Inês Murteira

London, December 2nd 2009

JMS – A Path of Innovation

Hospital CUF – The Clinic of Innovations

Opened in 1945 to provide care to CUF

employees and families (~80.000 people)

The Hospital services included, among others,

one emergency unit and one special care unit, which were “revolutionary” at that time

Hospital CUF has been an example of quality and innovation, with state-of-the-art

equipment and the most renowned doctors

All stakeholders in the sector consider Hospital

CUF “the clinic of innovations” for more than 60 years

José de Mello Saúde 2001

Holistic portfolio in terms of dimension, yet local...

~1.000 beds

~2.700 employees

~ 165 Million € of RevenuesLisboa

• 17 health units in 13 urban areas in Portugal and Spain

• More than 1.900 beds and ~8.000 employees

• Total revenues: 494 Million €

José de Mello Saúde 2009

Consolidated Leadership in Iberia

Porto

Lisboa

Braga

Madrid

Barcelona

Valencia

Malaga

Zaragoza

BilbaoSan Sebastian

Torres Vedras

Cascais

Matosinhos

Publicunits

Radiologyunits

Privateunits

JMS – Facts and FiguresSteady growth and capitalisation of experience acquired

JMS Development (2001-2009):

Inpatient Days

Consultations

Emergencies

Surgical Patients

Births

2005

75

314

124

14

3

2006

75

382

134

16

3

2007

79

451

144

17

3

% CAGR05/09

2,5%

15,6%

10,9%

8,9%

-2,8%

2008

83

562

178

19

3

Unit: thousands

2009F

85

650

208

21

3

Examples of innovation along 4 dimensions

Technological Innovation

Processes Innovation

Knowledge Innovation

Market Innovation

Technological InnovationIncorporating technology from the beginning…

›1963 1st image amplifier in Portugal

›1980 1st CT-scan of the country

›2006 1st 64-slices CT-scan in Portugal

›2007 Gamma Knife Centre (Stereotaxic Radio Surgery)– the single existing unit in Portugal

›2007 2nd PET-CT in the country

Process Innovation

Automatic Check-in for the patient

Check-in

code sent by

sms

Arrival / ticket Waiting 1 Admission

Waiting for call

First callWaitingCall for consultation

Ticket for payment

Waiting Waiting Check-out

Improvedcustomerservice

No waitingtime in theadmissionprocess

Knowledge Innovation

Medical knowledge and education

Medical education

Pre-graduation

− Partnership with one of the largest Medical Universities (FCM) for last-year students to be trained in JMS hospitals;

− Summer courses and attachment programmes for different specialties;

Post-graduation

− 3 services recognized by the National Medical Board as qualified to teach interns;

− Fellowships programmes for national and foreign doctors;

− Specific training sessions in several areas (e.g., ENT, Orthopedics, Pediatrics, ….)

Medical Knowledge

Clinical Research – more than 150 clinical trials;

Awards – biannual award in Health Sciences (Amélia da Silva de Mello Award) and annual scholarship (D. Manuel de Mello), both open to the entire national bio-medical community;

Publications – one general medical journal and other specialized publications (e.g., ENT magazine, orthopedics, …)

First public hospital under private management in Portugal (1996)

Continuous improvement of clinical and operational indicators during 13-years’ contract

Estimated 23 Million € of annual savings in 2008

Reference hospital for 650.000 people

796 beds

Revenues 2008: 162 M €

2nd largest Emergency Unit in Portugal

2nd largest hospital in Portugal for deliveries

Market Innovation – the HFF experience: 1st PPP in Portugal

Market Innovation – the Braga experience: build and manage

Plan, construction and

management of the new hospital

Area: 102.000 m2

~700 beds

Already under construction -

scheduled to open in May 2011

Management of current

public hospital in Braga

1st experience of JMS

managing a teaching

hospital linked to a Medical

University

In summary...

JMS is the leader healthcare provider in the Iberian Peninsula;

Established in 1945, enjoys actually a sustainable growth, both in Portugal and Spain, with 17 units and revenues of € 494 M;

With 3 new units in the portfolio, expects to obtain a 40% growth in revenues in the next 2 years;

From the beginning is considered a Innovator in different areas:. Technological. Processes. Knowledge. Market

JMS – A Path of Innovation

Inês Murteira

London, December 2nd 2009

JMS – A Path of Innovation