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SEE APPENDIX I FOR IMPORTANT DISCLOSURES AND ANALYST CERTIFICATIONS
17 October 2011
PP16832/01/2012 (029059)
Initiating Coverage 16 October 2012
PP16832/01/2013 (031128)
Page 1 of 2
Malaysia
IHH Healthcare A Cut Above the Rest
A leader in premium healthcare. IHH is one of the largest listed
private healthcare providers in the world. Its healthcare business
comprises a global network of 4,900 licensed beds in 30 hospitals. In
addition to holding leading positions in three key markets – Singapore,
Malaysia, and Turkey – IHH also has a presence and investments in
other attractive markets such as the PRC, India, Hong Kong, Vietnam,
Macedonia and Brunei. We like its long-term growth story, but believe
that much of its near-term prospects are priced in. Initiate with HOLD.
Big plans ahead. In our view, IHH’s business model is highly scalable,
and it is continually seeking growth. Its long-term plan is to expand into
attractive markets in Asia and across the CEEMENA region, while
continuing to strengthen its presence in existing markets. With well-
advanced plans to deliver more than 3,400 new beds over the next four
years, we expect recurring PATAMI to grow at a CAGR of 38% over
FY12F-16F.
Healthy structural demand. The healthcare sectors in IHH’s key
markets are supported by at least one of the following positive structural
demand factors, namely: (1) high population growth, (2) a growing
proportion of the elderly, (3) rising affluence leading to demand for
quality healthcare and (4) the growing strain on public healthcare
systems. We believe that these factors limit any downside in revenue.
Medical tourism – another boost. Demand for quality healthcare has
driven the affluent in developing nations to seek medical treatment in
neighbouring countries offering such care. IHH is one of the big players
in medical tourism and is well-positioned to gain from this trend.
Improvements in international connectivity would lend further support to
the growth in medical tourism.
Deserves premium valuation. We like IHH’s long-term growth story,
and believes its size and positioning within the sector justifies a
premium valuation to the sector. We peg our TP of MYR3.15 to 1x PEG
(38% CAGR over next five years). However, current share price implies
limited upside and we see better potential entry points in the future.
IHH Healthcare – Summary Earnings Table Source: Maybank-KE, *Pro-forma
figures
FYE Dec (MYR m) 2011A* 2012F 2013F 2014F Revenue 5,190.8 7,306.5 7,350.0 8,340.8 EBITDA 1,094.0 1,561.4 1,621.0 1,875.0 Recurring Net Profit 245.7 498.5 663.0 811.9
Recurring EPS (sen) 3.0 6.2 8.2 10.1 EPS growth (%) 212.1 102.9 33.0 22.5 DPS (cents) 0.0 0.0 0.0 0.0 PER 104.3 51.4 38.6 31.6 EV/EBITDA (x) 24.5 17.2 16.6 14.3 Div Yield (%) 0.0 0.0 0.0 0.0
P/BV(x) 1.6 1.5 1.4 1.3 Net Gearing (%) 7.8 net cash net cash net cash
ROE (%) 2.6 4.8 3.7 4.3 ROA (%) 1.3 3.3 2.6 3.0
Hold (new)
Share price: MYR3.20 Target price: MYR3.15 (new)
James KOH [email protected] (65) 6432 1431 YEAK Chee Keong, CFA [email protected] (65) 6433 5730 Wong Chew Hann [email protected] (03) 2297 8686
Stock Information
Description: An integrated private healthcare services provider with leading positions in Singapore, Malaysia and
Turkey. Its healthcare networks provide the full spectrum of services, from primary healthcare clinics, to secondary and tertiary hospitals, to quaternary care and post-operative rehabilitation centres.
Ticker: IHH MK Shares Issued (m): 8,055.4 Market Cap (MYR b): 8.4
3-mth Avg Daily Turnover (US$ m): 15.3 FBMKLCI 1654.4 Free float (%): 33.8
Major Shareholders: % KHAZANAH 45.7 Mitsui & Co 20.5
Key Indicators
ROE – annualised (%) 4.8 Net cash (MYR m): (1219)
NTA/shr (MYR): 0.62
16 October 2012 Page 2 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Contents
Key Investment Merits P3
Dynamics of the Healthcare Industry P5
Holding a Premium Brand in Singapore P8
Hub and Spoke Model in Malaysia P11
Serving the Affluent in Turkey P14
Expanding Presence in other Attractive Markets P16
Other Businesses P16
Size has its Advantages P17
Financials P20
Valuation P26
Key Risks P28
Financial Statements & Ratios P29
Appendix I: Key Management Profiles P30
Appendix II: Hospital Assets, Networks and Key Operating Data P32
Appendix III: Terms for Provision of Report, Disclaimers and Disclosures P35
16 October 2012 Page 3 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Key investment merits
An integrated healthcare player. IHH Healthcare Berhad (IHH) is an
integrated healthcare services provider with market-leading positions in
Singapore, Malaysia and Turkey. In addition, it also has operations and
investments in the PRC, India, Hong Kong, Vietnam, Brunei and
Macedonia. Its hospital network offers the full spectrum of healthcare
services, ranging from primary healthcare clinics to secondary and
tertiary hospitals, to quaternary care and post-operative rehabilitation
centres. The core businesses are operated through three key
subsidiaries, namely Parkway Pantai Limited (PPL), Acibadem Holding
and IMU Health.
Figure 1: Summarised shareholding and group structure
Source: Company
Strong global network of hospitals and medical facilities. IHH
operates a network of 4,900 licensed beds in 30 hospitals. In addition,
IHH operates medical centres, clinics and ancillary healthcare
businesses across eight countries. Through IMU Health, IHH runs a
private university in Malaysia which offers medical, dental, pharmacy,
nursing, health science and other medical programmes.
Leading positions in three key markets. According to Frost and
Sullivan, IHH is the largest private healthcare provider in Singapore,
with an estimated market share of 43.9% in terms of the number of
licensed beds as at Dec 2011. Its position has been further
strengthened by the recent addition of 333 new beds from Mount
Elizabeth Novena Hospital in Jul 2012. In Malaysia, IHH holds the No. 2
position, with a network of hospitals under the “Pantai” and
“Gleneagles” brands, and holds an approximate market share of 15.1%
as at Dec 2010. The Acibadem hospital network is the largest private
healthcare provider in Turkey, with a 5.2% market share as at Dec
2011.
16 October 2012 Page 4 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Not resting on its laurels. IHH was formed through a series of M&As
and corporate restructuring activities. In the process, Parkway Holdings
was delisted from the Singapore Exchange in 2010 at premium
valuations. Subsequently, Parkway and Pantai were housed under the
PPL umbrella. With the acquisition of Acibadem, the hospital group has
grown even bigger. Despite its current size, it is not resting on its
laurels. Expansion plans are in place and the group is on a continual
lookout for acquisition and expansion opportunities in attractive markets
in Asia and across CEEMENA (Central and Eastern Europe, Middle
East and North Africa).
Expansion plans mapped out. Over the next four years, IHH plans to
add more than 3,400 new beds to its current capacity. This would be
delivered through new hospital developments and expansion of its
existing facilities. The new beds include about 760 beds which are
expected to be managed through HMAs (Hospital Management
Agreements).
A magnet for medical travellers. Other than serving its respective
domestic markets, IHH also attracts patients from foreign countries
seeking medical treatments at its hospitals. This is helped by its
recognised brands and reputation for performing highly complex clinical
and surgical procedures. Many of its hospitals also embrace new and
advanced technologies. Its strong reputation draws quality doctors and
medical staff who are recognised as leaders in their fields. Many of its
hospitals are accredited with international standards such as the JCI,
ISO, MSQH and EFQM certifications. PPL in particular is a strong
player in the medical tourism market given that Singapore is a key hub
for medical travel in Asia with about 461,000 medical travellers in 2011,
based on figures provided by Frost and Sullivan.
Highly scalable model. IHH has demonstrated its abilities in acquiring
and integrating hospital chains and creating synergies and efficiency
gains. The most successful example would be the integration between
the Parkway and Pantai group hospitals. We believe that IHH can
replicate this highly scalable business model in various other attractive
regions, and it has stated its intention of doing so. With premium
branding and size, the success rate for IHH would be much higher than
any other healthcare groups in the region, in our view.
Valuation. We value IHH at MYR3.15 per share. Our target price is
pegged to a PEG ratio of 1x (38x FY13F PER). We choose the PEG
valuation method to take into account the growth potential that would
come from IHH’s capital spending on expanding its hospital networks,
as the positive earnings impact from these expansions would only show
up in the next 3-5 years; IHH has already incurred 75% of the total
expansion capex. We forecast recurring EPS to grow by CAGR of 38%
p.a over the next 5 years.
16 October 2012 Page 5 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Dynamics of the healthcare industry
Public-sector healthcare fails to keep pace. Healthcare sector
developments are tied to a nation’s economic wealth, population growth
rate, proportion of aging population and also government policies. As a
country progresses, public healthcare systems usually fail to keep pace
with the increasing demand for higher quality healthcare services. This
is due to the lack of infrastructure funding, overcrowding and shortage
of physical and human resources. In addition, demographic factors
such as population growth and an aging population add to the strain on
the public healthcare systems.
Private healthcare operators fill a need. These factors provide
opportunities for private healthcare providers to come in to meet the
needs which public healthcare often fails to fulfill. Other than serving
the domestic market, private healthcare providers may also attract
medical travellers from neighbouring countries seeking better medical
treatment due to the lack of proper facilities and services in their home
countries.
Government plays a role. The government often plays a critical role in
directing greater usage of private services to those who can afford it. It
could also introduce certain policies and regulations to promote such
activities in order to reduce the burden on public-sector healthcare
facilities. An example is means-testing in Singapore, in which subsidies
for public healthcare are adjusted based on residents’ income levels.
Ease of air travel further supports medical tourism. The ease of air
travel promotes travelling overseas for medical attention. It is common
for medical travellers to seek attention from countries within a 4- to 8-
hour flight time from their home country.
Attractive regions in developing and emerging markets. While
mature economies generally have well-developed healthcare systems,
many developing and emerging markets are facing challenges in
providing quality healthcare to their residents. These countries tend to
have lower ratios of beds and healthcare workers per 1,000 population.
In many of these countries, there is a clear trend of a growing
population and also a shift towards a higher proportion of the elderly,
driven by low birth rates, low mortality rates and improved life
expectancy. At the same time, rising affluence also results in a greater
demand for improved living standards and higher quality of healthcare.
The countries that offer such opportunities for private healthcare
operators are generally in Asia, particularly Southeast Asia, and the
CEEMENA regions.
16 October 2012 Page 6 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Figure 2: Hospital beds per 1,000 population ratio
Source: Frost & Sullivan, IPO Prospectus
Figure 3: Doctors per 1,000 population ratio
Source: Frost & Sullivan, IPO Prospectus
Figure 4: Registered nurses per 1,000 population
Source: Frost & Sullivan, IPO Prospectus
Southeast Asia AsiaCEEMENA Developed
Southeast Asia AsiaCEEMENA Developed
Southeast Asia AsiaCEEMENA Developed
OECD average of 3.1
OECD average of 2.9
OECD average of 8.4
16 October 2012 Page 7 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Figure 5: Population growth in selected countries
Source: WEO Database, Sep 2011, Frost & Sullivan, IPO Prospectus
Figure 6: Healthcare expenditure in several markets
Source: IPO Prospectus
Healthcare Expenditure Growth per
capita (2006 – 2009)
Healthcare Expenditure as % of
GDP (2011)
IHH Home Markets IHH Key Markets Developed Markets
Rapid Development
Strong further growth
potential
16 October 2012 Page 8 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Holding a premium brand in Singapore
Well-developed healthcare model. Singapore operates a well-
developed healthcare system in which service delivery is split between
public and private systems. The public system is managed by the
Ministry of Health (MOH), which ensures that residents receive quality
and affordable medical care through subsidised charges. However, with
the liberalisation of private medical insurance and increasing strain on
the public healthcare system, more patients are opting for private
healthcare.
Admission figures on the rise. Overall hospital admissions in
Singapore have been growing at a CAGR of about 2.5% from 2006 to
2011. Private hospital admissions accounted for about 24% of total
admissions, with some signs that private hospital admissions have
been growing at a marginally faster pace than public hospital
admissions in recent years. This is attributed to long waiting times in
public hospitals, higher disposable income, and private insurance
coverage.
Figure 7: Total hospital admissions & growth Figure 8: Hospital admissions share, Private vs. Public
Source: MOH Singapore, Maybank-KE Source: MOH Singapore, Maybank-KE
Strained public healthcare system. Singapore faces a bed shortage
situation in its public healthcare system, due to a more rapid increase in
demand relative to supply. The total number of hospital beds stood at
about 11,509 as at end-2010, out of which 24% are private hospital
beds. The opening of Khoo Teck Phuat Hospital in 2010 added 550
beds to the public sector capacity, but the next significant addition
would only be in 2014. Public hospitals currently run at high occupancy
rates of 80% to 95%, based on MOH statistics. The demand side has
been driven by high population growth, including the influx of foreigners,
and a growing proportion of those aged 65 and above.
Supply growth lags demand. While there are plans for new supplies
of public hospital beds, this is not expected to be able to keep pace with
demand growth. Private healthcare will still play a critical role in
alleviating the strain in supply. According to Frost & Sullivan, private
hospital revenue will grow at a CAGR of 7.7% between 2011 and 2016,
which bodes well for PPL.
16 October 2012 Page 9 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Figure 9: Supply of public hospital beds would not meet demand
New Hospital/Expansion No. of
beds Scheduled opening
Ng Teng Fong General Hospital 700 2014
Jurong Community Hospital 286 2015
KhooTeckPuat Hospital rooftop garden conversion 32 2013
Integrated building near Changi General Hospital 250 2014
Community hospitals at Yishun and Outram 800 2015
Seng Kang General Hospital 1,400 2018
Source: MOH Singapore, Maybank-KE
Figure 10: Private hospital growth trend, Singapore
Source: Frost & Sullivan, IPO Prospectus
PPL is a key private healthcare player. There are currently seven
private hospitals in Singapore. PPL operates three of these: Gleneagles
Hospital, Mount Elizabeth Hospital and Parkway East Hospital.
According to Frost & Sullivan, PPL had a 43.9% market share in terms
of number of private licensed beds in 2011, and a 69.3% share in terms
of private hospital industry revenue, in 2010.
Figure 11: Private sector market share, Singapore
Source: Frost & Sullivan, Maybank-KE
Synonymous with premium quality. PPL is also known for operating
one of the most expensive hospitals on the island. The “Parkway”
branding is synonymous with premium and high-quality healthcare.
PPL’s Mount Elizabeth Hospital holds the reputation as the premium
brand hospital in Singapore, attracting overseas patients seeking the
best and most advanced medical treatments in the region.
16 October 2012 Page 10 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
An established medical tourist hub. Singapore is one of the most
popular medical tourism hubs in Southeast Asia, especially for its
expertise in oncology, organ transplants, cardiology and neurological
surgery. The bulk of the medical tourists comes from Indonesia (47%),
followed by Malaysia (14%). In 2010, Singapore recorded medical
tourism revenue of SGD856m, a 10.1% YoY growth. The revenue from,
and volume of, medical travellers is expected to grow by a CAGR of
14.7% and 13.1% respectively between 2011 and 2016.
Figure 12: Medical travel market size, Singapore
Source: Frost & Sullivan, IPO Prospectus
Raising the standard with Mount Elizabeth Novena Hospital. This
new hospital by PPL has a capacity of 333 beds and 13 operating
theatres. The first phase has been completed, with 180 beds added in
July 2012. The remainder is projected to be operational by the second
half of 2013. The total cost of the hospital development is estimated at
SGD2.0b, of which SGD1.8b was incurred in FY11. Mount Elizabeth
Novena Hospital will raise PPL’s capacity by 46% upon its full opening,
in terms of number of beds.
The hospital will be the first private hospital in Singapore to offer
various state-of-the-art medical technologies. Located within the Mount
Elizabeth Novena Hospital would also be the Mount Elizabeth Novena
Specialist Centre, which would contain 254 dedicated medical office
suites with a GFA of about 173,935 sqft. 216 of these units have been
sold to specialist doctors at an average price of SGD3,819 psf. PPL
would retain the balance units for its own use.
Figure 13: Mount Elizabeth Novena Hospital
Source: Company website
16 October 2012 Page 11 of 38
IHH Healthcare 17 October 2011
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Hub and spoke model in Malaysia
A two-tier healthcare system. Malaysia operates a two-tier health
system, split between the public and private sectors. Public healthcare
is provided and managed by the Ministry of Health (MOH) and funded
by the tax system. It is also heavily subsidised by the government and
is used by the majority of the country’s population of 28m. The private
system, on the other hand, is user-charged and demand is mainly
driven by the more affluent who seek shorter waiting times as well as a
higher quality of care and service. The private sector is beginning to
play a more important role in alleviating the strain on the public
healthcare system. The healthcare sector is also one of the 12 National
Key Economic Areas (NKEAs) identified as drivers of economic activity
in Malaysia’s Economic Transformation Programme (ETP).
Rising hospital admissions. Owing to demographic and economic
factors similar to those in Singapore, hospital admission rates are also
rising in Malaysia. Inpatients and outpatients are growing in both the
public and private sectors. However, statistics show that admissions in
the private sector are growing at a much higher rate than in the public
sector.
Figure 14: Public-sector admission figures, Malaysia Figure 15: Private-sector admission figures, Malaysia
Source: MOH Malaysia, Maybank-KE Source: MOH Malaysia, Maybank-KE
Double-digit growth in the size of the private hospital market. With
governmental support, the healthcare industry is expected to see
continual expansion and more public-private integration in order to
relieve the strained resources of the public sector. As a result, both
public and private healthcare expenditure is expected to increase over
the next five years.
Private healthcare sector revenue will be driven by a greater uptake of
private insurance and a rise in medical travellers seeking a cheaper
alternative to Singapore and Thailand. As in Singapore, the structural
drivers of population growth, an aging population and rising affluence
are also factors in Malaysia’s healthcare demand growth. The following
figure illustrates Frost &Sullivan’s forecast for the growth of private
hospitals market size in Malaysia; they estimate private hospital
revenue CAGR of 18.1% between 2011 and 2016.
16 October 2012 Page 12 of 38
IHH Healthcare 17 October 2011
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Figure 16: Private hospital growth trend, Malaysia
Source: Frost & Sullivan, IPO Prospectus
Plenty of room for medical tourism growth. We believe that there is
plenty of room for the growth of medical tourism in Malaysia. The
medical travel market grew from MYR253.8m in 2007 to MYR509.8m in
2011, a CAGR of 19% over the period. In 2011, about 4% of PPL’s
Malaysian hospital revenue was derived from medical travellers, 90% of
which were from Indonesia.
Malaysia is a cost-competitive destination for medical travellers who are
less affluent but seek better quality healthcare than their home country
can provide. According to Frost & Sullivan, patients from Sumatra tend
to travel to Penang or Melaka for medical treatment, while more affluent
patients from Jakarta and Surabaya prefer Singapore. Therefore, we do
not think that developing the medical travel market of PPL’s Malaysian
hospitals would cannibalise the medical tourism of its Singapore
hospitals, but would instead promote the growth of the overall size of
the medical travel market in the region.
Figure 17: Medical travel market size, Malaysia
Source: Frost & Sullivan, IPO Prospectus
RM
16 October 2012 Page 13 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
PPL is the second-largest private healthcare player in Malaysia
(after KPJ Healthcare), with 11 hospitals and 2,025 licensed beds
currently. It owns and operates nine “Pantai” hospitals and two
“Gleneagles” hospitals across Peninsular Malaysia. Of these, two are
JCI-accredited while seven are accredited by the MSQH. Three new
hospitals in the pipeline and expansion plans for four of its existing
hospitals would add about 1,138 new beds by 2015, raising PPL’s bed
capacity in Malaysia by 56%. According to Frost & Sullivan, PPL holds
a market share of about 15.1% in terms of the number of licensed beds
as at 31 Dec 2010.
Figure 18: Private sector market share, Malaysia
Source: Frost & Sullivan, Maybank-KE
Operating via a “hub and spoke” model. PPL’s hospital network in
Malaysia operates via a “hub and spoke” model. Hub hospitals have a
higher number of specialist doctors and operate a wider array of
specialty medical services, with more advanced equipment relative to
spoke hospitals. Hub hospitals are also typically located in large urban
centres. The Spoke hospitals operate in smaller urban centres and
large towns. Generally, Hub hospitals have 180 to 350 licensed beds
with more than 30 specialist doctors, while Spoke hospitals have 80 to
150 licensed beds with between 15 and 30 specialist doctors.
16 October 2012 Page 14 of 38
IHH Healthcare 17 October 2011
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Serving the affluent in Turkey
Healthcare system in Turkey. The Ministry of Health, the Social
Security Institution, the Ministry of Education, other ministries and
private healthcare institutions are the main healthcare providers in
Turkey. Turkey also has a Universal Health Insurance (UHI) scheme
which is provided by the Social Security Institution
(SosyalGuvenlikKurumu – SGK). The UHI provides basic coverage to
all residents through public hospitals. Those who are covered by SGK
may also receive medical services in private hospitals that have
agreements with SGK. Private hospitals under the SGK may charge a
premium (30-90%) above SGK tariffs for serving such patients.
Leading position in Turkey. IHH completed the acquisition of a 60%
indirect interest in Acibadem Holding in Jan 2012 for a purchase
consideration of USD823m. Acibadem operates the largest private
healthcare network in terms of the number of non-SGK and partial-SGK
beds in Turkey. The Acibadem brand has been providing high-quality
medical care and services in Turkey since 1991, and operates a
network of 14 hospitals with more than 1,800 licensed and operational
beds today. This represents an approximate 5.2% market share in
Turkey’s fragmented private healthcare market, where there are a total
of about 28,063 private hospital beds.
Figure 19: Private sector market share, Turkey
Source: Frost & Sullivan, Maybank-KE
Serving affluent patients. Acibadem hospitals and outpatient clinics
target primarily the more affluent patients in Turkey, in particularly those
in Istanbul. Its other “AileHastanesi” brand hospitals target the mid-
income patients.
Growing medical tourism industry. Turkey is also emerging as an
important medical travel hub, attracting patients from the CEEMENA
region. Its strategic location draws patients from Europe, Asia and the
Middle East who seek quality healthcare. Turkey has the highest
number of JCI-accredited hospitals in the world, at 38. Acibadem has
six JCI-accredited hospitals. Frost & Sullivan estimate the size of the
medical travel market in Turkey at USD332m in 2011. They expect the
market to grow at a CAGR of 19.8% over 2011 to 2016, to USD843m.
16 October 2012 Page 15 of 38
IHH Healthcare 17 October 2011
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Figure 20: Medical travel market size, Turkey
Source: Frost & Sullivan, IPO Prospectus
Growth and consolidation expected. The implementation of the UHI
is expected to spur the growth of the healthcare market in Turkey. In
addition, the common factors that we have mentioned such as rising
affluence, aging population, growing medical travel industry also applies
to Turkey’s healthcare industry. With the fragmented nature of the
industry, we also expect further industry consolidation which presents
good opportunities for IHH to extend its presence in the market.
According to Frost & Sullivan, the private healthcare market is expected
to grow by a CAGR of 5.7% between 2011 and 2016.
Figure 21: Private hospital growth trend, Turkey
Source: Frost & Sullivan, IPO Prospectus
16 October 2012 Page 16 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Expanding its presence in other attractive markets
IHH also has a presence in other growth markets such as the PRC,
Hong Kong, India and CEEMENA region. In China, PPL operates eight
medical centres in Shanghai and Chengdu, serving the affluent. It was
also appointed operator of a 450-bed hospital in the Shanghai
International Medical Zone (SIMC). In Hong Kong, PPL has a clinic in
Central and is looking at expanding its clinic network. It also intends to
bid for landmark greenfield hospital sites. IHH has regularly entered into
JVs, consultancy agreements as well as HMA agreements (agreements
to manage operational hospitals), which allow it to expand its presence
in various other attractive markets.
Other businesses
Education business. IHH runs an education business mainly through
IMU Health, through which it owns and operates International Medical
University (IMU), a private university that offers a total of 18 academic
programmes including medicine, dentistry, pharmacology, nursing,
health sciences and complementary medicine. As at 2Q12, IMU had
more than 3,100 students enrolled and reported MYR40.4m in
revenues and about MYR18m in EBITDA. IMU’s main campus is
located at Bukit Jalil in Kuala Lumpur, Malaysia, and its main clinical
school is at Seremban, Negeri Sembilan, Malaysia. The clinical school
is supported by smaller clinical schools in Kuala Pilah, Negeri Sembilan
and in BatuPahat, Johor.
Parkway Life REIT. IHH owns a 35.8% equity interest in Parkway Life
REIT (PLife REIT), listed on the SGX. Its three PPL hospital properties
in Singapore – Gleneagles Hospital, Mount Elizabeth Hospital and
Parkway East Hospital – are owned by PLife REIT; PPL leases the
properties from it. In addition, IHH also owns a 100% equity interest in
Parkway Trust Management, the manager of PLife REIT. IHH is entitled
to PLife REIT’s distributions and to 100% of its management fees. PLife
REIT owns 36 properties with a carrying book value of SGD1.5b as at
Mar 2012.
Apollo Hospitals. IHH also owns an 11.2% equity interest in Apollo.
Apollo is one of India’s largest private healthcare providers and is listed
on the Bombay Stock Exchange and the National Stock Exchange of
India. A new 450-bed Gleneagles Khubchandani Hospital, located in
Mumbai, is scheduled to open by end 2012.
16 October 2012 Page 17 of 38
IHH Healthcare 17 October 2011
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Size has its advantages
Creating synergies and efficiencies. There are several advantages to
having scale in the healthcare industry. For IHH, the opportunities for
synergies and better efficiencies include:
(1) Better pricing and efficiency in sourcing and procuring medical
supplies,
(2) More effective marketing efforts,
(3) Stronger cross referrals across its hospital networks,
(4) Strong ability to attract and retain healthcare professionals, and
(5) Streamlined administrative functions.
These advantages were proven in the integration between Parkway and
Pantai, which saw savings of about MYR115m between Apr and Dec
2011, due to the synergies created.
Expansion plans and hospital beds ramp-up. IHH is not stopping at
its current size. It has several expansion plans already in the pipeline,
which would see its number of licensed beds grow by more than 3,400
beds to more than 8,300 by 2015 (+69%). Other than strengthening its
presence in its key current home markets of Singapore, Malaysia and
Turkey, IHH also has several expansion plans in various attractive
markets such as India, Hong Kong, PRC and the CEEMENA region.
Figure 22: Hospital bed additions in the pipeline
Beds Addition FY12 FY13 FY14 FY15
Singapore 180 153 0 0
Mount Elizabeth Novena Hospital 180 153
Malaysia 188 0 300 650
Gleneagles Medical Centre Penang 188
Gleneagles Medini 300
Pantai Hospital KL 120
Pantai Hospital Manjung 100
Gleneagles KL 100
Pantai Hospital Klang 80
Gleneagles Kota Kinabalu 250
Turkey 235 34 330 120
Acibadem Ankara Hospital 78
AcibademBodrum Hospital 76 34
AcibademSistina Skopje Clinical Hospital 81
AcibademMaslak Hospital 120
Two potential hospital development projects 330
India 450 0 0 0
Gleneagles Khubchandani Hospital 450
Hong Kong 0 313 0 0
Bidding for landmark greenfield hospital sites 313
PRC 0 0 450 0
SIMC 450
Total 1053 500 960 890
Source: Company, Maybank-KE
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IHH Healthcare 17 October 2011
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Figure 23: Growth in hospital beds in the next 5 years
Source: IPO Prospectus, Maybank-KE
Well positioned to capture medical tourism market. With its
integrated network and dominant market positions in Singapore,
Malaysia and Turkey, IHH is well placed to capture the medical travel
market. Its strategic positioning puts it within a 4- to 8-hour flight radius
of key medical travel markets. The medical tourism hubs also have
special niches which cater to specific segments of medical travellers.
Figure 24: Strategically located to tap on medical tourism market
Source: IPO Prospectus, Maybank-KE
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IHH Healthcare 17 October 2011
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Figure 25: Medical tourism niches of key countries
Country Capability to perform complex procedures (relative to other medical travel hubs in region
Price Benchmark
(Avg cost of selected surgeries in USD)
Diversity of patients (Top countries)
JCI
Accredited Hospitals
Singapore
High Key treatments: Cardiology, Cardio-thoracic surgery, Orthopaedics surgery, Reconstructive
surgery and Oncology
Coronary Artery Bypass Graft (CABG): 20,000 Hip replacement: 11,000
Rhinoplasty: 4,375
Indonesia > 47.0%
Malaysia 14.0% Russia, Vietnam > 4.0% each Middle East, Europe, Korea
>3.5% (each) North America >1.0%
14
Malaysia
Medium-High
Key treatments: Cardiology, Cardio-thoracic surgery, Orthopaedics surgery, In-vitro fertilisation (IVF), Reconstructive surgery, and dental related
treatment
CABG: 9,000 Hip replacement: 10,000 Rhinoplasty: 2,083
Indonesia 75.0%
Singapore/Middle East/Others 21.0% India 4.0%
6
Turkey
High
Key treatments: Ophthalmology, Dental Orthopaedic, Cardiology, Reconstructive surgery, Oncology, and Neurosurgery
CABG: 10,000 Hip replacement: 10,750 Rhinoplasty: 3,500
Germany 39.0% Holland 8.0%
Austria 5.0% Azerbaijan, Russia, Iraq, France 3.0% (each)
Belgium 2.0%
38
Thailand Medium-High
Key treatments: Botox and face lift
CABG: 13,000
Hip replacement: 12,000 Rhinoplasty: 2,500
UAE > 40.0% Qatar 9.0%
Oman 6.0% Japan, Myanmar >5.0%
13
Source: Frost & Sullivan, IPO Prospectus
16 October 2012 Page 20 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Financials
Strong and stable revenue growth. Underpinned by solid demand
fundamentals in the healthcare sector, IHH experienced strong revenue
CAGR of 15.9% between 2009 and 2011, while EBITDA grew by CAGR
of 16.6% over the same period. We believe that demand for healthcare
services will continue to be robust given positive structural demand
factors. IHH’s revenue base is now larger with the acquisition of the
60% interest in Acibadem. The growth in demand, coupled with IHH’s
bed additions from its expansion plans, will drive an expected revenue
and recurring PATAMI CAGR of 16% and 38% respectively over FY12F
to FY16F. We also expect increasing revenue intensity at most of its
hospitals as it takes on more complex cases.
Differences in revenue models. A key point to note is that Acibadem’s
revenue is accounted for on a gross basis (inclusive of doctor
consultation fees), while PPL’s revenue is accounted for on a net basis.
Most medical practioners in Singapore and Malaysia are independent
and buy or lease spaces from PPL. PPL will only bill patients on
hospital services and not on consultation fees. In contrast, most doctors
in Acibadem are under a full or part-time employment contract and
operate under a revenue-sharing model with Acibadem.
Segmental breakdown based on geography. Based on 1H12 figures,
the bulk of IHH’s revenue share came from Acibadem Holding and
PPL’s Singapore operations. Acibadem operates mainly in Turkey and
its patients come from the CEEMENA region. In terms of EBITDA,
Singapore accounted for the bigger share although EBITDA from
Acibadem is a close second. Malaysia operations accounted for the
third biggest share in terms of both revenue and EBITDA.
Figure 26: 1H12 Revenue breakdown by geography Figure 27: 1H12 EBITDA breakdown by geography
Source: IPO Prospectus, Maybank-KE Source: IPO Prospectus, Maybank-KE
Turkey operations ramping up. Acibadem has been loss-making at
the net profit level prior to and including FY11, although it was profitable
at the EBITDA level. In FY11, Acibadem reported a net loss of
MYR220.7m, dragging down IHH’s pro-forma PATAMI to only
MYR245.7m. This was partly related to unrealized forex losses due to
1H12
EBITDA
1H12
Revenue
16 October 2012 Page 21 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
unfavourable currency movements. A significant amount of Acibadem’s
debt was in USD and other foreign currencies, which strengthened
against the Turkish Lira in 2011. However, we believe the losses were
largely due to several Acibadem hospitals being in the ramping-up
phase. For 1H12, Acibadem showed a positive profit of MYR12.5m.
Going forward, we do expect Acibadem to contribute positively to IHH’s
overall profit in FY12 and beyond.
Efficiency gains from size. IHH would also see some efficiency gains
from synergies in its operations; we expect this to manifest as an
improvement in operating margins, as operational expenses as a
percentage of revenue trend down. We therefore expect to see EBITDA
on a rising trend, especially on FY13F onwards where there is no more
recognition from the sales of its medical suites in Mount Elizabeth
Parkway Novena Hospital. We project EBITDA margins of 21.4% in
FY12F and 22.1% in FY13F (FY11A: 21.1%).
Figure 28: Margins estimates Figure 29: 1H12 Cost Structure (exc development)
1047
575
249
289
171132
1H12
Operating lease expenses
Depreciation &Amortisation
Other op. costs
Purchased & contractedservices
Inventories & consumables
Staff costs
Source: Company, Maybank-KE Source: Company, Maybank-KE,
Recognition of sales of medical suites. The total proceeds from the
sales of the medical suites in Mount Elizabeth Novena Hospital was
MYR1,210m (SGD487m), which was recognized in 2Q12. This
contributed MYR238m in EBITDA and an estimated MYR304m in net
profit in the same period. From FY13 onwards, this will cease to be a
feature of profitability.
Operating lease expenses. IHH leases some of its hospital facilities.
The three hospital properties in Singapore which it leases from Parkway
Life REIT accounted for a majority of its operating lease expenses of
MYR132.1m in 1H12. However, PPL also owns 35.8% of Parkway Life
REIT and is therefore entitled to part of its distribution yield. EBITDA
margins for its PPL Singapore, at 18.9% in 1H12, therefore appear to
be lower relative to the overall Group’s 21.0%.
The Singapore leased properties are under Master Lease Agreements,
in which the rent payable is based on the higher of (i) aggregate of a
base rent and a variable rent tied to 3.8% of the hospital’s adjusted
revenue; and (ii) total rent paid in preceding year, adjusted for growth in
the Singapore CPI plus 1% of such total rent paid in the preceding year.
1H12 results. 1H12 revenue rose by 137% YoY while corresponding
PATAMI showed a 197% YoY increase. This was mainly due to the
recognition from sales of the medical suites in Mount Elizabeth Novena
Hospital. Excluding this, revenue rose by 65% YoY while corresponding
PATMI rose by 35% YoY. This was due to maiden contributions from
37.9%
20.8%
9.0%
10.5%
6.2%
4.8%
% of revenue
89.1 Total
16 October 2012 Page 22 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Acibadem, as well as increases in inpatient admissions and higher
average revenue per patient day in PPL’s Singapore and Malaysia
operations. Excluding Acibadem, PATAMI still rose a healthy 28%
during the same period.
Figure 30: 1H12 results
% chg
Income Statement (MYR m) 1H12 1H11 YoY Remarks
Revenue 3,973.7 1,675.9 137.1 Includes sale of medical suites MYR1,209.6m
Inventories and consumables (574.7) (349.9) 64.3 Purchased and contracted services (249.3) (206.8) 20.5 Staff cost (1,046.8) (540.1) 93.8 Rental of premises (132.1) (89.6) 47.4 Other Op. Income 200.2 91.9 117.8
Other Op. Expenses (288.7) (191.3) 50.9
Development cost (971.2) 0.0 nm EBITDA 911.0 390.1 133.5
Depreciation (171.1) (78.0) 119.4 Higher depreciation from ramp-up of hospitals
Amortisation (32.6) (38.2) -14.8
EBIT 707.3 273.9 158.2 Finance Income 39.5 10.9 263.6
Interest Expense (102.4) (73.8) 38.7 JV Income 7.7 7.3 5.9
Associates Income 25.9 23.7 9.6
EBT 678.1 241.9 180.3 Taxation (122.3) (54.6) 123.9
Net Profit 555.8 187.3 196.8 Minority Interest (28.4) (8.7) 225.1
PATAMI 527.4 178.5 195.4 Includes sale of medical suites MYR193.6m
Source: Company, Maybank-KE
Paring down its debt. 90.9% of the gross IPO proceeds has gone
towards paring down the MYR957m and MYR3,706m of term loan
facilities which were taken respectively for the acquisition of Acibadem
Group and the privatisation of Parkway. This has improved IHH’s
gearing significantly, from 51% net-debt/equity (450% net-debt/NTA) as
at 30 June 2012 to 7% net-debt/equity (24% net-debt/NTA). We
estimate the reduction in debt would also result in yearly interest
savings of about MYR120m.
Figure 31: Reduction in net debt/ NTA
0.51
4.5
0.07 0.24
Net debt/ Equity Net debt/ NTA
Jun-12 Post-IPO
Source: Company, Maybank-KE
Much of its planned capex has been spent. IHH has already incurred
about 75% of its planned MYR6.5b expansion, including MYR3.3b in
land cost. The total outstanding expansion capex expected to be
incurred from 2H12 to FY15 is about MYR1.74b. Overall capex should
therefore trend lower towards our estimated yearly maintenance capex
of about MYR400m after FY15F. Barring any significant additional
capex, we estimate that yearly free cashflows would be sustained
above the MYR1b level from FY14F.
16 October 2012 Page 23 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Figure 32: Capex plans
Expansion capex
Country Hospital No. of Beds Completion FY12 FY13 FY14 FY15
Singapore Mount Elizabeth Novena Hospital 333 2012 514
Malaysia Gleneagles Medical Centre Penang 188 end 2012 57 43
Pantai Hospital KL 120 end 2014 46 76 76
Gleneagles Medini 150 - 300 end 2014 46 174 174
Gleneagles KL 100 mid 2015 0 8 8 8
Pantai Hospital Klang 80 mid 2014 6 22 22
India Gleneagles Khubchandani Hospital 450 end 2012 220 27
Turkey Acibadem Ankara Hospital 78 3Q 2012 70
AcibademBodrum Hospital 76 - 110 2012 - 2013 48 26
AcibademSistina Skopje Clinical Hospital 81 end 2012 14
AcibademMaslak Hospital 120 2014 30 63 63
Budgeted capex 2014 73 82 82
Total Expansion capex 1,124 522 426 8
Maintenance capex
Singapore & Malaysia
General 292 250 250 250
Turkey General 178 150 150 150
Total Maintenance capex 470 400 400 400
Total capex 1,594 922 826 408
Source: Company, Maybank KE estimates
Large amount of goodwill and intangibles on its books. IHH has a
large amount of goodwill and intangibles on its books as a result of its
acquisitions. The total amount of goodwill as at 2Q12 was MYR8.7b,
with another MYR3.0b in intangibles. After adjusting for goodwill and
intangibles, NTA works out to be MYR5.0b or MYR0.62 per share.
16 October 2012 Page 24 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Figure 33: Breakdown of revenue, EBITDA and EBITDA margin forecasts
FY11 FY12F FY13F FY14F
Revenue (MYR m) Hospitals
Singapore 1,180 1,411 1,885 2,121 Malaysia 922 1,038 1,173 1,281
Turkey 1,703 2,159 2,395 2,623 International 67 130 400 670
Total 3,872 4,738 5,853 6,694
Healthcare
Singapore 710 778 855 941 Malaysia 29 50 55 60
Turkey 243 159 174 192 Others 143 164 181 199
Total 1,126 1,150 1,265 1,392
Education IMU 157 169 188 203 Others 14 12 16 20
Total 171 181 204 223
Non-Healthcare 22 24 28 32 Sale of Medical Suites 1,210 - -
Total Revenue 5,191 7,303 7,350 8,341
EBITDA (MYR m) Hospitals
Singapore 180 235 320 371 Malaysia 222 252 293 327 Turkey 344 481 551 616 International 16 29 93 161
Total 761 997 1,258 1,475
Healthcare Singapore 109 135 150 165 Malaysia 15 23 26 28 Turkey 36 39 35 38 International 50 34 54 60
Total 210 230 264 291
Education
IMU 61 68 75 81 Others 9 8 10 12
Total 70 76 85 93 Non-Healthcare -12 19 14 16 Sale of Medical Suites 238 - -
Total EBITDA 1,030 1,561 1,621 1,875
EBITDA Margins (%) Hospitals
Singapore 15.2% 16.7% 17.0% 17.5% Malaysia 24.1% 24.3% 25.0% 25.5% Turkey 20.2% 22.3% 23.0% 23.5% International 23.1% 22.5% 23.4% 24.0%
Total 19.7% 21.0% 21.5% 22.0%
Healthcare Singapore 15.3% 17.4% 17.5% 17.5%
Malaysia 52.4% 46.2% 46.6% 47.0% Turkey 14.8% 24.4% 20.0% 20.0% International 34.8% 20.5% 30.0% 30.0%
Total 18.7% 20.0% 20.9% 20.9%
Education IMU 39.0% 40.2% 40.0% 40.0%
Others 64.9% 69.7% 60.0% 60.0%
Total 41.1% 42.2% 41.6% 41.8% Non-Healthcare -53.4% 78.7% 50.0% 50.0%
Sale of Medical Suites 19.7%
EBITDA Margin 19.8% 21.4% 22.1% 22.5%
Source: IPO Prospectus, Maybank-KE
16 October 2012 Page 25 of 38
IHH Healthcare 17 October 2011
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Figure 34: Key hospital operating data and assumptions used in forecasts
FY09 FY10 FY11 FY12F FY13F FY14F FY15F FY16F
Singapore
No. of hospitals 3 3 3 4 4 4 4 4
No. of licensed beds 1,008 743 730 910 1,063 1,063 1,063 1,063
No. of operational beds 724 714 716 907 1,060 1,060 1,060 1,060
Inpatient admissions 46,961 49,182 51,036 56,794 74,451 79,288 82,680 88,192
Avg length of stay 3.4 3.3 3.3 3.3 3.3 3.3 3.3 3.3
Occupancy 60.0% 62.0% 64.0% 56.6% 63.5% 67.6% 70.5% 75.2%
Avg revenue per patient day (SGD) 1,962 2,091 2,275 2,464 2,593 2,722 2,858 3,001
Avg revenue per patient day (MYR) 4,709 5,018 5,460 5,950 6,275 6,587 6,916 7,263
Malaysia (Hub and Spoke)
No. of hospitals 11 11 11 12 12 13 18 18
No. of licensed beds 1,993 1,993 2,010 2,213 2,213 2,513 3,163 3,163
No. of operational beds 1,781 1,835 1,878 2,099 2,099 2,399 3,049 3,049
Inpatient admissions 146,200 152,286 154,823 164,721 178,835 185,763 225,195 271,361
Avg length of stay 2.8 2.8 2.8 2.8 2.8 2.8 2.8 2.8
Occupancy 64.2% 65.1% 63.0% 59.7% 65.4% 59.4% 56.7% 68.3%
Avg revenue per patient day (SGD) 482 542 583 614 642 674 709 744
Avg revenue per patient day (MYR) 1,156 1,301 1,399 1,483 1,554 1,632 1,716 1,800
Turkey
No. of hospitals 9 11 14 17 17 19 20 20
No. of licensed beds 1,232 1,473 1,751 2,036 2,070 2,400 2,520 2,520
No. of operational beds 1,232 1,473 1,751 2,036 2,070 2,400 2,520 2,520
Inpatient admissions 52,869 66,428 88,525 115,280 126,935 134,673 159,420 173,376
Avg length of stay 3.2 3.5 3.5 3.3 3.3 3.3 3.3 3.3
Occupancy 54.9% 66.5% 79.5% 51.2% 55.4% 50.7% 57.2% 62.2%
Avg revenue per patient day (SGD) 1,085 1,136 1,133 1,287 1,347 1,415 1,485 1,560
Avg revenue per patient day (MYR) 2,602 2,724 2,718 3,107 3,260 3,424 3,595 3,775
IMU
Total programmes offered 14 15 17 18 18 18 18 18
Total student enrolment 2,631 2,928 2,963 3,195 3,400 3,500 3,600 3,700
Source: IPO Prospectus, Maybank-KE estimates 1 Reflects 3 hospitals opened in 2009 that were ramping up and not operational for the full year
2 Comprises data for only 11 hospitals as 3 hospitals were only acquired in 2H11, where the operational data were recorded and classified
differently with the rest of the other existing hospitals.
16 October 2012 Page 26 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Valuation
PER-to-growth (PEG) valuation. We value IHH at MYR3.15 per share,
pegged to 1x PEG (38x FY13F PER). We choose the PEG valuation
method to take into account the growth potential that would come from
IHH’s expansion plans. The positive earnings impact from these
expansion plans would only materialise in the next 3-5 years, but IHH
has already incurred 75% of the total expansion capex. We forecast
recurring EPS to grow by a CAGR of 38% p.a over the next five years.
Figure 35: Peer Comparison
TP
Mkt Cap Price PER (x) PEG EV/EBITDA (x) P/B ROE
Net Gearing DivYld
Company Rating (lcl) USD b (lcl) Y-1 Y Y+1 (x) Y Y+1 (x) (%) (%) (%)
Asia-listed
Raffles Medical SGD BUY 2.71 1.13 2.54 25.9 25.1 20.8 1.7 17.7 15.4 3.8 16.2 (8.4) 1.6
Apollo Hospitals INR N.R. N.A. 1.97 750.45 44.6 34.0 27.3 1.5 17.3 14.1 4.0 10.0 15.7 0.5
Fortis Healthcare INR N.R. N.A. 0.80 105.20 59.0 na 43.8 na 15.2 12.6 1.3 2.2 149.1 na
Bangkok Dusit THB N.R. N.A. 5.28 105.00 24.2 26.7 24.8 1.0 18.3 16.4 4.8 18.4 37.0 1.0
Bumrungrad THB N.R. N.A. 1.86 78.25 29.8 25.7 25.2 1.3 18.0 16.3 7.8 24.8 54.9 1.6
KPJ Healthcare MYR HOLD 5.79 1.28 6.12 24.8 25.1 21.9 1.6 14.8 12.8 3.9 17.3 19.2 2.0
Ramsay Health Care AUD N.R. N.A. 4.86 24.61 21.8 18.5 16.5 1.4 9.5 8.7 4.2 20.4 63.7 3.5
Average 32.9 25.8 25.7 1.4 15.8 13.8 4.3 15.6 47.3 1.7
Global-listed
Tenet Healthcare USD N.R. N.A. 2.47 23.67 15.6 10.8 8.8 1.0 5.8 5.5 2.2 4.6 281.6 na
LifePoint Hospitals Inc USD N.R. N.A. 2.02 41.39 11.6 12.3 11.1 1.3 6.2 5.8 1.0 8.5 74.1 na
Health MgmtAssociates USD N.R. N.A. 1.96 7.64 10.2 8.8 7.8 0.7 5.7 5.5 1.8 21.1 343.8 na
Community Health Systems USD N.R. N.A. 2.55 28.01 5.8 7.5 7.0 0.6 6.3 6.1 1.0 8.8 304.8 na
Universal Health Services USD N.R. N.A. 4.39 45.33 11.3 10.5 9.4 0.9 6.6 6.2 1.7 18.6 140.8 0.4
HCA Holdings USD N.R. N.A. 13.62 30.92 9.0 8.5 8.2 0.8 6.4 6.2 na na na na
Average 10.6 9.7 8.7 0.9 6.2 5.9 1.5 12.3 229.0 0.4
Source: Bloomberg, Maybank-KE
Sum-of-the-parts (SOTP) valuation. As a cross-check, we also use an
SOTP methodology to value IHH’s individual core businesses. We
value PPL, Acibadem and IMU using an EV/EBITDA relative valuation
and adopt market values for IHH’s stakes in listed entities, Parkway Life
REIT and Apollo. Our SOTP-based value comes up to MYR2.96 per
share.
We believe that IHH deserves a premium valuation for the following
reasons, and have therefore assigned an above-average EV/EBITDA
multiple on PPL:
1. Being one of the largest listed healthcare groups in the world, IHH
has strong bargaining power with suppliers and would also benefit
from higher operational efficiency;
2. Its premium branding attracts high-profile healthcare professionals,
who in turn would attract patients seeking the best treatments to its
hospitals, resulting in higher revenue intensity than other competing
hospitals;
3. It has already mapped out an expansion plan which would see bed
capacity increase by more than 3,400 to more than 8,300 by 2015,
from 4,900 currently.
16 October 2012 Page 27 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Figure 36: SOTP Valuation
Valuation Equity Value Per Share
Stake Basis (MYR m) (MYR) Remarks
PPL 100.0% 18x FY13F EV/EBITDA 17,281 2.14 Premium to peer-average
Acibadem 60.0% 14x FY13F EV/EBITDA 4,921 0.61 Peer average
IMU 100.0% 14x FY13F EV/EBITDA 1,052 0.13 Peer average
Parkway Life REIT 35.8% Mkt Value 1,088 0.13
Apollo 11.2% Mkt Value 702 0.09
Enterprise Value (MYR m) 25,043 3.11
Net cash/(debt) (1219) (0.15)
Equity Value (MYR m) 23,824 2.96
No. of shares (m) 8,057
Value per share (MYR) 2.96
Source: Maybank-KE
16 October 2012 Page 28 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Key risks
Changes in regulations and policies. IHH operates its healthcare
businesses in various countries and is subject to the respective
regulations in the operating markets. Hence, any unfavourable changes
in the regulations and policies by local governments may affect IHH’s
businesses adversely.
Fluctuations in currencies. A large portion of IHH’s businesses are
located outside of Malaysia. Other major operating markets include
Singapore and Turkey, where earnings are denominated in SGD and
TRY respectively. As such, any adverse movements in the local
currencies against MYR will result in translation impacts to the
consolidated financial statements, which are denominated in MYR.
Competition both locally and regionally. Competition may be intense
if there are substantial increases in investments in local healthcare
infrastructure (bed capacities of public hospitals) by local governments.
Additionally, there is also increasing competition from neighbouring
countries. For instance, Thailand, which has a strong position as a
medical hub in Asia, could also attract Singaporean, Indonesian and
Malaysian patients.
Execution risks in expansion plans. Given its aggressive growth
plans, IHH faces huge execution risks in delivering on its planned
expansions. In the event that it fails to execute on the intended
expansion plans, its future earnings and our forecasts could be
materially affected. In addition, given that new hospital projects
normally have a gestation period, IHH may take 2-5 years to reach its
intended operating levels. Other risks include ability to attract and retain
healthcare professionals and higher startup costs than expected.
16 October 2012 Page 29 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
FINANCIAL STATEMENTS AND RATIOS
PROFIT AND LOSS (MYR m) Pro-forma CASH FLOW (MYR m) Pro-forma
FYE Dec 2011 2012F 2013F 2014F FYE Dec 2011 2012F 2013F 2014F
Sales 5,190.8 7,306.5 7,350.0 8,340.8 Operating cash flow 1,356.0 2,934.2 1,502.9 2,062.1
Inventories and consumables (1,025.2) (1,231.6) (1,455.3) (1,651.5) Net Profit before minorities 132.0 965.0 898.7 1,097.1
Purchased and contracted services
(624.9) (757.0) (859.1) (989.1) Depreciation &Amortisation
463.8 507.8 522.0 551.5
Staff cost (2,310.7) (2,793.0) (3,169.5) (3,649.2) Change in Working Capital 386.1 1,714.6 (60.2) 236.5
Rental of premises (263.7) (264.0) (264.0) (264.0) Others 374.1 (253.3) 142.4 177.0
Other op. inc/(exp) (1,095.8) (459.7) (521.7) (589.3) Investment cash flow (2,267.3) (1,409.4) (755.9) (624.4)
EBITDA 1,094.0 1,561.4 1,621.0 1,875.0 Net Capex (845.0) (1,593.7) (922.1) (826.1)
Dep&amort. (441.6) (507.8) (522.0) (551.5) Net Investments (1,472.7) 0.0 0.0 0.0
Operating Profit 652.4 1,053.6 1,099.0 1,323.5 Change in other assets 50.4 184.3 166.2 201.7
Net Interest (526.5) (47.6) (38.0) (12.1) Financing cash flow 1,324.3 58.6 (88.2) 26.6
Interest Income 58.3 134.9 110.4 142.3 Change in share capital 7,265.9 5,040.0 0.0 0.0
Interest Expense (584.8) (182.5) (148.4) (154.4) Dividends paid (5.1) 0.0 0.0 0.0
Net Investment income/(loss) 0.0 0.0 0.0 0.0 Net change in debt (5,107.3) (4,799.0) 60.2 181.0
Net other non-op. JV+Assc. 93.8 69.7 76.4 80.8 Change in other LT liab. (829.2) (182.5) (148.4) (154.4)
Net exceptionals 0.0 112.4 0.0 0.0 Net cash flow 413.0 1,583.3 658.8 1,464.3
Pretax profit 219.8 1,188.1 1,137.4 1,392.2 Free cash flow 511.0 1,340.5 580.8 1,236.0
Income taxes (87.8) (223.2) (238.7) (295.1)
Minority Interest 113.6 (162.3) (235.7) (285.3)
Net Profit 245.7 802.7 663.0 811.9 KEY RATIOS
Recurring Net Profit 245.7 498.5 663.0 811.9 FYE Dec 2011 2012F 2013F 2014F
EPS (sen) 3.0 10.0 8.2 10.1 Growth (% YoY)
Recurring EPS (sen) 3.0 6.2 8.2 10.1 Sales 15.2 40.8 0.6 13.5
EBIT 79.5 61.5 4.3 20.4
EBITDA 33.8 42.7 3.8 15.7
BALANCE SHEET (MYR m) Pro-forma Net profit 218.5 630.8 (6.9) 22.1
FYE Dec 2011 2012F 2013F 2014F EPS 212.1 226.7 (17.4) 22.5
Total Assets 23,020.3 24,925.9 26,139.2 28,128.6 Profitability (%)
Current Assets 3,892.5 4,590.2 5,326.9 6,961.0 Gross Margin 69.1 75.1 69.9 69.9
Cash & ST investment 1,768.2 3,351.6 4,010.3 5,474.6 EBITDA Margin 21.1 21.4 22.1 22.5
Inventories 117.9 140.1 151.5 172.0 EBIT Margin 12.6 14.4 15.0 15.9
Accounts receivable 814.2 1,040.9 1,107.5 1,256.8 Net Margin 4.7 11.0 9.0 9.7
Others 1,192.2 57.5 57.5 57.5 ROA 1.3 3.3 2.6 3.0
Non-current Assets 19,127.9 20,335.7 20,812.3 21,167.7 ROE 2.6 4.8 3.7 4.3
LT investments 1,458.8 1,551.5 1,627.9 1,708.7
Net PPE 6,044.2 7,201.8 7,673.9 8,020.5 Stability
Others 11,624.9 11,582.5 11,510.5 11,438.5 Total Debt/Equity (X) 0.2 0.2 0.2 0.2
Net Debt/Equity (X) 0.1 net cash net cash net cash
Total Liabilities 6,123.7 6,931.9 7,010.7 7,617.8 Int. coverage (X) 1.1 5.8 7.4 8.6
Current Liabilities 2,428.9 3,355.0 3,386.7 3,819.3 Int. & ST debt coverage (X)
0.8 2.4 2.6 3.0
Accounts payable 2,019.2 2,922.6 2,940.0 3,336.3 Cashflow int. coverage (X) 2.3 16.1 10.1 13.4
ST borrowings 246.6 259.0 272.5 289.0 Cashflow int. & ST debt (x) 1.6 6.6 3.6 4.7
Others 163.0 173.4 174.2 194.0 Current Ratio (X) 1.6 1.4 1.6 1.8
Long-term liabilities 3,694.9 3,576.9 3,624.0 3,798.4 Quick Ratio (X) 1.6 1.3 1.5 1.8
Long-term debts 2,797.3 2,678.6 2,725.2 2,889.8 Net debt/(cash) (MYR m) 1,275.7 (414.0) (1,012.6) (2,295.9)
Others 897.6 898.3 898.7 908.6
Per share data (sen)
Shareholder's equity 16,304.6 17,269.5 18,168.2 19,265.4 EPS 3.0 10.0 8.2 10.1
Paid-in capital 16,029.0 16,029.0 16,029.0 16,029.0 Recurring EPS 3.0 6.2 8.2 10.1
Reserve 275.6 1,240.6 2,139.3 3,236.4 CFPS 16.8 36.4 18.7 25.6
Minority Interest 592.1 724.5 960.2 1,245.5 BVPS 202.4 214.3 225.5 239.1
Total Equity 16,896.6 17,994.0 19,128.5 20,510.8 SPS 64.4 90.7 91.2 103.5
Total Equity & Liabilities 23,020.3 24,925.9 26,139.2 28,128.6 EBITDA/Share 13.6 19.4 20.1 23.3
DPS 0.0 0.0 0.0 0.0
Source: IPO Prospectus, Maybank KE estimates
16 October 2012 Page 30 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Appendix I: Key management profiles
Figure 37: Director's profiles
Name Board Position Age Background
Tan Sri Dato' Dr Abu Bakar Suleiman
Chairman of IHH, President and CEO of
IMU
68 He has c.19 years of healthcare industry experience. He was a consultant nephrologist and head of the Department of Nephrology at Hospital Kuala
Lumpur. He developed the nephorology and dialysis services at Hospital Kuala Lumpur and in other hospitals around Malaysia. In 1987, he joined MOH Malaysia as the Director of Medical Services. In 1989, he was the
Deputy Director General of Health and in 1991, he was appointed as the Director General of Health. He was appointed President of IMU in 2001. He holds an MBBS from Monash University and obtained a Masters of
Medicine (Internal Medicine) from the University of Singapore. He attended the Advanced Management Programme at Harvard Business School in 1991.
Dr Lim Cheok Peng Managing Director of IHH and Vice Chairman of PPL
65 He has c.25 years of healthcare industry experience, as a medical practitioner and in managing hospital businesses. He spearheaded the redevelopment of Gleneagles Hospital in Kuala Lumpur, Gleneagles
Hospital in Jakarta, Gleneagles Hospital in Medan and Gleneagles Hospital in Kolkata. In 1987, he began his career in Parkway as CEO, became MD in 2000 and Vice Chairman in 2009. In 2011, he joined IHH as Executive
Director. He holds an MBBS and Masters of Medicine (Internal Medicine) from the University of Singapore. He is also a Fellow of the Royal College of Physicians of the United Kingdom and later became a Fellow of the Royal
College of Physicians and Surgeons of Glasgow and Edinburgh.
Dr Tan See Leng Executive Director of IHH
and Managing Director and Group CEO of PPL
47 He has c.20 years of healthcare industry experience. In 2004, he joined
Parkway as COO of Mount Elizabeth Hospital and was subsequently appointed Senior Vice President, International Operations in 2006, and later seconded to Pantai as CEO of the Hospitals Division. In 2010, he was
appointed MD and CEO of Parkway and was concurrently appointed MD of Parkway Pantai in 2011. He holds an MBBS and Master of Medicine (Family Medicine) from the National University of Singapore. He also has a
Master of Business Administration from the University of Chicago - Booth School of Business.
Ahmad Shahizam Md Shariff Director of IHH, Head of Business Development &
Investor Relations of IHH and Executive Director of Corporate Service of PPL
41 He began his career with HSBC, Kuala Lumpur in 1994 and joined ING Barings Bank in Kuala Lumpur in 1996. Subsequently, he joined Citigroup,
Salmon Smith Barney as Vice President of Equity Research. In 2004, he joined Khazanah in the MD's office and eventually held the position of Director of Investments responsible for all investments in the healthcare and
power sectors, including company monitoring and engagement as well as leading value creation plans and related transactions. He was appointed Executive Director of PPL in 2010. He holds a Bachelor of Laws (Hons)
from the London School of Economics and Political Science, University of London and obtained a Masters in Public Administration from Harvard University, U.S.
Mehmet Ali Aydinlar Executive Director of IHH, Chairman and CEO of Acibadem Holding
55 He has c.20 years of healthcare industry experience. He started his career in 1981 as a Public Accountant. As an entrepreneur with extensive management experience, he has been involved in the healthcare sector
with Acibadem Group since 1993. He holds a business administration degree from Galatasaray Economy and Management Business College and an honorary doctorate degree from Dumplupinar University, Institute of
Social Sciences.
Dr Lim Suet Wun Executive Vice President of Singapore Operations,
of Parkway Healthcare
52 He has c.25 years of healthcare industry experience. He began his career as a house officer in the MOH Singapore and subsequently became a
Medical Officer in the Singapore Armed Forces. In 1991, he was appointed COO of KK Women and Children's Hospital and in 1995 became the CEO of National University Hospital. In 2001, he joined Tan Tock Seng Hospital
as CEO and in 2004 became the CEO of the National Healthcare Group Singapore. He was appointed Head of Singapore Operations Division of Parkway Pantai in 2011. He holds an MBBS from the National University of
Singapore and Master of Public Health and Master of Business Administration degrees from the University of California, U.S.
16 October 2012 Page 31 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Name Board Position Age Background
Tan See Haw Group CFO of PPL 55 Joined Parkway in 2009. Upon Parkway's acquisition by Parkway Pantai in 2011, he was appointed Group CFO of PPL. Prior to his appointment with
PPL, he was the VP of IT and Supply Chain of Unisem (M) Bhd from 2007-2008. He has held key regional positions in major corporations such as Advanced Interconnect Technologies, Asia Pacific Breweries Ltd and Pepsi-
Cola International. He holds a Bachelor of Accountancy from the National University of Singapore. He is also a Fellow of Institute of the Certified Public Accountants of Singapore.
Murat Yalcin Nak Deputy General Manager of Acibadem (Regional Operations and
Marketing)
47 He has c.7 years of healthcare industry experience. Before joining Acibadem in 2008, he worked in Procter & Gamble Turkey (as Planning Engineer), Procter & Gamble Germany (as Assistant Brand Manager and
Planning Group Manager), McKinsey & Co. in Turkey and Switzerland (as Senior Engagement Manager) and PwC (as consultant). His final post before joining Acibadem, was serving from 2005-2008 as the CEO and
Board Member of Memorial Healthcare in Turkey. He holds a Masters in Business Administration from Northwestern University's J. L. Kellogg School of Management, U.S.
Rengin Yigitbas Akillioglu Deputy General Manager, CFO and Board Secretary of Acibadem
47 She began her career at NASAS Aluminium Inc. in Istanbul, Turkey in 1987 and worked with Turkish Airlines Inc. (THY) during 1989-2010 in various positions in management and finance, the last being CFO of THY. She has
been working as CFO, Coordinator USA and the board secretary at Acibadem since 2010. She holds a B.Sc. in Management Engineering from Istanbul Technical University and a Master's Degree in Economics from
Bogazici (Bosphorus) University, Turkey.
Source: IPO Prospectus
16 October 2012 Page 32 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Appendix II: Hospital Assets, Networks and Key Operating Data
Figure 38: IHH's existing hospital network
Hospital Country Accreditation Specialist areas Licensed beds
Operating theatres
1 Mount Elizabeth Hospital Singapore JCI Cardiothoracic vascular surgery, neurosurgery, general surgery kidney transplantation, hematopoietic stem
cell, transplantation, orthopedics, cardiology, oncology
345 13
2 Gleneagles Hospital Singapore JCI Cardiology, gastroenterology, liver transplantation, obstetrics &
gynaecology, oncology, orthopedics
272 12
3 Parkway East Hospital Singapore JCI General surgery, paediatrics, obstetrics & gynaecology, cardiology, fertility services (including IVF)
113 5
4 Pantai Hospital Kuala Lumpur Malaysia JCI, MSQH Cardiology and cardiothoracic surgery,
orthopaedic, oncology, minimally invasive surgery, obstetrics and gynaecology, paediatric, trauma and 22
other specialties
332 8
5 Gleneagles Hospital Kuala Lumpur
Malaysia JCI, MSQH Cardiology and cardiothoracic surgery, neurosurgery, obstetrics and gynaecology, plastic surgery,
reconstructive and maxillofacial, orthopaedic, trauma surgery and 17 other specialties
316 8
6 Gleneagles Medical Center Penang
Malaysia MSQH Cardiology and cardiothoracic surgery, oncology, hand and microsurgery,
haematology, neurosurgery, nephrology, orthopaedic, urology and 18 other specialties
227 5
7 Pantai Hospital Ayer Keroh Malaysia MSQH Cardiology and cardiothoracic surgery,
oncology, nephrology, obstetrics and gynaecology, paediatrics, ophthalmology and 16 other specialties
224 7
8 Pantai Hospital Penang Malaysia MSQH ENT, neurology, neurosurgery, orthopaedic, cardiology and 15 other
specialties
195 5
9 Pantai Hospital Ipoh Malaysia - Cardiology and cardiothoracic surgery, orthopaedic and ophthalmology, haematology, obstetrics and
gynaecology, paediatrics and 14 other specialties
180 4
10 Pantai Hospital Cheras Malaysia MSQH ENT, general medicine, general surgery, obstetrics and gynaecology,
orthopaedic and 12 other specialties
143 4
11 Pantai Hospital Ampang Malaysia - ENT, general medicine, general surgery, obstetrics and gynaecology, orthopaedic and 10 other specialties
114 4
12 Pantai Hospital Klang Malaysia MSQH General medicine, general surgery, obstetrics and gynaecology,
orthopaedic, paediatric and 11 other specialties
108 3
13 Pantai Hospital BatuPahat Malaysia - General medicine, general surgery, obstetrics and gynaecology, orthopaedic, paediatric and 5 other
specialties
106 3
14 Pantai Hospital Sungai Petani Malaysia - General medicine, cardiology, general surgery, obstetrics and gynaecology,
orthopaedic and 8 other specialties
80 2
16 October 2012 Page 33 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Hospital Country Accreditation Specialist areas Licensed
beds
Operating
theatres
15 Acibadem Bursa Hospital Turkey - 25 therapeutic areas and key specialist services (including radiation oncology,
cardiovascular surgery, general surgery, obstetrics and gynaecology
195 6
16 AcibademMaslak Hospital Turkey JCI 30 therapeutic areas and key specialist services (including radiation oncology, cardiac care and urology)
183 8
17 AcibademBakirkoy Hospital Turkey JCI 25 therapeutic areas and key specialist services (including paediatric
cardiovascular surgery, orthopaedic and general surgery)
136 7
18 AcibademKadikoy Hospital Turkey JCI 25 therapeutic areas and key specialist services (including IVF, cardiology, paediatrics and internal medicine)
127 6
19 Acibadem Adana Hospital Turkey JCI 25 therapeutic areas and key specialist
services (including radiation oncology)
125 5
20 Acibadem Kayseri Hospital Turkey - 20 therapeutic areas and key specialist services (including radiation oncology)
119 6
21 International Hospital Turkey JCI 25 therapeutic areas and key specialist services (including organ transplantation and paediatric
cardiovascular surgery)
118 6
22 Acibadem Eskisehir Hospital Turkey - 20 therapeutic ares and key specialist services
109 5
23 Aile Hospital Bahcelievler Turkey - 25 therapeutic areas and key specialist services (including general surgery, orthopaedic, obstetrics and
gynaecology)
109 5
24 AcibademFulya Hospital Turkey Pending JCI 10 therapeutic areas and key specialist
services (including sports medicine)
100 6
25 Aile Hospital Goztepe Turkey - 20 therapeutic areas and key specialist services (including general surgery,
cardiology and cardiovascular surgery)
89 4
26 AcibademKozyatagi Hospital Turkey - 25 therapeutic areas and key specialist services, including adult and paediatric neurosurgery, medical oncology,
nuclear medicine
87 4
27 AcibademKocaeli Hospital Turkey JCI 25 therapeutic areas and key specialist
services (including paediatrics, internal medicine, ENT and cardiovascular surgery)
75 3
28 AcibademSistina Skopje Clinical Hospital
Macedonia Preparing for JCI
Cardiology, cardiovascular surgery, urology, obstetrics and gynaecology
179 8
29 Apollo Gleneagles Hospital
(50:50 JV with Apollo)
India JCI Cardiology, general surgery,
orthopaedic and transplants
425 -
30 Gleneagles JPMC Cardiac
Centre (75:25 JV with Brunei Investment Agency)
Brunei - Cardiac inpatient and outpatient
specialist services
21 2
Total 4,952 164
Source: IPO Prospectus
16 October 2012 Page 34 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
Figure 39: Key operating statistics
2009 2010 2011 1Q12
Singapore
No. of hospitals 3 3 3 3
No. of licensed beds 1,008 743 730 730
No. of operational beds 724 714 716 719
Inpatient admissions 46,961 49,182 51,036 13,261
Avg length of stay 3.4 3.3 3.3 3.3
Occupancy 60.0% 62.0% 64.0% 67.0%
Avg revenue per patient day (SGD) 1,962 2,091 2,275 2,437
Avg revenue per patient day (MYR) 4,709 5,018 5,460 5,849
Malaysia (Hub and Spoke)
No. of hospitals 11 11 11 11
No. of licensed beds 1,993 1,993 2,010 2,025
No. of operational beds 1,781 1,835 1,878 1,911
Inpatient admissions 146,200 152,286 154,823 40,443
Avg length of stay 2.8 2.8 2.8 2.7
Occupancy 64.2% 65.1% 63.0% 63.5%
Avg revenue per patient day (SGD) 482 542 583 609
Avg revenue per patient day (MYR) 1,156 1,301 1,399 1,461
Malaysia (Hub)
No. of hospitals 6 6 6 6
No. of licensed beds 1,459 1,459 1,459 1,474
No. of operational beds 1,312 1,346 1,359 1,392
Inpatient admissions 108,425 109,743 111,175 28,458
Avg length of stay 3.0 3.0 3.0 2.9
Occupancy 66.4% 68.0% 66.7% 65.6%
Avg revenue per patient day (SGD) 492 562 600 633
Avg revenue per patient day (MYR) 1,181 1,348 1,439 1,520
Malaysia (Spoke)
No. of hospitals 5 5 5 5
No. of licensed beds 534 534 551 551
No. of operational beds 469 489 519 519
Inpatient admissions 37,775 42,543 43,648 11,985
Avg length of stay 2.4 2.4 2.3 2.3
Occupancy 58.0% 57.3% 53.4% 58.0%
Avg revenue per patient day (SGD) 446 479 528 535
Avg revenue per patient day (MYR) 1,071 1,149 1,267 1,283
Turkey
No. of hospitals 9 11 14 14
No. of licensed beds 1,232 1,473 1,751 1,801
No. of operational beds 1,232 1,473 1,751 1,801
Inpatient admissions 52,869 66,428 88,525 27,872
Avg length of stay 3.2 3.5 3.5 3.3
Occupancy 54.9% 66.5% 79.5% 78.1%
Avg revenue per patient day (SGD) 1,085 1,136 1,133 1,258
Avg revenue per patient day (MYR) 2,602 2,724 2,718 3,017
IMU
Total programmes offered 14 15 17 18
Total student enrolment 2,631 2,928 2,963 3,179
Source: IPO Prospectus
16 October 2012 Page 35 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
RESEARCH OFFICES REGIONAL
P K BASU Regional Head, Research & Economics (65) 6432 1821 [email protected]
WONG Chew Hann, CA Acting Regional Head of Institutional Research
(603) 2297 8686 [email protected]
THAM Mun Hon, CFA Regional Strategist
(852) 2268 0630 [email protected]
ONG Seng Yeow Regional Products & Planning
(852) 2268 0644 [email protected]
ECONOMICS Suhaimi ILIAS Chief Economist Singapore | Malaysia (603) 2297 8682 [email protected]
Luz LORENZO Economist
Philippines | Indonesia (63) 2 849 8836 [email protected]
MALAYSIA WONG Chew Hann, CA Head of Research
(603) 2297 8686 [email protected] Strategy Construction & Infrastructure
Desmond CH’NG, ACA (603) 2297 8680 [email protected] Banking - Regional
LIAW Thong Jung (603) 2297 8688 [email protected] Oil & Gas
Automotive Shipping ONG Chee Ting, CA
(603) 2297 8678 [email protected] Plantations Mohshin AZIZ
(603) 2297 8692 [email protected] Aviation
Petrochem Power YIN Shao Yang, CPA
(603) 2297 8916 [email protected] Gaming – Regional
Media
Power TAN CHI WEI, CFA (603) 2297 8690 [email protected]
Construction & Infrastructure Power WONG Wei Sum, CFA
(603) 2297 8679 [email protected] Property & REITs LEE Yen Ling
(603) 2297 8691 [email protected] Building Materials
Manufacturing Technology
LEE Cheng Hooi Head of Retail
Technicals
HONG KONG / CHINA Edward FUNG Head of Research
(852) 2268 0632 [email protected]
Construction Ivan CHEUNG (852) 2268 0634 [email protected]
Property Industrial Ivan LI
(852) 2268 0641 [email protected] Banking & Finance Jacqueline KO
(852) 2268 0633 [email protected] Consumer Staples Andy POON
(852) 2268 0645 [email protected] Telecom & equipment Alex YEUNG
(852) 2268 0636 [email protected] Industrial
INDIA Jigar SHAH Head of Research
(91) 22 6623 2601 [email protected] Oil & Gas Automobile
Cement Anubhav GUPTA
(91) 22 6623 2605 [email protected] Metal & Mining Capital goods
Property Ganesh RAM (91) 226623 2607 [email protected]
Telecom Contractor
SINGAPORE Stephanie WONG Head of Research
(65) 6432 1451 [email protected] Strategy Small & Mid Caps
Gregory YAP (65) 6432 1450 [email protected] Technology & Manufacturing Telcos - Regional
Wilson LIEW (65) 6432 1454 [email protected]
Hotel & Resort Property & Construction James KOH
(65) 6432 1431 [email protected] Logistics Resources
Consumer Small & Mid Caps
YEAK Chee Keong, CFA (65) 6433 5730 [email protected] Healthcare
Offshore & Marine Alison FOK (65) 6433 5745 [email protected]
Services S-chips Bernard CHIN
(65) 6433 5726 [email protected] Transport (Land, Shipping & Aviation) ONG Kian Lin
(65) 6432 1470 [email protected] REITs / Property Wei Bin
(65) 6432 1455 [email protected] S-chips
Small & Mid Caps
INDONESIA Katarina SETIAWAN Head of Research
(62) 21 2557 1125 [email protected]
Consumer Strategy Telcos
Lucky ARIESANDI, CFA (62) 21 2557 1127 [email protected] Base metals
Coal Oil & Gas Rahmi MARINA
(62) 21 2557 1128 [email protected] Banking Multifinance
Pandu ANUGRAH (62) 21 2557 1137 [email protected] Auto
Heavy equipment Plantation Toll road
Adi N. WICAKSONO (62) 21 2557 1130 [email protected]
Generalist Anthony YUNUS (62) 21 2557 1134 [email protected]
Cement Infrastructure Property
Arwani PRANADJAYA (62) 21 2557 1129 [email protected] Technicals
PHILIPPINES Luz LORENZO Head of Research
(63) 2 849 8836 [email protected] Strategy
Laura DY-LIACCO (63) 2 849 8840 [email protected] Utilities
Conglomerates Telcos Lovell SARREAL
(63) 2 849 8841 [email protected] Consumer
Media Cement Kenneth NERECINA
(63) 2 849 8839 [email protected] Conglomerates Property
Ports/ Logistics Katherine TAN (63) 2 849 8843 [email protected]
Banks Construction Ramon ADVIENTO
(63) 2 849 8842 [email protected] Mining
THAILAND Mayuree CHOWVIKRAN Head of Research
(66) 2658 6300 ext 1440 [email protected] Strategy
Maria BRENDA SANCHEZ LAPIZ Co-Head of Research
Dir (66) 2257 0250 | (66) 2658 6300 ext 1399 [email protected] Consumer/ Big Caps
Andrew STOTZ Strategist
(66) 2658 6300 ext 5091 [email protected]
Suttatip PEERASUB (66) 2658 6300 ext 1430 [email protected]
Media Commerce Sutthichai KUMWORACHAI
(66) 2658 6300 ext 1400 [email protected] Energy Petrochem
Termporn TANTIVIVAT (66) 2658 6300 ext 1520 [email protected] Property
Woraphon WIROONSRI (66) 2658 6300 ext 1560 [email protected] Banking & Finance
Jaroonpan WATTANAWONG (66) 2658 6300 ext 1404 [email protected] Transportation
Small cap. Chatchai JINDARAT
(66) 2658 6300 ext 1401 [email protected] Electronics Pongrat RATANATAVANANANDA
(66) 2658 6300 ext 1398 [email protected] Services/ Small Caps
VIETNAM Michael KOKALARI,CFA Head of Research
(84) 838 38 66 47 [email protected]
Strategy Nguyen Thi Ngan Tuyen (84) 844 55 58 88 x 8081 [email protected]
Food and Beverage § Oil and Gas Ngo Bich Van
(84) 844 55 58 88 x 8084 [email protected] Banking Trinh Thi Ngoc Diep
(84) 844 55 58 88 x 8242 [email protected] Technololy Utilities
Construction Dang Thi Kim Thoa (84) 844 55 58 88 x 8083 [email protected]
Consumer Nguyen Trung Hoa +84 844 55 58 88 x 8088 [email protected]
Steel Sugar
Resources
16 October 2012 Page 36 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
APPENDIX I: TERMS FOR PROVISION OF REPORT, DISCLAIMERS AND DISCLOSURES
DISCLAIMERS
This research report is prepared for general circulation and for information purposes only and under no circumstances should it be considered or intended as an offer to sell or a solicitation of an offer to buy the securities referred to herein. Investors should note that values of such securities, if any, may fluctuate and that each security’s price or value may rise or fall. Opinions or recommendations contained herein are in form of technical ratings and fundamental ratings. Technical ratings may differ from fundamental ratings as technical valuations apply different methodologies and are purely based on price and volume-related information extracted from the relevant jurisdiction’s stock exchange in the equity analysis. Accordingly, investors’ returns may be less than the original sum invested. Past performance is not necessarily a guide to future performance. This report is not intended to provide personal investment advice and does not take into account the specific investment objectives, the financial situation and the particular needs of persons who may receive or read this report. Investors should therefore seek financial, legal and other advice regarding the appropriateness of investing in any securities or the investment strategies discussed or recommended in this report.
The information contained herein has been obtained from sources believed to be reliable but such sources have not been independently verified by Maybank Investment Bank Berhad, its subsidiary and affiliates (collectively, “MKE”) and consequently no representation is made as to the accuracy or completeness of this report by MKE and it should not be relied upon as such. Accordingly, MKE and its officers, directors, associates, connec ted parties and/or employees (collectively, “Representatives”) shall not be liable for any direct, indirect or consequential losses or damages that may arise from the use or reliance of this report. Any information, opinions or recommendations contained herein are subject to change at any time, without prior notice.
This report may contain forward looking statements which are often but not always identified by the use of words such as “anticipate”, “believe”, “estimate”, “intend”, “plan”, “expect”, “forecast”, “predict” and “project” and statements that an event or result “may”, “will”, “can”, “should”, “could” or “might” occur or be achieved and other similar expressions. Such forward looking statements are based on assumptions made and information current ly available to us and are subject to certain risks and uncertainties that could cause the actual results to differ materially from those expressed in any forward looking statements. Readers are cautioned not to place undue relevance on these forward-looking statements. MKE expressly disclaims any obligation to update or revise any such forward looking statements to reflect new information, events or circumstances after the date of this publication or to reflect the occurrence of unanticipated events.
MKE and its officers, directors and employees, including persons involved in the preparation or issuance of this report, may, to the extent permitted by law, from time to time participate or invest in financing transactions with the issuer(s) of the securities mentioned in this report, perform services for or solicit business from such issuers, and/or have a position or holding, or other material interest, or effect transactions, in such securities or options thereon, or other investments related thereto. In addition, it may make markets in the securities mentioned in the material presented in this report . MKE may, to the extent permitted by law, act upon or use the information presented herein, or the research or analysis on which they are based, before the material is published. One or more directors, officers and/or employees of MKE may be a director of the issuers of the securities mentioned in this report.
This report is prepared for the use of MKE’s clients and may not be reproduced, altered in any way, transmitted to, copied or distributed to any other party in whole or in part in any form or manner without the prior express written consent of MKE and MKE and its Representatives accepts no liability whatsoever for the actions of third parties in this respect.
This report is not directed to or intended for distribution to or use by any person or entity who is a citizen or resident of or located in any locality, state, country or other jurisdiction where such distribution, publication, availability or use would be contrary to law or regulation. This report is for distribution only under such circumstances as may be permitted by applicable law. The securities described herein may not be eligible for sale in all jurisdictions or to certain categories of investors. Without prejudice to the foregoing, the reader is to note that additional disclaimers, warnings or qualifications may apply based on geographical location of the person or entity receiving this report.
Malaysia
Opinions or recommendations contained herein are in the form of technical ratings and fundamental ratings. Technical ratings may differ from fundamental ratings as technical valuations apply different methodologies and are purely based on price and volume-related information extracted from Bursa Malaysia Securities Berhad in the equity analysis.
Singapore
This report has been produced as of the date hereof and the information herein may be subject to change. Maybank Kim Eng Research Pte. Ltd. (“Maybank KERPL”) in Singapore has no obligation to update such information for any recipient. For distribution in Singapore, recipients of this report are to contact Maybank KERPL in Singapore in respect of any matters arising from, or in connection with, this report. If the recipient of th is report is not an accredited investor, expert investor or institutional investor (as defined under Section 4A of the Singapore Securities and Futures Act), Maybank KERPL shall be legally liable for the contents of this report, with such liability being limited to the extent (if any) as permitted by law.
Thailand
The disclosure of the survey result of the Thai Institute of Directors Association (“IOD”) regarding corporate governance is made pursuant to the policy of the Office of the Securities and Exchange Commission. The survey of the IOD is based on the information of a company listed on the Stock Exchange of Thailand and the market for Alternative Investment disclosed to the public and able to be accessed by a general public investor. The result, therefore, is from the perspective of a third party. It is not an evaluation of operation and is not based on inside information.The survey result is as of the date appearing in the Corporate Governance Report of Thai Listed Companies. As a result, the survey may be changed after that date. Maybank Kim Eng Securities (Thailand) Public Company Limited (“MBKET”) does not confirm nor certify the accuracy of such survey result.
Except as specifically permitted, no part of this presentation may be reproduced or distributed in any manner without the pri or written permission of MBKET. MBKET accepts no liability whatsoever for the actions of third parties in this respect.
US
This research report prepared by MKE is distributed in the United States (“US”) to Major US Institutional Investors (as defined in Rule 15a-6 under the Securities Exchange Act of 1934, as amended) only by Maybank Kim Eng Securities USA Inc (“Maybank KESUSA”), a broker-dealer registered in the US (registered under Section 15 of the Securities Exchange Act of 1934, as amended). All responsibility for the distribution of this report by Maybank KESUSA in the US shall be borne by Maybank KESUSA. All resulting transactions by a US person or entity should be effected through a registered broker-dealer in the US. This report is not directed at you if MKE is prohibited or restricted by any legislation or regulation in any jurisdiction from making it available to you. You should satisfy yourself before reading it that Maybank KESUSA is permitted to provide research material concerning investment s to you under relevant legislation and regulations.
UK
This document is being distributed by Maybank Kim Eng Securities (London) Ltd (“Maybank KESL”) which is authorized and regulated, by the Financial Services Authority and is for Informational Purposes only. This document is not intended for distribution to anyone defined as a Retail Client under the Financial Services and Markets Act 2000 within the UK. Any inclusion of a third party link is for the recipients convenience only, and that the firm does not take any responsibility for its comments or accuracy, and that access to such links is at the individuals own risk. Nothing in this report should be considered as constituting legal, accounting or tax advice, and that for accurate guidance recipients should consult with their own independent tax advisers.
16 October 2012 Page 37 of 38
IHH Healthcare 17 October 2011
Page 1 of 2
DISCLOSURES
Legal Entities Disclosures
Malaysia: This report is issued and distributed in Malaysia by Maybank Investment Bank Berhad (15938-H) which is a Participating Organization of Bursa Malaysia Berhad and a holder of Capital Markets and Services License issued by the Securities Commission in Malaysia. Singapore: This material is issued and distributed in Singapore by Maybank KERPL (Co. Reg No 197201256N) which is regulated by the Monetary Authority of Singapore. Indonesia: PT Kim Eng Securities (“PTKES”) (Reg. No. KEP-251/PM/1992) is a member of the Indonesia Stock Exchange and is regulated by the BAPEPAM LK. Thailand: MBKET (Reg. No.0107545000314) is a member of the Stock Exchange of Thailand and is regulated by the Ministry of Finance and the Securities and Exchange Commission.Philippines: ATRKES (Reg. No.01-2004-00019) is a member of the Philippines Stock Exchange and is regulated by the Securities and Exchange Commission. Vietnam: Kim Eng Vietnam Securities Company (“KEVS”) (License Number: 71/UBCK-GP) is licensed under the StateSecuritiesCommission of Vietnam.Hong Kong: KESHK (Central Entity No AAD284) is regulated by the Securities and Futures Commission. India: Kim Eng Securities India Private Limited (“KESI”) is a participant of the National Stock Exchange of India Lim ited (Reg No: INF/INB 231452435) and the Bombay Stock Exchange (Reg. No. INF/INB 011452431) and is regulated by Securities and Exchange Board of India. KESI is also registered with SEBI as Category 1 Merchant Banker (Reg. No. INM 000011708) US: Maybank KESUSA is a member of/ and is authorized and regulated by the FINRA – Broker ID 27861. UK: Maybank KESL (Reg No 2377538) is authorized and regulated by the Financial Services Authority.
Disclosure of Interest
Malaysia: MKE and its Representatives may from time to time have positions or be materially interested in the securities referred to herein and may further act as market maker or may have assumed an underwriting commitment or deal with such securities and may also perform or seek to perform investment banking services, advisory and other services for or relating to those companies.
Singapore: As of 16 October 2012, Maybank KERPL and the covering analyst do not have any interest in any companies recommended in this research report.
Thailand: MBKET may have a business relationship with or may possibly be an issuer of derivative warrants on the securities /companies mentioned in the research report. Therefore, Investors should exercise their own judgment before making any investment decisions. MBKET, its associates, directors, connected parties and/or employees may from time to time have interests and/or underwriting commitments in the securities mentioned in this report.
Hong Kong: KESHK may have financial interests in relation to an issuer or a new listing applicant referred to as defined by the requirements under Paragraph 16.5(a) of the Hong Kong Code of Conduct for Persons Licensed by or Registered with the Securities and Futures Commission.
As of 16 October 2012, KESHK and the authoring analyst do not have any interest in any companies recommended in this research report.
MKE may have, within the last three years, served as manager or co-manager of a public offering of securities for, or currently may make a primary market in issues of, any or all of the entities mentioned in this report or may be providing, or have provided within the previous 12 months, significant advice or investment services in relation to the investment concerned or a related investment.
OTHERS
Analyst Certification of Independence
The views expressed in this research report accurately reflect the analyst’s personal views about any and all of the subject securities or issuers; and no part of the research analyst’s compensation was, is or will be, directly or indirectly, related to the specific recommendations or views expressed in the report.
Reminder
Structured securities are complex instruments, typically involve a high degree of risk and are intended for sale only to sophisticated investors who are capable of understanding and assuming the risks involved. The market value of any structured security may be affected by changes in economic, financial and political factors (including, but not limited to, spot and forward interest and exchange rates), time to maturity, market conditions and volatility and the credit qual ity of any issuer or reference issuer. Any investor interested in purchasing a structured product should conduct its own analysis of the product and consult with its own professional advisers as to the risks involved in making such a purchase.
No part of this material may be copied, photocopied or duplicated in any form by any means or redistributed without the prior consent of MKE.
Definition of Ratings
Maybank Kim Eng Research uses the following rating system:
BUY Total return is expected to be above 10% in the next 12 months (excluding dividends)
HOLD Total return is expected to be between -10% to +10% in the next 12 months (excluding dividends)
SELL Total return is expected to be below -10% in the next 12 months (excluding dividends)
Applicability of Ratings
The respective analyst maintains a coverage universe of stocks, the list of which may be adjusted according to needs. Investment ratings are only
applicable to the stocks which form part of the coverage universe. Reports on companies which are not part of the coverage do not carry investment ratings
as we do not actively follow developments in these companies.
Some common terms abbreviated in this report (where they appear):
Adex = Advertising Expenditure FCF = Free Cashflow PE = Price Earnings
BV = Book Value FV = Fair Value PEG = PE Ratio To Growth
CAGR = Compounded Annual Growth Rate FY = Financial Year PER = PE Ratio
Capex = Capital Expenditure FYE = Financial Year End QoQ = Quarter-On-Quarter
CY = Calendar Year MoM = Month-On-Month ROA = Return On Asset
DCF = Discounted Cashflow NAV = Net Asset Value ROE = Return On Equity DPS = Dividend Per Share
NTA = Net Tangible Asset ROSF = Return On Shareholders’ Funds
EBIT = Earnings Before Interest And Tax P = Price WACC = Weighted Average Cost Of Capital
EBITDA = EBIT, Depreciation And Amortisation P.A. = Per Annum YoY = Year-On-Year
EPS = Earnings Per Share PAT = Profit After Tax YTD = Year-To-Date
EV = Enterprise Value PBT = Profit Before Tax
16 October 2012 Page 38 of 38
IHH Healthcare 17 October 2011
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