth
• Stable margins and strong cash flow • Strong financial metrics (as at 30 September 2011); Net debt to EBITDA 1.08x Net debt to equity 0.51x ROA 14.4% ROE 26.1%
•Opportunities for growth: Operationalize recently expanded
capacity Add additional capacity Complementary businesses,
wellness & anti-aging through Vitallife & VitechPro
•Over past two years, completed renovation of inpatient facilities and increased capacity with new outpatient facilities
• Emphasis on physician recruitment & program development
•Ongoing marketing initiatives directed towards Thai and International patients
BH’s Core Attributes
8
Ce
rtif
ica
tio
ns a
nd
Aw
ard
s
Thailand Tourism Award: “Award of Outstanding Performance in Medically-Oriented Establishment” by The Tourism Authority of Thailand
Best Practice Workplace Award on Labor Relations and Labor Welfare Award 2010 by the Ministry of Labor
Thailand’s Top 10 Most Innovative Companies 2010 By Chulalongkorn University’s school of business Prime Minister’s Export Award 2010 for Best Service Provider (Hospital Service) JCI ‘Disease-Specific’ Certifications: Diabetes Mellitus and Chronic Kidney Disease Wall Street Journal Award Recognition: top 10 most admired companies overall, quality and
corporate reputation Best Practice Workplace Award on Labor Relations and Labor Welfare Award 2009 by the Ministry of
Labor “Growth Excellence Awards” by Frost & Sullivan “Growth Excellence Awards” by Frost & Sullivan 2009 “Thailand’s Top 10 Most Innovative Companies” award By Chulalongkorn University’s school of
business 1st private hospital to receive Thailand Quality Class standard - based on US Malcolm Baldrige Award 1st hospital to win Award of Excellence, healthcare tourism category, 2008 Thailand Tourism Award Wall Street Journal Award Recognition Rank No.1 – Most Admired Thai Companies Award of Excellence, Outstanding Achievement and Special Recognition in Applied Medical Informatics
2008 Best Website for International Medical Travel awarded at 2008 Consumer Health World Awards, USA Thailand Most Innovative Company By Chulalongkorn University’s school of business Thailand’s “Best Small Cap Company” 2008 awarded by Hong Kong-based Asiamoney magazine Most Desirable Companies to Work for in Thailand, Rank 7 for overall and Rank 1 in healthcare, by
Business.com Magazine Company with very good corporate governance scoring by Thai Institute of Directors Association
2007: Received ISO 15189 (Medical laboratory certification ) 2006: JCI ‘Disease-Specific’ certifications: Heart and Stoke programs 2002: 1st hospital in Asia to receive US JCI Accreditation 2001: Received ISO 14001 for environmental management and was 1st hospital in Asia to receive ISO 9001:2000 1999: 1st private hospital awarded Thailand Hospital Accreditation (HA) and received ISO 9002:1994
2008:
2009:
2010:
Certifications and Awards
9
Inpatient experience offers hotel-like ambience and room design Priority on patient safety Less “clinical” feeling Warm and restful environment
World Class Inpatient Facilities Renovation of all rooms completed in May 2010
10
Ground Floor Lobby
Sky Lobby
Clinic area design enhances privacy, in a pleasant and calming environment, with efficient workflows
Welcome Center New Clinics
Expanded Outpatient Facilities New OPD Tower with similar high quality ambience opened in June 2008
11
• Focus on physician recruitment and targeted specialties
• Domestic marketing efforts include advertisements, fairs, and packages
• International marketing through multiple channels
• Proven growth with increasing penetration in referral markets
• Selectively pursuing overseas expansion – Bumrungrad International Limited
• Extend success in wellness, anti-aging and other complementary business lines
Strategy
12
Total Revenue
Net Income
EBITDA
1,9462,070
2,155 2,2592,452
0
500
1,000
1,500
2,000
2,500
3,000
2006 2007 2008 2009 2010
EB
ITD
A (
TH
B m
n)
6% CAGR
8297,896
8,559
8,882 9,33810,069
0
2,000
4,000
6,000
8,000
10,000
12,000
2006 2007 2008 2009 2010
Reven
ues (
TH
B m
n)
6% CAGR
458
1,145
1,0961,191
1,246
1,258
63
0
500
1,000
1,500
2,000
2006 2007* 2008 2009 2010**
Net
Inco
me (
TH
B m
n)
4% CAGR
DILUTED EPS
1.26
1.29
1.37 1.44
1.45
0.56 0.07
0.0
0.5
1.0
1.5
2.0
2006 2007 2008 2009 2010
Dilu
ted
EP
S (
TH
B)
4% CAGR
*One-time profit of THB 458 million in 2007 was share of profit in investment in GCS Thailand, netted off with impairment of hospital software system ** One-time loss of THB 63 million in 2010 was loss on the translation adjustment from the sale of Asia Renal Care (ARC) Group
9,388
BH reported a one-time gain on share of profit in investment in CDE Trading (previously GCS Thailand) in 2007 of THB 829 million, mainly from sale of GCS Thailand’s assets
1,603 1.85
1.52 1,321
Operating Performance 2006-2010
13
Margins have been strong and relatively stable over time
Net Profit Margin Trend
13.3% 12.5%13.3%
17.1%13.9%
0%
10%
20%
30%
2006 2007* 2008 2009 2010
*Net margin in 2007 includes the benefit of one-time non-operating items
EBITDA Margin Trend
24.2%24.7% 24.3% 24.2% 24.4%
0%
10%
20%
30%
2006 2007 2008 2009 2010
Margins & Trend
14
2,2751,818
24.2%26.1%
0
1,000
2,000
3,000
4,000
YTD Sep'10 YTD Sep'11
0%
10%
20%
30%
40%
EBITDA
EBITDA Margin
Total Revenue
7,521
8,730
7,000
7,500
8,000
8,500
9,000
YTD Sep'10 YTD Sep'11
EBITDA
Net Income
THB million THB million
THB million
63
50977
1,264
12.2%13.8%
14.4%13.0%
0
200
400
600
800
1,000
1,200
1,400
YTD Sep'10 YTD Sep'11
5%
10%
15%
20%
25%
Net Profit excl extra itemsNet Profit Net Profit Margin excl extra itemsNet Profit Margin
Higher growth of net profit compared to growth of total revenues was driven by a lower rate of increase in cost of hospital operations and administrative expenses.
16%
29%
25.2%
33% 1,214
914
9M11 Update
15
Dividend Payment
Dividend Payment
0.400.400.400.400.30
0.450.40 0.40 0.45 0.50
0.00
0.20
0.40
0.60
0.80
1.00
2006 2007 2008 2009 2010
Final
Interim
Bt per share
Payout Ratio
49.0%50.0% 49.0% 49.8% 52.0%
0%
20%
40%
60%
80%
2006 2007* 2008 2009 2010
The board of directors announced the dividend payment with details as follows:
• Dividend payment for the year 2010 of Bt 0.90 per share
• Interim Dividend payment for the year 2011 of Bt 0.45 per share
0.75 0.80
0.85 0.80
* Net profit used to calculate the dividend payout ratio in 2007 is: 2007 net profit THB 1,605 million -share gain from GCS - THB 829 million -+ dividend received from GCS + THB 418 million = Net profit for dividend payment THB 1,195 million
0.90
16
x Interest Coverage
18.8 17.8
35.9
24.8
17.7 18.7
0
10
20
30
40
2006 2007 2008 2009 2010 YTD
Sep'11*
x
0.690.55
0.37
1.08
0.590.45
0.00
0.50
1.00
1.50
2006 2007 2008 2009 2010 YTDSep'11
Net Debt to EBITDA
x
Net Debt to Equity x
0.31
0.23
0.15
0.51
0.27 0.28
0.00
0.20
0.40
0.60
2006 2007 2008 2009 2010 YTDSep'11
* Interest expenses related to the investment in KH was Bt 69.5 million based on
remaining days after the transaction settled. If we assumed impact for the full period,
interest expenses from this transaction would be Bt 98.8 million and interest coverage
ratio will be 14.5x
Net debt to EBITDA and Net debt to equity for YTD
sep’11 was higher than YE2010 and Interest coverage
ratio of YTD Sep’11 was lower than YE2010. This is a
result of increase in Short-term loan of THB 3,570
million from the purchase of Kasemrad Hospital shares
in March 2011.
Leverage
17
Overall Volume Trend
• Compared to Q3’10, total visits per day
increased by 4.9% (mainly from
International market), total admissions per
day stayed flat.
• ADC increased by 4.9% which is higher
than the growth rate of admission due to
the higher length of stay.
Total Visits per Day
Visits
12.6% 8.8%
2.4%
2,889
2,313
2,7592,6942,6542,645
3,0302,8772,8372,7592,889
2,313
0
800
1,600
2,400
3,200
2Q 3Q 4Q 1Q 2Q 3Q
2009 2010 2011
4.9%
7379 79 81
64
88
64
8877
83 8088
0
50
100
2Q 3Q 4Q 1Q 2Q 3Q
2009 2010 2011
12.1
%
11.1
%
2.0% 2.4%
Average Daily Census
ADC
290317 318
355
305
359
305
359
322347 349
377
0
100
200
300
400
2Q 3Q 4Q 1Q 2Q 3Q
2009 2010
5.3%
13.4% 1.1%
Admissions
4.9%
2011
Total Admission per Day
2.8%
2.4%
24.4%
25.7% 14.4%
18
• Revenue per visit growth resulted
from increased consumption in
outpatient ancillary services and
annual price adjustment.
• For Q3’11, revenue per admission
growth resulted from higher
service intensity and an increase
in length of stay.
• Basis of calculating Revenue per
Visit has been refined to include
consolidated results, rather than
hospital operations only, and
historical data is adjusted
accordingly
Revenue Intensity
Revenue per Admission
Revenue per Visit
6.3%
Bt
Bt
4.8% 2.8% 5.4%
22.0% 1.3%
10.0%
3.3%
2011
174,619169,899 175,699
192,850
213,041
172,044
213,041
172,044181,527
199,321 205,814 204,098
0
60,000
120,000
180,000
240,000
2Q 3Q 4Q 1Q 2Q 3Q
2009 2010 2011
3.4%
8.2%
3.4%
5,209 5,217 5,444 5,671 5,538 5,4655,5385,465 5,596
5,976 5,9936,012
0
1,500
3,000
4,500
6,000
7,500
2Q 3Q 4Q 1Q 2Q 3Q
2009 2010
18.6%
19
Revenue Breakdown
Inpatient vs. Outpatient (% of revenue) Method of Payment (% of revenue)
YTD Sep11
• Revenue contribution from outpatient service remained stable at 51% in 9M11
• Basis of calculating revenue contribution has been refined to include consolidated results, rather than hospital operations
only, and historical data is adjusted accordingly
• Revenue breakdown in 9M11: Outpatient revenue growth of 18.5% y-o-y
Inpatient revenue growth of 15.1% y-o-y
• Revenue by method of payment:
Self-pay remains the primary method of payment
Increasing trend on international corporate contracts
Insurance
13%
Corporate
Contracts - Intl
8%
Corporate
Contracts -
Domestic
9%
Self-pay
70%
49% 50% 51% 52% 51% 51%
49%51% 50% 49% 48% 49%
0%
25%
50%
75%
100%
2006 2007 2008 2009 2010 9M11
Outpatient
Inpatient
20
International Breakdown
21
Volume Contribution by Nationality
Revenue Contribution by Nationality
54% 54% 55%
45% 46% 45%
60%57%55%
43% 40%46%
0%
20%
40%
60%
80%
100%
2006 2007 2008 2009 2010 9M11
% o
f R
even
ue
International Thais
41% 41% 40%
59% 59% 60%
45%41% 42%
58% 55%59%
0%
20%
40%
60%
80%
100%
2006 2007 2008 2009 2010 9M11
% o
f V
olu
me
International Thais
• For 9M11, International revenue was up 23%
from 9M10, primarily from volume growth.
• Top 5 revenue contribution countries
UAE 12%
USA 5%
Myanmar 5%
Oman 4%
Bangladesh 3%
Strategy
BI Bangkok
• Master Plan
• Physician Recruitment
Thailand
• Invest into Mid-Tier Market
• Expand BI Brand
International
• Seller’s market in countries with established private sector
• Reviewing small investments in emerging markets
• Plan to open 5 clinic floors at Bumrungrad International Clinic in 2012
Outpatient Service
• Plan to add about 46 ICU beds and 60 ward beds in Bumrungrad Hospital Building
Inpatient Service
• THB 3.9bn through 2015 CAPEX
22
Master Plan CAPEX
Million THB Y11* Y12* Y13 Y14 Y15 Total
Est. Capital Investment
794 924
1,273 888
49 3,928
Capital Type Est. Capital Costs (THB mm)
Land 625
New Building Construction 1,186
Construction 1,306
Special Medical Equipment 248
General Medical Equipment 396
General Equipment 57
IT Equipment 90
Vitallife Expansion 20
Total Costs 3,928
Note: * CAPEX for years 2011 and 2012 have been approved by the Board. The remaining year will require approval in each subsequent years budget submission.
23
• KH’s Q3’11 reported net profit was THB 195 million, a 6% increase from THB 184 million of Q3’10. For
9M11, Net profit was THB 512 million, a 5% increase from THB 486 million in 9M10.
• BH recognized KH’s share of income in Q3’11 and 9M11 as the table below.
• The Company did not recognize the share of income of THB 3.6 million from Kasemrad Hospital Group in
Q1’11.
(‘000 THB) Q3’11 9M11 (Apr-Sep’11)
KH’s net profit in 2011 194,866 369,099
BH % 24.99% 24.99%
Share of income from KH 48,697 92,238
Kasemrad Hospital Group (KH)
24
Table of Contents
25
1. Company Information / Q3 Update Financials
2. Key Investment Highlights / Debenture Issue / Potential Key Covenants
3. Key Timeline
Key Investment Highlights
Leading position and strong brand recognition among both domestic and international hospitals
Experienced management team
Solid medical profile in attracting competent medical team
Strong financial profile
26
Debenture Issue
27
Issuer Bumrungrad Hospital Public Company Limited (“BH”)
Type Unsubordinated and Unsecured Thai THB Debentures
Company Rating “A” with Stable Outlook by TRIS
Coupon Type / Payment Fixed Rate / Semi-Annually
Distribution Method Private Placement to institutional and high net-worth investors
Issue Size [●]
Tenors [●]
Listing Thai Bond Market Association
Underwriters The Siam Commercial Bank PCL and Bangkok Bank PCL
Registrar The Siam Commercial Bank PCL
Potential Key Covenants
28
• Net Debts to Equity of not more than 1.75 times
• Net Debts to EBITDA of not more than 3.25 times Financial Covenant
• Negative pledge
• No sale of key assets
• No change of main business
• Insurance on key assets
• Maintain listing status
• No dividend in an Event of Default
Other Key Terms & Conditions
Table of Contents
29
1. Company Information / Q3 Update Financials
2. Key Investment Highlights / Debenture Issue / Potential Key Covenants
3. Key Timeline
Key Timeline
30
November 2011
SUN MON TUE WED THU FRI SAT
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30
December 2011
SUN MON TUE WED THU FRI SAT
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31
Note : The above timeline is subjected to SEC approval and prevailing market conditions
MPC meeting
November 2011
10 Nov : Submit filling document to SEC
11 Nov : Public Roadshow at BH (13.30 – 16.00 hrs.)
[18] Nov : Issue Credit Rating Announcement (tentative)
December 2011
9 Dec : Book building
15-16 Dec & 19 Dec : Subscription Period
20 Dec : Issue Date