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PRARAM 9 HOSPITAL Analyst Meeting: 4Q19 Results
12 March 2020
VISION &
MILESTONES
Professional Healthcare Communityใส่ใจสขุภาพ ดูแลดว้ยมอือาชพี
P.2
Operational Statistics & Financial Performance
2020 Key Strategies
2
3
Business Update & Project Update4
Overview & PR9’s Strengths1
Agenda
P.3
Operational Statistics & Financial Performance
2020 Key Strategies
2
3
Business Update & Project Update4
Overview & PR9’s Strengths1
Agenda
P.4
Increased registered capital to THB 600 mm
1st private hospital with 64 Slice CT Scan
Implementation of Pharmacy Robot
Signed Kidney referral MOUs
Started new building construction
1st private hospital with 640 Slice CT Scan
500 Kidney Transplant Cases
Started using4D Ultrasound
2016 20182017201320041992 2001 2005
Started hospital operation, with THB 400 mm registered capital
Listed in the Stock Exchange of Thailand, with THB 800
mm registered capital
2019
Excellence CG Scoring
P.5
2010
Accredit Effective Status by JCI
Accredited CCPC for Kidney Transplant
900 Kidney Transplant Cases
64 Slice CT Scan
4D Ultrasound
Company Milestones
Pharmacy Robot 640 Slice CT Scan MOU – Kidney Referral
Kidney TransplantJoint Commission International
2020
Telemedicine Platform
Company Overview- Started hospital operation in 1992 (registered capital of THB 400 mm) by the group of excellence doctors
who had the passion to build a high quality of hospital (Tertiary Care) with the reasonable price- Current capacity : 166 IPD beds and 114 OPD Exam rooms- JCI Accreditation : with 2 Medical Institutes and 22 Medical Centers
➢ Kidney Disease & Transplant Institutes (JCI CCPC, Clinical Care Program Certification)➢ Cardiovascular Institutes
- 4 Core Competency : Kidney / Diabetes / Cardio / Minimal Invasive Surgery - Highest number of Kidney Transplant cases among the private hospital in Thailand ( >900 cases)- No. of Doctor and Medical Staff :
More than 500 specialist doctorsDec 2019
Full Time Doctor 113
Part Time Doctor 456
Consultant 176
Nurse 351
Other Medical Staff 493
Other Department 486
Total 2,075
P.6
PR9 Overview Snapshot
2 Medical Institutes plus 22 Medical Centers
Me
dic
al
Ac
cre
dit
ati
on
Tech
no
log
yO
the
r K
ey A
ch
ieve
me
nts
✓2010 / 2013 / 2016 / 2019 – JCI (4th accredited)✓2016 / 2019 - CCPC: Kidney
✓2000 - ISO 9001:1994✓2003 - ISO 9001:2000
✓2004 / 2007 - HA Level 3
− 2017 : 640-slice CT Scan− 2016 : Pharmacy Robot − 2005 : 64-slice CT Scan− 2004 : 4D Ultrasound
2017: Best Utilization Award
AXA Provider Award
2017: Fertility Service Provider of the Year
Global Health and Travel Awards 2017
Imaging Center
(X-Ray)
Mind Center
Breast Clinic Hair Center
Eye Center
Obstetric
Gynecology Center
Orthopedic
Center
Medicine Center
Surgery CenterPediatrics
Center
Ear Nose and
Throat Center
Dental CenterCheck-Up
Center
Skin and Cosmetic
Laser Surgery Center
Physical Therapy &
Rehabilitation Center
Emergency Center
Gastroenterology (GI)
and Hepatobiliary
(Liver) Center
Neurology
Center
Diabetes & Metabolic
Center
Thyroid Center
Cardiovascular
InstituteKidney Disease &
Transplant Institute
W9 Wellness Center
Joint Care
Center
2019:Thailand Top Company Awards 2019: Healthcare Sector (2nd year)
Business+ magazine & University of the Thai Chamber of Commerce
2019:Excellent CG Scoring
The Stock Exchange of Thailand & Thai Institute of Directors
P.7
2019:Good Governance Hospital Certificate
Department of Internal Trade, Ministry of Commerce
2019:Thailand’s Most Admired Company: No.4 in Private Hospital Sector
BrandAge magazine
2019: Muang Thai Life Assurance Hospital Awards
1St Runner Up : Innovations Hospital Awards
PR9’s Strengths
➢ Complex Medical Treatments• Tertiary-care hospital with world class medical quality & Excellence Doctors
JCI Accreditation plus specialty accreditation (Kidney Transplant Institute)
➢ Value for Money Services • PR9’s Pricing policy with International Standard of tertiary care and high class service quality
=> Good Governance Hospital Certificate: Department of Internal Trade, Ministry of Commerce
➢ Strategic Location in New CBD• Prime location with strong healthcare demand and promising growth opportunities
=> High density populated area (office building / residential commute / embassy / life-style center etc.), including the new Chinese expat community
P.8
Complex Medical Treatments & Excellence Doctors
“โรคซับซ้อน โรคเรื้อรงั เราเชี่ยวชาญ”ด้วยทีมแพทยเ์ฉพาะทาง มากกว่า 500 ท่าน
P.9
JCI Accreditation
JCI Accreditation - Hospital Program Since 2010The 4th Accredited : 22 November 2019
Clinical Care Program Certification: Kidney The 2nd Accredited : 26 November 2019
P.10
Value for Money Services
One of our philosophy : We aim to deliver excellence medical care in consideration of “Value for Money” for our patients
P.11
Received the “Green-Rated” HospitalFrom Department of Internal Trade, Ministry of Commerce
: Offer Friendly Medicine Pricing for the Patientshttps://hospitals.dit.go.th/app/drug_price_search.php
Value for Money Services
Date: 19 December 2019
Received “GGH (Good Governance Hospital) certificate”From Mr. Jurin Laksanawisit, Deputy Prime Minister and Minister of Commerce
P.12
Strategic Location in New CBDLocated in New CBD area &
New China-Town (Huai Khwang-Ratchada)
Note (1): Include Huaykwang, Makkasan, Klong TeoyNuea, Klong Tun Nuea, Bangkapi, Dindang area
P.13
Operational Statistics & Financial Performance
2020 Key Strategies
2
3
Business Update & Project Update4
Overview & PR9’s Strengths1
Agenda
P.14
73.9 157.2
284.5
-0.050.050.150.250.350.450.550.650.750.850.95
0.0100.0200.0300.0400.0
4Q2018 4Q2019 2018 2019
25.8133.3 371.5
511.2
-0.050.050.150.250.350.450.550.650.750.850.95
0.0100.0200.0300.0400.0
4Q2018 4Q2019 2018 2019
712.4 739.1
0.0500.0
4Q2018 4Q2019
Financial Summary▪ PR9 reported total medical revenue in 2019 of Baht 2,848.5
million, an increase of 5.5% from 2018. As a results of an increase of OPD revenue 6.0% yoy, while IPD revenue in 2019 slightly increased at 4.8% yoy.
▪ Medical revenue from international patients grew 12.5% yoy. ▪ While insurance and corporate contract payment methods keep
growing at 14.9% and 8.7% yoy, respectively as a result of marketing campaigns and marketing activities.
Med
icalR
even
ueEB
ITDA
Net P
rofit
▪ PR9 reported EBITDA in 2019 of Baht 511.2 million, an increase of 37.6% from Baht 371.5 million in 2018, while the EBITDA margin were 17.7% in 2019 and 13.6% in 2018. This was mainly from the higher record of one-time expenses in 2018.
▪ In 2019, PR9 reported profits for the period Baht 284.5 million, an increase of 80.9% from Baht 157.2 million in 2018, representing the net profit margin for the period of 9.8% and 5.8% respectively.
18.6%538.8
0.0
500.0
2018 2019
2,701.1 2,848.5
3.6%17.7% 13.6% 17.7%18.8%
514.3
10.6%306.6
-4.5%9.8% 5.8% 9.8%
10.9%296.7
P.15
19.7%142.2
-32.7
11.9%85.7
Total Revenue
P.16
Total Revenue
349.1 352.6 388.1 404.6 374.3 376.0 419.1 414.8
1,494.3 1,584.2293.3 283.0 322.7 307.9 320.9 294.7 324.4 324.3
1,206.81,264.3
10.9 6.4 5.2 9.8 9.1 9.1 9.7 13.3
32.441.2
1Q18 2Q18 3Q18 4Q18 1Q19 2Q19 3Q19 4Q19 2018 2019
OPD Revenue IPD Revenue Other revenueUnit: THB mm
(45%)(55%)
(44%)(56%)
(46%)(54%)
(45%)(55%)
(43%)(57%)
(46%)(54%)
(45%)(55%)
(44%)(56%)
653.3 642.0 716.0 722.3 704.3 679.8
2,733.52,889.7
752.4
(44%)(56%)
+4.2% YOY
+5.7% YOY
753.2
(44%)(56%)
Total Revenue +4.2%Medical Revenue +3.7%
OPD +2.5%IPD +5.3%
612.7 644.2
109.6 108.2
4Q18 4Q19
Thai Inter
+5.1%
-1.3%
Revenue Breakdown : 4Q18 & 4Q19
Unit: THB mmTotal Revenue
535.9 538.1
128.4 157.6
58.0 56.7
4Q18 4Q19
Self Pay Insurance Contract Comp.
-2.2%
+0.4%
+22.7%8%
18%74%
8%21%72%
404.6 414.8
307.9 324.3
9.8 13.3
4Q18 4Q19
OPD IPD Other rev.
45%55%
By Payor Revenue
By Nationality Revenue
44%56%
86%15%85%
722.3752.4
P.17
14%
Total Revenue +5.7%Medical Revenue +5.5%
OPD +6.0%IPD +4.8%
2,306.2 2,404.1
395.0
2018 2019
Thai Inter
+4.2%
+12.5%
Revenue Breakdown : 2018 & 2019
Unit: THB mmTotal Revenue
2,046.3 2,105.1
505.7 581.2
149.2 162.2
2018 2019
Self Pay Insurance Contract Comp.
+8.7%
+2.9%
+14.9%5%
19%76%
6%20%74%
1,494.4 1,584.2
1,206.8 1,264.3
32.0 41.2
2018 2019
OPD IPD Other rev.
45%55%
By Payor Revenue
By Nationality Revenue
45%55% 16%
84%15%85%
2,733.2 2,889.7
P.18
444.4
115
105106
117116
4Q18 1Q19 2Q19 3Q19 4Q19
Key Operational Volume
Unit: ’000 visits
OPD Visits
OPD
+0.9% (YOY)
IPD Average Daily Census (ADC)
105 10691
109 107
4Q18 1Q19 2Q19 3Q19 4Q19
IPD
+1.3% (YOY)
P.19
Occupancy Rate : Normal Ward, ICU-CCU
125142 142 142 142 142 142
24 24 24 24 24 24 24
P.20
125
142 142 142 142142 142 142
24 24 24 24 24 24 24 24
74.3%
55.9%70.0% 61.5% 61.4%
52.4%
64.6% 62.5%73.6%68.3%
74.2%74.3% 77.8%
72.7% 73.4% 74.7%
1Q18 2Q18 3Q18 4Q18 1Q19 2Q19 3Q19 4Q19
Normal Ward ICU-CCU Ward Occupancy Rate ICU-CCU Occupancy Rate
101.6 98.2 145.9 25.8 143.4 83.9 150.6 133.3
371.5 511.215.5% 15.3%20.4% 20.4%
12.3%20.0% 17.7%
13.6% 17.7%
1Q2018 2Q2018 3Q2018 4Q2018 1Q2019 2Q2019 3Q2019 4Q2019 2018 2019EBITDA EBITDA Margin
52.0 50.4 87.3 86.1 35.7 88.8 73.9157.2
284.58.0%
7.8%
12.2%
-4.5%
12.2%
5.2%11.8% 9.8%
5.8%9.8%
1Q2018 2Q2018 3Q2018 4Q2018 1Q2019 2Q2019 3Q2019 4Q2019 2018 2019Net Profit Net Profit Margin
197.9 186.9 227.1 225.1 224.8 181.5 237.6 232.3
30.8% 29.4% 32.0% 31.6% 32.3% 27.1%32.0% 31.4% 31.0% 30.8%
1Q2018 2Q2018 3Q2018 4Q2018 1Q2019 2Q2019 3Q2019 4Q2019 2018 2019Gross Profit Gross Profit Margin
Profitability : 4Q19 & 2019
Unit: THB mm
Gro
ss
Pro
fit
EB
ITD
AN
et
Pro
fit
Unit: THB mm
Unit: THB mm
142.2
85.7
3.6%
11.9%
19.7%
538.816.4%
57.88.5%
111.5
18.6%
10.6%
197.029.4% 891.7
836.9
306.6
-32.7
876.2
31.3%
296.710.9%
P.21
124.619.4%
71.511.1%
514.318.8%
Balance Sheets
P.22
2,0491,643
2,136 2,862
239211
2018 2019Current Asset PPE Other LT Asset
Total Assets
449 523102 155
3,8734,039
2018 2019Current Liabilities Non-Current Liabilities Equity
Total Liabilities & Shareholders' Equity
4,424 4,4244,717 4,717
+726 / (+34.0%)
-406 / (-19.8%)
-28 / (-11.8%)
+166 / (+4.3%)
+74 / (+16.5%)
+52 / (+51.3%)
Balance Sheets
Solid Balance Sheets
1,669 1,881 2,095
3,873 4,039380413
762
551 678
2015 2016 2017 2018 2019
Equity Liabilities
Unit: THB mm
2,049 2,2942,857
4,424 4,717
“None of IBD (Interest Bearing Debt) Outstanding”
0.23 0.22
0.36
0.14 0.17
2015 2016 2017 2018 2019
D/E Ratio
D/E Ratio
P.23
Operational Statistics & Financial Performance
2020 Key Strategies
2
3
Business Update & Project Update4
Overview & PR9’s Strengths1
Agenda
P.24
Branding
Digital Hospital
Top Line Initiatives
Top Line Initiatives Digital Hospital Branding• New Market Penetration• Product/Price Customization • Effective Brand & Marketing
Communication • Conversion & Referral• CRM & Database Marketing
• Optimize Clinical Outcome• Enhance Customer & Provider
Experience• Improve Operational Efficiency
• High Caliber Doctors & Medical Experts• Advance Tool and Technology• Deliver Services from our Heart• Great Space & Facility• New Healthcare Lifestyle Community• Being Loved by Community
PR9 : 2020 KEY STRATEGIES
P.25
P.26
Top Line
Initiatives
Network
Expansion &
Cooperation
Corporate
& Insurance
Coverage
Int’l
Patient Expansion
1. New Market Penetration
2. Product / Price Customization (Matching)
3. Effective Brand & Marketing Communication (Online & Offline Activities)
4. Conversion and Referral
5. CRM and Database Marketing
Top Line Initiatives : 2020Target Segment
Digital Hospital
Optimize clinical
outcome
Enhance customer &
provider experience
Improve operational efficiency
• Telemedicine • Remote Healthcare
Digital Hospital : 2020
P.27
P.28
Operational Statistics & Financial Performance
2020 Key Strategies
2
3
Business Update & Project Update4
Overview & PR9’s Strengths1
Agenda
P.29
Kidney Transplant Cases
Network Expansion and Medical Cooperation
Medical Network for Kidney Transplant
P.30
82 84
2018 2019
1321
Jan-Feb 2019 Jan-Feb 2020
1. โรงพยาบาลตรงัรวมแพทย ์ 2. โรงพยาบาลสริเิวช จันทบุร ี 3. โรงพยาบาลราษฎรย์นิด ีหาดใหญ ่ 4. โรงพยาบาลปากน า้โพ นครสวรรค ์ 5. โรงพยาบาลอบุลรกัษ ์ธนบุรี 6. โรงพยาบาลนรินัดรก์ารแพทย์ (NEW)
7. โรงพยาบาลทกัษณิ สุราษฎรธ์านี 8. โรงพยาบาลสโิรรส ยะลา 9. โรงพยาบาลสโิรรส ปัตตานี10. โรงพยาบาลธนบรุ ีชุมพร 11. โรงพยาบาลธนบรุ ีทุ่งสง (NEW)
12. โรงพยาบาลศริเิวช ล าพนู (NEW)
2020 Target : 20 Hospitals NationwidePlus Cardiology & Cancer Center Network
PR9 Kidney Transplant Teams
Business Partner Cooperation
P.31
Domestic Patients
P.32
Domestic Market Initiative
Self-Pay Customers• Promotion Campaign : By SBU • Occasional Campaign : C Up Anniversary Packages• Zero Lost customers• Online Selling Platform
Corporate and Insurance• New Market Penetration• Package Customization for each company• Zero Lost Insurance Customer• Loyalty Program for Corporate and Insurance Customers• Online Platform
Purchase Flow (Walk-in)
Patient Purchase Intension
Patient Purchase at CRD Counter
Receive invoice /Register
in SSB
Register Coupon
Use voucher / Privilege
**Patients have to show the passport and visa details as evidences for application.
Distribution Channel• Online• On-Ground • Co-Branding • Chamber of Commerce & Embassy• Friend-Get-Friends
Expat Premium Card
Other Market Initiative : EXPATRIATES
P.33
MYANMAR & CAMBODIA FACEBOOK :
CHINESE MEDIA :
International Marketing Activities
P.34
KICK OFF : TELEMEDICINE
Doctor Anywhere Head Quarter (Singapore) Visited
1st Project: “Cigna Inter + DA + PR9”• Cigna > 3,000 expats (Cigna customers –
High executive level)• Press releases on 25th February 2020
Following Projects with Telemedicine platform• Myanmar patients• Int’l company branches in BKK (Singapore)• Thai Banks, open DA+PR9 clinic at head office• Other Markets like Cambodia, Japan & Other
P.35
Telemedicine Platform
2019 Thailand’s Most Admired Company :
Ranking No.8 in Total Hospital Group / No.4 in the Private Hospital CompanyBy “BrandAge Magazine”
P.36
2019 Hospital Awards : Muang Thai Life Assurance
1St Runner Up : Innovations Hospital Awards
P.37
Muang Thai Life Assurance Hospital Awards 2019
Date: 18 February 2020
Preparedness for COVID-19
P.38
Patient Screening Point for surveillance of the COVID-19 when entering to the Hospital
Where we are today Where we want to be
New Building(Wellness & Life Style)
Renovated Existing Building(Chronic)
Offer Comprehensive Medical Services Health Promotion/ Disease Prevention / Curative Medicine / Rehabilitation
Recognized complex medical treatments providers
Health Promotion Disease Prevention Curative Medicine Rehabilitation
Leverage expertise to build new customers base• Lifestyle Medical Center• Aging-related Medical Center• Cancer Center
✓
Scale and scope of services expansion
Land : 2-3-89 RaiUsable Area : 24,500 m2
OPD Room : 83 Exam RoomsIPD Room : 59 Ward BedsParking : 381 Cars
Land : 6-0-74 RaiUsable Area : 32,825 m2
OPD Room : 114 Exam RoomsIPD Room : 166 Ward Beds
(plus 88 beds : future project) Parking : 449 Cars
P.39
A B
Existing Building1. Praram 9 Kidney Transplant Institute2. Praram 9 Cardiovascular Institute3. Diabetes and Metabolic Center4. Praram 9 Orthopedic Center5. Obstetrics Gynecology Center6. Surgery Center7. Mind Center8. Neurology Center9. Emergency Center10. Rehabilitation Center11. Radiology Center12. Breast Clinic 13. Thyroid Clinic14. Joint Care Center15. W9 Wellness Center
New Building1. Comprehensive Gastrointestinal and Liver Center2. Comprehensive Check-up Center3. Pain Management and Wellness Center4. Allergy Center5. Pediatric Center6. Dental Center7. Mind Center8. Ear Nose and Throat Center9. Eye Center10. Skin and Cosmetic Surgery Center11. Hair Center
New Hospital Building – Building B
P.40
Building BB2-B1 : Parking, Community Lounge, Food CourtFl.1-2 : Registration, ER, Event Space, Retail, ParkingFl.3-6 : ParkingFl.7 : GI Scope, OR, Recovery RoomFl.8 : OPD GI, EYE Center, ENT Center,
Pharmacy, Cashier Fl.9 : Hair Center, Skin Center, Mind Center, X-Ray, LabFl.10 : OPD Pediatric, Dental CenterFl.11 : Pain Management & Wellness Center Fl.12 : Check-Up Fl.14 : Data Center, IT, Function Area, Executive Office,
IPD PharmacyFl.15-17 : IPD Ward, VIP Room, VIP Lounge
Construction Progress – Building B
P.41As of January 2020
Construction Progress – Building B
: Fl.1- Registration - ER- Event Space
P.42As of January 2020
Construction Progress – Building B
: Fl.7 – Operating Room / Recovery Room / GI Scope
P.43As of January 2020
Construction Progress – Building B
: Fl.8 - Pharmacy, Cashier
P.44As of January 2020
Construction Progress – Building B
: Fl.9 – X-Ray, Lab, Hair, Skin, Mind Center
P.45As of January 2020
Construction Progress – Building B
: Fl.11 - Pain Management & Wellness Center
P.46As of January 2020
Construction Progress – Building B
: Fl.15 – IPD Ward P.47As of January 2020
Construction Progress – Building B
: Fl.17 – IPD Ward
P.48As of January 2020
: Back Office Building: Nurse Condominium
Construction Progress – Office & Nurse Condominium
P.49
Corporate Social Responsibility
P.50
Knowledge Dissemination and Enhancement Activities Social and Community Support Activities
“Thank You”
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